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Completed

NCT Number: NCT04368585

Study to Examine the Effect of Antacid and Omeprazole on the Single-Dose Pharmacokinetics of Tebipenem Pivoxil Hydrobromide (TBPM-PI-HBr) in Healthy Adult Subjects

To assess the effect of a single dose of aluminum hydroxide/magnesium hydroxide/simethicone and omeprazole on the pharmacokinetics (PK) of TBPM, following a single dose of TBPM-PI-HBr in healthy adult subjects.

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Key information

Conditions

Age range

18 year–55 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Medical Facility

Phoenix, Arizona, 85283, United States

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Key Inclusion Criteria:

  • Healthy, adult, male or female, 18-55 years of age, inclusive, at the screening visit.
  • Continuous non-smoker
  • Body mass index (BMI) ≥ 18.0 and ≤ 32.0 kg/m2 at the screening visit.
  • Medically healthy with no clinically significant medical history, physical examination, laboratory profiles, vital signs or ECGs, as deemed by the PI or designee.

Key Exclusion Criteria:

  • Is mentally or legally incapacitated or has significant emotional problems at the time of the screening visit or expected to have during the conduct of the study.
  • History or presence of clinically significant medical or psychiatric condition or disease in the opinion of the PI or designee.
  • History of any illness that, in the opinion of the PI or designee, might confound the results of the study or poses an additional risk to the subject by their participation in the study.
  • History of significant allergic disease requiring treatment
  • History or presence of alcoholism or drug abuse within the past 2 years prior to the first dose.
  • History or presence of hypersensitivity or idiosyncratic reaction to the study drugs or related compounds (especially fluoroquinolone-, carbapenem-, penicillin-, and cephalosporin-antibiotics sensitivity).
  • History of known genetic metabolism anomaly associated with carnitine deficiency (e.g., carnitine transporter defect, methylmalonic aciduria, propionic acidemia).
  • History of cholecystectomy.
  • Female subjects with a positive pregnancy test at the screening visit or first check-in or who are lactating.
  • Positive urine drug or alcohol results at the screening visit or first check-in.
  • Positive results at the screening visit for human immunodeficiency virus (HIV 1 and 2), hepatitis B surface antigen (HBsAg) or hepatitis C virus (HCV).

Treatment and study plan

Tebipenem Pivoxil Hydrobromide (TBPM-PI-HBr)

Drug

Tebipenem pivoxil hydrobromide (TBPM-PI-HBr) 600 mg single-dose given orally.

Other names: TBPM-PI-HBr, SPR994

20 mL aluminum hydroxide/magnesium hydroxide/simethicone (400 mg aluminum hydroxide/400 mg magnesium hydroxide/40 mg simethicone per 5 mL)

Drug

20 mL aluminum hydroxide/magnesium hydroxide/simethicone (400 mg aluminum hydroxide/400 mg magnesium hydroxide/40 mg simethicone per 5 mL) oral suspension.

Omeprazole

Drug

40 mg (1 x 40 mg capsule) omeprazole administered QD

Primary outcomes

  1. Area under the concentration-time curve, from time 0 to the last observed non-zero concentration (t).

    Time frame: Day 2 (Periods 1 and 2) and Day 6 (Period 3)

  2. Area under the curve extrapolated to infinity (AUC0-∞).

    Time frame: Day 2 (Periods 1 and 2) and Day 6 (Period 3)

  3. Percent of AUC0-inf extrapolated (AUC%extrap)

    Time frame: Day 2 (Periods 1 and 2) and Day 6 (Period 3)

  4. Maximum plasma concentration (Cmax).

    Time frame: Day 2 (Periods 1 and 2) and Day 6 (Period 3)

  5. Time to the maximum plasma concentration (Tmax).

    Time frame: Day 2 (Periods 1 and 2) and Day 6 (Period 3)

  6. Terminal elimination half-life (t½).

    Time frame: Day 2 (Periods 1 and 2) and Day 6 (Period 3)

  7. Apparent total body clearance (CL/F)

    Time frame: Day 2 (Periods 1 and 2) and Day 6 (Period 3)

  8. Apparent volume of distribution during the terminal elimination phase after oral (extravascular) administration (Vz/F).

    Time frame: Day 2 (Periods 1 and 2) and Day 6 (Period 3)

Secondary outcomes

  1. Incidence of treatment-emergent AEs (including SAEs) categorized by severity and relationship to study drug.

    Time frame: 12 to 14 days after the last dose of study drug

    ECG, Clinical Laboratories, Vitals Signs and Physical Exams will be used as a safety measure to detect any AEs.

Sponsors and collaborators

Lead sponsor

Spero Therapeutics

Industry

Registry information

Official study title

An Open-Label, 3-Period, Fixed-Sequence, Study to Examine the Effect of Aluminum Hydroxide/Magnesium Hydroxide/Simethicone and Omeprazole on the Single-Dose Pharmacokinetics of Tebipenem Pivoxil Hydrobromide (TBPM-PI-HBr) in Healthy Adult Subjects

Important dates

Study start
2020
Primary completion
2020
Study completion
2020
First posted
Apr 30, 2020
Registry last updated
Sep 4, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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