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Single-Dose Oritavancin Diphosphate

Phase 3

Wound Infection | Small molecule | Infectious Disease |CorMedix Inc.|Last Updated: Feb 1, 2024

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment1,987

FDA Designations

No designations recorded

Clinical trial landscape

Single-Dose Oritavancin Diphosphate · 4 trials · 5 indications

Phase 3 2Phase 1 2
NCT01252719Oritavancin Versus IV Vancomycin for the Treatment of Participants With Acute Bacterial Skin and Skin Structure Infection (SOLO I)Wound Infection
COMPLETED968 Analytics
NCT01252732Oritavancin Versus IV Vancomycin for the Treatment of Patients With Acute Bacterial Skin and Skin Structure InfectionWound Infection
COMPLETED1,019 Analytics
PHASE3COMPLETED
Oritavancin Versus IV Vancomycin for the Treatment of Participants With Acute Bacterial Skin and Skin Structure Infection (SOLO I)
Wound InfectionUnlock trial analytics
PHASE3COMPLETED
Oritavancin Versus IV Vancomycin for the Treatment of Patients With Acute Bacterial Skin and Skin Structure Infection
Wound InfectionUnlock trial analytics

Study Endpoints

Primary Endpoints

Cessation Of Spread Or Reduction In Size Of Baseline Lesion, Absence Of Fever, And No Rescue Antibiotic Medication At Early Clinical Evaluation (ECE) (48 To 72 Hours)
48-72 hours after the initiation of study therapy

Clinical response at the ECE visit (48-72 hours following initiation of study drug administration). Early clinical response was defined as a composite outcome based on cessation of spreading or reduction in the size of baseline lesion, absence of fever and no rescue antibiotic medication. A participant was classified as "success" if all of the following were met: cessation of spread or reduction of the lesion (defined as cessation of spread of the redness, edema, and/or induration or reduction in size \[length, width, and area\] of the redness, edema, and/or induration such that the size of the lesion was less than or equal to the size at baseline); resolution (absence) of fever (temperature \<37.7°Celsius at the last 3 consecutive recordings by the same route of administration taken 4 times per day, for example every 6 hours between 48 and 72 hours); no rescue antibiotic medication.

Early Clinical Response
48-72 hours after the initation of study therapy

Clinical response at the ECE visit (48-72 hours following initiation of study drug administration). Early clinical response was defined as a composite outcome based on, cessation of spreading or reduction in the size of baseline lesion, absence of fever and no rescue antibiotic medication.

Change in the phenotyping measures of each probe drug in the absence and presence of oritavancin
Day 1 through Day 5
Placebo-adjusted change from Baseline in QTcF
predose, 3,3.5,4,5,6,7,9,11,15,24 hours post infusion start time

Placebo-adjusted change from baseline in QTcF (QTc with the Fridericia correction) between each treatment and placebo.

Secondary Endpoints

Investigator Assessed Clinical Cure Of Treatment With Single-dose IV Oritavancin Compared With IV Vancomycin For 7 To 10 Days At Post-therapy Evaluation (Key Secondary Endpoint)
7-14 days after end of therapy
Number Of Participants With A Lesion Size Reduction ≥20% From Baseline At ECE
48-72 hours after the initiation of study therapy
Investigator Assessed Clinical Cure at Post Therapy Evaluation (Key Secondary Endpoint)
7 to 14 days after end of therapy
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Single-Dose IV Oritavancin DiphosphateEXPERIMENTAL -
IV VancomycinACTIVE_COMPARATOR -
OritavancinEXPERIMENTALSingle-Dose IV Oritavancin Diphosphate
PlaceboPLACEBO_COMPARATORSingle-dose IV placebo
MoxifloxacinACTIVE_COMPARATORMoxifloxacin tablet

Interventions

NameTypeDescription
Single-Dose IV Oritavancin DiphosphateDRUGOritavancin was administered as a single IV dose.
IV VancomycinDRUGIntravenous vancomycin was administered for a minimum of 7 days and up to a maximum of 10 days.
PlaceboDRUGIntravenous placebo was administered thereafter, for a minimum of 7 days and up to a maximum of 10 days (oritavancin and placebo).
MoxifloxacinDRUGParticipants randomized to the open-label moxifloxacin treatment arm only received a 400-mg moxifloxacin tablet and did not receive a placebo infusion.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: Participants were included in the study if they met all of the following inclusion criteria: 1. Males or females ≥18 years old 2. Diagnosis of ABSSSI suspected or confirmed to be caused by a gram-positive pathogen requiring at least 7 days of IV therapy 3. An ABSSSI included 1 ...

Countries:United States
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Frequently asked questions about Single-Dose Oritavancin Diphosphate

What is Single-Dose Oritavancin Diphosphate used for?

Single-Dose Oritavancin Diphosphate is an investigational small molecule being studied for the treatment of wound infections, including acute bacterial skin and skin structure infections such as abscess, systemic inflammation, and cellulitis. It is also being evaluated in healthy volunteers for safety and drug interaction studies.

Who makes Single-Dose Oritavancin Diphosphate?

Single-Dose Oritavancin Diphosphate is being developed by CorMedix Inc., a biopharmaceutical company traded on the NYSE American under the ticker symbol CRMD. The company is conducting clinical trials to evaluate the drug's safety and efficacy.

What phase is Single-Dose Oritavancin Diphosphate in?

Single-Dose Oritavancin Diphosphate is in Phase 1 clinical development. It has completed two Phase 1 trials in healthy volunteers, and it has also completed two Phase 3 trials for wound infections, although the overall development program is currently listed as Phase 1.

What clinical trials is Single-Dose Oritavancin Diphosphate in?

Single-Dose Oritavancin Diphosphate has completed four clinical trials. NCT01252719 and NCT01252732 were Phase 3 studies comparing oritavancin to IV vancomycin in patients with acute bacterial skin and skin structure infections. NCT01762839 assessed cardiac safety in healthy participants, and NCT01784536 evaluated effects on cytochrome P450 in healthy volunteers.

Is Single-Dose Oritavancin Diphosphate the same as oritavancin?

Single-Dose Oritavancin Diphosphate is a formulation of oritavancin, a lipoglycopeptide antibiotic. The clinical trials listed under this drug name evaluate oritavancin as a single-dose regimen for skin infections. It is not a different drug but a specific dosing and formulation approach.

How does Single-Dose Oritavancin Diphosphate work?

Single-Dose Oritavancin Diphosphate is a small molecule antibiotic that targets bacterial cell wall synthesis. It is being studied for its ability to treat wound infections caused by susceptible bacteria, including those involving abscess and cellulitis, by inhibiting bacterial growth and promoting clearance of the infection.