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Solithromycin

Phase 3

Community-acquired Bacterial Pneumonia | Small molecule | Infectious Disease |CorMedix Inc.|Last Updated: Sep 11, 2017

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment1,723

FDA Designations

No designations recorded

Clinical trial landscape

Solithromycin · 7 trials · 5 indications

Phase 3 3Phase 2 2Phase 1 2
NCT02210325Efficacy and Safety Study of Oral Solithromycin Compared to Intramuscular Ceftriaxone Plus Oral Azithromycin in the Treatment of Patients With GonorrheaUncomplicated Urogenital Gonorrhea
COMPLETED264 Analytics
NCT01968733Efficacy and Safety Study of Intravenous to Oral Solithromycin (CEM-101) Compared to Intravenous to Oral Moxifloxacin in Treatment of Patients With Community-Acquired Bacterial PneumoniaCommunity-acquired Bacterial Pneumonia
COMPLETED863 Analytics
NCT01756339Efficacy and Safety Study of Oral Solithromycin (CEM-101) Compared to Oral Moxifloxacin in Treatment of Patients With Community-Acquired Bacterial PneumoniaCommunity-acquired Bacterial Pneumonia
COMPLETED860 Analytics
PHASE3COMPLETED
Efficacy and Safety Study of Oral Solithromycin Compared to Intramuscular Ceftriaxone Plus Oral Azithromycin in the Treatment of Patients With Gonorrhea
Uncomplicated Urogenital GonorrheaUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety Study of Intravenous to Oral Solithromycin (CEM-101) Compared to Intravenous to Oral Moxifloxacin in Treatment of Patients With Community-Acquired Bacterial Pneumonia
Community-acquired Bacterial PneumoniaUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety Study of Oral Solithromycin (CEM-101) Compared to Oral Moxifloxacin in Treatment of Patients With Community-Acquired Bacterial Pneumonia
Community-acquired Bacterial PneumoniaUnlock trial analytics

Study Endpoints

Primary Endpoints

To assess the eradication rate of Neisseria gonorrhoeae by culture following a single dose of oral solithromycin compared to single-dose intramuscular ceftriaxone plus oral azithromycin in the Microbiological Intent to Treat population.
7 days after treatment
Early clinical response rate in the Intent to Treat (ITT) population.
72 [±12] hours after the first dose of study drug

To determine noninferiority (NI) in early clinical response rate, in at least 2 of the following 4 cardinal symptoms: cough, shortness of breath, chest pain, and sputum production

Early clinical response rate in the Intent to Treat (ITT) population
72 [±12] hours after the first dose of study drug

To determine noninferiority (NI) in early clinical response rate, in at least 2 of the following 4 cardinal symptoms: cough, shortness of breath, chest pain, and sputum production.

To evaluate effects on hepatic histology in patients with NASH
13 weeks

Using the Nonalcoholic fatty liver disease (NAFLD) Activity Score (NAS)

The bacterial eradication rate, as measured by conversion from positive Neisseria gonorrhoeae baseline urethral or cervical culture to negative
3 to 9 days after study drug dosing
Area under the plasma concentration versus time curve (AUC) of solithromycin in children and adolescents
5 to 7 days
Area under the plasma concentration versus time curve (AUC) of solithromycin in adolescents
5 days

Secondary Endpoints

To assess the safety and tolerability of a single oral dose of solithromycin compared to single-dose IM ceftriaxone plus single-dose oral azithromycin in patients with gonorrhea
7 days
To compare bacterial eradication rates of N. gonorrhoeae from rectal or pharyngeal cultures following a single dose of oral solithromycin compared to single-dose IM ceftriaxone plus oral azithromycin.
7 days
To assess clearance or persistence of N. gonorrhoeae and Chlamydia trachomatis nucleic acid from male and female genital, pharyngeal and rectal specimens.
21 days after treatment
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Ceftriaxone plus AzithromycinACTIVE_COMPARATORA single intramuscular dose of 500 mg ceftriaxone plus a single oral dose of 1000 mg azithromycin
SolithromycinEXPERIMENTALA single oral dose of 1000 mg solithromycin
MoxifloxacinACTIVE_COMPARATORIntravenous with the potential step-down to oral moxifloxacin
Solithromycin (CEM-101)EXPERIMENTALA single oral dose of 1200 mg solithromycin
Solithromycin 1000 mgEXPERIMENTALA single oral dose of 1000 mg solithromycin

Interventions

NameTypeDescription
solithromycinDRUG -
ceftriaxoneDRUG -
azithromycinDRUG -
MoxifloxacinDRUG -
Placebo to match solithromycinOTHER -
Solithromycin (CEM-101)DRUGA single oral dose of 1000 mg solithromycin
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Eligibility Criteria

Age Range15 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites5

Inclusion Criteria: * At least 1 of the following: 1. Untreated male with urethral gonorrhea as determined by a screening laboratory test (either NAAT or culture) for N. gonorrhoeae within 2 weeks prior to study drug administration. 2. Untreated female with cervical gonorrhea as determined by ...

Countries:United StatesAustraliaArgentinaBulgariaCanadaChileColombiaGeorgiaGermanyGuatemalaHungaryLatviaMalaysiaNetherlandsPeruPhilippinesPolandRomaniaRussiaSerbiaSlovakiaSloveniaSouth AfricaSouth KoreaSpainTaiwanUkraineCzechiaDominican RepublicEcuadorEstoniaPuerto Rico
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Frequently asked questions about Solithromycin

What is Solithromycin used for?

Solithromycin is an investigational small molecule being studied for bacterial infections, including community-acquired bacterial pneumonia and uncomplicated urogenital gonorrhea, as well as nonalcoholic steatohepatitis. It is developed by CorMedix Inc. and is currently in clinical development, though no active trials are ongoing.

What does Solithromycin target?

Solithromycin is a macrolide antibiotic that targets the bacterial ribosome to inhibit protein synthesis. It is being studied for its antibacterial activity against pathogens causing community-acquired bacterial pneumonia and other bacterial infections. The drug is also being investigated for nonalcoholic steatohepatitis, though its mechanism in that condition is not specified.

Who makes Solithromycin?

Solithromycin is developed by CorMedix Inc., a biopharmaceutical company traded under the ticker CRMD. The drug is an investigational small molecule in the infectious disease therapeutic area, with completed clinical trials in bacterial infections and nonalcoholic steatohepatitis.

What phase is Solithromycin in?

Solithromycin is in Phase 1 clinical development, based on the most recent trial listed. It has completed Phase 1, Phase 2, and Phase 3 trials, but it is not approved and remains investigational. The drug is not currently in any active clinical trials.

What clinical trials is Solithromycin in?

Solithromycin has completed four clinical trials, including NCT01756339, a Phase 3 study in community-acquired bacterial pneumonia with 860 participants, and NCT01966055 and NCT02268279, Phase 1 studies in bacterial infections. NCT02510599 was a Phase 2 trial in nonalcoholic steatohepatitis. All trials are completed.

Is Solithromycin the same as CEM-101?

Yes, Solithromycin is also known as CEM-101, as referenced in the clinical trial title for NCT01756339. This alternative name is used in research contexts, and readers searching for CEM-101 will find information about Solithromycin, the same investigational drug developed by CorMedix Inc.