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solithromycin

Phase 3

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

solithromycin development status

Highest phase Phase 3
Registered trials 11 across 3 sponsors since Jul 2010

solithromycin target and mechanism

ModalitySmall molecule

Also known as CEM-101

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials8
Total Enrollment2,286

FDA Designations

No designations recorded

solithromycin clinical trials

solithromycin · 8 trials · 5 indications

Phase 3 3Phase 2 3Phase 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
Clinical Success in the Intent to Treat (ITT) population at the Treatment of Cure (TOC) visit
5 to 10 days after the last dose of study drug

Clinical Success defined as continued improvement or complete resolution of baseline signs and symptoms and if available, an improved/stable chest radiograph after the end of treatment

Clinical Success in the Clinically Evaluable (CE) population at the Treatment of Cure (TOC) Visit
5 to 10 days after the last dose of study drug

Clinical Success defined as continued improvement or complete resolution of baseline signs and symptoms and if available, an improved/stable chest radiograph after the end of treatment

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
LevofloxacinACTIVE_COMPARATOR -
CEM-101EXPERIMENTAL -

Interventions

NameTypeDescription
solithromycinDRUG -
ceftriaxoneDRUG -
azithromycinDRUG -
MoxifloxacinDRUG -
Placebo to match solithromycinOTHER -
Solithromycin (CEM-101)DRUGA single oral dose of 1000 mg solithromycin
LevofloxacinDRUGLevofloxacin once daily for 5 days: Levofloxacin 750 mg PO Days 1-5
CEM-101DRUGCEM-101 once daily for 5 days: CEM-101 800 mg PO Day 1 CEM-101 400 mg PO Days 2-5
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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?

Solithromycin is an investigational small-molecule antibiotic being developed by CorMedix Inc. (ticker CRMD) for bacterial infections. It has been studied in community-acquired bacterial pneumonia, uncomplicated urogenital gonorrhea, nonalcoholic steatohepatitis, and general bacterial infection. It is not approved and remains in clinical development.

What is solithromycin used for?

Solithromycin has been studied for community-acquired bacterial pneumonia, uncomplicated urogenital gonorrhea, nonalcoholic steatohepatitis without cirrhosis, and bacterial infection in adolescents and children. It is an investigational agent and is not approved for any indication. All reported trials of solithromycin have been completed.

Who makes solithromycin?

Solithromycin is being developed by CorMedix Inc., which trades under the ticker CRMD. CorMedix is the sponsor associated with the clinical development program for solithromycin across its studied indications, including community-acquired bacterial pneumonia and uncomplicated urogenital gonorrhea.

What phase is solithromycin in?

Solithromycin is in Phase 1 development according to its current development status, though individual completed studies have spanned Phase 1 through Phase 3. It is investigational and has not been approved by the FDA. Two trials are listed as completed, with no active trials ongoing.

What clinical trials is solithromycin in?

Completed solithromycin trials include NCT02510599 in nonalcoholic steatohepatitis without cirrhosis, NCT02268279 evaluating pharmacokinetics and safety in adolescents and children, NCT02210325 in uncomplicated urogenital gonorrhea, and NCT01968733 in community-acquired bacterial pneumonia. These studies enrolled a combined total of 1,723 participants across multiple countries.

Is solithromycin the same as CEM-101?

Yes, solithromycin is also known as CEM-101. The Phase 3 community-acquired bacterial pneumonia trial NCT01968733 refers to the drug as intravenous to oral solithromycin (CEM-101). Both names refer to the same investigational small-molecule antibiotic developed by CorMedix Inc. (ticker CRMD).