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TP-434 reconstituted and administered via an infusion

Phase 2

Complicated Intra-abdominal Infection | Small molecule | Infectious Disease |Innoviva, Inc.|Trials Updated: Jan 6, 2022

TP-434 reconstituted and administered via an infusion target and mechanism

ModalitySmall molecule

Also known as TP-434

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials2
Total Enrollment163

FDA Designations

No designations recorded

TP-434 reconstituted and administered via an infusion clinical trials

TP-434 reconstituted and administered via an infusion · 2 trials · 2 indications

Phase 2 1Phase 1 1
NCT01265784Study to Compare TP-434 and Ertapenem in Community-acquired Complicated Intra-abdominal InfectionsComplicated Intra-abdominal Infection
COMPLETED143 Analytics
PHASE2COMPLETED
Study to Compare TP-434 and Ertapenem in Community-acquired Complicated Intra-abdominal Infections
Complicated Intra-abdominal InfectionUnlock trial analytics

Study Endpoints

Primary Endpoints

Clinical Response to TP-434 and Ertapenem in the Microbiologically Evaluable (ME) Population at the Test-of-Cure Visit
TOC Visit (10-14 days after last dose of study drug)

Clinical response was classified as cure (complete resolution or significant improvement of signs and symptoms of the index infection), failure (death related to complicated intra-abdominal infection \[cIAI\], persisting or recurrent infection within the abdomen, postsurgical wound infection, or administration of effective concomitant antibacterial therapy), or indeterminate (Test-of-Cure \[TOC\] assessment was not available, death unrelated to cIAI, or some other reason).

To determine the steady-state plasma pharmacokinetics and disposition of TP-434 into the epithelial lining fluid (ELF) and alveolar macrophages (AM) of healthy adult subjects after intravenous (IV) administration.
End of Therapy (Day 4)

Secondary Endpoints

Clinical Response to TP-434 and Ertapenem in the Modified Intent-to-treat (MITT) Population at the End-of-Treatment (EOT) Visit
EOT Visit (4-14 days after first dose of study drug)
Clinical Response to TP-434 and Ertapenem in the Modified Intent-to-treat (MITT) Population at TOC Visit
TOC Visit (10-14 days after last dose of study drug)
Clinical Response to TP-434 and Ertapenem in the Modified Intent-to-treat (MITT) Population at the Follow-up Visit
Follow-up Visit (28-42 days after last dose of study drug)
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
TP-434, 1.5 mg/kg q24hEXPERIMENTALTP-434 was administered intravenously (IV) at a dose of 1.5 milligrams per kilogram of body weight (mg/kg) every 24 hours (q24h) for a minimum of 4 days and a maximum of 14 days (7 days for participants in India). TP-434 treatment was to be stopped when symptoms of complicated intra-abdominal infection (cIAI) resolved, there was treatment failure, or the maximum allowed number of infusion days was reached.
TP-434, 1.0 mg/kg q12hEXPERIMENTALTP-434 was administered IV at a dose of 1.0 mg/kg every 12 hours (q12h) for a minimum of 4 days and a maximum of 14 days (7 days for participants in India). TP-434 treatment was to be stopped when symptoms of cIAI resolved, there was treatment failure, or the maximum allowed number of infusion days was reached.
Ertapenem, 1 g q24hACTIVE_COMPARATORErtapenem was administered IV at a dose of 1 gram (g) q24h for a minimum of 4 days and a maximum of 14 days (7 days for participants in India). Ertapenem treatment was to be stopped when symptoms of cIAI resolved, there was treatment failure, or the maximum allowed number of infusion days was reached.
TP-434 (Eravacycline) via IV infusionEXPERIMENTALTP-434 (Eravacycline) reconstituted and administered via IV infusion at a dose of 1 mg/kg, every 12 hours, for 7 doses over 4 days.

Interventions

NameTypeDescription
TP-434DRUG -
ErtapenemDRUG -
PlaceboDRUGAdministered IV to maintain the blind.
TP-434 (Eravacycline) reconstituted and administered via an IV infusionDRUG -
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites38

Inclusion Criteria: * Abdominal pain/discomfort with onset prior to hospitalization * Evidence of a systemic inflammatory response * Physical findings consistent with intra-abdominal infection (IAI) * Clinical diagnosis of community-acquired IAI requiring urgent surgical or percutaneous interventio...

Countries:United StatesBulgariaIndiaLatviaLithuaniaRomania
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Frequently asked questions about TP-434 reconstituted and administered via an infusion

What is TP-434 used for?

TP-434 is an investigational antibiotic studied for complicated intra-abdominal infections. It has also been evaluated in a pharmacokinetic study of bronchopulmonary disposition in healthy adults. It is being developed by Innoviva, Inc. (INVA) and remains in clinical development rather than approved for commercial use.

Who is developing TP-434?

TP-434 is being developed by Innoviva, Inc., which trades on the Nasdaq under the ticker INVA. Innoviva holds the development program for this small-molecule antibiotic candidate, which has been studied in complicated intra-abdominal infection and in a healthy-volunteer pharmacokinetic trial.

What phase is TP-434 in?

TP-434 is in Phase 2 development. Its Phase 2 trial in community-acquired complicated intra-abdominal infections has been completed, and a Phase 1 pharmacokinetic study in healthy volunteers has also been completed. The drug is investigational and has not been approved by the FDA.

What clinical trials is TP-434 in?

TP-434 has been studied in two completed trials. NCT01265784 was a Phase 2 study comparing TP-434 with ertapenem in community-acquired complicated intra-abdominal infections, enrolling 143 patients across the United States, Bulgaria, India, Latvia, Lithuania, and Romania. NCT01989949 was a Phase 1 pharmacokinetic study of bronchopulmonary disposition in 20 healthy adults in the United States.

Is TP-434 the same as eravacycline?

Yes. TP-434 is the same compound as eravacycline, and the names are used interchangeably in trial records. The Phase 2 intra-abdominal infection study is titled with TP-434, while the Phase 1 pharmacokinetic study is titled with IV eravacycline (TP-434), reflecting the same investigational antibiotic.

How is TP-434 administered?

TP-434 is reconstituted and administered via an intravenous infusion. The Phase 1 pharmacokinetic study evaluated IV eravacycline (TP-434) to assess bronchopulmonary disposition in healthy men and women, and the Phase 2 trial in complicated intra-abdominal infections used the same intravenous route of administration.