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Sulopenem

Phase 3

Complicated Urinary Tract Infections | Small molecule | Nephrology |Iterum Therapeutics plc|Last Updated: Dec 29, 2020

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment1,395
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03357614Sulopenem Followed by Sulopenem-etzadroxil/Probenecid vs Ertapenem Followed by Cipro for Complicated UTI in AdultsPHASE3 COMPLETED 1,395Sep 18, 2018Dec 14, 2019Dec 29, 202032 United States, Estonia +3
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Study Endpoints
Primary Endpoints
Percentage of Participants With Overall Success
Day 21 +/- 1 day

Clinical success is defined as complete resolution of cUTI symptoms present at study entry and no new cUTI symptoms; microbiologic success is defined as eradication of the bacterial pathogen found at study entry (reduced to \<1000 CFU/mL)

Secondary Endpoints
Percentage of Participants With Microbiologic Success
Day 21 +/- 1 day
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
SulopenemEXPERIMENTALSulopenem 1000 mg IV once daily for a minimum of 5 days, followed by sulopenem-etzadroxil/probenecid 500 mg PO twice daily to complete 7-10 total days of treatment
ErtapenemACTIVE_COMPARATORErtapenem 1000 mg IV once daily for a minimum of 5 days, followed by ciprofloxacin 500 mg PO twice daily or amoxicillin-clavulanate 500 mg PO twice daily to complete 7-10 total days of treatment
Interventions
NameTypeDescription
SulopenemDRUGAntibiotic therapy for complicated UTI
Sulopenem-Etzadroxil/ProbenecidDRUGAntibiotic therapy for complicated UTI
ErtapenemDRUGAntibiotic therapy for complicated UTI
CiprofloxacinDRUGAntibiotic therapy for complicated UTI
Amoxicillin-clavulanateDRUGAntibiotic therapy for complicated UTI
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites32

Inclusion Criteria: 1. Adults ≥18 years of age with more than 24 hours of urinary symptoms attributable to a UTI 2. Able to provide informed consent 3. Clinically documented pyelonephritis or complicated urinary tract infection: 1. Pyelonephritis with normal anatomy 2. Complicated UTI as def...

Countries:United StatesEstoniaGeorgiaHungaryLatvia
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