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Sulopenem-Etzadroxil/Probenecid

Phase 3

Intra Abdominal Infections | Small molecule | Infectious Disease |Iterum Therapeutics plc|Last Updated: Jan 12, 2021

Target and mechanism

ModalitySmall molecule

Also known as sulopenem etzadroxil and probenecid

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment674

FDA Designations

No designations recorded

Clinical trial landscape

Sulopenem-Etzadroxil/Probenecid · 2 trials · 2 indications

Phase 3 2
NCT03358576Sulopenem Versus Ertapenem for Complicated Intra-abdominal Infection (cIAI)Intra Abdominal Infections
COMPLETED674 Analytics
NCT03354598Oral Sulopenem-etzadroxil/Probenecid Versus Ciprofloxacin for Uncomplicated Urinary Tract Infection in Adult WomenUncomplicated Urinary Tract Infections
COMPLETED1,671 Analytics
PHASE3COMPLETED
Sulopenem Versus Ertapenem for Complicated Intra-abdominal Infection (cIAI)
Intra Abdominal InfectionsUnlock trial analytics
PHASE3COMPLETED
Oral Sulopenem-etzadroxil/Probenecid Versus Ciprofloxacin for Uncomplicated Urinary Tract Infection in Adult Women
Uncomplicated Urinary Tract InfectionsUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With Clinical Success
Day 28 +/- 1 day

Clinical response is defined as resolution in signs and symptoms of the index infection and no new symptoms, without the need for additional antibiotics or interventions

Percentage of Microbiologic Modified Intent to Treat Resistant (Micro-MITTR) Participants With Overall Success
Day 12+/-1 day

Overall Success: Clinical Success (resolution of uncomplicated urinary tract infection (uUTI) symptoms present at study entry and no new symptoms) AND Microbiologic success (eradication of the baseline pathogen)

Percentage of Microbiologic Modified Intent to Treat Susceptible (Micro-MITTS) Participants With Overall Success
Day 12 +/- 1 day

Overall Success is Clinical Success (resolution of uUTI symptoms present at study entry and no new uUTI symptoms) AND Microbiologic success (eradication of the baseline pathogen)

Secondary Endpoints

Percentage of Participants With Clinical Success
Day 11-14 +/- 1 day
Percentage of Microbiologic Modified Intent to Treat Resistant (Micro-MITTR) Patients With Microbiologic Success
Day 12+/-1 day
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
SulopenemEXPERIMENTALSulopenem 1000 mg IV once daily for at least 5 days, followed by Sulopenem-Etzadroxil/Probenecid 500 mg PO twice daily to complete 7-10 days of treatment
ErtapenemACTIVE_COMPARATORErtapenem 1000 mg IV once daily for at least 5 days, followed by ciprofloxacin 500 mg PO twice daily along with metronidazole 500 mg PO four times daily. If patient is found to have causative pathogens that are resistant to ciprofloxacin they will receive amoxicillin-clavulanate 875 mg PO twice daily instead
Sulopenem-etzadroxil/probenecidEXPERIMENTALSulopenem-etzadroxil/probenecid 500 mg PO twice daily for 5 days
CiprofloxacinACTIVE_COMPARATORCiprofloxacin 250 mg PO administered twice daily for 3 days

Interventions

NameTypeDescription
ErtapenemDRUGAntibiotic for complicated intra-abdominal infection
Sulopenem-Etzadroxil/ProbenecidDRUGAntibiotic for complicated intra-abdominal infection
CiprofloxacinDRUGAntibiotic for complicated intra-abdominal infection
MetronidazoleDRUGAntibiotic for complicated intra-abdominal infection
Amoxicillin-ClavulanateDRUGAntibiotic for complicated intra-abdominal infection
SulopenemDRUGAntibiotic for complicated intra-abdominal infection
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites42

Inclusion Criteria: 1. Patient or the patient's legally acceptable representative able to provide a signed written informed consent prior to any study-specific procedures. 2. Adult patients ≥18 years of age 3. EITHER: a. Intra-operative/post-operative enrollment with visual confirmation (presen...

Countries:United StatesBulgariaEstoniaGeorgiaHungaryLatviaPoland
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Frequently asked questions about Sulopenem-Etzadroxil/Probenecid

What is Sulopenem etzadroxil/probenecid used for?

Sulopenem etzadroxil/probenecid is an investigational oral antibiotic being studied for the treatment of urinary tract infections, including uncomplicated urinary tract infections and cystitis, as well as complicated intra-abdominal infections. It is currently in Phase 3 clinical development for these infectious disease indications.

Who makes Sulopenem etzadroxil/probenecid?

Sulopenem etzadroxil/probenecid is being developed by Iterum Therapeutics plc, a biopharmaceutical company traded on the stock exchange under the ticker symbol ITRM. The company is conducting clinical trials to evaluate the drug's safety and efficacy in treating bacterial infections.

What phase is Sulopenem etzadroxil/probenecid in?

Sulopenem etzadroxil/probenecid is in Phase 3 clinical development. It is an investigational drug and has not been approved by regulatory authorities. The Phase 3 trials are evaluating its efficacy and safety compared to active control antibiotics in patients with urinary tract infections and intra-abdominal infections.

What clinical trials is Sulopenem etzadroxil/probenecid in?

Sulopenem etzadroxil/probenecid has been studied in several clinical trials. NCT03354598 compared it to ciprofloxacin for uncomplicated urinary tract infection in adult women. NCT03358576 evaluated it against ertapenem for complicated intra-abdominal infection. NCT05584657 tested it versus amoxicillin/clavulanate for uncomplicated urinary tract infection. NCT07092813 is a Phase 1 pharmacokinetic study in adolescents.

Is Sulopenem etzadroxil/probenecid the same as sulopenem etzadroxil and probenecid?

Yes, Sulopenem etzadroxil/probenecid is the same as sulopenem etzadroxil and probenecid. The drug is a combination product containing both sulopenem etzadroxil and probenecid, which are administered together orally. This combination is being studied for its effectiveness in treating bacterial infections.

How does Sulopenem etzadroxil/probenecid work?

Sulopenem etzadroxil/probenecid is a small molecule antibiotic. It combines sulopenem etzadroxil, a prodrug of the penem antibiotic sulopenem, with probenecid, which helps increase the levels of sulopenem in the body. The drug is being studied for its ability to treat infections caused by susceptible bacteria.