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CXA-201 and metronidazole

Phase 3

Complicated Intra-abdominal Infection | Small molecule | Infectious Disease |Merck & Company, Inc.|Trials Updated: Nov 16, 2018

CXA-201 and metronidazole development status

Highest phase Phase 3
Registered trials 1 across 1 sponsor since Oct 2011

CXA-201 and metronidazole target and mechanism

ModalitySmall molecule

Also known as CXA-201

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials2
Total Enrollment1,052

FDA Designations

No designations recorded

CXA-201 and metronidazole clinical trials

CXA-201 and metronidazole · 2 trials · 3 indications

Phase 3 2
NCT01445678Study Comparing the Safety and Efficacy of Intravenous CXA-201 and Intravenous Meropenem in Complicated Intraabdominal InfectionsComplicated Intra-abdominal Infection
COMPLETED494 Analytics
NCT01345929Study Comparing the Safety and Efficacy of Intravenous CXA-201 and Intravenous Levofloxacin in Complicated Urinary Tract Infection, Including PyelonephritisComplicated Urinary Tract Infection
COMPLETED558 Analytics
PHASE3COMPLETED
Study Comparing the Safety and Efficacy of Intravenous CXA-201 and Intravenous Meropenem in Complicated Intraabdominal Infections
Complicated Intra-abdominal InfectionUnlock trial analytics
PHASE3COMPLETED
Study Comparing the Safety and Efficacy of Intravenous CXA-201 and Intravenous Levofloxacin in Complicated Urinary Tract Infection, Including Pyelonephritis
Complicated Urinary Tract InfectionUnlock trial analytics

Study Endpoints

Primary Endpoints

The Percentage of Subjects With Clinical Outcome of Cure at the Test of Cure (TOC) Visit in the Microbiological Intent to Treat (MITT) Population
TOC; 26-30 days after start of study drug administration

Clinical cure is complete resolution or significant improvement in signs and symptoms of the index infection, such that no additional antibacterial therapy or surgical or drainage procedure was required for the index infection.

The Percentage of Subjects Who Have Both a Per-subject Microbiological Outcome of Eradication and a Clinical Outcome of Cure at the Test of Cure (TOC) Visit in the Microbiological Modified ITT (mMITT) Population
Test of Cure Visit (7 Days [± 2 days] after completion of study drug administration)

Secondary Endpoints

The Percentage of Subjects With Microbiological Outcome of Success at the TOC Visit in the Microbiologically Evaluable (ME) Population
TOC; 26-30 days after start of study drug administration
The Percentage of Subjects With Clinical Response at End of Therapy (EOT) Visit in the MITT Population
EOT; Within 24 hours of last study drug administration
The Percentage of Subjects With Clinical Response at End of Therapy in the ME Population
EOT; Within 24 hours of last study drug administration
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
CXA-201 and Metronidazole as treatment for cIAIEXPERIMENTAL -
Meropenem as treatment for cIAIACTIVE_COMPARATOR -
CXA-201 as treatment for cUTIEXPERIMENTALCXA-201 IV infusion (1500mg q8) for 7 days
Levofloxacin as treatment for cUTIACTIVE_COMPARATORLevofloxacin IV infusion (750mg qd) for 7 days

Interventions

NameTypeDescription
CXA-201 and metronidazoleDRUGCXA-201 IV infusion (1500mg q8h) and metronidazole IV infusion (500mg q 8h) for 4-14 days
MeropenemDRUGMeropenem IV infusion (1000mg q8h) for 4-14 days
CXA-201DRUGCXA-201 IV infusion (1500mg q8) for 7 days
LevofloxacinDRUGLevofloxacin IV infusion (750mg qd) for 7 days
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites61

Inclusion Criteria: * Diagnoses of cIAI. * Subject requires surgical intervention (e.g., laparotomy, laparoscopic surgery, or percutaneous draining of an abscess) within 24 hours of (before or after) the first dose of study drug. Exclusion Criteria: * Simple appendicitis; acute suppurative cholan...

Countries:United StatesArgentinaBulgariaChileCroatiaEstoniaGermanyHungaryIsraelLatviaLithuaniaMoldovaPolandSerbiaSouth KoreaBrazilColombiaGeorgiaMexicoRomaniaRussiaSlovakiaSouth AfricaThailand
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Frequently asked questions about CXA-201 and metronidazole

What is CXA-201 and metronidazole used for?

CXA-201 and metronidazole is being studied for the treatment of complicated intra-abdominal infections and complicated urinary tract infections, including pyelonephritis. It is an investigational antibiotic combination in Phase 3 development for these serious bacterial infections.

Who is developing CXA-201 and metronidazole?

CXA-201 and metronidazole is being developed by Merck & Company, Inc., which trades on the New York Stock Exchange under the ticker MRK. Merck is the sponsor of the clinical program evaluating this antibiotic combination.

What phase is CXA-201 and metronidazole in?

CXA-201 and metronidazole is in Phase 3 clinical development. It is an investigational product and has not been approved by the FDA. The Phase 3 program includes completed trials in complicated intra-abdominal infection and complicated urinary tract infection.

What clinical trials is CXA-201 and metronidazole in?

CXA-201 and metronidazole has been evaluated in two completed Phase 3 trials: NCT01445678, which compared it with meropenem in complicated intra-abdominal infections, and NCT01345929, which compared it with levofloxacin in complicated urinary tract infections including pyelonephritis. Both trials enrolled adults and have been completed.

How many patients were enrolled in trials of CXA-201 and metronidazole?

The clinical program for CXA-201 and metronidazole enrolled a total of 558 patients across its trials. The complicated urinary tract infection trial NCT01345929 enrolled 558 patients, and the complicated intra-abdominal infection trial NCT01445678 enrolled 494 patients.