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Surotomycin

Phase 3

Clostridium Difficile Infection | Small molecule | Other |Merck & Company, Inc.|Last Updated: Jul 23, 2019

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_CONTROLLED
Total Trials1
Total Enrollment606
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01597505Study of CB-183,315 in Participants With Clostridium Difficile Associated Diarrhea (MK-4261-005)PHASE3 COMPLETED 606May 16, 2012Mar 20, 2015Jul 23, 2019 -
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Study Endpoints
Primary Endpoints
Adjusted Percentage of Participants With a Clinical Outcome of Cure at the End of Treatment (EOT)
Up to 13 days

A clinical outcome of cure at EOT was determined by resolution of diarrhea, defined as ≤ 2 loose stools per 24-hour period for at least 2 consecutive days and the lack of need for additional antibiotics to treat the current CDAD episode after completion of the study treatment period. Participants requiring a collection device were considered to have resolution of diarrhea when the volume of stool (over a 24-hour period) was decreased by 75% as compared to baseline or the participant was no longer passing liquid stool. The estimated adjusted percentage was a weighted average across all strata, constructed using Mehrotra-Railkar continuity-corrected minimum risk (MRc) stratum weights.

Percentage of Participants With at Least One Adverse Event (AE)
Up to Day 50

An AE is any untoward medical occurrence in a participant administered a pharmaceutical product that does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not related to the medicinal product. AEs may be new events or may be pre-existing conditions that have become aggravated or have worsened in severity or frequency; or may be clinically significant changes from baseline in physical examination, laboratory tests, or other diagnostic investigation (e.g. laboratory results, x-ray findings).

Percentage of Participants With at Least One Serious Adverse Event (SAE)
Up to Day 50

A SAE is any adverse experience occurring at any dose that results in any of the following outcomes: death; a life-threatening experience, referring to a situation in which the participant was at risk of death at the time of the event, requires in-patient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability or incapacity; is a congenital anomaly or birth defect; or is considered to be an important medical event.

Percentage of Participants Who Discontinued Treatment Due to an AE
Up to Day 13

An AE is any untoward medical occurrence in a participant administered a pharmaceutical product that does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not related to the medicinal product. AEs may be new events or may be pre-existing conditions that have become aggravated or have worsened in severity or frequency; or may be clinically significant changes from baseline in physical examination, laboratory tests, or other diagnostic investigation (e.g. laboratory results, x-ray findings).

Secondary Endpoints
Number of Participants With Clinical Response Over Time
Up to Day 41
Adjusted Percentage of Participants With Sustained Clinical Response at the End of Study
Up to Day 50
Adjusted Percentage of Participants With Sustained Clinical Response at Day 24
Day 24
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
SurotomycinEXPERIMENTAL250 mg Surotomycin over- encapsulated tablet administered orally, twice daily for a daily total dose of 500 mg; and Placebo over encapsulated tablet administered orally, twice daily for 10 days
VancomycinACTIVE_COMPARATOR125 mg Vancomycin over-encapsulated capsule administered orally, four times daily for a daily total dose of 500 mg, for 10 days
Interventions
NameTypeDescription
SurotomycinDRUG250 mg Surotomycin over-encapsulated tablet administered orally, twice daily for a daily total dose of 500 mg, for 10 days
VancomycinDRUG125 mg Vancomycin over-encapsulated capsule administered orally, four times daily for a daily total dose of 500 mg, for 10 days
PlaceboDRUGPlacebo for Surotomycin over-encapsulated tablet administered orally, twice daily for 10 days
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Eligibility Criteria
Age Range18 Years — 90 Years
SexALL
Healthy VolunteersNo

To be included in this study, participants must: * Sign a consent form; * Be \>= 18 and \< 90 years of age; * Have diarrhea, at least 3 times during one day, or 200 mL or liquid stool if using a rectal device; * Test positive for Clostridium difficile; * If female, must not be pregnant or nursing a...

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