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Tygacil

Phase 4FDA approved 2005

Bacterial Infections | Small molecule | Infectious Disease |Pfizer, Inc.|Trials Updated: Feb 8, 2013

Tygacil development status

FDA approval Jun 15, 2005
Approval holderPf Prism Cv
ApplicationNDA021821
Highest phase Phase 4 (NCT00488761)
Phase scored for PFEPhase 2
Registered trials 32 across 5 sponsors since Mar 2004

Label indication TYGACIL is a tetracycline class antibacterial indicated in patients 18 years of age and older for: • Complicated skin and skin structure infections ( 1.1 ) • Complicated intra-abdominal infections ( 1.2 ) • Community-acquired bacterial pneumonia ( 1.3 ) Limitations of Use : TYGACIL is not indicated for treatment of diabetic foot infection or hospital-acquired pneumonia, including ventilator-associated pneumonia (… FDA label

Tygacil target and mechanism

ModalitySmall molecule

Also known as tigecycline

Success Probability

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Market & Valuation

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Trial Design

CONTROLLED
Total Trials13
Total Enrollment4,299

FDA Designations

No designations recorded

Tygacil clinical trials

Tygacil · 13 trials · 18 indications

Phase 3 11Phase 2 1Phase 1 1
NCT00575094Study Evaluating the Safety and Efficacy of Intravenous Tigecycline to Treat Hospitalized Japanese SubjectsCommunity-Acquired Infections
COMPLETED9 Analytics
NCT00366249Study Evaluating the Safety and Efficacy of a Once-daily Dose of Tigecycline vs Ertapenem in Diabetic Foot Infections (DFI) With a Substudy in Patients With Diabetic Foot Infections Complicated by Osteomyelitis.Bacterial Infections
COMPLETED1,061 Analytics
NCT00136201Study Comparing Tigecycline and Imipenem/Cilastatin in Chinese Subjects With Complicated Intra-Abdominal InfectionsAbdominal Abscess
COMPLETED200 Analytics
NCT00081575Study Comparing Tigecycline vs. Levofloxacin in Subjects Hospitalized With Community-Acquired PneumoniaCommunity-Acquired Infections
COMPLETED434 Analytics
NCT00205816Study Evaluating Emergency-use Tigecycline in Subjects With Resistant Pathogens.Bacterial Infections
COMPLETED26 Analytics
NCT00079989Study Evaluating Tigecycline in Selected Serious Infections Due to Resistant Gram-Negative OrganismsGram-Negative Bacterial Infections
COMPLETED115 Analytics
NCT00079885Study Evaluating Tigecycline vs Levofloxacin in Hospitalized With Community-Acquired PneumoniaCommunity Acquired Pneumonia
COMPLETED430 Analytics
NCT00079976Study Evaluating Tigecycline in Selected Serious Infections Caused by Vancomycin-Resistant Enterococcus (VRE) or Methicillin-Resistant Staphylococcus Aureus (MRSA)Gram-Positive Bacterial Infections
COMPLETED174 Analytics
NCT00080496Study Evaluating Tigecycline Versus Imipenem/Cilastatin in Hospital-Acquired PneumoniaBacterial Pneumonia
COMPLETED430 Analytics
NCT00081744Study Comparing Tigecycline to Imipenem/Cilastatin in Complicated Intra-Abdominal Infections in Hospitalized SubjectsGram-Positive Bacterial Infections
COMPLETED850 Analytics
PHASE3COMPLETED
Study Evaluating the Safety and Efficacy of Intravenous Tigecycline to Treat Hospitalized Japanese Subjects
Community-Acquired InfectionsUnlock trial analytics
PHASE3COMPLETED
Study Evaluating the Safety and Efficacy of a Once-daily Dose of Tigecycline vs Ertapenem in Diabetic Foot Infections (DFI) With a Substudy in Patients With Diabetic Foot Infections Complicated by Osteomyelitis.
Bacterial InfectionsUnlock trial analytics
PHASE3COMPLETED
Study Comparing Tigecycline and Imipenem/Cilastatin in Chinese Subjects With Complicated Intra-Abdominal Infections
Abdominal AbscessUnlock trial analytics
PHASE3COMPLETED
Study Comparing Tigecycline vs. Levofloxacin in Subjects Hospitalized With Community-Acquired Pneumonia
Community-Acquired InfectionsUnlock trial analytics
PHASE3COMPLETED
Study Evaluating Emergency-use Tigecycline in Subjects With Resistant Pathogens.
Bacterial InfectionsUnlock trial analytics
PHASE3COMPLETED
Study Evaluating Tigecycline in Selected Serious Infections Due to Resistant Gram-Negative Organisms
Gram-Negative Bacterial InfectionsUnlock trial analytics
PHASE3COMPLETED
Study Evaluating Tigecycline vs Levofloxacin in Hospitalized With Community-Acquired Pneumonia
Community Acquired PneumoniaUnlock trial analytics
PHASE3COMPLETED
Study Evaluating Tigecycline in Selected Serious Infections Caused by Vancomycin-Resistant Enterococcus (VRE) or Methicillin-Resistant Staphylococcus Aureus (MRSA)
Gram-Positive Bacterial InfectionsUnlock trial analytics
PHASE3COMPLETED
Study Evaluating Tigecycline Versus Imipenem/Cilastatin in Hospital-Acquired Pneumonia
Bacterial PneumoniaUnlock trial analytics
PHASE3COMPLETED
Study Comparing Tigecycline to Imipenem/Cilastatin in Complicated Intra-Abdominal Infections in Hospitalized Subjects
Gram-Positive Bacterial InfectionsUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Patients by Clinical Response at Test-of-Cure (TOC) Visit.
8 weeks

Clinical response: Cure=all initial signs/symptoms of pneumonia (SSx) improved; chest x-ray (CXR)improved/stable; no other antibiotics for pneumonia; no worsening or new SSx. Failure=persistence or worsening SSx; no clinical improvement or initial improvement with clinically important worsening; other antimicrobials for pneumonia CXR progression; death \> study day 2 due to pneumonia. Indeterminate=unable to determine outcome for nonstudy drug/infection reasons (eg, lost to follow-up); death ≤2 days after first dose for any reason, or \>2 days but before TOC visit for non-pneumonia reason.

Number of Patients With Clinical Response of Cure Vs. Failure.
Test of cure visit (TOC): Assessed at least 12 days post last dose

Cure: Recovery so no added antibiotic therapy. Failure: Added antibiotic therapy for no response or worsening after improvement, new purulence, \>120% doses, non-routine surgical treatment or death related to Diabetic Foot Infections (DFI) \> 48 hrs.

Number of Patients With Clinical Response of Cure Vs. Failure/Indeterminate.
Test of cure visit (TOC): Assessed at least 12 days post last dose

Cure: Recovery so no added antibiotic therapy. Failure: Added antibiotic therapy for no response or worsening after improvement, new purulence, \>120% doses, non-routine surgical treatment or death related to DFI \> 48 hrs. Indeterminate: Lost to follow-up, death\<48 hours or noninfection related.

Clinical response for all microbiologically evaluable and microbiologically modified intent-to-treat subjects at the test-of-cure visit
Clinical response in the clinically evaluable population and the clinical modified intent-to-treat population at the TOC visit.
Determine whether tigecycline is noninferior to levofloxacin.
response
The co-primary efficacy endpoints are clinical response at the TOC assessment for the clinically evaluable population and the clinical modified intent-to-treat population.
The primary efficacy endpoint was the clinical response in the co-primary populations of the clinically evaluable (CE) and clinical modified intent-to-treat (c-mITT) subjects at the test-of-cure assessment.
Maximum Observed Plasma Concentration (Cmax)
Day 3 (immediately post-dose, 0.75, and 2 hours post-dose)

Cmax: tigecycline serum concentration measured in nanograms per milliliter (ng/mL) determined by a validated liquid chromatography with mass spectrophotometric (LC/MS/MS) detection method. Peak concentration was taken directly from the observed data.

Time to Reach Maximum Observed Plasma Concentration (Tmax)
Day 3 (immediately post-dose, 0.75, and 2 hours post-dose)

Time of peak concentration taken directly from the observed data.

Area Under the Curve (AUCτ) From Time Zero to Time of Estimated Concentration at 12 Hours
Day 3 (just before and immediately after infusion, and 0.75, 2, and 6 hours post-dose)

AUCτ: AUC between doses from time zero to the time of estimated concentration at 12 hours reported in nanograms \* hours divided by milliliters (ng\*h/mL) was calculated using the log-trapezoidal rule for decreasing concentrations and the linear-trapezoidal rule for increasing concentrations estimating the 12 hour drug concentration if necessary.

Weight Normalized Drug Clearance (CLW)
Day 3 (just before and immediately after infusion, and 0.75, 2, and 6 hours post-dose)

Weight normalized drug clearance measured in liters per hour per kilogram (L/hr/kg). Drug clearance (CL) was determined as the ratio of dose/area under the concentration-time curve from time zero (start of infusion) to 12 hours (start of next infusion) (AUCτ). CLW was determined as the ratio of CL/weight.

Percentage of Participants With Clinical Response (CR) to Tigecycline at Last Day of Therapy (LDOT) and Test-of-Cure (TOC) Assessment
Day 14 or LDOT, TOC Visit (10 to 21 days after last dose of total antibiotic therapy)

CR = Cure: resolution of all signs, symptoms (SS) of infection (INF) or improvement, no further antibacterial therapy (AT) necessary; Improved (IMP): SS IMP to extent that switch to oral AT deemed appropriate; Failure: lack of response, required additional AT, initial recovery then deterioration requiring further AT, death due to the INF after day 2, death due to treatment (TR)-related adverse event (AE), required non-routine surgical TR \>48 hours after 1st dose of TR due to failure to IMP or clinical worsening. TOC = CR, vital signs, physical exam, laboratory results, concomitant TR, and AEs.

To assess the pharmacokinetics (PK) of tigecycline in subjects with cholestatic hepatic dysfunction.
5 days

Secondary Endpoints

Number of Patients With Clinical Response of Cure Vs. Failure Assessed at Least 25 - 27 Weeks Post Last Dose.
Test of cure visit (TOC): Assessed at least 25 - 27 weeks post last dose
Number of Patients With Clinical Response of Cure Vs. Failure/Indeterminate Assessed at Least 25 - 27 Weeks Post Last Dose.
Test of cure visit (TOC): Assessed at least 25 - 27 weeks post last dose
Number of Patients With Microbiologic Response of Eradication.
Test of cure visit (TOC): Assessed at least 12 days post last dose
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
AACTIVE_COMPARATOR -
BACTIVE_COMPARATOR -
1EXPERIMENTALarmDesc1
CEXPERIMENTAL1.25 mg/kg (up to maximum dose of 50 mg for each dose) of tigecycline every 12 hours infused over approximately 30 minutes. Treatment period of tigecycline will be a minimum of 3 days (unless patient is considered a treatment failure before this time) and a maximum of 14 days. On or after Day 4, based on investigator's decision, patients can switch to oral antibiotic therapy (to be chosen and provided by the investigator) and discharged after collection of planned PK samples.

Interventions

NameTypeDescription
tigecyclineDRUGDosage form: Tigecycline 50 mg for injection (Lyophilized powder in 5 mL vial) Dosage frequency: Tigecycline 100 mg loading followed by 50 mg every 12 hrs (bid) Duration of therapy: 7 to 14 days
ErtapenemDRUGErtapenem 1g IV infusion every 24 hours +/- vancomycin depending on culture results and at the discretion of investigator (for coverage of Methicillin-resistant Staphylococcus aureus (MRSA), coagulase-negative staphylococci (CNS) or enterococci coverage).
LevofloxacinDRUG -
ImipenemDRUG -
CilastatinDRUG -
vancomycin with aztreonamDRUG -
TygacilDRUG -
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Eligibility Criteria

Age Range20 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites9

Inclusion Criteria: * Hospitalized Japanese descent subjects known or suspected to have CAP with a severity that requires IV antibiotic treatment. * Chest radiograph within 48 hours before the first dose of IV test article showing the presence of a new infiltrate. * The presence of fever or hypothe...

Countries:JapanUnited StatesArgentinaAustraliaAustriaBelgiumBrazilCanadaChileChinaColombiaCroatiaDenmarkEstoniaFinlandFranceGermanyGreeceHungaryIndiaItalyLatviaLithuaniaMexicoPanamaPeruPolandPortugalRomaniaRussiaSlovakiaSouth AfricaSouth KoreaSpainSwedenSwitzerlandTaiwanTurkey (Türkiye)UkraineUnited KingdomPuerto Rico
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Frequently asked questions about Tygacil

What is Tygacil used for?

Tygacil is used for bacterial infections, including intra-abdominal infection, bacterial pneumonia, and bacterial skin infections. It is a small molecule being developed by Pfizer, Inc. for the treatment of these infectious disease conditions.

What does Tygacil target?

Tygacil is a small molecule antibiotic that targets bacterial infections. It is being studied for its ability to treat infections such as intra-abdominal infection, bacterial pneumonia, and bacterial skin infections.

Who makes Tygacil?

Tygacil is being developed by Pfizer, Inc., a company traded on the New York Stock Exchange under the ticker symbol PFE. The drug is currently in Phase 2 clinical development for bacterial infections.

What phase is Tygacil in?

Tygacil is in Phase 2 clinical development. It is an investigational drug, meaning it has not been approved by regulatory authorities and is still undergoing clinical trials to evaluate its safety and efficacy.

What clinical trials is Tygacil in?

Tygacil has one completed clinical trial, NCT00488345, which evaluated the pharmacokinetics, safety, and tolerability of tigecycline in patients aged 8 to 11 years. The trial enrolled 59 participants and was conducted in the United States, Belgium, Mexico, South Africa, Taiwan, and Ukraine.