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tigecycline

Phase 4FDA approved

Abdominal Abscess | Small molecule | Gastrointestinal |Pfizer, Inc.|Trials Updated: Feb 8, 2013

tigecycline development status

FDA approval on record Jun 15, 2005
Approval holderPf Prism Cv
ApplicationNDA021821
Highest phase Phase 4 (NCT00488761)
Phase scored for PFEPhase 3
Registered trials 30 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

Success Probability

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Market & Valuation

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Trial Design

RandomizedUNCONTROLLED
Total Trials12
Total Enrollment4,240

FDA Designations

No designations recorded

tigecycline clinical trials

tigecycline · 12 trials · 15 indications

Phase 3 11Phase 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.
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

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 -
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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 tigecycline

What is tigecycline?

Tigecycline is a small molecule antibiotic developed by Pfizer, Inc. (NYSE: PFE). It has been studied in clinical trials for bacterial infections, including abdominal abscess, bacterial pneumonia, community-acquired pneumonia, community-acquired infections, and gram-negative bacterial infections. Its development program includes Phase 3 and Phase 1 studies, all of which have been completed.

What is tigecycline used for?

Tigecycline has been studied for treating bacterial infections, including abdominal abscess, bacterial pneumonia, community-acquired pneumonia, community-acquired infections, and gram-negative bacterial infections. Clinical trials have also evaluated it in diabetic foot infections and complicated skin and skin structure infections. These studies were conducted in hospitalized and adult subjects across multiple countries.

Who makes tigecycline?

Tigecycline is developed by Pfizer, Inc., which trades under the ticker PFE. Pfizer sponsored the clinical trials evaluating the drug, including Phase 3 studies in diabetic foot infections and complicated skin and skin structure infections, as well as a Phase 1 pharmacokinetic study in subjects with primary biliary cirrhosis.

What phase is tigecycline in?

Tigecycline has been evaluated in Phase 3 and Phase 1 clinical trials, all of which are completed. The Phase 3 program includes studies in hospitalized Japanese subjects with community-acquired infections, diabetic foot infections with a substudy in osteomyelitis, and complicated skin and skin structure infections. No trials are currently active.

What clinical trials is tigecycline in?

Tigecycline has been studied in completed trials including NCT00575094, a Phase 3 study in hospitalized Japanese subjects with community-acquired infections; NCT00406237, a Phase 1 pharmacokinetic study in adults with primary biliary cirrhosis; NCT00366249, a Phase 3 study in diabetic foot infections; and NCT00228410, a Phase 3 study in complicated skin and skin structure infections.