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Ridinilazole

Phase 3

Clostridioides Difficile Infection | Small molecule | Infectious Disease |Summit Therapeutics Inc.|Trials Updated: Oct 9, 2026

Ridinilazole development status

Highest phase Phase 3
Registered trials 4 across 1 sponsor since Mar 2014

Ridinilazole target and mechanism

ModalitySmall molecule

Also known as SMT19969

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials3
Total Enrollment886

FDA Designations

No designations recorded

Ridinilazole clinical trials

Ridinilazole · 3 trials · 2 indications

Phase 3 1Phase 2 2
NCT03595553Comparison of Ridinilazole Versus Vancomycin Treatment for Clostridium Difficile InfectionClostridioides Difficile Infection
COMPLETED759 Analytics
PHASE3COMPLETED
Comparison of Ridinilazole Versus Vancomycin Treatment for Clostridium Difficile Infection
Clostridioides Difficile InfectionUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Sustained Clinical Response (SCR) Defined as Clinical Response and no Recurrence of CDI Through 30 Days Post End of Treatment (EOT).
Day 40

This primary outcome measures the number of participants with Sustained Clinical Response (SCR). SCR is defined as Clinical Response and no recurrence of CDI through 30 days post End of Treatment (EOT). At D40, D70 and D100 the Investigator or medically qualified designee will determine if the patient has a sustained clinical response or experienced RECURRENCE since the previous assessment. The Investigator will assess cure/failure and recurrence based on available information which includes, but is not limited to, improvement from baseline in the number of UBMs, signs \& symptoms of CDI, and the requirement for CDI medication. The Investigator should assess cure/failure in a way that best reflects the Investigator's standard clinical practice.

Number of treatment emergent adverse events (AEs) and serious adverse events (SAEs) to evaluate safety and tolerability
30 days post End of Therapy
Evaluate the clinical outcome by assessment of sustained clinical response
30 days post End of Therapy

Sustained clinical response is defined as clinical cure at the Test of Cure Visit (Day 12) and no recurrence of CDAD within 30 days of End of Therapy

Secondary Endpoints

Clinical Response
Day 12
Clinical Cure
Day 12
Sustained Clinical Response Over 60 Days
Day 70
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
ridinilazoleEXPERIMENTALridinilazole 200mg bid
vancomycinACTIVE_COMPARATORvancomycin 125 mg qid
Ridinilazole (SMT19969)EXPERIMENTAL200 mg capsule of Ridinilazole (SMT19969) twice a day for 10 days
FidaxomicinACTIVE_COMPARATOR200 mg tablet of Fidaxomicin twice a day for 10 days
SMT19969EXPERIMENTAL200 mg capsule of SMT19969 twice a day for 10 days with alternating 200 mg placebo twice a day

Interventions

NameTypeDescription
RidinilazoleDRUGridinilazole (200 mg bid)
VancomycinDRUGvancomycin (125 mg qid)
FidaxomicinDRUG -
SMT19969DRUG -
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites149

Inclusion Criteria Patients are eligible to be included in the study only if all the following criteria apply: 1. Patient must be at least 18 years of age, at the time of signing the informed consent. 2. Have signs and symptoms of CDI including diarrhea such that in the Investigator's opinion, CDI...

Countries:United StatesArgentinaAustraliaBrazilBulgariaCanadaGreeceHungaryNew ZealandPolandRomaniaRussiaSouth KoreaSpainCzechiaUnited Kingdom
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Frequently asked questions about Ridinilazole

What is Ridinilazole used for?

Ridinilazole is an investigational small molecule being developed for the treatment of Clostridioides difficile infection, also known as Clostridium difficile infection. It is currently in Phase 3 clinical development and has not been approved by regulatory authorities.

What does Ridinilazole target?

Ridinilazole is a small molecule antibiotic that targets Clostridioides difficile, the bacterium that causes Clostridium difficile infection. It is designed to treat this infection by acting against the pathogen, though its specific molecular target has not been disclosed.

Who is developing Ridinilazole?

Ridinilazole is being developed by Summit Therapeutics Inc., a biopharmaceutical company traded on the NASDAQ under the ticker symbol SMMT. The company is conducting clinical trials to evaluate the drug's safety and efficacy for treating Clostridioides difficile infection.

What phase is Ridinilazole in?

Ridinilazole is in Phase 3 clinical development. A Phase 3 trial, NCT03595553, comparing Ridinilazole to vancomycin for Clostridioides difficile infection has been completed, with 759 participants enrolled. The drug remains investigational and is not yet approved.

What clinical trials is Ridinilazole in?

Ridinilazole has been studied in two completed clinical trials. NCT02784002 was a Phase 2 study comparing Ridinilazole to fidaxomicin for Clostridium difficile infection, enrolling 27 participants. NCT03595553 was a Phase 3 study comparing Ridinilazole to vancomycin for Clostridioides difficile infection, enrolling 759 participants.

Is Ridinilazole the same as SMT19969?

Yes, Ridinilazole is also known as SMT19969. The Phase 2 clinical trial NCT02784002, which studied the drug for Clostridium difficile infection, refers to Ridinilazole as SMT19969 in its title, confirming that both names refer to the same investigational compound.