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SPR741

Phase 1

Healthy Volunteers | Small molecule | Other |Spero Therapeutics, Inc.|Last Updated: Jan 5, 2018

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials2
Total Enrollment91

FDA Designations

No designations recorded

Clinical trial landscape

SPR741 · 2 trials · 1 indication

Phase 1 2
NCT03376529Phase 1 Study to Evaluate DDI, PK, Safety, Tolerability of SPR741Healthy Volunteers
COMPLETED27 Analytics
NCT03022175A First in Human Study of the Safety and Tolerability of Single and Multiple Doses of SPR741 in Healthy VolunteersHealthy Volunteers
COMPLETED64 Analytics
PHASE1COMPLETED
Phase 1 Study to Evaluate DDI, PK, Safety, Tolerability of SPR741
Healthy VolunteersUnlock trial analytics
PHASE1COMPLETED
A First in Human Study of the Safety and Tolerability of Single and Multiple Doses of SPR741 in Healthy Volunteers
Healthy VolunteersUnlock trial analytics

Study Endpoints

Primary Endpoints

Pharmacokinetics: Maximum concentration (Cmax)
Days 1 to 2, Days 4 to 5, Days 7 to 8

Blood draws will be taken pre-dose (within 10 minutes), 30 minutes following the start of infusion, end of infusion and at 75, 90, 105, and 120 minutes, 4, 8, 12, and 24 hours following start of infusion.

Pharmacokinetics: Area under the concentration-time curve from time 0 to last measurable time-point (AUC0-t)
Days 1 to 2, Days 4 to 5, Days 7 to 8

Blood draws will be taken pre-dose (within 10 minutes), 30 minutes following the start of infusion, end of infusion and at 75, 90, 105, and 120 minutes, 4, 8, 12, and 24 hours following start of infusion.

Pharmacokinetics: Area under the concentration-time curve from time 0 to infinity (AUC0-inf)
Days 1 to 2, Days 4 to 5, Days 7 to 8

Blood draws will be taken pre-dose (within 10 minutes), 30 minutes following the start of infusion, end of infusion and at 75, 90, 105, and 120 minutes, 4, 8, 12, and 24 hours following start of infusion.

Pharmacokinetics: Time to maximum concentration (Tmax)
Days 1 to 2, Days 4 to 5, Days 7 to 8

Blood draws will be taken pre-dose (within 10 minutes), 30 minutes following the start of infusion, end of infusion and at 75, 90, 105, and 120 minutes, 4, 8, 12, and 24 hours following start of infusion.

Pharmacokinetics: Terminal Elimination Rate Constant (kel)
Days 1 to 2, Days 4 to 5, Days 7 to 8

Blood draws will be taken pre-dose (within 10 minutes), 30 minutes following the start of infusion, end of infusion and at 75, 90, 105, and 120 minutes, 4, 8, 12, and 24 hours following start of infusion.

Pharmacokinetics: Terminal half-life (t1/2)
Days 1 to 2, Days 4 to 5, Days 7 to 8

Blood draws will be taken pre-dose (within 10 minutes), 30 minutes following the start of infusion, end of infusion and at 75, 90, 105, and 120 minutes, 4, 8, 12, and 24 hours following start of infusion.

Pharmacokinetics: Terminal clearance (CL)
Days 1 to 2, Days 4 to 5, Days 7 to 8

Blood draws will be taken pre-dose (within 10 minutes), 30 minutes following the start of infusion, end of infusion and at 75, 90, 105, and 120 minutes, 4, 8, 12, and 24 hours following start of infusion.

Pharmacokinetics: Volume of distribution (Vd)
Days 1 to 2, Days 4 to 5, Days 7 to 8

Blood draws will be taken pre-dose (within 10 minutes), 30 minutes following the start of infusion, end of infusion and at 75, 90, 105, and 120 minutes, 4, 8, 12, and 24 hours following start of infusion.

Safety measures: adverse events
SAD: 5 to 7 days MAD: 21 to 23 days

The frequency and type of adverse events

Safety measures: clinical laboratory testing
SAD: Day -1 to day 7; MAD: Day -1 to day 21

Clinical laboratory testing - change from baseline to end of study visit

Safety measures: pulse rate
SAD: Day -1 to day 7; MAD: Day -1 to day 21

Change from baseline to end of study visit

Safety measures: EKG
SAD: 5 to 7 days MAD: 21 to 23 days

Change from baseline to end of study visit

Safety measures: respiratory rate
SAD: Day -1 to day 7; MAD: Day -1 to day 21

Change from baseline to end of study visit

Safety measures: blood pressure
SAD: Day -1 to day 7; MAD: Day -1 to day 21

Change from baseline to end of study visit

Secondary Endpoints

Safety measures: adverse events (AEs)
Day -1 to Day 9
Safety measures: Summary of type and frequency of concomitant medication
Day -1 to Day 9
Safety measures: change in temperature (C/F)
Day -1 to Day 9
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelCROSSOVER
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
SPR741/Ceftazidime (N=9)EXPERIMENTALNine (9) participants will be enrolled and assigned to receive SPR741 400 mg IV over 1 hour, SPR741 400 mg IV over 1 hour + ceftazidime1.0 gram IV over 1 hour, and ceftazidime 1.0 gram IV over 1 hour in a randomized sequence. One treatment will be administered during each of 3 dose periods within the assigned treatment arm.
SPR741/Piperacillin/tazobactam (N=9)EXPERIMENTALNine (9) participants will be enrolled and assigned to receive SPR741 400 mg IV over 1 hour, SPR741 400 mg IV over 1 hour + piperacillin/tazobactam 4.5 grams IV over 1 hour, and piperacillin/tazobactam 4.5 grams IV over 1 hour in a randomized sequence. One treatment will be administered during each of 3 dose periods within the assigned treatment arm.
SPR741/Aztreonam (N=9)EXPERIMENTALNine (9) participants will be enrolled and assigned to receive SPR741 400 mg IV over 1 hour, SPR741 400 mg IV over 1 hour + aztreonam 1.0 gram IV over 1 hour, and aztreonam 1.0 gram IV over 1 hour in a randomized sequence. One treatment will be administered during each of 3 dose periods within the assigned treatment arm.
SPR741EXPERIMENTALSPR741 is a novel chemical entity known as a potentiator that specifically interacts with the outer membrane of Gram-negative bacteria to increase the membrane's permeability. This increase in permeability allows Gram-positive antibiotics to enter and kill the cell. SAD cohorts: Subjects will receive single doses of SPR741 over 60 minute IV infusion. Planned doses to be studied are 5, 15, 50, 100, 200, 400, 600 and 800 mg. MAD cohorts: Subjects will receive SPR741 over 60 minute IV infusion three times a day (TID). Four dose groups will be studied. Doses will be determined by assessing SAD cohort data.
PlaceboPLACEBO_COMPARATORThe placebo used during this study is normal saline (0.9% sodium chloride for injection). SAD: Subjects will receive single infusions of placebo (0.9% sodium chloride for injection) over 60 minutes. MAD: Subjects will receive TID infusions of placebo over 60 minutes for 14 days

Interventions

NameTypeDescription
SPR741DRUG400 mg IV over 1 hour
CeftazidimeDRUG1.0 gram IV over 1 hour
Piperacillin/tazobactamDRUG4.5 grams IV over 1 hour
AztreonamDRUG1.0 gram IV over 1 hour
PlaceboDRUG0.9% sodium chloride for injection. SAD: Two participants in each cohort will receive matching placebo. MAD: Two participants in each cohort will receive matching placebo.
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Eligibility Criteria

Age Range18 Years to 55 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: 1. Healthy adult males and/or females (of non-childbearing potential), 18 to 55 years of age (inclusive) at the time of screening; 2. BMI ≥ 18.5 and ≤ 29.9 (kg/m2) and weight between 55.0 and 100.0 kg (inclusive); 3. Medically healthy without clinically significant abnormalities...

Countries:United KingdomAustralia
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Frequently asked questions about SPR741

What is SPR741 used for?

SPR741 is an investigational small molecule being studied in healthy volunteers. It is being evaluated for safety, tolerability, and pharmacokinetics in Phase 1 clinical trials. It is not approved for any indication and remains in clinical development.

Who makes SPR741?

SPR741 is being developed by Spero Therapeutics, Inc., a biopharmaceutical company. The company's ticker symbol is SPRO. Spero Therapeutics is conducting clinical trials to evaluate the safety and tolerability of SPR741 in healthy volunteers.

What phase is SPR741 in?

SPR741 is in Phase 1 clinical development. Two Phase 1 trials have been completed, both in healthy volunteers. The drug is investigational and has not been approved by regulatory authorities. Its safety, tolerability, and pharmacokinetics are being evaluated.

What clinical trials is SPR741 in?

SPR741 has been studied in two completed Phase 1 trials. NCT03022175 evaluated single and multiple doses in 64 healthy volunteers in Australia. NCT03376529 evaluated drug-drug interactions, pharmacokinetics, safety, and tolerability in 27 healthy volunteers in the United Kingdom.

Is SPR741 FDA approved?

SPR741 is not FDA approved. It is an investigational drug that has completed Phase 1 clinical trials in healthy volunteers. The drug is still in clinical development and has not been authorized for marketing or use in any patient population.