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SPR994

Phase 1

Healthy Volunteers | Small molecule | Other |Spero Therapeutics, Inc.|Last Updated: Aug 28, 2018

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-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment124
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03395249Phase 1 Study of Safety, Tolerability and Pharmacokinetics of SPR994PHASE1 COMPLETED 124Oct 20, 2017Aug 2, 2018Aug 28, 20181 Australia
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Study Endpoints
Primary Endpoints
Safety measures: adverse events
SAD: 1 to 7 days or 1 to 13 (food effect cohort); MAD 1 to 20 days

The incidence and severity of AEs

Safety measures: concomitant medications
SAD: 1 to 7 days or 1 to 13 (food effect cohort); MAD: 1 to 20 days

The type and frequency of medications used

Safety measures: physical examination
SAD: -1 to 7 days or -1 to 13 (food effect cohort); MAD: -1 to 20 days

Change from baseline to end of study visit

Safety measures: weight
SAD: -1 to 7 days or -1 to 13 (food effect cohort); MAD: -1 to 20 days

Change from baseline to end of study visit

Safety measures: pulse rate
SAD: -1 to 7 days or -1 to 13 (food effect cohort); MAD: -1 to 20 days

Change from baseline to end of study visit

Safety measures: ECG
SAD: -1 to 7 days or -1 to 13 (food effect cohort); MAD: -1 to 20 days

Change from baseline to end of study visit

Safety measures: clinical laboratory testing
SAD: -1 to 7 days or -1 to 13 (food effect cohort); MAD: -1 to 20 days

Change from baseline to end of study visit

Safety measures: respiratory rate
SAD: -1 to 7 days or -1 to 13 (food effect cohort); MAD: -1 to 20 days

Change from baseline to end of study visit

Safety measures: blood pressure
SAD: -1 to 7 days or -1 to 13 (food effect cohort); MAD: -1 to 20 days

Change from baseline to end of study visit

Safety measures: body temperature
SAD: -1 to 7 days or -1 to 13 (food effect cohort); MAD: -1 to 20 days

Change from baseline to end of study visit

Secondary Endpoints
Pharmacokinetics: Time to maximum concentration (Tmax)
SAD: Day 1 to Day 3 and Day 7 to 9 (Food Effect); MAD Day 1 to 16
Pharmacokinetics: Maximum concentration (Cmax)
SAD: Day 1 to Day 3 and Day 7 to 9 (Food Effect); MAD Day 1 to 16
Pharmacokinetics: Area under the concentration-time curve from time 0 to last measurable time-point (AUC0-t)
SAD: Day 1 to Day 3 and Day 7 to 9 (food effect); MAD Day 1 to 16
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
SPR994, FI, F2, F3, F4 Oral TabletsEXPERIMENTALSPR994 is active against multidrug-resistant Gram-negative and Gram-positive pathogens that cause serious and life-threatening infections, including extended spectrum beta-lactamase (ESBL) producers as well as strains resistant to levofloxacin and trimethoprim/sulfamethoxazole. SPR994 is administered in tablet form orally. Up to five different time released formulations of SPR994 will be studied in this protocol at 100 mg, 300 mg, 600 mg and 900 mg dosages. SAD Cohorts: One dose (two for food effect cohort) MAD Cohorts: Twenty-seven (27) doses administered twice daily (BID) over a period of 14 days or forty doses administered three times daily (TID) over period of 14 days
Placebo Oral TabletPLACEBO_COMPARATORPlacebo tablets (100, 300, and 600 mg) are pressed from a single placebo blend consisting of the same inactive ingredients; the active pharmaceutical ingredient (API) is replaced by Mannitol 200SD. SAD Cohorts: One dose (two for food effect cohort) MAD Cohorts: Twenty-seven (27) doses administered BID over a period of 14 days or forty doses administered TID over a period of 14 days
Optional Orapenem Open-Label ControlOTHERA single, optional, open-label, control cohort that may enroll, in which all 8 subjects receive Orapenem. SAD Cohort: One dose under fasted conditions and one dose under fed conditions.
Interventions
NameTypeDescription
SPR994DRUGSAD: Double-blind dosing will occur in all SAD Cohorts except for Cohort 12. In each cohort, six subjects will receive one of five different timed release formulations of SPR994 and 2 subjects will receive placebo. Subjects in SAD Cohorts 2, 3, 6, 16 and 17 will receive a single dose following a 10-h fast. Subjects in SAD Cohorts 1, 8-15 will receive one dose of SPR994 or placebo following a 10-h fast on Day 1 and a second dose following consumption of a standardized meal on Day 7. The dose escalation steps may be altered following review of the safety data of each cohort. MAD: Double-blind dosing will occur in all MAD Cohorts. Subjects will receive multiple doses of an optimal timed release formulation of SPR994 in MAD Cohort 4 (300 mg) and Cohort 5 (600 mg) or placebo for 14 consecutive days at either BID or TID dosing beginning on Day 1.
Placebo Oral TabletDRUGMannitol 200SD SAD: Two subjects in each cohort will receive matching placebo. MAD: Two participants in each cohort will receive matching placebo.
Orapenem®DRUGTebipenem pivoxil granules
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Eligibility Criteria
Age Range18 Years — 55 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: * Healthy adult males and/or females (of non-childbearing potential), 18 to 55 years of age (inclusive) at the time of screening; * Body mass index ≥ 18.5 and ≤ 29.9 (kg/m2) and 55.0 and 100.0 kg (inclusive) for all cohorts; * Medically healthy without clinically significant (CS...

Countries:Australia
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