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Clarithromycin

Phase 1

Helicobacter Pylori Infection | Small molecule | Infectious Disease |cbdMD, Inc.|Last Updated: Oct 24, 2024

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Trial Design

CONTROLLEDBiomarker
Total Trials1
Total Enrollment32

FDA Designations

No designations recorded

Clinical trial landscape

Clarithromycin · 1 trial · 1 indication

Phase 1 1
NCT06551623Drug-Drug Interactions Between TNP-2198 and Midazolam, ClarithromycinHelicobacter Pylori Infection
COMPLETED32 Analytics
PHASE1COMPLETED
Drug-Drug Interactions Between TNP-2198 and Midazolam, Clarithromycin
Helicobacter Pylori InfectionUnlock trial analytics

Study Endpoints

Primary Endpoints

Midazolam cohort: PK parameters of midazolam-Area under the plasma concentration versus time curve (AUC0-t)
Within 1 hour prior to midazolam dosing and at 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36, and 48 hours following midazolam dosing on Day 1 and Day 10, respectively.

Area under the plasma concentration versus time curve from time 0 to the last quantifiable concentration (AUC0-t)

Midazolam cohort: PK parameters of midazolam-Area under the plasma concentration versus time curve (AUC0-∞)
Within 1 hour prior to midazolam dosing and at 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36, and 48 hours following midazolam dosing on Day 1 and Day 10, respectively.

Area under the plasma concentration versus time curve from time 0 extrapolated to infinity (AUC0-∞)

Midazolam cohort: PK parameters of midazolam-Maximum observed plasma concentration (Cmax)
Within 1 hour prior to midazolam dosing and at 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36, and 48 hours following midazolam dosing on Day 1 and Day 10, respectively.

Maximum observed plasma concentration (Cmax)

Clarithromycin cohort: PK parameters of TNP-2198-Area under the plasma concentration versus time curve(AUC0-t)
Within 1 hour prior to TNP-2198 dosing and at 1, 2, 3, 3.5, 4, 5, 6, 8, 10, 12, 24, 48, and 72 hours following TNP-2198 dosing on Day 8 and Day 23, respectively.

Area under the plasma concentration versus time curve from time 0 to the last quantifiable concentration

Clarithromycin cohort: PK parameters of TNP-2198-Area under the plasma concentration versus time curve from time 0 extrapolated to infinity (AUC0-∞)
Within 1 hour prior to TNP-2198 dosing and at 1, 2, 3, 3.5, 4, 5, 6, 8, 10, 12, 24, 48, and 72 hours following TNP-2198 dosing on Day 8 and Day 23, respectively.

Area under the plasma concentration versus time curve from time 0 extrapolated to infinity

Clarithromycin cohort: PK parameters of TNP-2198-Maximum observed plasma concentration (Cmax)
Within 1 hour prior to TNP-2198 dosing and at 1, 2, 3, 3.5, 4, 5, 6, 8, 10, 12, 24, 48, and 72 hours following TNP-2198 dosing on Day 8 and Day 23, respectively.

Cmax

Secondary Endpoints

Midazolam cohort: Percentage of Participants With Adverse Events (AEs)
Day 1 to Day 12
Clarithromycin cohort:Percentage of Participants With Adverse Events (AEs)
Day 1 to Day 26
Midazolam cohort: PK parameters of midazolam Time to Maximum Plasma Concentration (Tmax)
Within 1 hour prior to midazolam dosing and at 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36, and 48 hours following midazolam dosing on Day 1 and Day 10, respectively.
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeBASIC_SCIENCE

Treatment Arms

ArmTypeDescription
Midazolam cohortEXPERIMENTALMidazolam Oral Solution will be given orally once daily within 0.5 hours after breakfast on Day 1 and Day 10. TNP-2198 Capsules will be given orally twice daily within 0.5 hours after breakfast and dinner from Day 3 to Day 11.
Clarithromycin cohortEXPERIMENTALClarithromycin tablets will be given orally within 0.5 hours after breakfast and dinner from Day 16 to Day 25. TNP-2198 Capsules will be given orally twice daily within 0.5 hours after breakfast and dinner from Day 1 to Day 7 and from Day16 to Day 22, and once daily within 0.5 hours after breakfast on Day 8 and Day 23.

Interventions

NameTypeDescription
MidazolamDRUGMidazolam Oral Solution 2 mg
ClarithromycinDRUGClarithromycin tablets 0.5 g
TNP-2198DRUGTNP-2198 Capsules 400 mg
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Eligibility Criteria

Age Range18 Years to 55 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: * Be able to provide written Informed consent forms (ICF) and fully understand the study procedures and potential AEs. * Be able to comply with all protocol requirements. * Willing to voluntarily take effective contraceptive measures from signing the ICF to 3 months after the la...

Countries:China
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Frequently asked questions about Clarithromycin

What is Clarithromycin used for in Helicobacter Pylori Infection?

Clarithromycin is a small molecule antibiotic being studied for use in Helicobacter pylori infection. It is currently in Phase 1 clinical development as part of a drug-drug interaction study. The drug is being developed by cbdMD, Inc. for this infectious disease indication.

What does Clarithromycin target?

Clarithromycin is a macrolide antibiotic that works by inhibiting bacterial protein synthesis. It binds to the 50S ribosomal subunit of susceptible bacteria, blocking peptide bond formation and preventing bacterial growth. This mechanism makes it effective against Helicobacter pylori and other susceptible organisms.

Who makes Clarithromycin?

Clarithromycin is being developed by cbdMD, Inc., a company traded under the ticker symbol YCBD. The company is conducting clinical research on this antibiotic for the treatment of Helicobacter pylori infection, with the drug currently in Phase 1 development.

What phase is Clarithromycin in?

Clarithromycin is in Phase 1 clinical development. It is an investigational drug being studied for Helicobacter pylori infection. The drug is not yet approved and remains in early-stage clinical trials, with one completed Phase 1 study evaluating drug-drug interactions.

What clinical trials is Clarithromycin in?

Clarithromycin has one completed clinical trial registered as NCT06551623, titled "Drug-Drug Interactions Between TNP-2198 and Midazolam, Clarithromycin." This Phase 1 study enrolled 32 participants in China, including healthy volunteers aged 18 years and older, and evaluated drug interactions in the context of Helicobacter pylori infection.

Is Clarithromycin the same as TNP-2198?

Clarithromycin is not the same as TNP-2198. The clinical trial NCT06551623 evaluates drug-drug interactions between TNP-2198 and Clarithromycin, indicating they are distinct compounds. Clarithromycin is the antibiotic being studied, while TNP-2198 is a separate investigational drug in the same trial.