NCT02092935

Brief Summary

The purpose of this research study is to evaluate the safety and effectiveness of a new oral antibiotic called SMT19969 in treating C. difficile Infection (CDI).

Trial Health

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
100

participants targeted

Target at P50-P75 for phase_2

Timeline
Completed

Started Apr 2014

Shorter than P25 for phase_2

Geographic Reach
2 countries

26 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 18, 2014

Completed
2 days until next milestone

First Posted

Study publicly available on registry

March 20, 2014

Completed
12 days until next milestone

Study Start

First participant enrolled

April 1, 2014

Completed
1.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2015

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2015

Completed
Last Updated

October 20, 2016

Status Verified

October 1, 2016

Enrollment Period

1.5 years

First QC Date

March 18, 2014

Last Update Submit

October 19, 2016

Conditions

Keywords

CDADClostridium Difficile

Outcome Measures

Primary Outcomes (1)

  • Evaluate the clinical outcome by assessment of sustained clinical response

    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

    30 days post End of Therapy

Secondary Outcomes (2)

  • Plasma and faecal concentrations of SMT19969

    40 Days

  • To assess the safety and tolerability of SMT19969 compared with vancomycin

    40 days

Other Outcomes (1)

  • To assess the qualitative and quantitative effect of SMT19969 and Vancomycin on the bowel flora of subjects

    40 days

Study Arms (2)

SMT19969

EXPERIMENTAL

200 mg capsule of SMT19969 twice a day for 10 days with alternating 200 mg placebo twice a day

Drug: SMT19969

Vancomycin

ACTIVE COMPARATOR

125 mg capsule four times a day for 10 days

Drug: Vancomycin

Interventions

SMT19969
Vancomycin

Eligibility Criteria

Age18 Years - 90 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Informed consent
  • Clinical diagnosis of CDAD plus laboratory diagnostic test
  • No more than 24 hrs antimicrobial treatment for current CDAD episode
  • No more than 3 episodes of CDAD in prior 12 months
  • No previous episode of CDAD within 30 days of study enrollment
  • Female subjects of childbearing potential must use adequate contraception

You may not qualify if:

  • Life-threatening or fulminant colitis
  • Concurrent use of antibiotics or any other treatments for CDAD
  • History of inflammatory bowel disease (ulcerative colitis, Crohn's disease)
  • Participation in other Clinical research studies within one month of screening

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (26)

Unknown Facility

Mobile, Alabama, United States

Location

Unknown Facility

Laguna Hills, California, United States

Location

Unknown Facility

Long Beach, California, United States

Location

Unknown Facility

Sylmar, California, United States

Location

Unknown Facility

Ventura, California, United States

Location

Unknown Facility

Idaho Falls, Idaho, United States

Location

Unknown Facility

Chicago, Illinois, United States

Location

Unknown Facility

Topeka, Kansas, United States

Location

Unknown Facility

Baltimore, Maryland, United States

Location

Unknown Facility

Boston, Massachusetts, United States

Location

Unknown Facility

Detroit, Michigan, United States

Location

Unknown Facility

Duluth, Minnesota, United States

Location

Unknown Facility

Minneapolis, Minnesota, United States

Location

Unknown Facility

Tupelo, Mississippi, United States

Location

Unknown Facility

Billings, Montana, United States

Location

Unknown Facility

Butte, Montana, United States

Location

Unknown Facility

Sommers Point, New Jersey, United States

Location

Unknown Facility

Rochester, New York, United States

Location

Unknown Facility

Akron, Ohio, United States

Location

Unknown Facility

Cincinnati, Ohio, United States

Location

Unknown Facility

Columbus, Ohio, United States

Location

Unknown Facility

Lima, Ohio, United States

Location

Unknown Facility

Rapid City, South Dakota, United States

Location

Unknown Facility

Seattle, Washington, United States

Location

Unknown Facility

Hamilton, Ontario, Canada

Location

Unknown Facility

Montreal, Quebec, Canada

Location

Related Publications (2)

  • Snydman DR, McDermott LA, Thorpe CM, Chang J, Wick J, Walk ST, Vickers RJ. Antimicrobial susceptibility and ribotypes of Clostridium difficile isolates from a Phase 2 clinical trial of ridinilazole (SMT19969) and vancomycin. J Antimicrob Chemother. 2018 Aug 1;73(8):2078-2084. doi: 10.1093/jac/dky135.

  • Vickers RJ, Tillotson GS, Nathan R, Hazan S, Pullman J, Lucasti C, Deck K, Yacyshyn B, Maliakkal B, Pesant Y, Tejura B, Roblin D, Gerding DN, Wilcox MH; CoDIFy study group. Efficacy and safety of ridinilazole compared with vancomycin for the treatment of Clostridium difficile infection: a phase 2, randomised, double-blind, active-controlled, non-inferiority study. Lancet Infect Dis. 2017 Jul;17(7):735-744. doi: 10.1016/S1473-3099(17)30235-9. Epub 2017 Apr 28.

MeSH Terms

Conditions

Clostridium Infections

Interventions

ridinilazoleVancomycin

Condition Hierarchy (Ancestors)

Gram-Positive Bacterial InfectionsBacterial InfectionsBacterial Infections and MycosesInfections

Intervention Hierarchy (Ancestors)

GlycopeptidesGlycoconjugatesCarbohydratesPeptidesAmino Acids, Peptides, and Proteins

Study Officials

  • Richard Vickers, PhD

    Summit (Oxford) Limited

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 18, 2014

First Posted

March 20, 2014

Study Start

April 1, 2014

Primary Completion

October 1, 2015

Study Completion

October 1, 2015

Last Updated

October 20, 2016

Record last verified: 2016-10

Locations