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CompletedNCT01968733SOLITAIRE-IVUpdated Mar 3, 2017

Efficacy and Safety Study of Intravenous to Oral Solithromycin (CEM-101) Compared to Intravenous to Oral Moxifloxacin in Treatment of Patients With Community-Acquired Bacterial Pneumonia

A Phase 3 interventional study of Solithromycin and Moxifloxacin in Community-acquired Bacterial Pneumonia, sponsored by Melinta Therapeutics, Inc.. Completed at 270 sites in 26 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-03-03.

Sponsored by Melinta Therapeutics, Inc. (part of CorMedix Therapeutics) · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
863
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study will evaluate the safety and efficacy of an experimental antibiotic, solithromycin, in the treatment of adult patients with community-acquired pneumonia.

Read the detailed description

Community-acquired bacterial pneumonia (CABP) is an acute infection of the pulmonary parenchyma with symptoms such as fever or hypothermia, chills, rigors, chest pain, and/or dyspnea. The widespread emergence of antibiotic resistant pathogens, including the macrolide-resistant Streptococcus pneumoniae, has resulted in a need for new and effective antibiotics that have activity against CABP pathogens. Solithromycin is a fourth generation macrolide antibiotic with excellent activity against resistant S. pneumoniae and other key typical and atypical bacterial respiratory pathogens. A completed Phase 2 study showed comparable efficacy to levofloxacin in adults with CABP.

02

Conditions studied

  • Community-acquired Bacterial Pneumonia

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Keywords

  • Pneumonia
  • CABP
  • CAP
  • Macrolide
03

In context

Pneumonia

2,072 studies on the registry are indexed under Pneumonia; 286 are open to participants now.

This study's enrollment of 863 is above the median of 107 across 1,263 interventional studies indexed under Pneumonia.

Browse Pneumonia studies →

Lead sponsor

Melinta Therapeutics, Inc. is the lead sponsor of 32 studies on the registry; none are open to participants now.

Of its 8 completed or terminated interventional studies of FDA-regulated products, 6 (75%) have results posted.

First submitted before Melinta Therapeutics, Inc. became part of CorMedix Therapeutics.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male and female patients ≥ 18 years of age
  • An acute onset of at least 3 of the following signs and symptoms (new or worsening):

    1. Cough
    2. Production of purulent sputum
    3. Shortness of breath (dyspnea)
    4. Chest pain due to pneumonia
  • At least 1 of the following:

    1. Fever
    2. Hypothermia
    3. Presence of pulmonary rales and/or evidence of pulmonary consolidation
  • PORT Risk Class II, III, or IV
  • Presence of lobar, multilobar, or patchy parenchymal infiltrate(s) consistent with acute bacterial pneumonia on a pulmonary imaging study
  • Not received any systemic antibiotics during the prior 7 days

Exclusion criteria

Exclusion Criteria:

  • Ventilator-associated pneumonia
  • Known anatomical or pathological bronchial obstruction or a history of bronchiectasis or documented severe chronic obstructive pulmonary disease
  • Hospitalization within 90 days or residence in a long-term care facility within 30 days prior to the onset of symptoms
  • Fungal pneumonia
  • Pneumocystis jiroveci pneumonia
  • Aspiration pneumonia
  • Other non-infectious causes of pulmonary infiltrates
  • Primary or metastatic lung cancer
  • Cystic fibrosis
  • Active or suspected tuberculosis
  • HIV or myasthenia gravis
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
863 participants (actual)

Study arms

  • Active comparator
    Moxifloxacin

    Intravenous with the potential step-down to oral moxifloxacin

    Drug: Moxifloxacin

  • Experimental
    Solithromycin

    Intravenous with potential step-down to oral solithromycin

    Drug: Solithromycin

Interventions

06

What researchers measure

Primary outcomes

  1. Early clinical response rate in the Intent to Treat (ITT) population.

    To determine noninferiority (NI) in early clinical response rate, in at least 2 of the following 4 cardinal symptoms: cough, shortness of breath, chest pain, and sputum production

    Time frame: 72 [±12] hours after the first dose of study drug

Secondary outcomes

  1. Early clinical response rate in the microITT population

    To determine NI in early clinical response rate of intravenous to oral solithromycin compared to intravenous to oral moxifloxacin in the mITT population

    Time frame: 72 [±12] hours after the first dose of study drug

  2. Clinical success rates in the ITT and Clinically Evaluable (CE) populations

    To determine the overall clinical success rates of intravenous to oral solithromycin compared to moxifloxacin

    Time frame: 5 to 10 days after the last dose of study drug

07

Study locations

270 sites
  • Mobile, Alabama 36607, United States
  • Mobile, Alabama 36609, United States
  • Little Rock, Arkansas 72205, United States
  • Chino, California 91710, United States
  • Glendale, California 91206, United States
  • Laguna Hills, California 92653, United States
  • Los Angeles, California 90015, United States
  • Pasadena, California 91105, United States
  • Sacramento, California 95817, United States
  • Sylmar, California 91342, United States
  • Torrance, California 90502, United States
  • Newark, Delaware 19713, United States
  • Bay Pines, Florida 33744, United States
  • DeLand, Florida 32720, United States
  • Doral, Florida 33166, United States
  • Kissimmee, Florida 34741, United States
  • Miami, Florida 33144, United States
  • Miami, Florida 33156, United States
  • West Palm Beach, Florida 33401, United States
  • Augusta, Georgia 30912, United States
  • Blue Ridge, Georgia 30513, United States
  • Decatur, Georgia 30033, United States
  • Chicago, Illinois 60611, United States
  • Springfield, Illinois 62702, United States
  • Council Bluffs, Iowa 51503, United States
  • Hazard, Kentucky 41701, United States
  • Louisville, Kentucky 40202, United States
  • Louisville, Kentucky 40206, United States
  • Owensboro, Kentucky 42303, United States
  • Lafayette, Louisiana 70503, United States
  • Shreveport, Louisiana 71103, United States
  • Detroit, Michigan 48202, United States
  • Farmington Hills, Michigan 48334, United States
  • Royal Oak, Michigan 48073, United States
  • Duluth, Minnesota 55805, United States
  • St Louis, Missouri 63110, United States
  • Butte, Montana 59701, United States
  • Newark, New Jersey 07102, United States
  • Somers Point, New Jersey 08244, United States
  • Buffalo, New York 14215, United States
  • Jamaica, New York 11418, United States
  • Johnson City, New York 13790, United States
  • New York, New York 10003, United States
  • Winston-Salem, North Carolina 27103, United States
  • Akron, Ohio 44304, United States
  • Cincinnati, Ohio 45267, United States
  • Cleveland, Ohio 44106, United States
  • Columbus, Ohio 43210, United States
  • Dayton, Ohio 45402, United States
  • Lima, Ohio 45801, United States
  • Bethleham, Pennsylvania 18015, United States
  • Philadelphia, Pennsylvania 19141, United States
  • Wyomissing, Pennsylvania 19610, United States
  • Rapid City, South Dakota 57702, United States
  • Nashville, Tennessee 37232, United States
  • Houston, Texas 77011, United States
  • Houston, Texas 77024, United States
  • Houston, Texas 77030, United States
  • Houston, Texas 77093, United States
  • Splendora, Texas 77372, United States
  • Charlottesville, Virginia 22905-2877, United States
  • Spokane, Washington 99202, United States
  • Caba, Buenos Aires C1093AAS, Argentina
  • Florencia Varela, Buenos Aires B1887FWB, Argentina
  • La Plata, Buenos Aires 1900, Argentina
  • La Plata, Buenos Aires B1900AVG, Argentina
  • Loma Hermosa, Buenos Aires B1657BHD, Argentina
  • Mar del Plata, Buenos Aires B7600GNY, Argentina
  • San Juan Bautista, Buenos Aires 1888, Argentina
  • Vicente López, Buenos Aires B1602DOH, Argentina
  • Córdoba, Córdoba Province X5000JRD, Argentina
  • Salta, Salta Province 4400, Argentina
  • Rosario, Santa Fe Province S2000CVB, Argentina
  • San Miguel de Tucumán, Tucumán Province T4000IFL, Argentina
  • Kozloduy, 3320, Bulgaria
  • Montana, 3400, Bulgaria
  • Pernik, 2300, Bulgaria
  • Rousse, 7002, Bulgaria
  • Samokov, 2000, Bulgaria
  • Sofia, 1431, Bulgaria
  • Sofia, 1606, Bulgaria
  • Vidin, 3700, Bulgaria
  • Vratsa, 3000, Bulgaria
  • Edmonton, Alberta T6G2B7, Canada
  • Surrey, British Columbia V3V 1Z2, Canada
  • Vancouver, British Columbia V6Z 1Y6, Canada
  • Winnipeg, Manitoba R3E0J9, Canada
  • Chicoutimi, Quebec G7H5H6, Canada
  • Greenfield Park, Quebec J4V2H1, Canada
  • Montreal, Quebec H2W 1T8, Canada
  • Sherbrooke, Quebec JIH-5N4, Canada
  • Talca, Maule Region 3465584, Chile
  • Providencia, RM 7500710, Chile
  • Viña del Mar, Valparaiso 2540364, Chile
  • Temuco, 4800997, Chile
  • Medellín, Antioquia, Colombia
  • Cali, Valle del Cauca Department, Colombia
  • Batumi, 6004, Georgia
  • Rustavi, 3700, Georgia
  • Tbilisi, 0101, Georgia

Showing the first 100 of 270 sites across 26 countries.

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References and documents

Publications

  • File TM Jr, Rewerska B, Vucinic-Mihailovic V, Gonong JRV, Das AF, Keedy K, Taylor D, Sheets A, Fernandes P, Oldach D, Jamieson BD. SOLITAIRE-IV: A Randomized, Double-Blind, Multicenter Study Comparing the Efficacy and Safety of Intravenous-to-Oral Solithromycin to Intravenous-to-Oral Moxifloxacin for Treatment of Community-Acquired Bacterial Pneumonia. Clin Infect Dis. 2016 Oct 15;63(8):1007-1016. doi: 10.1093/cid/ciw490. Epub 2016 Jul 22. PubMed 27448679 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 3, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01968733
Responsible party
Sponsor
First posted
Oct 24, 2013
Start date
Nov 2013
Primary completion
Jul 2015
Completion
Sep 2015
Last update
Mar 3, 2017

Study contacts

Brian D Jamieson, MD
study director · Melinta Therapeutics, Inc.

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2017. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Solithromycin

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