ClinicalTrials.gg
CompletedNCT05584657REASSUREUpdated Nov 20, 2024Results posted

Oral Sulopenem Versus Amoxicillin/Clavulanate for Uncomplicated Urinary Tract Infection in Adult Women

A Phase 3 interventional study of Sulopenem etzadroxil/probenecid and Amoxicillin/clavulanate in Urinary Tract Infections and Cystitis, sponsored by Iterum Therapeutics, International Limited. Completed at 167 sites in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-11-20.

Sponsored by Iterum Therapeutics, International Limited · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
2,229
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

Study 310 is a clinical study which compares the effectiveness of oral sulopenem versus oral amoxicillin/clavulanate for the treatment of adult women with uncomplicated urinary tract infection.

Read the detailed description

IT001-310 is a Phase 3, randomized, multicenter, double-blind, double dummy, controlled study to compare oral sulopenem etzadroxil/probenecid (oral sulopenem) to oral amoxicillin/clavulanate for the treatment of adult female patients with uncomplicated urinary tract infection. Approximately 1966 adult women with uncomplicated urinary tract infection will be randomized in a 1:1 fashion to receive either oral sulopenem etzadroxil/probenecid or oral amoxicillin/clavulanate twice daily for 5 days. The primary outcome measure for efficacy evaluation will be the overall success (combined clinical and microbiologic success) on Day 12 (± 1 day)/Test of Cure (TOC).

02

Conditions studied

  • Urinary Tract Infections
  • Cystitis
03

In context

Urinary Tract Infections

803 studies on the registry are indexed under Urinary Tract Infections; 133 are open to participants now.

This study's enrollment of 2,229 is above the median of 131 across 560 interventional studies indexed under Urinary Tract Infections.

Browse Urinary Tract Infections studies →

Lead sponsor

Iterum Therapeutics, International Limited is the lead sponsor of 9 studies on the registry; 1 is open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 5 (100%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
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

  • Female patients ≥18 years of age with ≥24 hours and ≤96 hours of urinary symptoms attributable to a UTI
  • Two of the following signs and symptoms of uUTI: urinary frequency, urinary urgency, pain or burning on micturition, suprapubic pain.
  • A mid-stream urine specimen with evidence of pyuria as defined by either a machine-read dipstick positive for leukocyte esterase OR at least 10 white blood cells per cubic millimeter on microscopic analysis of unspun urine OR white blood cell count ≥10 cells/high-powered field (HPF) in the sediment of a spun urine

Exclusion criteria

Exclusion Criteria:

  • Presence of signs and symptoms suggestive of acute pyelonephritis defined as: fever (temperature > 38° Celsius), chills, costovertebral angle tenderness, flank pain, nausea, and/or vomiting
  • Receipt of antibacterial drug therapy potentially effective as treatment of uUTI within the prior 7 days
  • Concurrent use of non-study treatments that would have a potential effect on outcome evaluations in patients with uUTI, including analgesics (e.g., non-steroidal anti-inflammatory drugs, aspirin, paracetamol etc.), phenazopyridine, and cranberry products.
  • Any anatomical abnormality of the urinary tract, including surgically modified urinary tract anatomy, and obstructive uropathy due to nephrolithiasis, stricture, tumor, or fibrosis
  • Ongoing urinary retention
  • Neurogenic bladder
  • Current resident of a long-term care facility
  • Instrumentation of urinary tract in the previous 30 days
  • An indwelling urinary catheter, ureteral stent or other foreign material in the urinary tract
  • Any history of trauma to the pelvis or urinary tract
  • Receiving hemodialysis, hemofiltration, peritoneal dialysis, or had a renal transplant
  • History of allergy or to carbapenems, β-lactams or probenecid, as formulated with their
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
2,229 participants (actual)

Study arms

  • Experimental
    Sulopenem etzadroxil/probenecid

    Sulopenem etzadroxil/probenecid 500 mg/500 mg PO twice daily for 5 days

    Drug: Sulopenem etzadroxil/probenecid

  • Active comparator
    Amoxicillin/clavulanate

    Amoxicillin/clavulanate PO twice daily for 5 days

    Drug: Amoxicillin/clavulanate

Interventions

06

What researchers measure

Primary outcomes

  1. Overall Success

    Clinical Success (resolution of uncomplicated urinary tract infection (uUTI) symptoms present at study entry and no new symptoms) AND Microbiologic success (eradication of the baseline pathogen)

    Time frame: Day 12+/-1 day

  2. Overall Success Susceptible Population

    Clinical Success (resolution of uncomplicated urinary tract infection (uUTI) symptoms present at study entry and no new symptoms) AND Microbiologic success (eradication of the baseline pathogen)

    Time frame: Day 12+/-1 day

Secondary outcomes

  1. Clinical Success Modified Intent-to-treat Population

    Resolution of uncomplicated urinary tract infection (uUTI) symptoms present at study entry and no new symptoms

    Time frame: Day 12+/-1 day

  2. Clinical Success

    Resolution of uncomplicated urinary tract infection (uUTI) symptoms present at study entry and no new symptoms

    Time frame: Day 12+/-1 day

  3. Clinical Success Susceptible Population

    Resolution of uncomplicated urinary tract infection (uUTI) symptoms present at study entry and no new symptoms

    Time frame: Day 12+/-1 day

  4. Microbiologic Success

    Eradication of the Baseline Pathogen

    Time frame: Day 12+/-1 day

  5. Microbiologic Success Susceptible Population

    Microbiologic Success: Eradication of the Baseline Pathogen

    Time frame: Day 12+/-1 day

07

Results

Posted Nov 20, 2024

Participant flow

Participant flow — Overall Study
MilestoneSulopenem Etzadroxil/ProbenecidAmoxicillin/Clavulanate
Started11111111
Completed10571063
Not completed5448

Outcome measures

PrimaryOverall Success

Clinical Success (resolution of uncomplicated urinary tract infection (uUTI) symptoms present at study entry and no new symptoms) AND Microbiologic success (eradication of the baseline pathogen)

Time frame:
Day 12+/-1 day
Reported as:
Count of participants · Participants
Overall Success
ParticipantsSulopenem Etzadroxil/ProbenecidAmoxicillin/Clavulanate
Overall Success318260
PrimaryOverall Success Susceptible Population

Clinical Success (resolution of uncomplicated urinary tract infection (uUTI) symptoms present at study entry and no new symptoms) AND Microbiologic success (eradication of the baseline pathogen)

Time frame:
Day 12+/-1 day
Reported as:
Count of participants · Participants
Overall Success Susceptible Population
ParticipantsSulopenem Etzadroxil/ProbenecidAmoxicillin/Clavulanate
Overall Success Susceptible Population296243
SecondaryClinical Success Modified Intent-to-treat Population

Resolution of uncomplicated urinary tract infection (uUTI) symptoms present at study entry and no new symptoms

Time frame:
Day 12+/-1 day
Reported as:
Count of participants · Participants
Clinical Success Modified Intent-to-treat Population
ParticipantsSulopenem Etzadroxil/ProbenecidAmoxicillin/Clavulanate
Clinical Success Modified Intent-to-treat Population851849
SecondaryClinical Success

Resolution of uncomplicated urinary tract infection (uUTI) symptoms present at study entry and no new symptoms

Time frame:
Day 12+/-1 day
Reported as:
Count of participants · Participants
Clinical Success
ParticipantsSulopenem Etzadroxil/ProbenecidAmoxicillin/Clavulanate
Clinical Success397358
SecondaryClinical Success Susceptible Population

Resolution of uncomplicated urinary tract infection (uUTI) symptoms present at study entry and no new symptoms

Time frame:
Day 12+/-1 day
Reported as:
Count of participants · Participants
Clinical Success Susceptible Population
ParticipantsSulopenem Etzadroxil/ProbenecidAmoxicillin/Clavulanate
Clinical Success Susceptible Population371339
SecondaryMicrobiologic Success

Eradication of the Baseline Pathogen

Time frame:
Day 12+/-1 day
Reported as:
Count of participants · Participants
Microbiologic Success
ParticipantsSulopenem Etzadroxil/ProbenecidAmoxicillin/Clavulanate
Microbiologic Success390315
SecondaryMicrobiologic Success Susceptible Population

Microbiologic Success: Eradication of the Baseline Pathogen

Time frame:
Day 12+/-1 day
Reported as:
Count of participants · Participants
Microbiologic Success Susceptible Population
ParticipantsSulopenem Etzadroxil/ProbenecidAmoxicillin/Clavulanate
Microbiologic Success Susceptible Population361295

Adverse events

Collected over 28 days. Non-serious events are listed at a 1% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Sulopenem Etzadroxil/Probenecid0/1,107 (0%)0/1,107 (0%)198/1,107 (17.9%)
Amoxicillin/Clavulanate0/1,107 (0%)5/1,107 (0.5%)118/1,107 (10.7%)
Most frequent serious events
Most frequent serious events
EventSulopenem Etzadroxil/ProbenecidAmoxicillin/Clavulanate
DehydrationMetabolism and nutrition disorders0/11071/1107
UreterolithiasisRenal and urinary disorders0/11071/1107
Genital herpesInfections and infestations0/11071/1107
DiverticulumGastrointestinal disorders0/11071/1107
Chest painGeneral disorders0/11071/1107
Most frequent other events
Most frequent other events
EventSulopenem Etzadroxil/ProbenecidAmoxicillin/Clavulanate
DiarrheaGastrointestinal disorders90/110745/1107
NauseaGastrointestinal disorders48/110748/1107
HeadacheNervous system disorders24/110717/1107
Vulvovaginal mycotic infectionInfections and infestations20/11074/1107
VomitingGastrointestinal disorders16/11074/1107

Baseline characteristics

Microbiological modified intent-to-treat population

Age, Continuous
Age, Continuous(years)Sulopenem Etzadroxil/ProbenecidAmoxicillin/ClavulanateTotal
Mean50.3 ± 17.3148.6 ± 17.1849.5 ± 17.26
Sex: Female, Male
Sex: Female, Male(Participants)Sulopenem Etzadroxil/ProbenecidAmoxicillin/ClavulanateTotal
Female522468990
Male000
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Sulopenem Etzadroxil/ProbenecidAmoxicillin/ClavulanateTotal
Hispanic or Latino333296629
Not Hispanic or Latino189171360
Unknown or Not Reported011
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Sulopenem Etzadroxil/ProbenecidAmoxicillin/ClavulanateTotal
American Indian or Alaska Native112
Asian10818
Native Hawaiian or Other Pacific Islander011
Black or African American8484168
White419370789
More than one race000
Unknown or Not Reported8412
Region of Enrollment
Region of Enrollment(participants)Sulopenem Etzadroxil/ProbenecidAmoxicillin/ClavulanateTotal
United States522468990
Diabetes
Diabetes(Participants)Sulopenem Etzadroxil/ProbenecidAmoxicillin/ClavulanateTotal
Count of participants8668154
08

Study locations

167 sites
  • Medical Facility
    Cullman, Alabama 35055, United States
  • Medical Facility
    Saraland, Alabama 36571, United States
  • Medical Facility
    Sheffield, Alabama 35660, United States
  • Medical Facility
    Peoria, Arizona 85381, United States
  • Medical Facility3
    Phoenix, Arizona 85031, United States
  • Medical Facility
    Phoenix, Arizona 85032, United States
  • Medical Facility2
    Phoenix, Arizona 85051, United States
  • Medical Facility
    Tucson, Arizona 85715, United States
  • Medical Facility2
    Hot Springs, Arkansas 71901, United States
  • Medical Facility
    Hot Springs, Arkansas 71913, United States
  • Medical Facility
    Bakersfield, California 93309, United States
  • Medical Facility
    Chula Vista, California 91911, United States
  • Medical Facility
    Fullerton, California 92835, United States
  • Medical Facility
    Garden Grove, California 92844, United States
  • Medical Facility
    Huntington Beach, California 92648, United States
  • Medical Facility 2
    Huntington Park, California 90255, United States
  • Medical Facility
    Huntington Park, California 90255, United States
  • Medical Facility
    Irvine, California 92614, United States
  • Medical Facility
    La Mesa, California 91942, United States
  • Medical Facility
    Lancaster, California 93534, United States
  • Medical Facility
    Lomita, California 90717, United States
  • Medical Facility2
    Los Angeles, California 90017, United States
  • Medical Facility
    Los Angeles, California 90057, United States
  • Medical Facility
    Pomona, California 91768, United States
  • Medical Facility
    Sacramento, California 95821, United States
  • Medical Facility
    San Diego, California 92111, United States
  • Medical Facility
    Upland, California 91786, United States
  • Medical Facility
    Victorville, California 92395, United States
  • Medical Facility
    Grand Junction, Colorado 81501, United States
  • Medical Facility
    Lakewood, Colorado 80228, United States
  • Medical Facility
    Aventura, Florida 33180, United States
  • Medical Facility
    Boynton Beach, Florida 33435, United States
  • Medical Facility
    Cape Coral, Florida 33909, United States
  • Medical Facility
    Doral, Florida 33166, United States
  • Medical Facility
    Edgewater, Florida 32132, United States
  • Medical Facility
    Hialeah, Florida 33016, United States
  • Medical Facility
    Hollywood, Florida 33024, United States
  • Medical Facility
    Homestead, Florida 33032, United States
  • Medical Facility
    Lake Worth, Florida 33460, United States
  • Medical Facility2
    Lake Worth, Florida 33461, United States
  • Medical Facility
    Leesburg, Florida 34748, United States
  • Medical Facility
    Miami Beach, Florida 33140, United States
  • Medical Facility
    Miami Gardens, Florida 33056, United States
  • Medical Facility2
    Miami Lakes, Florida 33016, United States
  • Medical Facility
    Miami Lakes, Florida 33317, United States
  • Medical Facility3
    Miami, Florida 33126, United States
  • Medical Facility2
    Miami, Florida 33135, United States
  • Medical Facility
    Miami, Florida 33165, United States
  • Medical Facility9
    Miami, Florida 33173, United States
  • Medical Facility5
    Miami, Florida 33175, United States
  • Medical Facility8
    Miami, Florida 33176, United States
  • Medical Facility6
    Miami, Florida 33179, United States
  • Medical Facility7
    Miami, Florida 33184, United States
  • Medical Facility4
    Miami, Florida 33186, United States
  • Medical Facility
    Orlando, Florida 32806, United States
  • Medical Facility2
    Orlando, Florida 32812, United States
  • Medical Facility
    Ormond Beach, Florida 32174, United States
  • Medical Facility
    Pompano Beach, Florida 33060, United States
  • Medical Facility
    Sweetwater, Florida 33172, United States
  • Medical Facility
    Tamarac, Florida 33321, United States
  • Medical Facility
    Tampa, Florida 33603, United States
  • Medical Facility3
    Tampa, Florida 33607, United States
  • Medical Facility4
    Tampa, Florida 33607, United States
  • Medical Facility2
    Tampa, Florida 33614, United States
  • Medical Facility5
    Tampa, Florida 33634, United States
  • Medical Facility
    Winter Haven, Florida 33880, United States
  • Medical Facility3
    Atlanta, Georgia 30309, United States
  • Medical Facility2
    Atlanta, Georgia 30329, United States
  • Medical Facility
    Atlanta, Georgia 30342, United States
  • Medical Facility
    Decatur, Georgia 30034, United States
  • Medical Facility
    Lawrenceville, Georgia 30046, United States
  • Medical Facility
    Union City, Georgia 30291, United States
  • Medical Facility
    Woodstock, Georgia 30189, United States
  • Medical Facility
    Blackfoot, Idaho 83221, United States
  • Medical Facility2
    Idaho Falls, Idaho 08340, United States
  • Medical Facility
    Idaho Falls, Idaho 83404, United States
  • Medical Facility
    Chicago, Illinois 60643, United States
  • Medical Facility
    Eunice, Louisiana 70535, United States
  • Medical Facility
    Mandeville, Louisiana 70471, United States
  • Medical Facility
    Marrero, Louisiana 70072, United States
  • Medical Facility
    Metairie, Louisiana 70001, United States
  • Medical Facility
    New Orleans, Louisiana 70124, United States
  • Medical Facility2
    New Orleans, Louisiana 70127, United States
  • Medical Facility
    Prairieville, Louisiana 70769, United States
  • Medical Facility
    Shreveport, Louisiana 71106, United States
  • Medical Facility
    Columbia, Maryland 21045, United States
  • Medical Facility
    Oxon Hill, Maryland 20745, United States
  • Medical Facility
    Towson, Maryland 21204, United States
  • Medical Facility
    Fayette, Mississippi 39069, United States
  • Medical Facility
    Gulfport, Mississippi 39503, United States
  • Medical Facility
    Jackson, Mississippi 39202, United States
  • Medical Facility
    Ridgeland, Mississippi 39157, United States
  • Medical Facility
    Great Falls, Montana 59405, United States
  • Medical Facility
    Kalispell, Montana 59901, United States
  • Medical Facility
    Missoula, Montana 59804, United States
  • Medical Facility2
    Las Vegas, Nevada 89113, United States
  • Medical Facility
    Las Vegas, Nevada 89121, United States
  • Medical Facility2
    Albuquerque, New Mexico 87102, United States
  • Medical Facility
    Albuquerque, New Mexico 87109, United States
  • Medical Facility
    Bronx, New York 10456, United States

Showing the first 100 of 167 sites. Choose a country and city above to see the rest.

09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Oct 2022 to primary completion in Nov 2023, 12 months.

Results were first posted in Nov 2024, 1 year after primary completion.

Of 23 industry-sponsored phase 3 interventional studies under Urinary Tract Infections, half reached primary completion within 17 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 28. This study's 12 months is below that.

Counting every sponsor, half of 37 studies reached it within 20 months; a quarter within 14 and three quarters within 32.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 14, 2022
First posted
Oct 18, 2022
StartActual
Oct 18, 2022
Primary completionActual
Nov 3, 2023
CompletionActual
Nov 21, 2023
Results first posted
Nov 20, 2024
Last update
Nov 20, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 20, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05584657
Lead sponsor
Iterum Therapeutics, International Limited
Responsible party
Sponsor
First posted
Oct 18, 2022
Start date
Oct 18, 2022
Primary completion
Nov 3, 2023
Completion
Nov 21, 2023
Results posted
Nov 20, 2024
Last update
Nov 20, 2024

Study contacts

Sailaja Puttagunta, MD
study director · Iterum Therapeutics

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drugs tested here: Sulopenem etzadroxil · Probenecid

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