ClinicalTrials.gg
CompletedNCT06727136Updated May 20, 2025

A Study to Characterize Single and Repeat Dose Pharmacokinetics of Tebipenem-Pivoxil-Hydrobromide (TBP-PI-HBr) and Its Major Metabolite (SPR1349) in Healthy Participants

A Phase 1 interventional study of TBP-PI-HBr in Healthy Participants, sponsored by Spero Therapeutics. Completed at 1 site in United States. Open to participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-05-20.

Sponsored by Spero Therapeutics · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Apr 2025, 1 year 6 months ago, and no results have been posted to the registry.
Phase
Phase 1
Study type
Interventional
Enrollment
39
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
All
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Study summary

The main purpose of the study is to characterize the systemic pharmacokinetic (PK) parameters (plasma, whole blood) of tebipenem (TBP) pharmacologically active moiety of tebipenem-pivoxil-hydrobromide (TBP-PI-HBr) and its urinary excretion at different dose levels in healthy participants. The study also aims to assess the plasma and urine PK parameters of SPR1349, a major metabolite of TBP.

02

Conditions studied

  • Healthy Participants
03

In context

Lead sponsor

Spero Therapeutics is the lead sponsor of 22 studies on the registry; none are open to participants now.

Of its 15 completed or terminated interventional studies of FDA-regulated products, 3 (20%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • Participants who are healthy as determined by medical evaluation including medical history, physical examination, laboratory tests, and (ECG).
  • Body weight considering (BMI) within the range of 18 to 32 kilogram per meter square (kg/m\^2), inclusive.
  • Participant must be 18 (or the legal age of consent in the jurisdiction in which the study is taking place) to 55 years of age inclusive, at the time of signing the .

Exclusion criteria

Exclusion Criteria:

  • History or presence of/significant history of or current cardiovascular (CV), respiratory, hepatic, renal, gastrointestinal, endocrine, hematologic, or neurological disorders capable of significantly altering the absorption, metabolism, or elimination of drugs; constituting a risk when taking the study intervention or study procedures or interfering with the interpretation of data.
  • Past or intended use of over-the-counter or prescription medication including herbal medications within 28 days prior to dosing, with the exception of supplemental vitamins, hormonal medications ( or hormone-replacement therapy), or occasional oral acetaminophen (not to exceeding 2 g total daily dose).
  • Current enrollment or past participation in another /observational clinical study in which an investigational intervention (e.g., drug, vaccine, invasive device) was administered within the last 30 days, or 5 half-lives whichever is longer.
  • Positive COVID-19 screening test using PCR or antigen assay at Day -1
  • Donation of, or significant blood loss of, more than 500 mL of blood within 56 days prior to dosing.
  • Receipt of a blood transfusion within 1 year prior to enrollment or plasma donation within 7 days prior to dosing.
  • >450 msec.

Note: Other inclusion/exclusion criteria may also apply

Terms in these criteria, in plain language(6)

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.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
39 participants (actual)

Study arms

  • Experimental
    Part A: Cohort 1

    Participants will receive TBP-PI-HBr, 900 milligrams (mg) tablets orally, as a single dose under fasted condition on Day 1.

    Drug: TBP-PI-HBr

  • Experimental
    Part A: Cohort 2 (Fasted/Fed)

    Participants will receive TBP-PI-HBr, 1200 mg, tablets, orally, as a single dose under fasted and fed conditions on Day 1 and Day 3, as per the assigned crossover sequence.

    Drug: TBP-PI-HBr

  • Experimental
    Part B: Cohort 3

    Participants will receive TBP-PI-HBr, 600 mg, orally as a single dose on Day 1, followed by 9 doses every 6 hours from Day 3 through Day 5. (first and ninth dose will be given under fasted conditions).

    Drug: TBP-PI-HBr

Interventions

  • TBP-PI-HBr film-coated immediate-release tablets

    Also known as: SPR994

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What researchers measure

Primary outcomes

  1. Part A and B: Maximum Observed Concentration (Cmax) of TBP in Plasma and Blood

    Time frame: Cohort 1: Pre-dose and at multiple timepoints post-dose up to Day 3; Cohort 2: Pre-dose and at multiple timepoints post-dose up to Day 5; Cohort 3: pre-dose and at multiple timepoints post-dose up to Day 7

  2. Part A and B: Time to Cmax (Tmax) of TBP in Plasma and Blood

    Time frame: Cohort 1: Pre-dose and at multiple timepoints post-dose up to Day 3; Cohort 2: Pre-dose and at multiple timepoints post-dose up to Day 5; Cohort 3: pre-dose and at multiple timepoints post-dose up to Day 7

  3. Part A and B: Area Under the Concentration-Time Curve (AUC) Extrapolated to Infinity [AUC(0-inf)] of TBP in Plasma and Blood

    Time frame: Cohort 1: Pre-dose and at multiple timepoints post-dose up to Day 3; Cohort 2: Pre-dose and at multiple timepoints post-dose up to Day 5; Cohort 3: pre-dose and at multiple timepoints post-dose up to Day 7

  4. Part A and B: AUC From Time Zero to the Time of the Last Evaluable Concentration [AUC(0-t)] of TBP in Plasma and Blood

    Time frame: Cohort 1: Pre-dose and at multiple timepoints post-dose up to Day 3; Cohort 2: Pre-dose and at multiple timepoints post-dose up to Day 5; Cohort 3: pre-dose and at multiple timepoints post-dose up to Day 7

  5. Part A and B: Amount Excreted in Urine (Ae) of TBP

    Time frame: Cohort 1: Pre-dose and at multiple timepoints post-dose up to Day 3; Cohort 2: Pre-dose and at multiple timepoints post-dose up to Day 5; Cohort 3: pre-dose and at multiple timepoints post-dose up to Day 7

  6. Part A and B: Fraction of Dose Excreted in Urine (Fe) of TBP

    Time frame: Cohort 1: Pre-dose and at multiple timepoints post-dose up to Day 3; Cohort 2: Pre-dose and at multiple timepoints post-dose up to Day 5; Cohort 3: pre-dose and at multiple timepoints post-dose up to Day 7

  7. Part B: AUC From Time Zero to 6 Hours Post-dose AUC(0-6) of TBP in Plasma and Blood

    Time frame: Pre-dose and at multiple timepoints post-dose up to Day 7

  8. Part B: Ae of SPR1349

    Time frame: Pre-dose and at multiple timepoints post-dose up to Day 7

  9. Part B: Fe of SPR1349

    Time frame: Pre-dose and at multiple timepoints post-dose up to Day 7

Secondary outcomes

  1. Part B: Tmax of SPR1349 in Plasma

    Time frame: Pre-dose and at multiple timepoints post-dose up to Day 7

  2. Part B: Cmax of SPR1349 in Plasma

    Time frame: Pre-dose and at multiple timepoints post-dose up to Day 7

  3. Part B: AUC(0-inf) of SPR1349 in Plasma

    Time frame: Pre-dose and at multiple timepoints post-dose up to Day 7

  4. Part B: AUC(0-t) of SPR1349 in Plasma

    Time frame: Pre-dose and at multiple timepoints post-dose up to Day 7

  5. Part B: AUC(0-6) of SPR1349 in Plasma

    Time frame: Pre-dose and at multiple timepoints post-dose up to Day 7

  6. Part B: Plasma AUC Ratio of SPR1349 to TBP

    Time frame: Pre-dose and at multiple timepoints post-dose up to Day 7

  7. Part B: Ae Ratio of SPR1349 to TBP

    Time frame: Pre-dose and at multiple timepoints post-dose up to Day 7

  8. Parts A and B: Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)

    Time frame: Day 1 to Day 21

07

Study locations

1 site
  • Medical Facility, Salt Lake City
    Salt Lake City, Utah 84124, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Nov 2024 to primary completion in Apr 2025, 5 months.

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

Registered
Dec 6, 2024
First posted
Dec 10, 2024
StartActual
Nov 20, 2024
Primary completionActual
Apr 22, 2025
CompletionActual
Apr 22, 2025
Last update
May 20, 2025
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 May 20, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06727136
Lead sponsor
Spero Therapeutics
Collaborators
GlaxoSmithKline
Responsible party
Sponsor
First posted
Dec 10, 2024
Start date
Nov 20, 2024
Primary completion
Apr 22, 2025
Completion
Apr 22, 2025
Last update
May 20, 2025

Oversight

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

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This study is completed, as verified in May 2025. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Tebipenem

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