ClinicalTrials.gg
Not yet recruitingNCT07926997Updated Nov 9, 2026

Pharmacokinetics of Oral Zoliflodacin 3 g in Healthy Lactating Women

A Phase 4 interventional study of Zoliflodacin in Lactation, sponsored by Global Antibiotics Research and Development Partnership. Not yet recruiting at 1 site in United States. Open to female participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-11-09.

Sponsored by Global Antibiotics Research and Development Partnership · Phase 4, Interventional, and Screening

Updated Nov 9, 2026Newly registeredGo to Updates ↓
Phase
Phase 4
Study type
Interventional
Enrollment
10
Allocation
Not applicable
Ages
18 Years to 45 Years
Sex
Female
01

Study summary

This is a single-arm clinical trial to evaluate the PK profile in breast milk and plasma after a single oral dose of zoliflodacin in healthy lactating women.

Eligible participants who have been actively breastfeeding or expressing milk for at least 4 weeks postpartum will receive a single dose of zoliflodacin administered as an oral suspension with food.

Breast milk and plasma samples will be collected at predefined time points for up to 48 hours after dosing to characterize zoliflodacin concentrations and estimate drug exposure in breast milk and maternal plasma. Participants will temporarily discontinue breastfeeding from study check-in until 72 hours after dosing to avoid infant exposure to zoliflodacin. Breast milk will be expressed using an electronic breast pump and collected according to the study schedule.

Participants will be admitted to the clinical research unit the day before dosing and discharged after completion of the 48-hour PK sampling period. A follow-up visit will be conducted approximately 7 days after dosing to assess safety and tolerability. A lactation consultant will be available throughout the study period and for up to 30 days after dosing, as needed.

02

Conditions studied

  • Lactation

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Keywords

  • PHARMACOKINETICS
  • LACTATION
  • BREASTFEEDING
03

In context

Breast Feeding

1,081 studies on the registry are indexed under Breast Feeding; 217 are open to participants now.

This study's planned enrollment of 10 is below the median of 100 across 844 interventional studies indexed under Breast Feeding.

Browse Breast Feeding studies →

Lead sponsor

Global Antibiotics Research and Development Partnership is the lead sponsor of 4 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Female
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

  • Woman with good general health status, as determined by medical history, physical examination, laboratory tests, vital signs, and clinical judgment at Screening and check-in
  • Age ≥18 to ≤45 years at the time of signing the
  • Weight ≥50 kg at Screening and check-in
  • Given birth to a single, healthy, clinically stable, full-term (37 to 42 weeks' gestation) infant in the past 6 weeks to 24 months before Day 1
  • Agrees to not breastfeed her infant from check-in until 72 hours after zoliflodacin administration
  • Has well-established lactation (ie, at least 4 weeks postpartum) and is breastfeeding her infant; supplemental infant formula use is allowable, and the extent of use of formula will be documented
  • Has confirmed that her breastfed infant is able to feed from a bottle
  • Agrees to collect all breast milk from predose through 2 days after the trial drug administration using an electric pump
  • Has a negative pregnancy test at Screening and check-in
  • Has sufficient venous access to allow for collection of plasma samples
  • Agrees to use a highly effective form of (see Section 5.4) with male sexual partners during the trial and for at least 28 days after the zoliflodacin dose
  • Agrees to comply with all protocol requirements
  • Agrees not to participate in other research trials involving medication or medical devices for the duration of this trial
  • Provides written informed consent

Exclusion criteria

Exclusion Criteria:

  • History of breast implants, breast augmentation, or breast reduction surgery that, in the investigator's opinion, may have a clinical impact on breast milk expression
  • Evidence of acute or chronic condition that, in the investigator's opinion, may have a clinical impact on breast milk expression
  • Active mastitis within 30 days before Day 1
  • Current breast abscess or cracked/bleeding nipples
  • History of inadequate lactation
  • Moderate or severe hepatic or renal impairment, or other medical condition that, in the investigator's opinion, might affect zoliflodacin PK or participant safety
  • Known to zoliflodacin or formulation
  • Positive pregnancy test at Screening or check-in
  • Positive NAAT result for N gonorrhoeae at Screening
  • Positive serologic test for -1 or HIV-2 antibody, surface antigen, or antibody at Screening. Participants whose results are compatible with prior hepatitis B vaccination (positive hepatitis B surface antibody, negative hepatitis B core antibody, and negative hepatitis B surface antigen) may be included
  • Use of zoliflodacin within 30 days before Day 1
  • Use of a moderate or strong inducer or inhibitor of , P-glycoprotein, BCRP, or OATP transporters within 14 days or 5 half-lives, whichever is longer, before Day 1
  • Consumption of grapefruit, grapefruit juice, or similar citrus fruits (like Seville oranges and pomelos) within 14 days before Day 1
  • Current use of tobacco or nicotine-containing products
  • Known or suspected drug abuse
  • A positive drug or alcohol screen result at Screening or on Day -1
  • Participants must not donate blood within 30 days or donate plasma within 7 days before Day 1
  • Participation in an interventional clinical trial within 30 days or 5 half-lives of the trial drug, whichever is longer, before Day 1
  • Any condition or circumstance that, in the investigator's judgment, may pose a risk to the participant or interfere with protocol adherence (including the 72-hour breastfeeding interruption), assessment of trial objectives, or ability to provide
Terms in these criteria, in plain language(10)

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.

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

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.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

05

Study design

Phase
Phase 4
Primary purpose
Screening
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
10 participants (estimated)

Study arms

  • Experimental
    Zoliflodacin

    Drug: Zoliflodacin

Interventions

06

What researchers measure

Primary outcomes

  1. Maximum Observed Milk Concentration (Cmax) of Zoliflodacin in human milk

    Maximum observed concentration of zoliflodacin in human milk following administration of a single oral 3 g dose of zoliflodacin. Unit: ng/mL

    Time frame: Through 48 hours post dose

  2. Time to Maximum Observed Concentration (Tmax) of Zoliflodacin in human milk

    Time to reach the maximum observed concentration of zoliflodacin in human milk following administration of a single oral 3 g dose of zoliflodacin. Unit: hours.

    Time frame: Through 48 hours post-dose.

  3. Terminal Elimination Half-Life (t½) of Zoliflodacin in human Milk

    Terminal elimination half-life of zoliflodacin in human milk following administration of a single oral 3 g dose of zoliflodacin. Unit: hours.

    Time frame: Through 48 hours post-dose.

  4. Area Under the Concentration-Time Curve From Time Zero to Infinity (AUC₀-∞) of Zoliflodacin in Human Milk

    Area under the concentration-time curve from time zero extrapolated to infinity in human milk following administration of a single oral 3 g dose of zoliflodacin. Unit: ng·h/mL

    Time frame: Through 48 hours post-dose

  5. Area Under the Concentration-Time Curve From Time Zero to Last Quantifiable Concentration (AUC₀-last) of Zoliflodacin in Human Milk

    Area under the concentration-time curve from time zero to the last quantifiable concentration in human milk following administration of a single oral 3 g dose of zoliflodacin. Unit: ng·h/mL.

    Time frame: Through 48 hours post-dose

  6. Area Under the Concentration-Time Curve From Time Zero to 24 Hours (AUC₀-24) of Zoliflodacin in Human Milk

    Area under the concentration-time curve from time zero to 24 hours post-dose in human milk following administration of a single oral 3 g dose of zoliflodacin. Unit: ng·h/mL.

    Time frame: 24 hours post-dose.

  7. Milk-to-Plasma Ratio for AUC₀-∞ of Zoliflodacin

    Ratio of human milk exposure to plasma exposure based on AUC₀-∞ following administration of a single oral 3 g dose of zoliflodacin. Unit: ratio (unitless)

    Time frame: Through 48 hours post-dose.

  8. Milk-to-Plasma Ratio for AUC₀-last of Zoliflodacin

    Ratio of human milk exposure to plasma exposure based on AUC₀-last following administration of a single oral 3 g dose of zoliflodacin. Unit: ratio (unitless).

    Time frame: Through 48 hours post-dose.

  9. Milk-to-Plasma Ratio for AUC₀-24 of Zoliflodacin

    Ratio of human milk exposure to plasma exposure based on AUC₀-24 following administration of a single oral 3 g dose of zoliflodacin. Unit: ratio (unitless)

    Time frame: 24 hours post-dose

  10. Milk-to-Plasma Ratio for Cmax of Zoliflodacin

    Ratio of maximum observed concentration in human milk to maximum observed concentration in plasma following administration of a single oral 3 g dose of zoliflodacin. Unit: ratio (unitless).

    Time frame: Through 48 hours post-dose.

  11. Relative Infant Dose (RID) of Zoliflodacin

    Estimated relative infant dose of zoliflodacin calculated from measured human milk concentrations and maternal dose following administration of a single oral 3 g dose of zoliflodacin. Unit: %.

    Time frame: Through 48 hours post-dose.

Secondary outcomes

  1. Incidence of Treatment-Emergent Adverse Events (TEAEs)

    Number of participants experiencing one or more treatment-emergent adverse events (TEAEs), serious adverse events (SAEs), adverse events leading to discontinuation, and adverse events considered related to zoliflodacin following administration of a single oral 3 g dose.

    Time frame: From dosing through Day 8

  2. Change From Baseline in Systolic Blood Pressure

    Change from baseline in systolic blood pressure. Unit: mmHg

    Time frame: Baseline through Day 8

  3. Change From Baseline in Diastolic Blood Pressure

    Change from baseline in diastolic blood pressure. Unit: mmHg

    Time frame: Baseline through Day 8

  4. Change From Baseline in Pulse Rate

    Change from baseline in respiratory rate. Unit: Breaths/min

    Time frame: Baseline through Day 8

  5. Change From Baseline in Body Temperature

    Change from baseline in body temperature. Unit: °C

    Time frame: Baseline through Day 8

  6. Clinically Significant Physical Examination Findings

    Number of participants with new or worsened clinically significant abnormalities identified during physical examination following administration of a single oral 3 g dose of zoliflodacin.

    Time frame: Baseline through Day 8

07

Study locations

1 site
  • TrialMed
    Las Vegas, Nevada 89113, United States
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Nov 9, 2026
Show all 1 update
  1. Nov 9, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07926997
Lead sponsor
Global Antibiotics Research and Development Partnership
Responsible party
Sponsor
First posted
Nov 9, 2026
Start date
Dec 2026 (estimated)
Primary completion
Jun 2027 (estimated)
Completion
Aug 2027 (estimated)
Last update
Nov 9, 2026

Study contacts

Jovana Albig, MD
Contact
info@gardp.org
+41 22 555 19 90

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Zoliflodacin

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