A Study of SMT19969 Compared With Vancomycin for the Treatment of Clostridium Difficile-Associated Diarrhoea (CDAD)
A Phase II, Randomized, Double-Blind, Active-Controlled Clinical Study to Investigate the Efficacy and Safety of SMT19969 Compared With Vancomycin for the Treatment of Clostridium Difficile-Associated Diarrhoea (CDAD)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
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Ontario
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Hamilton, Ontario, Canada
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Quebec
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Montreal, Quebec, Canada
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Alabama
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Mobile, Alabama, United States
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California
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Laguna Hills, California, United States
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Long Beach, California, United States
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Sylmar, California, United States
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Ventura, California, United States
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Idaho
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Idaho Falls, Idaho, United States
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Illinois
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Chicago, Illinois, United States
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Kansas
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Topeka, Kansas, United States
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Maryland
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Baltimore, Maryland, United States
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Massachusetts
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Boston, Massachusetts, United States
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Michigan
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Detroit, Michigan, United States
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Minnesota
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Duluth, Minnesota, United States
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Minneapolis, Minnesota, United States
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Mississippi
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Tupelo, Mississippi, United States
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Montana
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Billings, Montana, United States
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Butte, Montana, United States
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New Jersey
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Sommers Point, New Jersey, United States
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New York
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Rochester, New York, United States
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Ohio
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Akron, Ohio, United States
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Cincinnati, Ohio, United States
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Columbus, Ohio, United States
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Lima, Ohio, United States
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South Dakota
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Rapid City, South Dakota, United States
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Washington
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Seattle, Washington, United States
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- 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
Exclusion Criteria:
- 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
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: SMT19969
200 mg capsule of SMT19969 twice a day for 10 days with alternating 200 mg placebo twice a day
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Active Comparator: Vancomycin
125 mg capsule four times a day for 10 days
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Evaluate the clinical outcome by assessment of sustained clinical response
Time Frame: 30 days post End of Therapy
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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
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30 days post End of Therapy
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Plasma and faecal concentrations of SMT19969
Time Frame: 40 Days
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Using laboratory analysis
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40 Days
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To assess the safety and tolerability of SMT19969 compared with vancomycin
Time Frame: 40 days
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Assessment of the Adverse Events (AEs) and Serious Adverse Events (SAEs) reported within the study
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40 days
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Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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To assess the qualitative and quantitative effect of SMT19969 and Vancomycin on the bowel flora of subjects
Time Frame: 40 days
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Using microbiology, sequencing, metagenomic and bioinformatics techniques.
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40 days
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Richard Vickers, PhD, Summit (Oxford) Limited
Publications and helpful links
General Publications
- 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.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- SMT19969/C002
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