Oral Sulopenem Versus Amoxicillin/Clavulanate for Uncomplicated Urinary Tract Infection in Adult Women (REASSURE)
A Prospective, Phase 3, Randomized, Multi-center, Double-blind Study of the Efficacy, Tolerability, and Safety of Oral Sulopenem Etzadroxil/Probenecid Versus Oral Amoxicillin/Clavulanate for Treatment of Uncomplicated Urinary Tract Infections (uUTI) in Adult Women
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Expanded Access
Expanded Access
No longer available
- Available: Expanded access is currently available for this investigational treatment, and patients who are not participants in the clinical study may be able to gain access to the drug, biologic, or medical device being studied.
- No longer available: Expanded access was available for this intervention previously but is not currently available and will not be available in the future.
- Temporarily not available: Expanded access is not currently available for this intervention but is expected to be available in the future.
- Approved for marketing: The intervention has been approved by the U.S. Food and Drug Administration for use by the public.
Contacts and Locations
Study Contact
Study Contact
- Name: Steven Aronin, MD
- Phone Number: 860-661-4035
- Email: saronin@iterumtx.com
Study Locations
-
-
Alabama
-
Cullman, Alabama, United States, 35055
- Medical facility
-
Saraland, Alabama, United States, 36571
- Medical facility
-
Sheffield, Alabama, United States, 35660
- Medical facility
-
-
Arizona
-
Peoria, Arizona, United States, 85381
- Medical facility
-
Phoenix, Arizona, United States, 85032
- Medical facility
-
Phoenix, Arizona, United States, 85031
- Medical Facility3
-
Phoenix, Arizona, United States, 85051
- Medical Facility2
-
Tucson, Arizona, United States, 85715
- Medical facility
-
-
Arkansas
-
Hot Springs, Arkansas, United States, 71901
- Medical Facility2
-
Hot Springs, Arkansas, United States, 71913
- Medical facility
-
-
California
-
Bakersfield, California, United States, 93309
- Medical facility
-
Chula Vista, California, United States, 91911
- Medical facility
-
Fullerton, California, United States, 92835
- Medical facility
-
Garden Grove, California, United States, 92844
- Medical facility
-
Huntington Beach, California, United States, 92648
- Medical facility
-
Huntington Park, California, United States, 90255
- Medical Facility 2
-
Huntington Park, California, United States, 90255
- Medical facility
-
Irvine, California, United States, 92614
- Medical facility
-
La Mesa, California, United States, 91942
- Medical facility
-
Lancaster, California, United States, 93534
- Medical facility
-
Lomita, California, United States, 90717
- Medical facility
-
Los Angeles, California, United States, 90057
- Medical facility
-
Los Angeles, California, United States, 90017
- Medical Facility2
-
Pomona, California, United States, 91768
- Medical facility
-
Sacramento, California, United States, 95821
- Medical facility
-
San Diego, California, United States, 92111
- Medical facility
-
Upland, California, United States, 91786
- Medical facility
-
Victorville, California, United States, 92395
- Medical facility
-
-
Colorado
-
Grand Junction, Colorado, United States, 81501
- Medical facility
-
Lakewood, Colorado, United States, 80228
- Medical facility
-
-
Florida
-
Aventura, Florida, United States, 33180
- Medical facility
-
Boynton Beach, Florida, United States, 33435
- Medical facility
-
Cape Coral, Florida, United States, 33909
- Medical facility
-
Doral, Florida, United States, 33166
- Medical facility
-
Edgewater, Florida, United States, 32132
- Medical facility
-
Hialeah, Florida, United States, 33016
- Medical facility
-
Hollywood, Florida, United States, 33024
- Medical facility
-
Homestead, Florida, United States, 33032
- Medical facility
-
Lake Worth, Florida, United States, 33460
- Medical facility
-
Lake Worth, Florida, United States, 33461
- Medical Facility2
-
Leesburg, Florida, United States, 34748
- Medical facility
-
Miami, Florida, United States, 33165
- Medical facility
-
Miami, Florida, United States, 33126
- Medical Facility3
-
Miami, Florida, United States, 33135
- Medical Facility2
-
Miami, Florida, United States, 33173
- Medical Facility9
-
Miami, Florida, United States, 33175
- Medical Facility5
-
Miami, Florida, United States, 33176
- Medical Facility8
-
Miami, Florida, United States, 33179
- Medical Facility6
-
Miami, Florida, United States, 33184
- Medical Facility7
-
Miami, Florida, United States, 33186
- Medical Facility4
-
Miami Beach, Florida, United States, 33140
- Medical facility
-
Miami Gardens, Florida, United States, 33056
- Medical facility
-
Miami Lakes, Florida, United States, 33016
- Medical Facility2
-
Miami Lakes, Florida, United States, 33317
- Medical facility
-
Orlando, Florida, United States, 32806
- Medical facility
-
Orlando, Florida, United States, 32812
- Medical Facility2
-
Ormond Beach, Florida, United States, 32174
- Medical facility
-
Pompano Beach, Florida, United States, 33060
- Medical facility
-
Sweetwater, Florida, United States, 33172
- Medical facility
-
Tamarac, Florida, United States, 33321
- Medical facility
-
Tampa, Florida, United States, 33603
- Medical facility
-
Tampa, Florida, United States, 33607
- Medical Facility3
-
Tampa, Florida, United States, 33607
- Medical Facility4
-
Tampa, Florida, United States, 33614
- Medical Facility2
-
Tampa, Florida, United States, 33634
- Medical Facility5
-
Winter Haven, Florida, United States, 33880
- Medical facility
-
-
Georgia
-
Atlanta, Georgia, United States, 30342
- Medical facility
-
Atlanta, Georgia, United States, 30309
- Medical Facility3
-
Atlanta, Georgia, United States, 30329
- Medical Facility2
-
Decatur, Georgia, United States, 30034
- Medical facility
-
Lawrenceville, Georgia, United States, 30046
- Medical facility
-
Union City, Georgia, United States, 30291
- Medical facility
-
Woodstock, Georgia, United States, 30189
- Medical facility
-
-
Idaho
-
Blackfoot, Idaho, United States, 83221
- Medical facility
-
Idaho Falls, Idaho, United States, 83404
- Medical facility
-
Idaho Falls, Idaho, United States, 08340
- Medical Facility2
-
-
Illinois
-
Chicago, Illinois, United States, 60643
- Medical facility
-
-
Louisiana
-
Eunice, Louisiana, United States, 70535
- Medical facility
-
Mandeville, Louisiana, United States, 70471
- Medical facility
-
Marrero, Louisiana, United States, 70072
- Medical facility
-
Metairie, Louisiana, United States, 70001
- Medical facility
-
New Orleans, Louisiana, United States, 70124
- Medical facility
-
New Orleans, Louisiana, United States, 70127
- Medical Facility2
-
Prairieville, Louisiana, United States, 70769
- Medical facility
-
Shreveport, Louisiana, United States, 71106
- Medical facility
-
-
Maryland
-
Columbia, Maryland, United States, 21045
- Medical facility
-
Oxon Hill, Maryland, United States, 20745
- Medical facility
-
Towson, Maryland, United States, 21204
- Medical facility
-
-
Mississippi
-
Fayette, Mississippi, United States, 39069
- Medical facility
-
Gulfport, Mississippi, United States, 39503
- Medical facility
-
Jackson, Mississippi, United States, 39202
- Medical facility
-
Ridgeland, Mississippi, United States, 39157
- Medical facility
-
-
Montana
-
Great Falls, Montana, United States, 59405
- Medical facility
-
Kalispell, Montana, United States, 59901
- Medical facility
-
Missoula, Montana, United States, 59804
- Medical facility
-
-
Nevada
-
Las Vegas, Nevada, United States, 89121
- Medical facility
-
Las Vegas, Nevada, United States, 89113
- Medical Facility2
-
-
New Mexico
-
Albuquerque, New Mexico, United States, 87102
- Medical Facility2
-
Albuquerque, New Mexico, United States, 87109
- Medical facility
-
-
New York
-
Bronx, New York, United States, 10456
- Medical facility
-
Brooklyn, New York, United States, 11215
- Medical facility
-
Brooklyn, New York, United States, 11229
- Medical Facility2
-
Garden City, New York, United States, 11530
- Medical facility
-
Schenectady, New York, United States, 12304
- Medical facility
-
-
North Carolina
-
Charlotte, North Carolina, United States, 28277
- Medical facility
-
Greensboro, North Carolina, United States, 27405
- Medical facility
-
New Bern, North Carolina, United States, 28562
- Medical facility
-
Winston-Salem, North Carolina, United States, 27103
- Medical facility
-
-
Ohio
-
Cincinnati, Ohio, United States, 45219
- Medical facility
-
Columbus, Ohio, United States, 43213
- Medical Facility2
-
Columbus, Ohio, United States, 43228
- Medical facility
-
Dayton, Ohio, United States, 45409
- Medical facility
-
Dayton, Ohio, United States, 45424
- Medical Facility2
-
Lima, Ohio, United States, 45805
- Medical facility
-
Middleburg Heights, Ohio, United States, 44130
- Medical facility
-
-
Oklahoma
-
Tulsa, Oklahoma, United States, 74133
- Medical facility
-
-
Oregon
-
Eugene, Oregon, United States, 97404
- Medical facility
-
Portland, Oregon, United States, 97202
- Medical facility
-
-
Pennsylvania
-
Beaver, Pennsylvania, United States, 15009
- Medical facility
-
Scottdale, Pennsylvania, United States, 15683
- Medical facility
-
Smithfield, Pennsylvania, United States, 15478
- Medical facility
-
Upper Saint Clair, Pennsylvania, United States, 15241
- Medical facility
-
-
South Carolina
-
Charleston, South Carolina, United States, 29414
- Medical facility
-
Easley, South Carolina, United States, 29640
- Medical facility
-
Greenville, South Carolina, United States, 29607
- Medical facility
-
Lancaster, South Carolina, United States, 29720
- Medical facility
-
Myrtle Beach, South Carolina, United States, 29572
- Medical facility
-
Powdersville, South Carolina, United States, 29611
- Medical facility
-
Seneca, South Carolina, United States, 29678
- Medical facility
-
Summerville, South Carolina, United States, 29485
- Medical facility
-
-
Tennessee
-
Chattanooga, Tennessee, United States, 37404
- Medical Facility2
-
Chattanooga, Tennessee, United States, 37421
- Medical facility
-
Hendersonville, Tennessee, United States, 37075
- Medical facility
-
Memphis, Tennessee, United States, 38120
- Medical facility
-
Nashville, Tennessee, United States, 37209
- Medical facility
-
-
Texas
-
Austin, Texas, United States, 78723
- Medical facility
-
Carrollton, Texas, United States, 75007
- Medical facility
-
Carrollton, Texas, United States, 75010
- Medical Facility2
-
Corpus Christi, Texas, United States, 78404
- Medical facility
-
Dallas, Texas, United States, 75209
- Medical facility
-
Frisco, Texas, United States, 75033
- Medical facility
-
Georgetown, Texas, United States, 79628
- Medical facility
-
Houston, Texas, United States, 77036
- Medical Facility2
-
Houston, Texas, United States, 77074
- Medical facility
-
Kingwood, Texas, United States, 77339
- Medical facility
-
League City, Texas, United States, 77573
- Medical facility
-
McKinney, Texas, United States, 75069
- Medical Facility2
-
McKinney, Texas, United States, 75070
- Medical facility
-
Mesquite, Texas, United States, 75149
- Medical Facility2
-
Mesquite, Texas, United States, 75149
- Medical facility
-
Missouri City, Texas, United States, 77459
- Medical facility
-
Pearland, Texas, United States, 77584
- Medical facility
-
Plano, Texas, United States, 75024
- Medical Facility2
-
Plano, Texas, United States, 75093
- Medical facility
-
San Antonio, Texas, United States, 78215
- Medical facility
-
Sugar Land, Texas, United States, 77479
- Medical Facility 2
-
Sugar Land, Texas, United States, 77479
- Medical Facility3
-
Sugar Land, Texas, United States, 77479
- Medical facility
-
-
Utah
-
Draper, Utah, United States, 84020
- Medical Facility 2
-
Draper, Utah, United States, 84020
- Medical facility
-
Pleasant Grove, Utah, United States, 84062
- Medical facility
-
Salt Lake City, Utah, United States, 84107
- Medical facility
-
-
Virginia
-
Falls Church, Virginia, United States, 22042
- Medical facility
-
Manassas, Virginia, United States, 20110
- Medical facility
-
Norfolk, Virginia, United States, 23502
- Medical facility
-
-
West Virginia
-
Kingwood, West Virginia, United States, 26537
- Medical facility
-
Morgantown, West Virginia, United States, 26505
- Medical facility
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
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:
- 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 hypersensitivity to carbapenems, β-lactams or probenecid, as formulated with their excipients
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: Sulopenem etzadroxil/probenecid
Sulopenem etzadroxil/probenecid 500 mg/500 mg PO twice daily for 5 days
|
Oral sulopenem twice daily for 5 days
Other Names:
|
|
Active Comparator: Amoxicillin/clavulanate
Amoxicillin/clavulanate PO twice daily for 5 days
|
Oral Augmentin twice daily for 5 days
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Overall Success
Time Frame: Day 12+/-1 day
|
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)
|
Day 12+/-1 day
|
|
Overall Success Susceptible Population
Time Frame: Day 12+/-1 day
|
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)
|
Day 12+/-1 day
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Clinical Success Modified Intent-to-treat Population
Time Frame: Day 12+/-1 day
|
Resolution of uncomplicated urinary tract infection (uUTI) symptoms present at study entry and no new symptoms
|
Day 12+/-1 day
|
|
Clinical Success
Time Frame: Day 12+/-1 day
|
Resolution of uncomplicated urinary tract infection (uUTI) symptoms present at study entry and no new symptoms
|
Day 12+/-1 day
|
|
Clinical Success Susceptible Population
Time Frame: Day 12+/-1 day
|
Resolution of uncomplicated urinary tract infection (uUTI) symptoms present at study entry and no new symptoms
|
Day 12+/-1 day
|
|
Microbiologic Success
Time Frame: Day 12+/-1 day
|
Eradication of the Baseline Pathogen
|
Day 12+/-1 day
|
|
Microbiologic Success Susceptible Population
Time Frame: Day 12+/-1 day
|
Microbiologic Success: Eradication of the Baseline Pathogen
|
Day 12+/-1 day
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Sailaja Puttagunta, MD, Iterum Therapeutics
Study record dates
Study Major Dates
Study Start (Actual)
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 (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
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
Additional Relevant MeSH Terms
- Urogenital Diseases
- Pathologic Processes
- Male Urogenital Diseases
- Urologic Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Disease Attributes
- Urinary Bladder Diseases
- Infections
- Communicable Diseases
- Urinary Tract Infections
- Cystitis
- Anti-Bacterial Agents
- Anti-Infective Agents
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Gout Suppressants
- Antirheumatic Agents
- Uricosuric Agents
- beta-Lactamase Inhibitors
- Amoxicillin
- Lactams
- Probenecid
- Clavulanic Acid
- Clavulanic Acids
- Amoxicillin-Potassium Clavulanate Combination
Other Study ID Numbers
Other Study ID Numbers
- IT001-310
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.