Trial Outcomes & Findings for Pharmacokinetics of Omadacycline in Cystic Fibrosis (NCT NCT04460586)

NCT ID: NCT04460586

Last Updated: 2026-05-08

Results Overview

To assess the maximum concentration of omadacycline after single dose of oral and intravenous administration.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

9 participants

Primary outcome timeframe

3 Days

Results posted on

2026-05-08

Participant Flow

Participant milestones

Participant milestones
Measure
Omadacycline IV Followed by PO
Participants received a single 100 mg intravenous dose of omadacycline (Nuzyra) administered over 30 minutes, followed by a 7-day washout period and a single 300 mg oral dose of omadacycline (Nuzyra).
OMC 100 mg IV + PK (72 h)
STARTED
9
OMC 100 mg IV + PK (72 h)
COMPLETED
9
OMC 100 mg IV + PK (72 h)
NOT COMPLETED
0
Washout (7 days)
STARTED
9
Washout (7 days)
COMPLETED
9
Washout (7 days)
NOT COMPLETED
0
OMC 300 mg PO + PK (72 h)
STARTED
9
OMC 300 mg PO + PK (72 h)
COMPLETED
9
OMC 300 mg PO + PK (72 h)
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Pharmacokinetics of Omadacycline in Cystic Fibrosis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Omadacycline IV Followed by PO
n=9 Participants
Omadacycline 100mg IV, Omadacycline 300 mg tablet Omadacycline Injection \[Nuzyra\]: Participants will receive single dose of omadacycline 100mg IV followed by a 1-week washout and receipt of single dose omadacycline 300 mg PO. Omadacycline Oral Tablet \[Nuzyra\]: Participants will receive single dose of omadacycline 100mg IV followed by a 1-week washout and receipt of single dose omadacycline 300 mg PO.
Age, Continuous
39.11 years
STANDARD_DEVIATION 11.37 • n=41 Participants
Sex: Female, Male
Female
3 Participants
n=41 Participants
Sex: Female, Male
Male
6 Participants
n=41 Participants
Race/Ethnicity, Customized
White, non-Hispanic
5 Participants
n=41 Participants
Race/Ethnicity, Customized
Black or African American
1 Participants
n=41 Participants
Race/Ethnicity, Customized
Hispanic or Latino
3 Participants
n=41 Participants
Body Mass Index (BMI)
25.55 kg/m^2
STANDARD_DEVIATION 5.12 • n=41 Participants
Forced expiratory volume in 1 second (FEV1)
71.3 percent (%) predicted
STANDARD_DEVIATION 14.2 • n=41 Participants

PRIMARY outcome

Timeframe: 3 Days

To assess the maximum concentration of omadacycline after single dose of oral and intravenous administration.

Outcome measures

Outcome measures
Measure
Omadacycline IV Followed by PO
n=9 Participants
Omadacycline 100mg IV, Omadacycline 300 mg tablet
Cmax
Omadacycline IV
0.733 mg/L
Standard Deviation 0.226
Cmax
Omadacycline Oral
0.595 mg/L
Standard Deviation 0.240

PRIMARY outcome

Timeframe: 3 days

To assess the time to maximum concentration of omadacycline after single dose of oral and intravenous administration.

Outcome measures

Outcome measures
Measure
Omadacycline IV Followed by PO
n=9 Participants
Omadacycline 100mg IV, Omadacycline 300 mg tablet
Tmax
Omadacycline IV
NA hr
Standard Deviation NA
Tmax is not applicable (NA) for the intravenous formulation, as the drug is administered directly into systemic circulation and peak concentration occurs at or near the time of infusion completion.
Tmax
Omadacycline Oral
2.333 hr
Standard Deviation 1.225

PRIMARY outcome

Timeframe: 3 days

To assess the area under the plasma concentration time curve extrapolated to infinity of omadacycline after single dose of oral and intravenous administration.

Outcome measures

Outcome measures
Measure
Omadacycline IV Followed by PO
n=9 Participants
Omadacycline 100mg IV, Omadacycline 300 mg tablet
AUC
Omadacycline IV
9.234 h*mg/L
Standard Deviation 2.968
AUC
Omadacycline Oral
8.902 h*mg/L
Standard Deviation 3.102

PRIMARY outcome

Timeframe: 6 days

To determine the absolute bioavailability (%) of omadacycline following single dose of IV and PO administration.

Outcome measures

Outcome measures
Measure
Omadacycline IV Followed by PO
n=9 Participants
Omadacycline 100mg IV, Omadacycline 300 mg tablet
Absolute Bioavailability
Omadacycline IV
NA percent (%)
Standard Deviation NA
Absolute bioavailability is not applicable (NA) for the intravenous formulation, since the drug is administered directly into systemic circulation (100% availability by definition).
Absolute Bioavailability
Omadacycline Oral
34.8 percent (%)
Standard Deviation 15.3

Adverse Events

Omadacycline 100 mg IV

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Omadacycline 300 mg PO

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Omadacycline 100 mg IV
n=9 participants at risk
Single 100 mg intravenous dose of omadacycline administered over 30 minutes, with pharmacokinetic sampling over 72 hours.
Omadacycline 300 mg PO
n=9 participants at risk
Single 300 mg oral dose of omadacycline administered under fasting conditions following a 7-day washout from the IV dose, with pharmacokinetic sampling over 72 hours.
Nervous system disorders
Dizziness
11.1%
1/9 • Adverse event data were collected from the day of IV omadacycline administration through three days after the oral omadacycline dose.
0.00%
0/9 • Adverse event data were collected from the day of IV omadacycline administration through three days after the oral omadacycline dose.
Infections and infestations
Vulvovaginal candidiasis
11.1%
1/9 • Adverse event data were collected from the day of IV omadacycline administration through three days after the oral omadacycline dose.
0.00%
0/9 • Adverse event data were collected from the day of IV omadacycline administration through three days after the oral omadacycline dose.
Infections and infestations
COVID-19
0.00%
0/9 • Adverse event data were collected from the day of IV omadacycline administration through three days after the oral omadacycline dose.
11.1%
1/9 • Adverse event data were collected from the day of IV omadacycline administration through three days after the oral omadacycline dose.

Additional Information

Dr. Paul Beringer

University of Southern California Alfred E. Mann School of Pharmacy and Pharmaceutical Sciences

Phone: 3234421402

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place