A randomized, double blind, double dummy, parallel group, multicenter clinical trial to evaluate the safety and clinical and microbiologic efficacy of oral fosfomycin calcium in adult womwn wiA th uUTI

2024-518646-24-00 Protocol EfFoCa2021 Phase III and Phase IV (Integrated) Authorised, recruitment pending

Status Authorised, recruitment pending · 1 EU/EEA countries · 1 sites · Protocol EfFoCa2021

Overview

Sponsor-declared trial summary

Phase Phase III and Phase IV (Integrated)
Status Authorised, recruitment pending
Participants planned 384
Countries 1
Sites 1

Uncomplicated urinary tract infection (uUTI)

To assess that the efficacy of fosfomycin calcium in the clinical and microbiological resolution of the uUTI in womwn is non-inferior to the efficacy of fosfomycin trometamol

Key facts

Sponsor
Asociacion Instituto De Investigacion Sanitaria Bioaraba, Laboratorios Ern S.A.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Female
Therapeutic area
Diseases [C] - Bacterial Infections and Mycoses [C01]
Decision date (initial)
2024-12-16
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-518646-24-00
EudraCT number
2021-002911-72

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy

To assess that the efficacy of fosfomycin calcium in the clinical and microbiological resolution of the uUTI in womwn is non-inferior to the efficacy of fosfomycin trometamol

Secondary objectives 1

  1. To monitor the safety and tolerability of the dose regimen of oral fosfomycin calcium capsules when administered in adult women with uUTI

Conditions and MedDRA coding

Uncomplicated urinary tract infection (uUTI)

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. Adult women (>= 18 years) (with initial uUTI)
  2. Must have >= two of the following signs of uUTI:urinary frecuency, urinary urgency, sysuria (pain of burning on urination) and/ or suprapubic pain.
  3. Mid-stream urine specimen with dipstick analysispositive for at least leukocyte estearase (evidence of pyuria).
  4. Women of childbearing potential (following menarche and until becoming post- menopausal unless permanently sterile) must use effective birth control methods recommended by Clinical Trial Facilitation Group (CTFG)
  5. Subject able to communicate effectevely and provide written informed consent

Exclusion criteria 6

  1. Clinical evidence of renal pathology (renal impairment, fever and renal first percussion positive)
  2. Patients with history of hipersensitivity to fosfomycin or to any of the excipients contained in the drug formulation
  3. Patients with galactose intolerance, with glucose-galactose malabsorption or with insufficiency of sucrase isomaltase
  4. Women with gynaecological infections and cUTI
  5. Pregnant or nursing woman
  6. Taking part in another clinical trial during the two months prior to the current trial

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Clinical (resolution of symptoms of uUTI) and microbiological response (bacterial pathogen reduced to <1000 CFU/mL in urine culture) in the microbiological -ITT population obtained at TOC VISIT

Secondary endpoints 1

  1. Proportion of subjects with continued clinical and microbiologic success assessed at Visit 1 (TOC visit)

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Fosfomycin Calcium

SCP10319265 · ATC

Active substance
Fosfomycin Calcium
Route of administration
ORAL
Max daily dose
1500 mg milligram(s)
Max total dose
500 mg milligram(s)
Max treatment duration
3 Day(s)
Authorisation status
Authorised
ATC code
J01XX01 — FOSFOMYCIN
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Asociacion Instituto De Investigacion Sanitaria Bioaraba

2 Total trials
Academic / Non-commercial
Sponsor organisation
Asociacion Instituto De Investigacion Sanitaria Bioaraba
Address
Jose Achotegui Kalea S/n 4º C
City
Vitoria
Postcode
01009
Country
Spain

Scientific contact point

Organisation
Asociacion Instituto De Investigacion Sanitaria Bioaraba
Contact name
María Cabero

Public contact point

Organisation
Asociacion Instituto De Investigacion Sanitaria Bioaraba
Contact name
María Cabero

Laboratorios Ern S.A.

Sponsor organisation
Laboratorios Ern S.A.
Address
Calle De Peru 228
City
Barcelona
Postcode
08020
Country
Spain

Sponsor responsibilities

Contact point sponsor
Asociacion Instituto De Investigacion Sanitaria Bioaraba

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Spain Authorised, recruitment pending 384 1
Rest of world 0

Investigational sites

Spain

1 site · Authorised, recruitment pending
Hospital Universitario Araba
Unidad de Ensayos clínicos, Jose Achotegui Kalea S/N, 01009, Vitoria

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 4 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol 1
Recruitment arrangements (for publication) Doc1 1
Subject information and informed consent form (for publication) L1_ICF 1
Subject information and informed consent form (for publication) L1_SIS 1

Application history

2 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-11-20 Spain Acceptable
2024-12-16
2024-12-16
2 SUBSTANTIAL MODIFICATION SM-1 2025-04-25 Spain Acceptable 2025-06-13