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Eravacycline

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margin of the modified intent-to-treat (MITT) and clinically evaluable (CE) patient populations. Clinical cure rates in the MITT population were 92.4% and 91.6% for eravacycline (n=250) and meropenem (n=249), respectively (95% CI: -4.1%,5.8%). Clinical cure rates in the CE population were 96.9% and 96.1% for eravacycline (n=225) and meropenem (n=231), respectively (95% CI: -2.9%,4.5%). Eravacycline met the primary efficacy endpoints according to the FDA and EMA guidelines. The secondary analyses were consistent with, and supportive of, the primary outcome according to Tetraphase. There were no treatment-related serious adverse events (SAEs) in the trial. Treatment-emergent adverse event (TEAEs) rates were similar in both treatment groups with the most commonly reported drug-related adverse events (AEs) for eravacycline were infusion site reactions, nausea and vomiting, each occurring at a rate of less than 5%. The most common Gram-negative pathogens in the study included
776:. The primary endpoints are Proportion of Participants in the microbiological Intent-to-treat (micro-ITT) Population demonstrating Clinical Cure and Microbiologic Success at the End of Intravenous (EOI) Visit & Proportion of Participants in the micro-ITT Population Demonstrating Clinical Cure and Microbiologic Success at the Test-Of-Cure (TOC) Visit . With secondary endpoints(outcomes) testing Proportion of Participants in the microbiological Modified Intent-To-Treat (micro-MITT) Population and the Microbiologically Evaluable (ME) Population Demonstrating Microbiologic Success at the TOC Visit 22: 62: 2307: 708:(1g every 8 hours). The study enrolled 500 adult patients with the primary endpoint being clinical response at the test-of-cure visit which is 25–31 days after initial dosing. Primary efficiency analysis was conducted using a 12.5% non-inferiority margin in the microbiological intent-to-treat (micro-ITT) population. 767:
IGNITE3 is currently ongoing starting January 2017 with expected completion December 2018. This study is evaluating IV eravacycline (1.5 mg/kg every 24 hours) compared to ertapenem (1g every 24 hours) for the treatment of cUTI. IGNITE3 is currently enrolling approximately 1,000 patients who will
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Solomkin J, Evans D, Slepavicius A, Lee P, Marsh A, Tsai L, et al. (16 November 2016). "Assessing the Efficacy and Safety of Eravacycline vs Ertapenem in Complicated Intra-abdominal Infections in the Investigating Gram-Negative Infections Treated With Eravacycline (IGNITE 1) Trial: A Randomized
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The IGNITE 2 trial compared 7 days of IV eravacycline to IV levofloxacin with the option to convert patients in either group to oral therapy after 3 days for cUTI. Overall, eravacyline was inferior to levofloxacin in response rate (60.4 vs 66.9%); however it was noted that patients who completed
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In July 2017, Tetraphase pharmaceuticals released top line data via press showing clinical cure rates in the micro-ITT population to be 90.8% and 91.2% for eravacycline (n=195) and meropenem (n=205), respectively (95% CI: -6.3%,5.3%). Primary analysis was conducted using a 12.5% non-inferiority
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The IGNITE 1 trial compared twice-daily IV eravacycline to once-daily ertapenem for the treatment of cIAI. A total of 541 patients were included and eravacycline demonstrated noninferiority to ertapenem. An additional pivotal phase 3 study (IGNITE 4) is planned for late 2016 with initial results
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therapy with the IV formulation had higher response rates, suggesting formulation issues with the oral option. Due to the performance of the IV formulation, an additional phase 3 trial is planned to support a supplemental NDA for the cUTI indication.
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InChI=1S/C27H31FN4O8/c1-31(2)20-13-8-11-7-12-14(28)9-15(30-16(33)10-32-5-3-4-6-32)21(34)18(12)22(35)17(11)24(37)27(13,40)25(38)19(23(20)36)26(29)39/h9,11,13,20,34,36-37,40H,3-8,10H2,1-2H3,(H2,29,39)(H,30,33)/t11-,13-,20-,27-/m0/s1
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strains of bacteria. Phase III studies in complicated intra-abdominal infections (cIAI) and complicated urinary tract infections (cUTI) were recently completed with mixed results. Eravacycline was granted
1054:"Phase 2, randomized, double-blind study of the efficacy and safety of two dose regimens of eravacycline versus ertapenem for adult community-acquired complicated intra-abdominal infections" 1465: 1378:"Efficacy and Safety Study of Eravacycline Compared With Ertapenem in Participants With Complicated Urinary Tract Infections - Full Text View - ClinicalTrials.gov" 944:
Zhanel GG, Cheung D, Adam H, Zelenitsky S, Golden A, Schweizer F, et al. (1 April 2016). "Review of Eravacycline, a Novel Fluorocycline Antibacterial Agent".
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Eravacycline has shown broad spectrum of activity against a variety of Gram-positive and Gram-negative bacteria, including multi-drug resistant strains, such as
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Eravacycline is under development by Tetraphase Pharmaceuticals Inc. It is marketed under trade name Xerava in United States.
2261: 95:)-4-(Dimethylamino)-7-fluoro-3,10,12,12a-tetrahydroxy-1,11-dioxo-9--1,4,4a,5,5a,6,11,12a-octahydrotetracene-2-carboxamide 2332: 517: 256: 1377: 2278: 997:"Antibacterial activity of eravacycline (TP-434), a novel fluorocycline, against hospital and community pathogens" 704:
IGNITE 4 assessed twice-daily intravenous eravacycline(1.0 mg/kg every 12 hours) compared to those receiving
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Solomkin JS, Ramesh MK, Cesnauskas G, Novikovs N, Stefanova P, Sutcliffe JA, et al. (1 January 2014).
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Process R&D of Eravacycline: The First Fully Synthetic Fluorocycline in Clinical Development
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Please help update this article to reflect recent events or newly available information.
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Similar to other tetracycline derivatives, eravacycline is poorly active against
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Fyfe C, LeBlanc G, Close B, Nordmann P, Dumas J, Grossman TH (22 August 2016).
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Abdallah M, Olafisoye O, Cortes C, Urban C, Landman D, Quale J (1 March 2015).
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CN(C)12C3CC4=C(C=C(C(=C4C(=O)C3=C(2(C(=O)C(=C1O)C(=O)N)O)O)O)NC(=O)CN5CCCC5)F
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for a minimum of 5 days, and will then be eligible for transition to oral
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Except where otherwise noted, data are given for materials in their
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Sutcliffe JA, O'Brien W, Fyfe C, Grossman TH (1 November 2013).
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be randomized 1:1 to receive intravenous eravacycline or
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by Tetraphase Pharmaceuticals. It is closely related to
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It has a broad spectrum of activity including many 494:(both methicillin-resistant and sensitive strains) 700:Complicated Intra-abdominal Infections (IGNITE 4) 680:Complicated Intra-abdominal infections (IGNITE 1) 649:activity against Enterobacteriaceae carrying the 2319: 696:likely available in the fourth quarter of 2017. 221: 752:Complicated Urinary Tract Infections (IGNITE 3) 732:Complicated Urinary Tract infections (IGNITE 2) 125: 1459: 669:Current and past clinical trial information: 1927: 1466: 1452: 524: 483: 169: 1202: 1142: 1085: 1028: 779: 241: 587:(including carbapenem resistant strains) 467: 462:carbapenem-resistant Enterobacteriaceae 2320: 376: 1447: 1400: 1398: 1372: 1370: 1318: 1316: 1285: 1283: 1281: 1250: 1248: 1175:Antimicrobial Agents and Chemotherapy 1115:Antimicrobial Agents and Chemotherapy 1058:Antimicrobial Agents and Chemotherapy 1001:Antimicrobial Agents and Chemotherapy 268:Key: HLFSMUUOKPBTSM-ISIOAQNYSA-N 939: 937: 880: 878: 825: 823: 357: 15: 444:and is currently available in USA. 212: 196: 189: 13: 1395: 1367: 1313: 1278: 1245: 664: 14: 2349: 1432: 934: 875: 820: 674: 2305: 641:16 mcg/mL (range 0.06-64 mcg/mL) 60: 20: 1341: 1219: 447: 394:(at 25 °C , 100 kPa). 1967:transpeptidation/translocation 1159: 1102: 1045: 988: 908: 794: 1: 787: 539:Stenotrophomonas maltophilia 7: 10: 2354: 845:10.1001/jamasurg.2016.4237 2256: 2211:Quinupristin/dalfopristin 2169: 2141: 2113: 1975: 1964: 1918: 1864: 1855: 1829: 1743: 1728: 1708: 1647: 1530: 1515: 1506: 1479:inhibit protein synthesis 958:10.1007/s40265-016-0545-8 806:European Medicines Agency 388: 340: 297: 277: 252: 109: 101: 73: 68: 59: 29:This article needs to be 2333:1-Pyrrolidinyl compounds 1730:Tetracycline antibiotics 499:Streptococcus pneumoniae 645:Eravacycline maintains 532:Acinetobacter baumannii 525:Gram-negative organisms 484:Gram-positive organisms 2328:Polyketide antibiotics 780:Commercial information 632:Pseudomonas aeruginosa 546:Haemophilus influenzae 454:methicillin-resistant 718:Klebsiella pneumoniae 653:gene responsible for 584:Klebsiella pneumoniae 560:Neisseria gonorrhoeae 553:Moraxella catarrhalis 506:Enterococcus faecalis 491:Staphylococcus aureus 456:Staphylococcus aureus 336:558.555 1920:Peptidyl transferase 1187:10.1128/AAC.01646-16 1127:10.1128/AAC.04809-14 1070:10.1128/AAC.01614-13 1013:10.1128/AAC.01288-13 518:vancomycin resistant 513:Enterococcus faecium 468:Spectrum of activity 433:multi-drug resistant 75:Preferred IUPAC name 1549:Dihydrostreptomycin 1266:on 21 November 2016 896:on 21 November 2016 622:Serratia marcescens 579:-producing strains) 440:designation by the 56: 2283:Never to phase III 1382:clinicaltrials.gov 1328:clinicaltrials.gov 592:Klebsiella oxytoca 566:Enterobacteriaceae 398:Infobox references 54: 2293: 2292: 2252: 2251: 2248: 2247: 1960: 1959: 1851: 1850: 1847: 1846: 1756:Chlortetracycline 1724: 1723: 1233:. 19 October 2016 1181:(11): 6989–6990. 1007:(11): 5548–5558. 831:Clinical Trial". 615:Proteus mirabilis 416:) is a synthetic 406:Chemical compound 404: 403: 380: 151:Interactive image 50: 49: 2345: 2310: 2309: 2308: 2301: 1973: 1972: 1925: 1924: 1862: 1861: 1811:Rolitetracycline 1741: 1740: 1528: 1527: 1513: 1512: 1468: 1461: 1454: 1445: 1444: 1426: 1425: 1423: 1421: 1416:on 7 August 2017 1412:. 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Index


Preferred IUPAC name
CAS Number
1207283-85-9
JSmol
Interactive image
ChemSpider
28495485
KEGG
D10369
D10421
PubChem
54726192
UNII
07896928ZC
InChI
SMILES
Chemical formula
Molar mass
ATC code
J01AA13
WHO
Legal status
standard state
Infobox references
halogenated
tetracycline
antibiotic
tigecycline
multi-drug resistant

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