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Trial · NCT02257918

Randomized, Open-label Phase 2 Study of Oral AZD0914 in the Treatment of Gonorrhea

NCT02257918, Phase 2, Completed, National Institute of Allergy and Infectious Diseases (NIAID); results first posted 2017-02-08

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ConductScience Library. Randomized, Open-label Phase 2 Study of Oral AZD0914 in the Treatment of Gonorrhea. Trials, record NCT02257918. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02257918

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Randomized, Open-label Phase 2 Study of Oral AZD0914 in the Treatment of Gonorrhea
NCT number
NCT02257918
Status
Completed
Phases
Phase 2
Enrollment
180 participants, actual
Lead sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Conditions
Gonorrhoea
Interventions
AZD0914, Ceftriaxone
First posted
2014-10-07
Last updated
2017-03-22
Results first posted
2017-02-08

Source ClinicalTrials.gov

Registered outcomes15

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Participants With Microbiological Cure at Urethral or Cervical Sites in Each Study ArmDay 6
Microbiological cure was assessed at the Test of Cure visit (TOC). Microbiological Cure was derived from the Neisseria gonorrhoeae culture result and assessed by anatomical site. Male participants were swabbed at the urethral site and female participants at the cervical site. Remel RapID NH tests were performed on pure cultures obtained from swab specimens. A participant was defined as a microbiological cure if N. gonorrhoeae was not detectable by culture at TOC.
PrimaryNumber of Participants Reporting Adverse Events (AEs) and Serious Adverse Events (SAEs) Considered Product-related.Day 1 through Day 31
Adverse events are defined as any untoward medical occurrence regardless of its causal relationship to the study treatment. Serious adverse events included any untoward medical occurrence that resulted in death; was life threatening; was a persistent/significant disability/incapacity; required inpatient hospitalization or prolongation thereof was a congenital anomaly/birth defect; or may have jeopardized the subject or required intervention to prevent one of the outcomes. Relationship to study product was determined by the investigator and defined as a reasonable possibility that the study product caused the adverse event. Reasonable possibility means that there is evidence to suggest a causal relationship between the study product and the adverse event.
SecondaryNumber of Participants With Microbiological Cure at Rectal Sites in Each Study ArmDay 6
Microbiological cure was assessed at the TOC visit. Microbiological cure was derived from the Neisseria gonorrhoeae culture result and assessed by anatomical site. All participants were swabbed at the rectal site. Remel RapID NH tests were performed on pure cultures obtained from swab specimens. A subject was defined as a microbiological cure if N. gonorrhoeae was not detectable by culture at TOC.
SecondaryNumber of Participants With Microbiological Cure at Pharyngeal Sites in Each Study ArmDay 6
Microbiological cure was assessed at the Test of Cure visit (TOC). Microbiological Cure was derived from the Neisseria gonorrhoeae culture result and assessed by anatomical site. All subjects were swabbed at the pharyngeal site. Remel RapID NH tests were performed on pure cultures obtained from swab specimens. A participant was defined as a microbiological cure if N. gonorrhoeae was not detectable by culture at TOC.
SecondaryNumber of Participants With Clinical Cure in Each Study ArmDay 6
A clinical cure was defined as the resolution of all signs and symptoms of gonorrhea (e.g. cervical/vaginal/urethral discharge, dysuria, dyspareunia, vulvovaginal irritation, sore throat) that were present at enrollment with the exception of vaginal discharge due to yeast vaginitis or bacterial vaginosis. A clinical failure was defined by the presence of any sign or symptom of gonorrhea that was also present at enrollment with the exception of vaginal discharge due to yeast vaginitis or bacterial vaginosis. The investigator also submitted his/her determination of whether the participant met or did not meet the criteria for clinical cure (or whether it is unknown if the participant met the criteria). In the event the investigator's assessment of clinical cure did not coincide with the definitions of clinical cure/failure, the investigator's assessment was the final adjudicator.
SecondaryNumber of Participants With no Detectable N. Gonorrhoeae Nucleic Acid in Urethral/Cervical Specimens in Each Study Arm at Baseline.Day 1 (Baseline)
Gonorrhea and Chlamydia nucleic acid amplification tests (GC/CT NAAT) were performed at baseline with specimens collected at the cervical/urethral site. Detectable nucleic acid was derived from GC/CT NAAT testing. If N. gonorrhoeae nucleic acid was detected, the result of the test was classified as positive. If no nucleic acid was detected, the result of the test was classified as negative. If a clear result could not be determined for any reason, the result of the test was classified as indeterminate.
SecondaryNumber of Participants With no Detectable N. Gonorrhoeae Nucleic Acid in Urethral/Cervical Specimens in Each Study Arm at Day 6.Day 6
Gonorrhea and Chlamydia nucleic acid amplification tests (GC/CT NAAT) were performed at Day 6 with specimens collected at the cervical/urethral site. Detectable nucleic acid was derived from GC/CT NAAT testing. If N. gonorrhoeae nucleic acid was detected, the result of the test was classified as positive. If no nucleic acid was detected, the result of the test was classified as negative. If a clear result could not be determined for any reason, the result of the test was classified as indeterminate.
SecondaryNumber of Participants With no Detectable N. Gonorrhoeae Nucleic Acid in Rectal Specimens in Each Study ArmBaseline and Day 6
Gonorrhea and Chlamydia nucleic acid amplification tests (GC/CT NAAT) were performed at baseline and Day 6 with specimens collected at the rectal site. Detectable nucleic acid was derived from GC/CT NAAT testing. If N. gonorrhoeae nucleic acid was detected, the result of the test was classified as positive. If no nucleic acid was detected, the result of the test was classified as negative. If a clear result could not be determined for any reason, the result of the test was classified as indeterminate.
SecondaryNumber of Participants With no Detectable N. Gonorrhoeae Nucleic Acid in Pharyngeal Specimens in Each Study ArmBaseline and Day 6
Gonorrhea and Chlamydia nucleic acid amplification tests (GC/CT NAAT) were performed at baseline and Day 6 with specimens collected at the pharyngeal site. Detectable nucleic acid was derived from GC/CT NAAT testing. If N. gonorrhoeae nucleic acid was detected, the result of the test was classified as positive. If no nucleic acid was detected, the result of the test was classified as negative. If a clear result could not be determined for any reason, the result of the test was classified as indeterminate.
SecondaryMedian in Vitro Minimum Inhibitory Concentrations (MIC) Against AZD0914/ETX0914 and Ceftriaxone of Gonococcal Isolates From Culture of Isolates From the Urethral/Cervical Sites at BaselineDay 1 (Baseline)
For all positive cultures of specimens collected from the urethra or cervix, isolates were collected and tested for antimicrobial susceptibility profiles and the minimum inhibitory concentration (MIC) was determined. MIC was defined as the lowest concentration of an antimicrobial that inhibited the visible growth of a microorganism after overnight incubation. The MIC breakpoint was a chosen concentration of an antibiotic which defines whether a bacterial isolate is susceptible or resistant to the antibiotic. If the MIC was less than or equal to the susceptibility breakpoint, the bacteria was considered susceptible to the antibiotic. If the MIC was greater than this value, the bacteria was considered intermediate or resistant to the antibiotic.

Outcomes15

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Participants With Microbiological Cure at Urethral or Cervical Sites in Each Study ArmDay 6The analysis population was restricted to participants who had a positive culture result for N. gonorrhoeae at the urethral/cervical site at baseline.ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber of Participants Reporting Adverse Events (AEs) and Serious Adverse Events (SAEs) Considered Product-related.Day 1 through Day 31All participants who received the study treatment were included in the analysis population. One participant enrolled in the Ceftriaxone arm was pregnant at enrollment and therefore, not treated.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Microbiological Cure at Rectal Sites in Each Study ArmDay 6The analysis population was limited to participants who had a positive culture result at the rectal site for N. gonorrhoeae at baseline.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Microbiological Cure at Pharyngeal Sites in Each Study ArmDay 6The analysis population was restricted to participants who had a positive culture result for N. gonorrhoeae at the pharyngeal site at baseline.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Clinical Cure in Each Study ArmDay 6The analysis population was restricted to participants who had a positive culture result for N. gonorrhoeae at any anatomical site and reported signs or symptoms of gonorrhea at baseline.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With no Detectable N. Gonorrhoeae Nucleic Acid in Urethral/Cervical Specimens in Each Study Arm at Baseline.Day 1 (Baseline)The analysis population was restricted to participants who had a positive cervical/urethral culture result for N. gonorrhoeae at baseline.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With no Detectable N. Gonorrhoeae Nucleic Acid in Urethral/Cervical Specimens in Each Study Arm at Day 6.Day 6The analysis population was restricted to participants who had a positive cervical/urethral culture result for N. gonorrhoeae at baseline.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With no Detectable N. Gonorrhoeae Nucleic Acid in Rectal Specimens in Each Study ArmBaseline and Day 6The analysis population was restricted to participants who had a positive rectal culture result for N. gonorrhoeae at baseline.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With no Detectable N. Gonorrhoeae Nucleic Acid in Pharyngeal Specimens in Each Study ArmBaseline and Day 6The analysis population was restricted to participants who had a positive pharyngeal culture result for N. gonorrhoeae at baseline.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYMedian in Vitro Minimum Inhibitory Concentrations (MIC) Against AZD0914/ETX0914 and Ceftriaxone of Gonococcal Isolates From Culture of Isolates From the Urethral/Cervical Sites at BaselineDay 1 (Baseline)The analysis population includes all participants who had isolates collected and results reported at the timepoint.µg/mLMEDIAN

Results by group64

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Participants With Microbiological Cure at Urethral or Cervical Sites in Each Study ArmAZD0914/ETX0914 2000mg55Participants
Number of Participants With Microbiological Cure at Urethral or Cervical Sites in Each Study ArmAZD0914/ETX0914 3000mg54Participants
Number of Participants With Microbiological Cure at Urethral or Cervical Sites in Each Study ArmCeftriaxone 500mg28Participants
Number of Participants Reporting Adverse Events (AEs) and Serious Adverse Events (SAEs) Considered Product-related.AZD0914/ETX0914 2000mgRelated AEs9Participants
Number of Participants Reporting Adverse Events (AEs) and Serious Adverse Events (SAEs) Considered Product-related.AZD0914/ETX0914 3000mgRelated AEs12Participants
Number of Participants Reporting Adverse Events (AEs) and Serious Adverse Events (SAEs) Considered Product-related.Ceftriaxone 500mgRelated AEs6Participants
Number of Participants Reporting Adverse Events (AEs) and Serious Adverse Events (SAEs) Considered Product-related.AZD0914/ETX0914 2000mgRelated SAEs0Participants
Number of Participants Reporting Adverse Events (AEs) and Serious Adverse Events (SAEs) Considered Product-related.AZD0914/ETX0914 3000mgRelated SAEs0Participants
Number of Participants Reporting Adverse Events (AEs) and Serious Adverse Events (SAEs) Considered Product-related.Ceftriaxone 500mgRelated SAEs0Participants
Number of Participants With Microbiological Cure at Rectal Sites in Each Study ArmAZD0914/ETX0914 2000mg5Participants

Participant flow12

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDAZD0914/ETX0914 2000mg72
Overall StudySTARTEDAZD0914/ETX0914 3000mg67
Overall StudySTARTEDCeftriaxone 500mg41
Overall StudyTest of Cure VisitAZD0914/ETX0914 2000mg72
Overall StudyTest of Cure VisitAZD0914/ETX0914 3000mg67
Overall StudyTest of Cure VisitCeftriaxone 500mg40
Overall StudyCOMPLETEDAZD0914/ETX0914 2000mg68
Overall StudyCOMPLETEDAZD0914/ETX0914 3000mg66
Overall StudyCOMPLETEDCeftriaxone 500mg39
Overall StudyNOT COMPLETEDAZD0914/ETX0914 2000mg4

Adverse events18

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDiarrhoeaGastrointestinal disordersAZD0914/ETX0914 2000mg4724
otherDiarrhoeaGastrointestinal disordersAZD0914/ETX0914 3000mg2672
otherDiarrhoeaGastrointestinal disordersCeftriaxone 500mg3403
otherGonorrheaInfections and infestationsAZD0914/ETX0914 2000mg1721
otherGonorrheaInfections and infestationsAZD0914/ETX0914 3000mg4674
otherGonorrheaInfections and infestationsCeftriaxone 500mg3403
otherHeadacheNervous system disordersAZD0914/ETX0914 2000mg0720
otherHeadacheNervous system disordersAZD0914/ETX0914 3000mg6676
otherHeadacheNervous system disordersCeftriaxone 500mg2402
otherInjection Site PainGeneral disordersAZD0914/ETX0914 2000mg000

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityAZD0914/ETX0914 2000mg
Total, all-cause mortalityAZD0914/ETX0914 3000mg
Total, all-cause mortalityCeftriaxone 500mg
Total, other adverse eventsAZD0914/ETX0914 2000mg672
Total, other adverse eventsAZD0914/ETX0914 3000mg1267
Total, other adverse eventsCeftriaxone 500mg1140
Total, serious adverse eventsAZD0914/ETX0914 2000mg072
Total, serious adverse eventsAZD0914/ETX0914 3000mg167
Total, serious adverse eventsCeftriaxone 500mg040

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
30403954DERIVED

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02257918

GET https://conductscience.org/api/trials/v1/NCT02257918/results?page=2