GSK and Spero’s Antibiotic Positive Phase 3 Results
GSK and Spero Therapeutics are announcing positive Phase 3 results for tebipenem HBr, an investigational oral antibiotic for complicated urinary tract infections (cUTIs), including pyelonephritis. The findings are from the pivotal PIVOT-PO trial, which was stopped early for efficacy following a recommendation from an independent data monitoring committee. The companies said they plan to submit the data to FDA in the fourth quarter.
The late-stage PIVOT-PO trial compared oral tebipenem HBr (600 mg) with intravenous imipenem-cilastatin (500 mg) in 1,690 hospitalized adults with cUTI or pyelonephritis. Tebipenem HBr achieved a 58.5% overall success rate — defined as a composite of clinical cure and bacterial eradication — compared to 60.2% for imipenem-cilastatin, meeting the prespecified non-inferiority margin, according to the companies. Secondary endpoints also showed comparable performance — clinical cure: 93.5% (tebipenem) vs. 95.2% (IV imipenem), and microbiological response: 60.3% vs. 61.3%, respectively.
The oral drug’s safety profile was similar to that of IV carbapenem-class antibiotics, the companies say, adding that the most common adverse events were mild or moderate diarrhea and headache.