On July 25, 2017, Tetraphase Pharmaceuticals, Inc. (the
Company), issued a press release announcing positive top-line results from IGNITE4, the Companys phase 3 clinical trial evaluating the efficacy and safety of twice-daily intravenous (IV) eravacycline compared to
meropenem for the treatment of patients with complicated intra-abdominal infections (cIAI). The results of IGNITE4, which enrolled 500 patients, demonstrated statistical non-inferiority of eravacycline to meropenem for the primary
efficacy endpoint of clinical response at the test-of-cure visit.
A summary of the IGNITE4 efficacy data is outlined in the following table and described
below:
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Eravacycline
n/N (%)
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Meropenem
n/N (%)
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95%
Confidence Interval
(CI)
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Microbiological intent-to-treat (micro-ITT) population; 12.5% non-inferiority margin according to the U.S. Food and Drug
Administration (the FDA) guidance
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177/195 (90.8%)
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187/205 (91.2%)
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-6.3, 5.3
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Modified intent-to-treat (MITT);
12.5% non-inferiority margin according to European Medicines Agency guidance (the EMA)
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231/250 (92.4%)
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228/249 (91.6%)
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-4.1, 5.8
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Clinically evaluable (CE);
12.5% non-inferiority margin according to EMA guidance
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218/225 (96.9%)
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222/231 (96.1%)
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2.9, 4.5
|
Eravacycline achieved high clinical cure rates in patients with complicated intra-abdominal infections,
comparable to patients in the meropenem group. The primary efficacy analysis under the FDA guidance was conducted using a 12.5% non-inferiority margin in the micro-ITT population. Clinical cure rates in the micro-ITT population were 90.8% and 91.2%
for eravacycline (n=195) and meropenem (n=205), respectively (95% CI: -6.3%,5.3%). Under the EMA guidance, the primary analysis was conducted using a 12.5% non-inferiority margin of the MITT and 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%). The secondary analyses were consistent with, and supportive of, the primary outcome.
There were no treatment-related
serious adverse events in the trial. Treatment-emergent adverse event rates were similar in both treatment groups. 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 AE profile for IV eravacycline in IGNITE4 was consistent with that seen in the previously completed phase 3 IGNITE1 and phase 2 clinical trials in cIAI.
The spectrum of pathogens in this trial was similar to that seen in previously completed clinical trials in this patient population. The most
common Gram-negative pathogens in the study included
Escherichia coli, Klebsiella pneumonia, Pseudomonas
and
Bacteroides
.
The Company plans to submit a New Drug Application, which will be supported by data from the IGNITE1 and IGNITE4 clinical trials, to the FDA
in the first quarter of 2018. The Company also remains on track to submit a Marketing Authorization Application to the EMA during the third quarter of 2017. In addition, the Company plans to submit detailed results from the phase 3 IGNITE4 clinical
trial for presentation at a future scientific meeting.
Any statements in this Current Report on Form 8-K about the Companys future expectations,
plans and prospects, including statements regarding the Companys strategy, future operations, prospects, plans and objectives, and other statements containing the words anticipates, believes, expects,
plans, will and similar expressions, constitute forward-looking statements within the meaning of The Private Securities Litigation Reform Act of 1995. Actual results may differ materially from those indicated by such
forward-looking statements as a result of various important factors, including: whether results obtained in previous clinical trials will be indicative of results obtained in future clinical trials; whether eravacycline or any other clinical
candidate will advance through the clinical trial process on a timely basis or at all; whether the results of the Companys development efforts will warrant regulatory submission and whether any such submissions will receive approval from the
FDA or equivalent foreign regulatory agencies; whether, if any clinical candidate obtains approval, it will be successfully distributed and marketed; and other factors discussed in the Risk Factors section of the Companys quarterly
report on Form 10-Q, filed with the Securities and Exchange Commission on May 8, 2017. In addition, the forward-looking statements included in this Current Report on Form 8-K represent the Companys views as of July 25, 2017. The
Company anticipates that subsequent events and developments will cause its views to change. However, while the Company may elect to update these forward-looking statements at some point in the future, the Company specifically disclaim any obligation
to do so.