CovidResearchTrials by Shray Alag


CovidResearchTrials Covid 19 Research using Clinical Trials (Home Page)


Report for D001424: Bacterial Infections NIH

(Synonyms: Bacterial Infect, Bacterial Infecti, Bacterial Infections)

Developed by Shray Alag
Clinical Trial MeSH HPO Drug Gene SNP Protein Mutation


Correlated Drug Terms (10)


Name (Synonyms) Correlation
drug672 Cimetidine Wiki 0.71
drug2441 Reverse-transcription polymerase chain reaction (RT-PCR) Wiki 0.71
drug897 Digoxin Wiki 0.71
drug649 Chest computed tomography (CT) Wiki 0.71
drug2445 Rifampicin Wiki 0.71
drug2153 Placebo matching to gepotidacin Wiki 0.71
drug644 Change in preference to surgery under COVID-19 pandemic. Wiki 0.71
drug1179 Gepotidacin Wiki 0.71
drug1136 Fosfomycin disodium Wiki 0.71
drug1749 Midazolam Wiki 0.50

Correlated MeSH Terms (0)


Name (Synonyms) Correlation

Correlated HPO Terms (0)


Name (Synonyms) Correlation

There are 2 clinical trials

Clinical Trials


1 A Phase 1 Safety and Intrapulmonary Pharmacokinetics Study of ZTI-01 (Intravenous Fosfomycin Disodium) in Healthy Adult Subjects

This is a Phase 1, open-label, multiple-dose trial conducted at a single center. The treatment period will consist of three 6 g doses (18 g) of ZTI-01 as a 1-hour intravenous (IV) infusion (+10 minute window). A total of 30 enrolled subjects will be randomized to undergo a single standardized bronchoscopy with bronchoalveolar lavage (BAL) at one of five sampling times. A total of 6 subjects will be assigned to each BAL-sampling time. Up to ten additional enrolled subjects will act as alternates to obtain 30 evaluable subjects. An evaluable subject is defined as a subject who receives all doses of ZTI-01, undergoes BAL at the randomized sampling timepoint with BAL return volume adequate for testing, and undergoes at least the one blood sampling timepoint that is concurrent with the assigned BAL sampling timepoint, with blood sampling volume that is adequate for testing. The objectives of the study are to assess safety and pharmacokinetics (PK) for a multiple dose regimen of IV-infused ZTI-01.

NCT03910673 Bacterial Infection Multiple-drug Resistance Pathogen Resistance Drug: Fosfomycin disodium
MeSH:Bacterial Infections

Primary Outcomes

Description: Concentrations will be measured by a validated LC-MS/MS bioanalytical assay for the blood samples collected during the study.

Measure: Area under the concentration vs. time curve (AUC0-8 and AUC0-infinity) for ZTI -01

Time: Day 1 to Day 2

Description: Concentrations will be measured by a validated LC-MS/MS bioanalytical assay for the blood samples collected during the study

Measure: Clearance (CL) of ZTI-01

Time: Day 1 to Day 2

Description: Defined as percent penetration of lung epithelial lining fluid (ELF) and alveolar macrophages (AMs). The ratios of ELF and AM concentrations of fosfomycin to simultaneous plasma concentrations will be calculated for each subject and summarized for each sampling time. The median concentrations of fosfomycin from the BAL sampling times will be used to estimate the AUC0-8 of plasma, ELF, and AM. The ratio of AUC0-8 of ELF-to-plasma and AM-to-plasma will be calculated to determine the percent penetration.

Measure: Intrapulmonary pharmacokinetics of ZTI-01

Time: Day 1 to Day 2

Description: Concentrations will be measured by a validated LC-MS/MS bioanalytical assay for the blood samples collected during the study.

Measure: Maximum measured plasma concentration (Cmax) of ZTI-01

Time: Day 1 to Day 2

Description: Clinical laboratory evaluations include serum chemistry (albumin, glucose, blood urea nitrogen (BUN), potassium, magnesium, calcium, sodium, total protein, creatinine, triglycerides, total cholesterol, creatine phosphokinase (CPK), phosphorus, alkaline phosphatase (ALP), AST, ALT, total bilirubin, direct bilirubin, and lactate dehydrogenase (LDH)), hematology (CBC with differential (hemoglobin, hematocrit, platelet count, white blood cell (WBC) count, neutrophils, lymphocytes, monocytes, eosinophils, basophils)), coagulation (PT and aPTT), urinalysis (leukocyte esterase, blood, pH, specific gravity, glucose, protein), and plasma urea concentration.

Measure: Number of participants experiencing abnormal clinical laboratory assessments compared to baseline

Time: Day 1 to Day 2

Description: Physical exams will include assessment of skin, head and neck, lungs, heart, liver, spleen, extremities, lymph nodes, musculoskeletal system/extremities, abdomen, nervous system, weight, height, and body mass index (BMI).

Measure: Number of participants experiencing abnormal physical examination findings compared to baseline

Time: Day 1 to Day 2

Description: Vital sign measurements will include heart rate, blood pressure, temperature, respiratory rate, and peripheral oxygen saturation.

Measure: Number of participants experiencing abnormal vital sign measurements compared to baseline

Time: Day 1 to Day 2

Measure: Number of participants experiencing adverse events (AEs)

Time: Day 1 to Day 3

Description: QTc, PR, and QRS intervals are expressed in milliseconds (msec).

Measure: Number of participants with prolonged QTc, PR, or QRS interval in electrocardiogram (ECG) readings

Time: Day 1 to Day 2

Description: Concentrations will be measured by a validated LC-MS/MS bioanalytical assay for the blood samples collected during the study.

Measure: Terminal elimination half-life (t1/2) of ZTI-01

Time: Day 1 to Day 2

Description: Concentrations will be measured by a validated LC-MS/MS bioanalytical assay for the blood samples collected during the study.

Measure: Terminal-phase elimination rate constant (lambdaz) of ZTI-01

Time: Day 1 to Day 2

Description: Concentrations will be measured by a validated LC-MS/MS bioanalytical assay for the blood samples collected during the study.

Measure: Time to peak concentration (Tmax) of ZTI-01

Time: Day 1 to Day 2

Description: Concentrations will be measured by a validated LC-MS/MS bioanalytical assay for the blood samples collected during the study.

Measure: Volume of ZTI-01 distribution (Vd)

Time: Day 1 to Day 2

2 A Pharmacokinetic, Multi-cohort Study in Healthy Adult Subjects to Assess Gepotidacin as Victim and as Perpetrator of Drug-Drug Interactions Via CYP450, Renal and Intestinal Transporters, and to Assess Gepotidacin Pharmacokinetics in Japanese Healthy Adults

This study is a drug-drug interaction (DDI), pharmacokinetics (PK), safety and tolerability study in adult healthy participants, including Japanese cohort. This study is designed to assess co-administration of probe substrates with gepotidacin in study cohorts 1 to 3 and establishing PK and safety in Japanese participants in cohort 4. Food effect will also be evaluated in cohort 4.

NCT04493931 Bacterial Infections Drug: Gepotidacin Drug: Cimetidine Drug: Rifampicin Drug: Midazolam Drug: Digoxin Other: Placebo matching to gepotidacin
MeSH:Bacterial Infections

Primary Outcomes

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 1: Maximum observed concentration (Cmax) of gepotidacin

Time: Up to 48 hours post dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 1: Time to reach maximum observed plasma concentration (Tmax) of gepotidacin

Time: Up to 48 hours post dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 1: Terminal phase half-life (t1/2) of gepotidacin

Time: Up to 48 hours post dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 1: Area under the concentration-time curve from time 0 to the time of the last quantifiable concentration (AUC [0-t]) of gepotidacin

Time: Up to 48 hours post dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 1: AUC from time 0 (predose) extrapolated to infinite time (AUC[0-infinity]) of gepotidacin

Time: Up to 48 hours post dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 2: Cmax of gepotidacin

Time: Up to 48 hours post dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 2: Lag time before observation of drug concentrations (Tlag) of gepotidacin

Time: Up to 48 hours post dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 2: Tmax of gepotidacin

Time: Up to 48 hours post dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 2: AUC(0-t) of gepotidacin

Time: Up to 48 hours post dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 2: AUC(0-infinity) of gepotidacin

Time: Up to 48 hours post dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of digoxin.

Measure: Cohort 3: Cmax of digoxin

Time: Up to 96 hours post dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of digoxin.

Measure: Cohort 3: Tlag of digoxin

Time: Up to 96 hours post dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of digoxin.

Measure: Cohort 3: Tmax of digoxin

Time: Up to 96 hours post dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of digoxin.

Measure: Cohort 3: AUC(0-t) of digoxin

Time: Up to 96 hours post dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of digoxin.

Measure: Cohort 3: AUC(0-infinity) of digoxin

Time: Up to 96 hours post dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of midazolam.

Measure: Cohort 3: Cmax of midazolam

Time: Up to 48 hours post dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of midazolam.

Measure: Cohort 3: Tlag of midazolam

Time: Up to 48 hours post dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of midazolam.

Measure: Cohort 3: Tmax of midazolam

Time: Up to 48 hours post dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of midazolam.

Measure: Cohort 3: AUC(0-t) of midazolam

Time: Up to 48 hours post dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of midazolam.

Measure: Cohort 3: AUC(0-infinity) of midazolam

Time: Up to 48 hours post dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: Cmax of gepotidacin after a single 1500 mg dose

Time: Up to 48 hours post dose in Period 1 and Period 2

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: Tmax of gepotidacin after a single 1500 mg dose

Time: Up to 48 hours post dose in Period 1 and Period 2

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: AUC from time 0 (predose) to 24 hours post dose administration (AUC [0-24]) of gepotidacin after a single 1500 mg dose

Time: Up to 24 hours post dose in Period 1 and Period 2

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: AUC from time 0 (predose) to 48 hours post dose administration (AUC [0-48]) of gepotidacin after a single 1500 mg dose

Time: Up to 48 hours post dose in Period 1 and Period 2

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: AUC(0-t) of gepotidacin after a single 1500 mg dose

Time: Up to 48 hours post dose in Period 1 and Period 2

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: AUC(0-infinity) of gepotidacin after a single 1500 mg dose

Time: Up to 48 hours post dose in Period 1 and Period 2

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: Cmax of gepotidacin after the first dose of 3000 mg (morning dose)

Time: Up to 60 hours post morning dose in Period 3

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: Tmax of gepotidacin after the first dose of 3000 mg (morning dose)

Time: Up to 60 hours post morning dose in Period 3

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: AUC from time 0 (predose) to time tau (AUC[0-tau]) of gepotidacin after the first dose of 3000 mg (morning dose)

Time: Up to 60 hours post morning dose in Period 3

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: Cmax of gepotidacin after the second dose of 3000 mg (evening dose)

Time: From start of evening dose up to 48 hours post evening dose in Period 3

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: Tmax of gepotidacin after the second dose of 3000 mg gepotidacin (evening dose)

Time: From start of evening dose up to 48 hours post evening dose in Period 3

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: AUC(0-tau) of gepotidacin after the second dose of 3000 mg (evening dose)

Time: From start of evening dose up to 48 hours post evening dose in Period 3

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: Accumulation ratio for Cmax (RoCmax) of gepotidacin after the second dose of 3000 mg (evening dose)

Time: From start of morning dose up to 48 hours post evening dose in Period 3

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: Accumulation ratio for AUC (RoAUC) of gepotidacin after the second dose of 3000 mg (evening dose)

Time: From start of morning dose up to 48 hours post evening dose in Period 3

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: AUC(0-24) of gepotidacin using the full profile (morning + evening doses) following two 3000 mg doses

Time: From start of morning dose up to 24 hours post morning dose (first dose) in Period 3

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: AUC(0-48) of gepotidacin using the full profile (morning + evening doses) following two 3000 mg doses

Time: From start of morning dose up to 48 hours post morning dose (first dose) in Period 3

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: AUC(0-t) of gepotidacin using the full profile (morning + evening doses) following two 3000 mg doses

Time: From start of morning dose up to 60 hours post morning dose in Period 3

Description: AEs will be collected.

Measure: Cohort 4: Number of participants with non-serious adverse events (non-SAEs)

Time: Up to Day 16

Description: SAEs will be collected.

Measure: Cohort 4: Number of participants with serious adverse events (SAEs)

Time: Up to Day 16

Description: Number of participants with abnormal vital signs will be assessed.

Measure: Cohort 4: Number of participants with abnormal vital signs

Time: Up to Day 16

Description: Single 12-lead ECG will be obtained using an ECG machine. Number of participants with abnormal ECG parameters will be assessed.

Measure: Cohort 4: Number of participants with abnormal electrocardiogram (ECG) findings

Time: Up to Day 16

Description: Blood samples will be collected for the assessment of hematology parameters.

Measure: Cohort 4: Number of participants with abnormal hematology parameters

Time: Up to Day 16

Description: Blood samples will be collected for the assessment of chemistry parameters.

Measure: Cohort 4: Number of participants with abnormal clinical chemistry parameters

Time: Up to Day 16

Description: Urine samples will be collected for the assessment of urinalysis parameters.

Measure: Cohort 4: Number of participants with abnormal urinalysis findings

Time: Up to Day 16

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: Cmax of gepotidacin after a single 1500 mg dose under fed conditions

Time: Up to 48 hours post dose in Period 1 and Period 2

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: Tlag of gepotidacin after a single 1500 mg dose under fed conditions

Time: Up to 48 hours post dose in Period 1 and Period 2

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: Tmax of gepotidacin after a single 1500 mg dose under fed conditions

Time: Up to 48 hours post dose in Period 1 and Period 2

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: AUC(0-t) of gepotidacin after a single 1500 mg dose under fed conditions

Time: Up to 48 hours post dose in Period 1 and Period 2

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: AUC(0-infinity) of gepotidacin after a single 1500 mg dose under fed conditions

Time: Up to 48 hours post dose in Period 1 and Period 2

Secondary Outcomes

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 1: AUC(0-24) of gepotidacin

Time: Up to 24 hours post dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 1: AUC(0-48) of gepotidacin

Time: Up to 48 hours post dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 1: Tlag of a gepotidacin

Time: Up to 48 hours post dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 1: Apparent volume of distribution (Vz/F) of gepotidacin

Time: Up to 48 hours post dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 1: Apparent oral clearance (CL/F) of gepotidacin

Time: Up to 48 hours post dose in each period

Description: Urine samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 1: Total unchanged drug (Ae total) of gepotidacin in urine

Time: Up to 48 hours post dose in each period

Description: Urine samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 1: AUC(0-24) of gepotidacin in urine

Time: Up to 24 hours post dose in each period

Description: Urine samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 1: AUC(0-48) of gepotidacin in urine

Time: Up to 48 hours post dose in each period

Description: Urine samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 1: Renal clearance of drug (CLr) of gepotidacin

Time: Up to 48 hours post dose in each period

Description: Urine samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 1: Amount of drug excreted in urine in a time interval (Ae[t1-t2]) of gepotidacin

Time: Up to 48 hours post dose in each period

Description: Urine samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 1: Percentage of the given dose of drug excreted in urine (fe%) of gepotidacin

Time: Up to 48 hours post dose in each period

Description: AEs will be collected.

Measure: Cohort 1: Number of participants with non-SAEs

Time: Up to Day 14

Description: SAEs will be collected.

Measure: Cohort 1: Number of participants with SAEs

Time: Up to Day 14

Description: Blood samples will be collected for the assessment of hematology parameters.

Measure: Cohort 1: Number of participants with abnormal hematology parameters

Time: Up to Day 14

Description: Blood samples will be collected for the assessment of chemistry parameters.

Measure: Cohort 1: Number of participants with abnormal clinical chemistry parameters

Time: Up to Day 14

Description: Urine samples will be collected for the assessment of urinalysis parameters.

Measure: Cohort 1: Number of participants with abnormal urinalysis findings

Time: Up to Day 14

Description: Number of participants with abnormal vital signs will be assessed.

Measure: Cohort 1: Number of participants with abnormal vital signs

Time: Up to Day 14

Description: Single 12-lead ECG will be obtained using an ECG machine. Number of participants with abnormal ECG parameters will be assessed.

Measure: Cohort 1: Number of participants with abnormal ECG findings

Time: Up to Day 14

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 2: AUC(0-24) of gepotidacin

Time: Up to 24 hours post dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 2: AUC(0-48) of gepotidacin

Time: Up to 48 hours post dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 2: T1/2 of a gepotidacin

Time: Up to 48 hours post dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 2: Vz/F of gepotidacin

Time: Up to 48 hours post dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 2: CL/F of gepotidacin

Time: Up to 48 hours post dose in each period

Description: Urine samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 2: Ae total of gepotidacin in urine

Time: Up to 48 hours post dose in each period

Description: Urine samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 2: AUC(0-24) of gepotidacin in urine

Time: Up to 24 hours post dose in each period

Description: Urine samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 2: AUC(0-48) of gepotidacin in urine

Time: Up to 48 hours post dose in each period

Description: Urine samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 2: CLr of gepotidacin in urine

Time: Up to 48 hours post dose in each period

Description: Urine samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 2: Ae(t1-t2) of gepotidacin in urine

Time: Up to 48 hours post dose in each period

Description: Urine samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 2: fe% of gepotidacin in urine

Time: Up to 48 hours post dose in each period

Description: AEs will be collected.

Measure: Cohort 2: Number of participants with non-SAEs

Time: Up to Day 20

Description: SAEs will be collected.

Measure: Cohort 2: Number of participants with SAEs

Time: Up to Day 20

Description: Blood samples will be collected for the assessment of hematology parameters.

Measure: Cohort 2: Number of participants with abnormal hematology parameters

Time: Up to Day 20

Description: Blood samples will be collected for the assessment of chemistry parameters.

Measure: Cohort 2: Number of participants with abnormal clinical chemistry parameters

Time: Up to Day 20

Description: Urine samples will be collected for the assessment of urinalysis parameters.

Measure: Cohort 2: Number of participants with abnormal urinalysis findings

Time: Up to Day 20

Description: Number of participants with abnormal vital signs will be assessed.

Measure: Cohort 2: Number of participants with abnormal vital signs

Time: Up to Day 20

Description: Single 12-lead ECG will be obtained using an ECG machine. Number of participants with abnormal ECG parameters will be assessed.

Measure: Cohort 2: Number of participants with abnormal ECG findings

Time: Up to Day 20

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 3: Cmax of gepotidacin after the first dose of 3000 mg (morning dose)

Time: Up to 60 hours post morning dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 3: Tmax of gepotidacin after the first dose of 3000 mg (morning dose)

Time: Up to 60 hours post morning dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 3: Tlag of gepotidacin after the first dose of 3000 mg (morning dose)

Time: Up to 60 hours post morning dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 3: AUC(0-tau) of gepotidacin first dose of 3000 mg (morning dose)

Time: Up to 60 hours post morning dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 3: Cmax of gepotidacin after the second dose of 3000 mg (evening dose)

Time: From start of evening dose up to 48 hours post evening dose in each Period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 3: Tmax of gepotidacin after the second dose of 3000 mg (evening dose)

Time: From start of evening dose up to 48 hours post evening dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 3: RoCmax of gepotidacin after the second dose of 3000 mg (evening dose)

Time: From start of morning dose up to 48 hours post evening dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 3: RoAUC of gepotidacin after the second dose of 3000 mg (evening dose)

Time: From start of morning dose up to 48 hours post evening dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 3: AUC(0-tau) of gepotidacin after the second dose of 3000 mg (evening dose)

Time: From start of evening dose up to 48 hours post evening dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 3: AUC(0-24) of gepotidacin using the full profile (morning + evening doses) following two 3000 mg doses

Time: From start of morning dose up to 24 hours post morning dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 3: AUC(0-48) of gepotidacin using the full profile (morning + evening doses) following two 3000 mg doses

Time: From start of morning dose up to 48 hours post morning dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 3: AUC(0-t) of gepotidacin using the full profile (morning + evening doses) following two 3000 mg doses

Time: From start of morning dose up to 60 hours post morning dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 3: Vz/Fof gepotidacin using the full profile (morning + evening doses) following two 3000 mg doses

Time: From start of morning dose up to 60 hours post morning dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 3: CL/F of gepotidacin using the full profile (morning + evening doses) following two 3000 mg doses

Time: From start of morning dose up to 60 hours post morning dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 3: T1/2 of gepotidacin using the full profile (morning + evening doses) following two 3000 mg doses

Time: From start of morning dose up to 60 hours post morning dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of digoxin.

Measure: Cohort 3: Trough concentration (Cmin) of digoxin

Time: Up to 96 hours post dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of digoxin.

Measure: Cohort 3: t1/2 of digoxin

Time: Up to 96 hours post dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of digoxin.

Measure: Cohort 3: Vz/F of digoxin

Time: Up to 96 hours post dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of digoxin.

Measure: Cohort 3: CL/F of digoxin

Time: Up to 96 hours post dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of midazolam.

Measure: Cohort 3: Cmin of midazolam

Time: Up to 48 hours post dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of midazolam.

Measure: Cohort 3: t1/2 of midazolam

Time: Up to 48 hours post dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of midazolam.

Measure: Cohort 3: Vz/F of midazolam

Time: Up to 48 hours post dose in each period

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of midazolam.

Measure: Cohort 3: CL/F of midazolam

Time: Up to 48 hours post dose in each period

Description: Urine samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 3: Ae total of gepotidacin in urine following two 3000 mg doses

Time: From start of morning dose up to 60 hours post morning dose in each period

Description: Urine samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 3: Ae(t1-t2) of gepotidacin in urine following two 3000 mg doses

Time: From start of morning dose up to 60 hours post morning dose in each period

Description: Urine samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 3: AUC(0-tau) of gepotidacin in urine following two 3000 mg doses

Time: From start of morning dose up to 60 hours post morning dose in each period

Description: Urine samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 3: AUC(0-24) of gepotidacin in urine following two 3000 mg doses

Time: From start of morning dose up to 24 hours post morning dose in each period

Description: Urine samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 3: AUC(0-48) of gepotidacin in urine following two 3000 mg doses (urine)

Time: From start of morning dose up to 48 hours post morning dose in each period

Description: Urine samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 3: fe% of gepotidacin in urine following two 3000 mg doses

Time: From start of morning dose up to 48 hours post morning dose in each period

Description: Urine samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 3: CLr of gepotidacin in urine following two 3000 mg doses

Time: From start of morning dose up to 60 hours post morning dose in each period

Description: AEs will be collected.

Measure: Cohort 3: Number of participants with non-SAEs

Time: Up to Day 30

Description: SAEs will be collected.

Measure: Cohort 3: Number of participants with SAEs

Time: Up to Day 30

Description: Blood samples will be collected for the assessment of hematology parameters.

Measure: Cohort 3: Number of participants with abnormal hematology parameters

Time: Up to Day 30

Description: Blood samples will be collected for the assessment of chemistry parameters.

Measure: Cohort 3: Number of participants with abnormal clinical chemistry parameters

Time: Up to Day 30

Description: Urine samples will be collected for the assessment of urinalysis parameters.

Measure: Cohort 3: Number of participants with abnormal urinalysis

Time: Up to Day 30

Description: Number of participants with abnormal vital signs will be assessed.

Measure: Cohort 3: Number of participants with abnormal vital signs

Time: Up to Day 30

Description: Single 12-lead ECG will be obtained using an ECG machine. Number of participants with abnormal ECG findings will be assessed.

Measure: Cohort 3: Number of participants with abnormal ECG findings

Time: Up to Day 30

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: T1/2 of gepotidacin after a single 1500 mg dose

Time: Up to 48 hours post dose in Period 1 and Period 2

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: Vz/F of gepotidacin after a single 1500 mg dose

Time: Up to 48 hours post dose in Period 1 and Period 2

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: CL/F of gepotidacin after a single 1500 mg dose

Time: Up to 48 hours post dose in Period 1 and Period 2

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: Tlag of gepotidacin after the first dose of 3000 mg (morning dose)

Time: Up to 60 hours post morning dose in Period 3

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: Vz/F of gepotidacin using the full profile (morning + evening doses) following two 3000 mg doses

Time: From start of morning dose up to 60 hours post morning dose in Period 3

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: CL/F of gepotidacin using the full profile (morning + evening doses) following two 3000 mg doses

Time: From start of morning dose up to 60 hours post morning dose in Period 3

Description: Blood samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: t1/2 of gepotidacin using the full profile (morning + evening doses) following two 3000 mg doses

Time: From start of morning dose up to 60 hours post morning dose in Period 3

Description: Urine samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: Ae total of gepotidacin in urine after a single 1500 mg dose

Time: Up to 48 hours post dose in Period 1 and Period 2

Description: Urine samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: Ae(t1-t2) of gepotidacin in urine after a single 1500 mg dose

Time: Up to 48 hours post dose in Period 1 and Period 2

Description: Urine samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: AUC(0-tau) of gepotidacin in urine after a single 1500 mg dose

Time: Up to 48 hours post dose in Period 1 and Period 2

Description: Urine samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: AUC(0-24) of gepotidacin in urine after a single 1500 mg dose

Time: Up to 24 hours post dose in Period 1 and Period 2

Description: Urine samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: AUC(0-48) of gepotidacin in urine after a single 1500 mg dose

Time: Up to 48 hours post dose in Period 1 and Period 2

Description: Urine samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: fe% of gepotidacin in urine after a single 1500 mg dose

Time: Up to 48 hours post dose in Period 1 and Period 2

Description: Urine samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: CLr of gepotidacin in urine after a single 1500 mg dose

Time: Up to 48 hours post dose in Period 1 and Period 2

Description: Urine samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: Ae total of gepotidacin in urine following two 3000 mg doses

Time: From start of morning dose up to 60 hours post morning dose in Period 3

Description: Urine samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: Ae(t1-t2) of gepotidacin in urine following two 3000 mg doses

Time: From start of morning dose up to 60 hours post morning dose in Period 3

Description: Urine samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: AUC(0-tau) of gepotidacin in urine following two 3000 mg doses

Time: From start of morning dose up to 60 hours post morning dose in Period 3

Description: Urine samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: AUC(0-24) of gepotidacin in urine following two 3000 mg doses

Time: From start of morning dose up to 24 hours post morning dose in Period 3

Description: Urine samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: AUC(0-48) of gepotidacin in urine following two 3000 mg doses

Time: From start of morning dose up to 48 hours post morning dose in Period 3

Description: Urine samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: fe% of gepotidacin in urine following two 3000 mg doses

Time: From start of morning dose up to 60 hours post morning dose in Period 3

Description: Urine samples will be collected at indicated time points for the pharmacokinetic analysis of gepotidacin.

Measure: Cohort 4: CLr of gepotidacin in urine following two 3000 mg doses

Time: From start of morning dose up to 60 hours post morning dose in Period 3


HPO Nodes