Clinical Trials

Multiple clinical trials spanning Phase 1 through Phase 3 development have evaluated solithromycin across infectious and inflammatory conditions, including community-acquired bacterial pneumonia, uncomplicated urogenital gonorrhea, pediatric bacterial infections, chronic obstructive pulmonary disease, and nonalcoholic steatohepatitis. Sponsored by pharmaceutical companies, academic institutions, and government agencies, key late-phase studies investigating antimicrobial efficacy and pharmacokinetics have reached completed status. Conversely, certain trials evaluating anti-inflammatory indications were terminated.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT02605122 TERMINATED
Community-acquired Bacterial Pneumonia
Melinta Therapeutics, Inc.
2016-04 PHASE2; PHASE3
NCT02210325 COMPLETED
Uncomplicated Urogenital Gonorrhea
Melinta Therapeutics, Inc.
2014-08 PHASE3
NCT02510599 COMPLETED
Nonalcoholic Steatohepatitis
Melinta Therapeutics, Inc.
2015-12 PHASE2
NCT02348424 COMPLETED
Gonorrhoea
National Institute of Allergy and Infectious Diseases (NIAID)
2015-05-05 PHASE1
NCT02628769 TERMINATED
Pulmonary Disease, Chronic Obstructive
Imperial College London
2015-07 PHASE2
NCT02268279 COMPLETED
Bacterial Infection
Melinta Therapeutics, Inc.
2015-01 PHASE1
NCT02628769 Terminated
Pulmonary Disease Chronic Obstructive
Imperial College London|Melinta Therapeutics Inc.
2015-07 Phase 2
NCT01968733 COMPLETED
Community-acquired Bacterial Pneumonia
Melinta Therapeutics, Inc.
2013-11 PHASE3
NCT02348424 Completed
Gonorrhoea
National Institute of Allergy and Infectious Diseases (NIAID)
2015-05-05 Phase 1
NCT02268279 Completed
Bacterial Infection
Melinta Therapeutics Inc.|Department of Health and Human Services
2015-01 Phase 1
NCT01756339 COMPLETED
Community-acquired Bacterial Pneumonia
Melinta Therapeutics, Inc.
2012-12 PHASE3
NCT02210325 Completed
Uncomplicated Urogenital Gonorrhea
Melinta Therapeutics Inc.|National Institute of Allergy and Infectious Diseases (NIAID)
2014-08 Phase 3
NCT01966055 COMPLETED
Bacterial Infections
Melinta Therapeutics, Inc.
2013-12 PHASE1
NCT01966055 Completed
Bacterial Infections
Melinta Therapeutics Inc.|Department of Health and Human Services
2013-12 Phase 1
NCT01591447 COMPLETED
Uncomplicated Urogenital Gonorrhea
Melinta Therapeutics, Inc.
2012-05 PHASE2
NCT01591447 Completed
Uncomplicated Urogenital Gonorrhea
Melinta Therapeutics Inc.
2012-05 Phase 2

(data from https://clinicaltrials.gov, updated on 2019-01-03)

Check the Solithromycin product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Solithromycin, a fluoroketolide macrolide antibiotic, binds with high affinity to multiple sites on the bacterial 50S ribosomal subunit, thereby blocking nascent peptide chain elongation and suppressing protein synthesis. By halting essential translation in susceptible pathogens, the compound exhibits potent bactericidal activity, providing a biological rationale for its clinical evaluation in bacterial infections such as community-acquired bacterial pneumonia and gonorrhea.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.