Evidence map›Paper›PMID 29617982›Full record

Trial reportClinical infectious diseases : an official publication of the Infectious Diseases Society of America2018

Gepotidacin for the Treatment of Uncomplicated Urogenital Gonorrhea: A Phase 2, Randomized, Dose-Ranging, Single-Oral Dose Evaluation.

Stephanie N Taylor, David H Morris, Ann K Avery, Kimberly A Workowski, Byron E Batteiger, Courtney A Tiffany, Caroline R Perry, Aparna Raychaudhuri, Nicole E Scangarella-Oman, Mohammad Hossain and 1 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02294682 (A Phase II, Randomized, Multicenter, Dose-Ranging Study in Adult Subjects Evaluating the Efficacy, Safety, and Tolerability of Single Doses of GSK2140944 in the Treatment of Uncomplicated Urogenital Gonorrhea Caused by Neisseria Gonorrhoeae), which is not on this map. Cited by 88 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed, 3 pooled it
11.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02294682 phase2completednot on this map

A Phase II, Randomized, Multicenter, Dose-Ranging Study in Adult Subjects Evaluating the Efficacy, Safety, and Tolerability of Single Doses of GSK2140944 in the Treatment of Uncomplicated Urogenital Gonorrhea Caused by Neisseria Gonorrhoeae

TypeinterventionalSponsorGlaxoSmithKlineRan2015 to 2016Enrolled106ConditionsGonorrheaArmsGSK2140944
3 · Its place in the literature

Who cites it

88 citing papers in PubMed, 3 syntheses or guidelines pooled it, 164 citations in OpenAlex.

  1. Pooled it
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  3. Pooled it
  4. Trial
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  6. Trial
  7. Trial
  8. Article
  9. Article
  10. Article
  11. Antimicrobial resistance crisis in STIs: Gonorrhea andNew microbes and new infections · 2026
    Review
  12. Fluoroquinolone resistance-conferringbioRxiv : the preprint server for biology · 2026
    Article
  13. Article
  14. Article
  15. Repurposing epetraborole to combatAntimicrobial agents and chemotherapy · 2026
    Article
  16. Article
  17. Article
  18. Review
  19. CommensalAnnual review of microbiology · 2025
    Review
  20. Review

28 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 1 country.

Stephanie N TaylorSection of Infectious Disease, Louisiana State University Health Sciences Center, New Orleans.
David H MorrisDesert AIDS Project, Palm Springs, California.
Ann K AveryDepartment of Medicine, Division of Infectious Diseases, MetroHealth Medical Center, Cleveland, Ohio.
Kimberly A WorkowskiDepartment of Medicine, Division of Infectious Diseases, Emory University Department of Medicine, Atlanta, Georgia.
Byron E BatteigerDepartment of Medicine, Division of Infectious Diseases, Indiana University School of Medicine, Indianapolis.
Courtney A TiffanyResearch & Development, GlaxoSmithKline, Collegeville, Pennsylvania.
Caroline R PerryResearch & Development, GlaxoSmithKline, Collegeville, Pennsylvania.
Aparna RaychaudhuriResearch & Development, GlaxoSmithKline, Collegeville, Pennsylvania.
Nicole E Scangarella-OmanResearch & Development, GlaxoSmithKline, Collegeville, Pennsylvania.
Mohammad HossainResearch & Development, GlaxoSmithKline, Collegeville, Pennsylvania.
Etienne F DumontResearch & Development, GlaxoSmithKline, Collegeville, Pennsylvania.
GlaxoSmithKline (United States) · USDesert AIDS Project · USEmory University · USIndiana University – Purdue University Indianapolis · USLouisiana State University Health Sciences Center New Orleans · USMetroHealth · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In this phase 2 study, we evaluated the efficacy and safety of oral gepotidacin, a novel triazaacenaphthylene bacterial type II topoisomerase inhibitor, for the treatment of uncomplicated urogenital gonorrhea. Methods: Adult participants with suspected urogenital gonorrhea were enrolled and completed baseline (day 1) and test-of-cure (days 4-8) visits. Pretreatment and posttreatment urogenital swabs were collected for Neisseria gonorrhoeae (NG) culture and susceptibility testing. Pharyngeal and rectal swab specimens were collected if there were known exposures. Participants were stratified by gender and randomized 1:1 to receive a 1500-mg or 3000-mg single oral dose of gepotidacin. Results: The microbiologically evaluable population consisted of 69 participants, with NG isolated from 69 (100%) urogenital, 2 (3%) pharyngeal, and 3 (4%) rectal specimens. Microbiological eradication of NG was achieved by 97%, 95%, and 96% of participants (lower 1-sided exact 95% confidence interval bound, 85.1%, 84.7%, and 89.1%, respectively) for the 1500-mg, 3000-mg, and combined dose groups, respectively. Microbiological cure was achieved in 66/69 (96%) urogenital infections. All 3 failures were NG isolates that demonstrated the highest observed gepotidacin minimum inhibitory concentration of 1 µg/mL and a common gene mutation. At the pharyngeal and rectal sites, 1/2 and 3/3 NG isolates, respectively, demonstrated microbiological cure. There were no treatment-limiting adverse events for either dose. Conclusions: This study demonstrated that single, oral doses of gepotidacin were ≥95% effective for bacterial eradication of NG in adult participants with uncomplicated urogenital gonorrhea. Clinical Trials Registration: NCT02294682.

Indexed as

AcenaphthenesAdministration, OralAdolescentAdultAgedAnti-Bacterial AgentsDrug Administration ScheduleFemaleFemale Urogenital DiseasesGonorrheaHeterocyclic Compounds, 3-RingHumansMaleMale Urogenital DiseasesMicrobial Sensitivity TestsMiddle AgedAcenaphthenesAnti-Bacterial AgentsgepotidacinHeterocyclic Compounds, 3-Ring

Identifiers

PMID29617982
PMCPMC6070052
OpenAlexW2795880500

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.