> Trialight public data. Index of pages: https://trialight.com/llms.txt
> Web page: https://trialight.com/data/trial/oral-sulopenem-versus-amoxicillin-clavulanate-for-d499bbcd-7d68-4675-9926-652734b68977
> Record changed: 2026-10-13

# Oral Sulopenem Versus Amoxicillin/Clavulanate for Uncomplicated Urinary Tract Infection in Adult Women

NCT05584657

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

Phase

Phase 3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

Recruitment status

Completed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

Participants

2,229

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

Lead sponsor

Iterum Therapeutics, International Limited

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

Start date

2022-10-18

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

Number of sites

167

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

## Title and summary

**Summary**

Study 310 is a clinical study which compares the effectiveness of oral sulopenem versus oral amoxicillin/clavulanate for the treatment of adult women with uncomplicated urinary tract infection.

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

**Acronym**

REASSURE

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

**Short title**

Oral Sulopenem Versus Amoxicillin/Clavulanate for Uncomplicated Urinary Tract Infection in Adult Women

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

**Official title**

A Prospective, Phase 3, Randomized, Multi-center, Double-blind Study of the Efficacy, Tolerability, and Safety of Oral Sulopenem Etzadroxil/Probenecid Versus Oral Amoxicillin/Clavulanate for Treatment of Uncomplicated Urinary Tract Infections (uUTI) in Adult Women

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

## Status and phase

**Control arm**

Active comparator

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

**Registry reports results**

Yes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

**Listing at source**

Listed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

**Recruitment status**

Completed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

**Phase**

Phase 3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

**Study type**

Interventional

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

## Dates

**Completion date**

2023-11-21

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

**First posted**

2022-10-18

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

**Registry last updated**

2024-11-20

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

**Primary completion date**

2023-11-03

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

**Start date**

2022-10-18

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

## Size and sites

**Actual participants**

2,229

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

**Participants**

2,229

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

**Participant count basis**

Actual

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

**Protocol amendments**

2

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

**Randomisation ratio**

1:1

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

**Number of sites**

167

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

## Sponsor and oversight

**Data monitoring committee**

Yes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

**Registry sponsor category**

Industry

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

**Lead sponsor**

Iterum Therapeutics, International Limited

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

**Source registry**

ClinicalTrials.gov

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

## Identifiers

**Registry ID**

NCT05584657

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

**ClinicalTrials.gov ID**

NCT05584657

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

**Registry record**

Open registry record

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

## Study design

**Allocation**

Randomised

**Model**

Parallel groups

**Purpose**

Treatment

**Masking**

Quadruple masking

**Masked roles**

Participants, Care providers, Investigators, Outcome assessors

Sources for study design

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

## Outcomes

### Primary outcomes

1. Overall Success  
Timeframe: Day 12+/-1 day  
Clinical Success (resolution of uncomplicated urinary tract infection (uUTI) symptoms present at study entry and no new symptoms) AND Microbiologic success (eradication of the baseline pathogen)
2. Overall Success Susceptible Population  
Timeframe: Day 12+/-1 day  
Clinical Success (resolution of uncomplicated urinary tract infection (uUTI) symptoms present at study entry and no new symptoms) AND Microbiologic success (eradication of the baseline pathogen)

### Secondary outcomes

1. Clinical Success Modified Intent-to-treat Population  
Timeframe: Day 12+/-1 day  
Resolution of uncomplicated urinary tract infection (uUTI) symptoms present at study entry and no new symptoms
2. Clinical Success  
Timeframe: Day 12+/-1 day  
Resolution of uncomplicated urinary tract infection (uUTI) symptoms present at study entry and no new symptoms
3. Clinical Success Susceptible Population  
Timeframe: Day 12+/-1 day  
Resolution of uncomplicated urinary tract infection (uUTI) symptoms present at study entry and no new symptoms
4. Microbiologic Success  
Timeframe: Day 12+/-1 day  
Eradication of the Baseline Pathogen
5. Microbiologic Success Susceptible Population  
Timeframe: Day 12+/-1 day  
Microbiologic Success: Eradication of the Baseline Pathogen

Sources for outcomes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

## Eligibility

**Sex**

Female

**Age groups**

Adults, Older adults

**Minimum age**

18 Years

**Healthy volunteers**

No

### Inclusion criteria

- Female patients ≥18 years of age with ≥24 hours and ≤96 hours of urinary symptoms attributable to a UTI
- Two of the following signs and symptoms of uUTI: urinary frequency, urinary urgency, pain or burning on micturition, suprapubic pain.
- A mid-stream urine specimen with evidence of pyuria as defined by either a machine-read dipstick positive for leukocyte esterase OR at least 10 white blood cells per cubic millimeter on microscopic analysis of unspun urine OR white blood cell count ≥10 cells/high-powered field (HPF) in the sediment of a spun urine

### Exclusion criteria

- Presence of signs and symptoms suggestive of acute pyelonephritis defined as: fever (temperature > 38° Celsius), chills, costovertebral angle tenderness, flank pain, nausea, and/or vomiting
- Receipt of antibacterial drug therapy potentially effective as treatment of uUTI within the prior 7 days
- Concurrent use of non-study treatments that would have a potential effect on outcome evaluations in patients with uUTI, including analgesics (e.g., non-steroidal anti-inflammatory drugs, aspirin, paracetamol etc.), phenazopyridine, and cranberry products.
- Any anatomical abnormality of the urinary tract, including surgically modified urinary tract anatomy, and obstructive uropathy due to nephrolithiasis, stricture, tumor, or fibrosis
- Ongoing urinary retention
- Neurogenic bladder
- Current resident of a long-term care facility
- Instrumentation of urinary tract in the previous 30 days
- An indwelling urinary catheter, ureteral stent or other foreign material in the urinary tract
- Any history of trauma to the pelvis or urinary tract
- Receiving hemodialysis, hemofiltration, peritoneal dialysis, or had a renal transplant
- History of allergy or hypersensitivity to carbapenems, β-lactams or probenecid, as formulated with their excipients

Sources for eligibility

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

## Sites

- Medical FacilityCullman, United States
- Medical FacilitySaraland, United States
- Medical FacilitySheffield, United States
- Medical FacilityPeoria, United States
- Medical Facility3Phoenix, United States
- Medical FacilityPhoenix, United States
- Medical Facility2Phoenix, United States
- Medical FacilityTucson, United States
- Medical Facility2Hot Springs, United States
- Medical FacilityHot Springs, United States
- Medical FacilityBakersfield, United States
- Medical FacilityChula Vista, United States
- Medical FacilityFullerton, United States
- Medical FacilityGarden Grove, United States
- Medical FacilityHuntington Beach, United States
- Medical Facility 2Huntington Park, United States
- Medical FacilityHuntington Park, United States
- Medical FacilityIrvine, United States
- Medical FacilityLa Mesa, United States
- Medical FacilityLancaster, United States
- Medical FacilityLomita, United States
- Medical Facility2Los Angeles, United States
- Medical FacilityLos Angeles, United States
- Medical FacilityPomona, United States
- Medical FacilitySacramento, United States

And 142 more, listed on the interactive page.

Sources for sites

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

## References

- PubMed 40552968  
Source: [pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/40552968/)
Related publication

Sources for references

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05584657)

## Related records

### Drugs (4)

- [Amoxicillin](https://trialight.com/data/asset/amoxicillin-09050e6a-69b4-42d1-b3eb-79212edcf388.md)
- [Clavulanate potassium](https://trialight.com/data/asset/clavulanate-potassium-0c9118d2-680f-40ea-ac27-ff8ae2e79980.md)
- [Probenecid](https://trialight.com/data/asset/probenecid-0864a3cb-3764-4994-8995-3400af689d1e.md)
- [Sulopenem etzadroxil](https://trialight.com/data/asset/sulopenem-etzadroxil-fe1372a3-ca28-4f4e-99b2-c14d6368ce95.md)

### Lead sponsors (1)

- [Iterum Therapeutics, International Limited](https://trialight.com/data/company/iterum-therapeutics-international-limited-1d93b73f-7294-4b01-bbd6-30060e730493.md)

### Conditions (2)

- [Cystitis](https://trialight.com/data/condition/cystitis-2c4484c3-baca-5bd7-a9f2-938dbb641710.md)
- [Urinary tract infection](https://trialight.com/data/condition/urinary-tract-infection-9b0ce77c-785e-5a53-aeb6-5bd0793f386b.md) Primary condition

### Targets (3)

- [SLC22A11](https://trialight.com/data/target/slc22a11-1555ecf8-5d9e-5c53-958d-c3302f3c3bf3.md)
- [SLC22A6](https://trialight.com/data/target/slc22a6-f0060e0c-1f01-505b-86bb-0e7f00115759.md)
- [SLC22A8](https://trialight.com/data/target/slc22a8-57295184-4775-5a7b-aeb0-f8fa74e89384.md)

---

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