NUZYRA

The pharmacokinetic parameters of NUZYRA after single and multiple oral and intravenous doses are summarized in Table 6 .

Table 6Mean (SD) Pharmacokinetic Parameters of NUZYRA in Healthy Adult Subjects Dose and Route of Administration 100 mg IV 300 mg Oral 450 mg Oral C max = maximum plasma concentration, AUC = area under concentration-time curve, IV = intravenous, ND = not determined, T max = time to C max PK Parameters All PK parameters presented as mean (standard deviation), Number of Subje...

14.1 Community-Acquired Bacterial Pneumonia A total of 774 adults with CABP were randomized in a multinational, double-blind, double-dummy trial (

Trial 1NCT #02531438) comparing NUZYRA to moxifloxacin. NUZYRA was administered 100 mg intravenously every 12 hours for two doses on Day 1, followed by 100 mg intravenously daily, or 300 mg orally, daily. Moxifloxacin 400 mg was administered intravenously or orally daily. Total treatment duration was 7-14 days. All enrolled patients were expected to require a minimum of at least 3 days of intravenous treatment. Efficacy and safety of an oral loadin...

The following clinically significant adverse reactions are described in greater detail in the Warnings and Precautions section of labeling: Mortality Imbalance in Patients with Community-Acquired Bacterial Pneumonia [see Warnings and Precautions (5.1) ] Tooth Development and Enamel Hypoplasia [see Warnings and Precautions (5.2) ] Inhibition of Bone Growth [see Warnings and Precautions (5.3) ] Hypersensitivity Reactions [see Warnings and Precautions (5.4) ] Tetracycline Class Effects [see Warning...

NUZYRA is contraindicated in patients with known hypersensitivity to omadacycline or tetracycline class antibacterial drugs, or to any of the excipients [see Warnings and Precautions (5.3) and Adverse Reactions (6.1) ]. Known hypersensitivity to omadacycline, tetracycline class antibacterial drugs or any of the excipients in NUZYRA ( 4 )

Mortality Imbalance in Patients with CABP : In the CABP trial, mortality rate of 2% was observed in NUZYRA-treated patients compared to 1% in moxifloxacin-treated patients. The cause of the mortality imbalance has not been established. Closely monitor clinical response to therapy in CABP patients, particularly in those at higher risk for mortality. ( 5.1 , 6.1 ) Tooth Discoloration and Enamel Hypoplasia : The use of NUZYRA during tooth development (last half of pregnancy, infancy and childhood t...

7 DRUG INTERACTIONS Patients who are on anticoagulant therapy may require downward adjustment of their anticoagulant dosage while taking NUZYRA. ( 7.1 ) Absorption of tetracyclines, including NUZYRA, is impaired by antacids containing aluminum, calcium, or magnesium, bismuth subsalicylate and iron containing preparations. ( 2.1 , 7.2 ) 7.1 Anticoagulant Drugs Because tetracyclines have been shown ...