Safety and Efficacy of BAY1192631 in Japanese Patients With Methicillin-resistant Staphylococcus Aureus (MRSA) Infections
A Prospective, Randomized, Open-label, Active-controlled, Multicenter Study to Evaluate the Efficacy and Safety of BAY 1192631 in Japanese Patients With MRSA Infections (Skin and Soft Tissue Infection [SSTI] and SSTI-related Bacteremia)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Fukuoka, Japan, 810-0001
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Gifu, Japan, 500-8513
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Kochi, Japan, 781-8555
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Kumamoto, Japan, 860-0008
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Nagasaki, Japan, 852-8501
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Osaka, Japan, 534-0021
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Shizuoka, Japan, 424-8636
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Shizuoka, Japan, 420-8527
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Toyama, Japan, 930-0194
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Aichi
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Nagakute, Aichi, Japan, 480-1195
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Nagoya, Aichi, Japan, 455-8530
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Nagoya, Aichi, Japan, 457-8510
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Toyoake, Aichi, Japan, 470-1192
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Fukui
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Yoshida, Fukui, Japan, 910-1193
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Fukuoka
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Kasuga, Fukuoka, Japan, 816-0864
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Kitakyushu, Fukuoka, Japan, 802-0077
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Miyako-gun, Fukuoka, Japan, 800-0344
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Hokkaido
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Sapporo, Hokkaido, Japan, 060-0061
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Sapporo, Hokkaido, Japan, 006-8555
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Hyogo
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Amagasaki, Hyogo, Japan, 660-8511
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Kobe, Hyogo, Japan, 650-0017
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Ibaraki
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Inashiki-gun, Ibaraki, Japan, 300-0395
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Tsukuba, Ibaraki, Japan, 305-8576
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Kanagawa
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Kamakura, Kanagawa, Japan, 247-8533
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Sagamihara, Kanagawa, Japan, 252-0375
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Yokohama, Kanagawa, Japan, 231-8682
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Kumamoto
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Koshi, Kumamoto, Japan, 861-1196
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Mie
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Tsu, Mie, Japan, 514-1101
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Miyagi
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Sendai, Miyagi, Japan, 983-8520
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Okinawa
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Nakagami-gun, Okinawa, Japan, 901-2393
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Shimajiri, Okinawa, Japan, 901-0493
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Shizuoka
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Hamamatsu, Shizuoka, Japan, 430-0929
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Iwata, Shizuoka, Japan, 438-8550
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Numazu, Shizuoka, Japan, 410-8555
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Tokyo
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Meguro-ku, Tokyo, Japan, 152-8902
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Musashimurayama, Tokyo, Japan, 208-0011
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Ota-ku, Tokyo, Japan, 145-0065
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Ota-ku, Tokyo, Japan, 143-8541
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Ota-ku, Tokyo, Japan, 143-0013
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Setagaya-ku, Tokyo, Japan, 158-8531
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Shinagawa, Tokyo, Japan, 141-8625
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Shinjuku-ku, Tokyo, Japan, 162-8655
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Tachikawa, Tokyo, Japan, 190-0014
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Tottori
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Yonago, Tottori, Japan, 683-8605
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Yamaguchi
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Shimonoseki, Yamaguchi, Japan, 750-8520
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Yamanashi
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Kofu, Yamanashi, Japan, 400-8506
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria
- Suspected or confirmed Methicillin-resistant Staphylococcus aureus (MRSA) infection
- Japanese Male and female patients aged 18 years or above
- Diagnosis of Skin and soft tissue infection with MRSA either suspected or confirmed as the major cause of infection, with/without SSTI (skin and soft tissue infection)-derived MRSA bacteremia suspected
Exclusion Criteria:
- Having received any systemic antibacterial potentially effective against MRSA for >/=24 hours within 3 days prior to the first infusion of a study drug, or having received/expected to receive the medication within 24 hours prior to the first infusion, unless antibacterial therapy for >/=72 hours proves to be ineffective on or lack appropriate potency (resistant) to MRSA.
- Moribund clinical condition such as death likely within the first 3 days of a study drug treatment
- History of significant allergy or intolerance to linezolid or BAY1192631
- Known or suspected human immunodeficiency virus (HIV) infection with a CD4+ T-cell count < 200/μL
- Chronic treatment with immunosuppressive drugs
- Active tuberculosis or non-tuberculous mycobacteriosis which need medical treatments
- Current or anticipated neutropenia with neutrophil count < 1,000/ mm^3
- Alanine aminotransferase (ALT) or Aspartate aminotransferase (AST) >/= 8 times the upper limit of reference range OR moderate to severe hepatic disease with Child Pugh score >/=10.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Tedizolid Phosphate (Sivextro, BAY1192631)
Participants received 200 mg BAY1192631 solution or tablet once daily (intravenous (I.V.) or oral (PO))
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BAY1192631 solution or tablet 200 mg, once daily, Intravenous (IV) or By Mouth (PO) for 7-14 days for skin and soft tissue infections (SSTI) or 7-21 days for bacteremia.
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Active Comparator: Linezolid
Participants received 600 mg Linezolid solution or tablet twice daily, every 12 ± 3 hours (intravenous (I.V.) or oral (PO))
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Linezolid solution or tablet 600 mg, twice daily, every 12 ±3 hours, Intravenous (IV) or By mouth (PO) 7-14 days for skin and soft tissue infections (SSTI) or 7-21 days for bacteremia.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Clinical Response at Test of Cure (TOC)
Time Frame: 7-14 days after the end of treatment (EOT) for skin and soft tissue infections (SSTI) and 4-6 weeks after EOT for bacteremia
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Clinical response was evaluated by the masked investigator as clinical cure, clinical failure and indeterminate on the basis of the clinical symptoms/findings, vital sign and laboratory data from screening period to each evaluation point.
Measurements for the assessment of clinical response included body temperature, pulse/heart rate, respiration rate, and white blood cell or band cell count.
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7-14 days after the end of treatment (EOT) for skin and soft tissue infections (SSTI) and 4-6 weeks after EOT for bacteremia
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Microbiological Response at Test of Cure (TOC)
Time Frame: 7-14 days after the end of treatment (EOT) for skin and soft tissue infections (SSTI) and 4-6 weeks after EOT for bacteremia
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Microbiological response was assessed in accordance with the Guidance for the method of microbiological assessment by Japanese Chemotherapy Society.
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7-14 days after the end of treatment (EOT) for skin and soft tissue infections (SSTI) and 4-6 weeks after EOT for bacteremia
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Clinical Response at End of Treatment Visit (EOT)
Time Frame: 7-14 days for skin and soft tissue infections (SSTI) or 7-21 days for bacteremia from the study drug administration
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Clinical response was evaluated by the masked investigator as effective, ineffective and indeterminate on the basis of the clinical symptoms/findings, vital sign and laboratory data from screening period to each evaluation point.
Measurements for the assessment of clinical response included body temperature, pulse/heart rate, respiration rate, and white blood cell or band cell count.
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7-14 days for skin and soft tissue infections (SSTI) or 7-21 days for bacteremia from the study drug administration
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Microbiological Response at End of Treatment (EOT)
Time Frame: 7-14 days for skin and soft tissue infections (SSTI) or 7-21 days for bacteremia from the study drug administration
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Microbiological response was assessed in accordance with the Guidance for the method of microbiological assessment by Japanese Chemotherapy Society.
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7-14 days for skin and soft tissue infections (SSTI) or 7-21 days for bacteremia from the study drug administration
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Change of the Lesion Size From the Screening Visit by Visit (Only Skin and Soft Tissue Infection [SSTI])
Time Frame: Multiple time points up to 7-14 days after the end of treatment
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Lesion size was measured by the masked investigators of erythema, edema, or induration whichever is largest.
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Multiple time points up to 7-14 days after the end of treatment
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Reduction Ratio of the Lesion Size From the Screening Visit to Day 3 to Day 4 Visit (Only Skin and Soft Tissue Infection [SSTI])
Time Frame: Baseline and Day 3/4, Day 5/13, EOT, TOC
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Lesion size was measured by the masked investigators of erythema, edema, or induration whichever is largest.
Reduction ratio (%) = 100 * (the post baseline value - baseline value) / baseline value.
Negative values represent reduction of lesion size compared to baseline.
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Baseline and Day 3/4, Day 5/13, EOT, TOC
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Pathologic Processes
- Disease Attributes
- Infections
- Communicable Diseases
- Skin Diseases, Infectious
- Soft Tissue Infections
- Skin Diseases
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Enzyme Inhibitors
- Anti-Bacterial Agents
- Protein Synthesis Inhibitors
- Linezolid
- Tedizolid
- Tedizolid phosphate
Other Study ID Numbers
Other Study ID Numbers
- 16099 (Other Identifier: City of Hope Medical Center)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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