- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00426933
Phase 2 Safety and Efficacy Study of Daptomycin in Complicated Skin and Skin Structure Infections
Phase 2 Multicenter Randomized Semi-Single Blind Study to Compare Efficacy and Safety of High-dose Short Duration Daptomycin With Conventional Therapy in Complicated Skin and Skin Structure Infections Due to Gram-positive Bacteria
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
multicenter, randomized (1:1), semi-single blind study comparing the safety and efficacy of HDSD daptomycin (10 mg/kg q24h for 4 days) with that of comparator (vancomycin +/- SSP for 7-14 days) in patients with cSSSI due to Gram-positive bacteria. Patients will be randomized on a 1:1 basis to receive either daptomycin 10 mg/kg i.v. q24h for 4 days or vancomycin 1 g. q12h for up to 14 days.
The main criteria for evaluation will be:
- Efficacy
- Safety
- Microbiologic eradication
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
Idaho
-
Idaho Falls, Idaho, United States, 83404
- Idaho Falls Infectious Diseases, PLLC
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Informed consent obtained
- Male or female ≥18 years of age
- If female of childbearing potential, willing to practice reliable birth control measures and documented negative pregnancy test
- Skin and skin structure infections of a complicated nature that require intravenous antibiotic treatment
- Gram-positive infecting pathogen
- Physician determination that vancomycin would be the initial treatment of choice
At least three clinical signs and symptoms associated with the cSSSI:
- Pain;
- Tenderness to palpation;
- Elevated Temperature;
- Elevated White blood count;
- Swelling and/or induration;
- Erythema (>1 cm beyond edge of wound or abscess);
- Pus formation;
- Creatinine clearance of ≥50 mL/min.
Exclusion Criteria:
- MSSA
- Known or suspected bacteremia, osteomyelitis, or endocarditis
- Primary study infection of an uncomplicated nature such as furuncles, simple abscesses, cellulitis not requiring i.v., perirectal abscess, hidradenitis suppurativa, third degree burn infections or other minor infections;
- Conditions where required surgery (in and of itself) constitutes curative treatment of the infection (e.g., amputation);
- Necrotizing infections or concomitant gangrene;
- Myositis with or without skin and skin structure infections;
- Hemodialysis or peritoneal dialysis;
- BMI ≥40 kg/m2;
- Previous antibiotics exceeding 24 hours within the 48 hours prior to the first dose of study drug
- Patients admitted for rhabdomyolysis including drug overdose
- Neutropenic patients with absolute neutrophil count ≤500 cells/mm3
- Known HIV-infected patients with CD4 count ≤200 cells/ mm3;
- Baseline CPK values ≥2 X ULN (upper limit of normal);
- Has received an investigational drug within 30 days of study entry;
- Known to be allergic or intolerant to study medications;
- unlikely to comply with study procedures
- Is expected to receive HMG CoA Reductase Inhibitors from enrollment through End of Treatment
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
---|
Clinical Response Rate at TOC
|
Secondary Outcome Measures
Outcome Measure |
---|
difference between clinical response rates at EOT
|
microbiological eradication rates
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Richard Nathan, D.O., Idaho Falls Infectious Diseases, PLLC
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- DAP-HDSD-06-01
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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