- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04042077
Delafloxacin IV and OS Administration Compared to Best Available Therapy in Patients With Surgical Site Infections (DRESS)
A Randomized, Observer-blinded, Active-controlled, Phase Illb Study to Compare IV / Oral Delafloxacin Fixed-dose Monotherapy With Best Available Treatments in a Microbiologically Enriched Population With Surgical Site Infections
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This is a randomized, observer-blinded, active-controlled, parallel-group, multicenter, phase IIIb study for the treatment of incisional, superficial or deep, surgical site infection after cardiothoracic /related leg or abdominal surgery (i.e patients who are at risk of microbiologically resistant infections). IV to be switched to oral delafloxacin will be compared to treatments that represent the best available therapy (BAT) for either cardiothoracic/related leg or abdominal surgical site infection (SSI).
Approximately 600 male and female eligible patients will be randomly assigned in a 1:1 ratio to receive delafloxacin or BAT. For patients who are randomised to BAT, the investigator will choose one out of two treatments available (two available for the cardiothoracic/related leg and two available for abdominal SSI) as most appropriate for patient characteristics and local epidemiological pattern.
Duration of study depends on treatment duration (range: minimum 5 to maximum 14 days, as per Investigator's judgment) followed by visits up to 30 days after end of treatment.
Patients will be hospitalized from Screening (within 30 days from surgery) and will remain hospitalized until considered improved or cure as per Investigator's judgment.
Study Type
Enrollment (Actual)
Phase
- Phase 3
Contacts and Locations
Study Locations
-
-
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Roma, Italy
- Hospital Agostino Gemelli
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Male or female patients aged more than 18 years.
- Patients with a history of cardiothoracic / related leg or abdominal surgery, occurred within 30 days and no implant is left in place, and a diagnosis of superficial or deep SSI according to the CDC definition.
- The severity of infection requires an IV treatment and patient hospitalization according to the Investigator's judgment.
Exclusion Criteria:
- Previous IV antimicrobial therapy exceeding 24-hour duration during 72 hours prior to first dose.
- Any infection expected to require systemic antimicrobial agents other than study treatment(s).
- Medical history of significant hypersensitivity or allergic reaction or contraindication to the study drugs
- Medical history of central nervous system (CNS) disorders
- Medical history of myasthenia gravis.
- Medical history of C. difficile diarrhea.
- Organ-space infection.
- Complicated Intra-Abdominal Infection (cIAI)
- Chronic or underlying conditions at site of infection that may complicate the assessment of clinical response or would interfere with SSI healing.
- Underlying disease leading to deep immunosuppressive status.
- End-stage renal disease, CrCl <15 mL/min.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Delafloxacin
Delafloxacin IV, with the option to switch to delafloxacin oral
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Powder for solution for infusion 300 mg or tablet 450 mg, BID, for 5 to 14 days
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Active Comparator: Best Available Therapy
Cardiothoracic / related leg SSI
In case of suspicion of Gram-negative, additional therapy shall be added as per investigator's choice Abdominal SSI
In case of suspicion of MRSA, if the pre-selected treatment is Piperacillin/Tazobactam, additional therapy shall be added as per investigator's choice. |
Powder for solution for infusion 15mg/kg, BID, for 5 to 14 days
Solution for infusion or tablet, 600 mg BID, for 5 to 14 days
Powder for solution for infusion 4/0.5 g, TID, for 5 to 14 days
Powder for solution for infusion 50 mg, TID, for 5 to 14 days
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of Participants With Clinical Success at Test Of Cure Visit
Time Frame: 7-14 days after last dose
|
Clinical Success defined as the clinical response of "Cure" or "improved". Below the definitions:
|
7-14 days after last dose
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Hospital Infection Related Length of Stay (IRLOS)
Time Frame: up to 14 days
|
Length of Stay since beginning of therapy till patient stabilization and considered suitable for hospital discharge
|
up to 14 days
|
Hospital Length of Stay (LOS)
Time Frame: up to 45 days (Late Follow Up visit)
|
Length of Stay since Screening till actual hospital discharge
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up to 45 days (Late Follow Up visit)
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Number of Participants Eligible to Switch to Oral Formulation According to Blinded Observer's Assessment
Time Frame: up to 14 days
|
Blinded assessment based on patient stabilization and ability to tolerate OS diet. In particular, the following details had to be met: Systolic blood pressure normal/not clinically significant abnormal No infection related tachycardia Afebrile status; body temperature <38°C for at least 24 hours* WBC count normalized/not clinically significant abnormal Patient able to tolerate PO diet/to take PO treatment and no GI absorption problem The measure counts only the participants eligible to switch, without taking into account the actually switched. Indeed, only linezolid in the BAT has an equivalent oral formulation suitable for the switch. |
up to 14 days
|
Microbiological Response
Time Frame: up to 14 days (End Of Treatment visit) and 7-14 days after last dose (Test Of Cure visit)
|
Documented or presumed eradication or persistence
|
up to 14 days (End Of Treatment visit) and 7-14 days after last dose (Test Of Cure visit)
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Stefano Margaritora, Hospital Agostino Gemelli
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Pathologic Processes
- Postoperative Complications
- Disease Attributes
- Wound Infection
- Infections
- Communicable Diseases
- Surgical Wound Infection
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Enzyme Inhibitors
- Anti-Bacterial Agents
- Protein Synthesis Inhibitors
- beta-Lactamase Inhibitors
- Vancomycin
- Linezolid
- Tigecycline
- Piperacillin
- Tazobactam
- Piperacillin, Tazobactam Drug Combination
Other Study ID Numbers
- DELA-01
- 2018-001082-17 (EudraCT Number)
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.
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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