- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg 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
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
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
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Fase 2
Kontakter og lokationer
Studiesteder
-
-
Idaho
-
Idaho Falls, Idaho, Forenede Stater, 83404
- Idaho Falls Infectious Diseases, PLLC
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
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
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
|---|
|
Clinical Response Rate at TOC
|
Sekundære resultatmål
Resultatmål |
|---|
|
difference between clinical response rates at EOT
|
|
microbiological eradication rates
|
Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Ledende efterforsker: Richard Nathan, D.O., Idaho Falls Infectious Diseases, PLLC
Publikationer og nyttige links
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- DAP-HDSD-06-01
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
Kliniske forsøg med Blødt vævsinfektioner
-
University GhentOsteology FoundationAktiv, ikke rekrutterende
-
Jianfeng XieRekrutteringCLABSI - Central Line Associated Bloodstream InfectionKina
-
Fondazione Policlinico Universitario Agostino Gemelli...Lo.Li.Pharma s.r.lIkke rekrutterer endnuHPV - Anogenital Human Papilloma Virus Infection | Infertilitet
-
University of Santiago de CompostelaOsteology FoundationRekruttering
-
University of GaziantepIkke rekrutterer endnuHPV - Anogenital Human Papilloma Virus Infection | Kræft, sund | Sundheds tro model
-
Assiut UniversityIkke rekrutterer endnuCLABSI - Central Line Associated Bloodstream Infection | Perifert indsat central kateter | Umbilical venekateter
-
Institut PasteurRekruttering
-
OnxeoSpectrum Pharmaceuticals, IncAfsluttetDosiseskalering: Faste tumorer | MTD: Soft Tissue SarkomerDanmark, Det Forenede Kongerige
-
Universidad del DesarrolloAfsluttetHealthcare Associated InfectionChile
-
The University of Texas Health Science Center,...EurofinsAfsluttetOdontogen Deep Space Neck InfectionForenede Stater
Kliniske forsøg med Vancomycin
-
Case Western Reserve UniversityCystic Fibrosis FoundationTrukket tilbageCystisk fibrose | Methicillin-resistente Staphylococcus AureusForenede Stater
-
St. Luke's Hospital, Chesterfield, MissouriAfsluttetClostridium Difficile infektion | Profylakse | Vancomycin
-
University of FloridaAfsluttet
-
Başakşehir Çam & Sakura City HospitalRekrutteringDiabetisk fodinfektion | Diabetisk amputationsfodsår | Diabetisk fodsygdomTyrkiet (Türkiye)
-
The Methodist Hospital Research InstituteIkke rekrutterer endnu
-
Alberta Hip and Knee ClinicUniversity of CalgaryIkke rekrutterer endnuInfektion af total hofteledsprotese | Infektion af total knæledsprotese
-
Memorial Sloan Kettering Cancer CenterAfsluttetHæmatologiske maligniteter | Streptokok sepsisForenede Stater
-
William Beaumont HospitalsBeaumont HospitalTrukket tilbageClostridium Difficile ColitisForenede Stater
-
The Canberra HospitalUkendt
-
The Methodist Hospital Research InstituteRekruttering