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급성 세균성 피부 및 피부 구조 감염 환자 치료에서의 세프토비프롤

2026년 9월 17일 업데이트: Basilea Pharmaceutica

급성 세균성 피부 및 피부 구조 감염의 치료에서 Vancomycin + Aztreonam과 비교하여 Ceftobiprole Medocaril의 안전성 및 효능을 확립하기 위한 무작위, 이중 맹검, 다기관 연구

This was a randomized, double-blind, active-controlled, parallel-group, multicenter study in adult hospitalized patients to establish the safety and efficacy of ceftobiprole medocaril compared with vancomycin plus aztreonam in the treatment of acute bacterial skin and skin structure infections (ABSSSIs).

연구 개요

상태

완전한

정황

개입 / 치료

상세 설명

This was a randomized, double-blind, active-controlled, parallel-group, multicenter study in adult hospitalized patients with ABSSSIs. Randomization was stratified by study site and type of ABSSSI (with major cutaneous abscess comprising ≤ 30% of the Intent-to-Treat [ITT] population).

Primary endpoint for FDA: Early clinical response based on the percent reduction in lesion size at 48-72 hours compared to baseline in patients who did not receive rescue therapy and were alive, in the ITT population.

Primary endpoint for EMA: Investigator-assessed clinical success at the test-of-cure (TOC) visit 15-22 days after randomization, in the co-primary ITT and Clinically Evaluable (CE) populations.

연구 유형

중재적

등록 (실제)

679

단계

  • 3단계

연락처 및 위치

이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.

연구 장소

    • California
      • Anaheim, California, 미국, 92804
        • Saint Joseph's Clinical Research
      • Anaheim, California, 미국, 92804
        • Physician Alliance Research Center
      • Chula Vista, California, 미국, 91911
        • eStudySite - Chula Vista - PPDS
      • Fresno, California, 미국, 93721
        • Central Valley Research LLC
      • Huntington Beach, California, 미국, 92647
        • Marvel Clinical Research
      • La Mesa, California, 미국, 91942
        • eStudySite - La Mesa - PPDS
      • La Palma, California, 미국, 90623
        • Omnibus Clinical Research
      • Long Beach, California, 미국, 90813
        • Alliance Research LLC
      • Long Beach, California, 미국, 90813
        • Long Beach Clinical Trials
      • Modesto, California, 미국, 95350
        • Central Valley Research, LLC
    • Florida
      • Coral Gables, Florida, 미국, 33134
        • Gonzalez MD and Aswad MD Health Services
      • Miami, Florida, 미국, 33144
        • L&C Professional Medical Research Institute
    • Montana
      • Butte, Montana, 미국, 59701
        • Mercury Street Medical Group
    • Nevada
      • Las Vegas, Nevada, 미국, 89109
        • Excel Clinical Research
      • Las Vegas, Nevada, 미국, 89109
        • eStudySite - Las Vegas - PPDS
    • New Jersey
      • Somers Point, New Jersey, 미국, 08244
        • South Jersey Infectious Disease
      • Pleven, 불가리아, 5800
        • University Multiprofile Hospital for Active Treatment
      • Plovdiv, 불가리아, 4004
        • University Multiprofile Hospital for Active Treatment
      • Rousse, 불가리아, 7002
        • University Multiprofile Hospital for Active Treatment
      • Sofia, 불가리아, 1606
        • "University Multiprofile Hospital for Active Treatment and Emergency Medicine ""N. I. Pirogov"", Clinic of Purulent-Septic Surgery-"N.I. Pirogov""
      • Dnipro, 우크라이나, 49005
        • Dnipropetrovsk I.I. Mechnуkov Regional Clinical Hospital, Surgery Department #2
      • Ivano-Frankivsk, 우크라이나, 76008
        • Ivano-Frankivsk City Clinical Hospital Surgery 1
      • Ivano-Frankivsk, 우크라이나, 76018
        • Ivano-Frankivsk City Clinical Hospital General Surgery
      • Kyiv, 우크라이나, 03110
        • Kyiv City Clinical Hospital
      • Lviv, 우크라이나, 79000
        • Public City Clinical Hospital of Emergency Medical Care
      • Lviv, 우크라이나, 79059
        • Lviv Regional Clinical Hospital
      • Uzhhorod, 우크라이나, 88000
        • Central City Clinical Hospital
      • Vinnytsia, 우크라이나, 21018
        • Vinnytsia M.I. Pyrohov Regional Clinical Hospital
      • Zaporizhia, 우크라이나, 69000
        • Zaporizhia City Clinical Hospital of Urgent and Emergency Medical Care
      • Zhytomyr, 우크라이나, 12430
        • Central District Hospital
      • Kaposvár, 헝가리, 7400
        • Kaposi Mor Teaching Hospital
      • Miskolc, 헝가리, 3529
        • CRU Hungary Ltd.
      • Szeged, 헝가리, 6720
        • University of SzegednAlbert Szent-Gyorgyi Clinical Center
      • Veszprém, 헝가리, 8200
        • Csolnoky Ferenc Hospital

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

18년 이상 (성인, 고령자)

건강한 자원 봉사자를 받아들입니다

아니

연구 대상 성별

모두

설명

INCLUSION CRITERIA

  1. Male or female, aged ≥18 years.

  2. Diagnosis of ABSSSI, meeting at least one of the definitions in (a) to (c) below. Local symptoms must have started within the 7 days prior to the Screening visit:

    1. Cellulitis/erysipelas, defined as a diffuse skin infection characterized by all of the following within 24 hours:

      • i. Rapidly spreading areas of erythema, edema, and/or induration with a minimum total lesion surface area of 75cm^2

      • ii. No collection of pus apparent upon visual examination

      • iii. At least two of the following local signs of infection:

        • erythema
        • induration
        • localized warmth
        • pain or tenderness on palpation
        • swelling/edema
    2. Major cutaneous abscess, defined as infection characterized by a collection of pus within the dermis or deeper that is apparent upon visual examination before or after therapeutic intervention and is accompanied by all of the following within 24 hours:

      • i. Erythema, edema and/or induration with a minimum total lesion surface area of 75 cm^2.

      • ii. At least two of the following local signs of infection:

        • fluctuance
        • incision and drainage required
        • purulent or seropurulent drainage
        • localized warmth
        • pain or tenderness on palpation
    3. Wound infection, defined as infection of any apparent break in the skin characterized by at least one of the following:

      • i. Superficial incision/surgical site infection meeting all of the following criteria:

        • involves only the skin or subcutaneous tissue around the incision (does not involve fascia).
        • occurs within 30 days of procedure.
        • purulent drainage (spontaneous or therapeutic) with surrounding erythema, edema and/ or induration with a minimum total lesion surface area of 75cm^2.
      • ii. Post-traumatic wound (including penetrating trauma, e.g., needle, nail, knife, insect and spider bites) meeting the following criterion within 24 hours:

        • Purulent drainage (spontaneous or therapeutic) with surrounding erythema, edema and/or induration with a minimum total lesion surface area of 75cm^2.
  3. At least one of the following regional or systemic signs of infection at the Screening visit:

    1. Lymph node tenderness and volume increase, or palpable lymph node proximal to the primary ABSSSI.
    2. Fever > 38 °C/100.4 °F measured orally, > 38.5 °C / 101.3 °F measured tympanically, > 37.5 °C / 99.5 °F measured by the axillary method, or > 39 °C / 102.2 °F measured rectally.
    3. White blood cell (WBC) count > 10.0 × 10^9/L or < 4.0 × 10^9/L.
    4. > 10% immature neutrophils (band forms).
  4. Requirement for IV antibacterial treatment.

  5. Willing and able to adhere to study procedures (including prohibitions and restrictions) as specified in this protocol.

  6. Willing and able to remain hospitalized (in a hospital or equivalent medical confinement or clinical research unit) until completion of the early-clinical-response assessment for the primary endpoint.

  7. Informed consent signed by the patient, or their legally acceptable representative if appropriate, indicating that they understand the purpose of, and procedures required for, the study, and are willing to participate.

EXCLUSION CRITERIA

Patients meeting any one of the following:

  1. Use of any systemic antibacterial treatment within 14 days, or topical antibacterial administration on the primary lesion within 96 hours, before first infusion of study drug.

    Exception: Receipt of a single dose of a short acting (half-life ≤ 12 hours) antibacterial therapy (e.g., for surgical prophylaxis) within > 3 days before randomization (i.e., patients cannot have received any antibacterial treatment within 72 hours of randomization).

  2. Contraindication to the administration of either of the study treatments, including known clinically-relevant hypersensitivity to related antibacterial treatments (e.g., beta-lactam and glycopeptide antibiotics), or to metronidazole if required as adjunctive therapy.

  3. Participation in any other clinical study within the 30 days prior to randomization, or any prior participation in this study.

  4. The primary ABSSSI is an uncomplicated skin and skin structure infection, such as furuncles, minor abscesses (area of suppuration not surrounded by cellulitis/erysipelas), impetiginous lesions, superficial or limited cellulitis/erysipelas, or minor wound infections (e.g., stitch abscesses).

  5. The primary ABSSSI is due to, or associated with, any of the following:

    1. Diabetic foot infection, gangrene, or perianal abscess.
    2. Concomitant infection at another site (e.g., septic arthritis, endocarditis, osteomyelitis), not including a secondary ABSSSI lesion.
    3. Infected burns.
    4. Decubitus or chronic skin ulcer, or ischemic ulcer due to peripheral vascular disease (arterial or venous).
    5. Any evolving necrotizing process (e.g., necrotizing fasciitis).
    6. Infections at vascular catheter sites, or involving thrombophlebitis.
  6. The primary ABSSSI is associated with, or in close proximity to, a prosthetic device.

  7. Patients who are placed in a hyperbaric chamber as adjunctive therapy for the ABSSSI.

  8. Patients expected to require more than two surgical interventions in the operating room for the ABSSSI.

  9. Severe sepsis or septic shock.

  10. Significant or life-threatening condition (e.g., endocarditis, meningitis) that would confound, or interfere with, the assessment of the ABSSSI.

  11. Another severe, acute or chronic medical condition, psychiatric condition, or laboratory abnormality that may increase the risks associated with study participation or administration of the investigational product, or may interfere with the interpretation of study results, and which, in the judgment of the investigator, would make the patient inappropriate for entry into this study.

  12. Receiving treatment for active tuberculosis.

  13. Absolute neutrophil count < 0.5 × 10^9/L.

  14. Recent history of opportunistic infections (i.e., within 30 days) if the underlying cause of these infections is still active (e.g., leukemia, transplant, acquired immunodeficiency syndrome [AIDS]).

  15. Patients receiving systemic steroids (> 40 mg per day prednisolone, or equivalent), or receiving immunosuppressant drugs.

  16. Requirement for peritoneal dialysis, plasmapheresis, hemodialysis, venovenous dialysis, or other forms of renal filtration, or expected to require such treatment before the TOC visit.

  17. Alanine transaminase (ALT) or aspartate transaminase (AST) levels ≥ 8× the upper limit of normal, OR severe hepatic disease with Child-Pugh class C.

  18. Women who are pregnant or nursing.

  19. Women who are of childbearing potential and unwilling to use an acceptable method of birth control during the study: female sterilization (bilateral tubal occlusion or oophorectomy, or hysterectomy) or male partner vasectomy; intrauterine device (IUD); combined (estrogen and progesterone containing) hormonal contraception (oral, vaginal ring, or transdermal patch) with an ethinylestradiol dose of at least 30 µg, plus use of male condoms (preferably with spermicides), female condoms, a female diaphragm or a cervical cap; or total sexual abstinence.

    Women are not considered to be of childbearing potential if they are either ≥ 1 year post-menopausal (where menopause is defined as at least 12 months of amenorrhea), or have a serum follicle stimulating hormone (FSH) measurement consistent with post-menopausal status according to local laboratory thresholds. An FSH measurement at Screening is to be obtained for post-menopausal females aged < 50 years, or for those aged ≥ 50 years who have been post-menopausal for < 2 years.

  20. Inability to start study-drug therapy within 24 hours of Screening.

  21. Patients with illicit drug use within 12 months of screening, including heroin, other opioids (unless prescribed for medical reasons unrelated to heroin substitution), cocaine / crack cocaine, and amphetamine or methamphetamine. Exception: Cannabis use.

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

  • 주 목적: 치료
  • 할당: 무작위
  • 중재 모델: 병렬 할당
  • 마스킹: 네 배로

무기와 개입

참가자 그룹 / 팔
개입 / 치료
실험적: ceftobiprole medocaril

Patients treated with ceftobiprole medocaril 500 mg q8h (with dose adjustment for renal impairment).

ceftobiprole 500 mg was to be administered every 8 hours as a 2-hour IV infusion (with dose adjustment for renal impairment). The treatment duration was for a minimum of 5 days and a maximum of 10 days. Treatment could be extended up to 14 days if in the investigator's opinion this was required, and the extension was approved by the sponsor's medical monitor.

다른 이름들:
  • 세프토비프롤
활성 비교기: vancomycin+aztreonam

Patients treated with vancomycin 1000 mg (or 15 mg/kg) q12h plus aztreonam 1000 mg q12h (both with dose adjustment for renal impairment).

Vancomycin 1000 mg (or 15 mg/kg) was to be administered every 12 hours (with dose adjustment for renal impairment) as 2-hour IV infusion. Vancomycin dose adjustment for morbidly obese and hypermetabolic patients was to be done according to local standard of care. When locally available, vancomycin trough testing (VTT) might have been used by the unblinded pharmacist or delegate to adjust the vancomycin dose. The treatment duration was for a minimum of 5 days and a maximum of 10 days. Treatment could be extended up to 14 days if in the investigator's opinion this was required, and the extension was approved by the sponsor's medical monitor.

Aztreonam 1000 mg was to be administered as a 0.5-hour IV infusion every 12 hours. If CLCR was < 30 mL/min (i.e., severe renal impairment), the aztreonam dosage regimen was to be adjusted. The requirement to continue aztreonam therapy beyond Day 3 was to be reassessed at the 72-hour study visit.

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정
측정값 설명
기간
Early Clinical Response
기간: 48-72 hours after start of study drug treatment

Comparison of early clinical response, including ≥ 20% reduction from baseline in the primary lesion area (based on ruler measurements), survival for ≥ 72 hours and no rescue therapy in the ITT population

48-72 hours after start of study drug treatment

2차 결과 측정

결과 측정
측정값 설명
기간
Investigator-assessed Clinical Success in the ITT Population
기간: 15-22 days after randomization

Comparison of investigator-assessed clinical success (based on resolution of baseline signs and symptoms of the primary infection) in the ITT population

15-22 days after randomization
Investigator-assessed Clinical Success in the Clinically Evaluable (CE) Population
기간: 15-22 days after randomization

Comparison of investigator-assessed clinical success (based on resolution of baseline signs and symptoms of the primary infection) in the clinically evaluable (CE) population

15-22 days after randomization

공동 작업자 및 조사자

여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.

스폰서

협력자

수사관

  • 연구 책임자: Marc Engelhardt, MD, Basilea Pharmaceutica

간행물 및 유용한 링크

연구에 대한 정보 입력을 담당하는 사람이 자발적으로 이러한 간행물을 제공합니다. 이것은 연구와 관련된 모든 것에 관한 것일 수 있습니다.

연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작 (실제)

2018년 2월 19일

기본 완료 (실제)

2019년 4월 22일

연구 완료 (실제)

2019년 4월 22일

연구 등록 날짜

최초 제출

2017년 4월 27일

QC 기준을 충족하는 최초 제출

2017년 4월 29일

처음 게시됨 (실제)

2017년 5월 2일

연구 기록 업데이트

마지막 업데이트 게시됨 (실제)

2026년 9월 18일

QC 기준을 충족하는 마지막 업데이트 제출

2026년 9월 17일

마지막으로 확인됨

2026년 9월 1일

추가 정보

이 연구와 관련된 용어

추가 관련 MeSH 약관

기타 연구 ID 번호

  • BPR-CS-008
  • HHSO100201600002C (기타 보조금/기금 번호: BARDA)

개별 참가자 데이터(IPD) 계획

개별 참가자 데이터(IPD)를 공유할 계획입니까?

아니요

약물 및 장치 정보, 연구 문서

미국 FDA 규제 의약품 연구

예

미국 FDA 규제 기기 제품 연구

아니

이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .