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头孢比普利治疗急性细菌性皮肤和皮肤结构感染患者

2026年9月17日 更新者：Basilea Pharmaceutica

一项随机、双盲、多中心研究，旨在确定 Ceftobiprole Medocaril 与万古霉素联合氨曲南治疗急性细菌性皮肤和皮肤结构感染的安全性和有效性

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).

研究概览

地位

完全的

条件

干预/治疗

详细说明

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.

研究类型

介入性

注册 (实际的)

679

阶段

  • 第三阶段

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习地点

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

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年 及以上 (成人、年长者)

接受健康志愿者

不

有资格学习的性别

全部

描述

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.

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

  • 主要用途：治疗
  • 分配：随机化
  • 介入模型：并行分配
  • 屏蔽：四人间

武器和干预

参与者组/臂
干预/治疗
实验性的：ceftobiprole medocaril

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

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.

其他名称：
  • 头孢氨苄
有源比较器：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).
药品：vancomycin+aztreonam

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.

研究衡量的是什么？

主要结果指标

结果测量
措施说明
大体时间
Early Clinical Response
大体时间：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

次要结果测量

结果测量
措施说明
大体时间
Investigator-assessed Clinical Success in the ITT Population
大体时间：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
大体时间：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

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

Basilea Pharmaceutica

合作者

Biomedical Advanced Research and Development Authority

调查人员

  • 研究主任：Marc Engelhardt, MD、Basilea Pharmaceutica

出版物和有用的链接

负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。

一般刊物

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2018年2月19日

初级完成 (实际的)

2019年4月22日

研究完成 (实际的)

2019年4月22日

研究注册日期

首次提交

2017年4月27日

首先提交符合 QC 标准的

2017年4月29日

首次发布 (实际的)

2017年5月2日

研究记录更新

最后更新发布 (实际的)

2026年9月18日

上次提交的符合 QC 标准的更新

2026年9月17日

最后验证

2026年9月1日

更多信息

与本研究相关的术语

其他相关的 MeSH 术语

其他研究编号

  • BPR-CS-008
  • HHSO100201600002C (其他赠款/资助编号：BARDA)

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)？

不

药物和器械信息、研究文件

研究美国 FDA 监管的药品

是的

研究美国 FDA 监管的设备产品

不

此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.

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