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Phase 2 N=84 Randomized Quadruple-blind Treatment

GSK1322322 Versus Linezolid in the Treatment of Acute Bacterial Skin and Skin Structure Infection

Skin Infections, Bacterial

Enrolled (actual)
84
Serious AEs
2.4%
Results posted
Dec 2017
Primary outcome: Primary: Number of Participants With Any Adverse Events (AE) and Serious Adverse Events (SAE) — 49; 20; 1; 1 Participants

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
GSK1322322 (Drug); Linezolid (Drug); GSK1322322 placebo (Drug); Linezolid placebo (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
GlaxoSmithKline
Primary completion
Jan 2011

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants With Any Adverse Events (AE) and Serious Adverse Events (SAE)
49; 20; 1; 1
PRIMARY
Mean Clinical Chemistry Parameters of Albumin and Total Protein at Indicated Time Points
39.9; 40.3; 40.0; 40.5; 40.3; 40.4
PRIMARY
Mean Clinical Chemistry Parameters of ALT, Alkaline Phosphatase (ALP), Aspartate Aminotransferase (AST), Follicle Stimulating Hormone (FSH), Gamma Glutamyl Transferase (GGT), Lactate Dehydrogenase (LDH) and Creatine Kinase at Indicated Time Points
102.5; 97.7; 95.0; 92.4; 94.8; 88.2
PRIMARY
Mean Clinical Chemistry Parameters of Creatinine, Uric Acid, Direct Bilirubin and Total Bilirubin at Indicated Time Points
68.73; 66.99; 71.48; 72.35; 74.85; 73.42
PRIMARY
Mean Clinical Chemistry Parameters of Glucose, Sodium, Calcium, Potassium, Chloride, Carbon Dioxide (CO2) Content /Bicarbonate and Urea/ Blood Urea Nitrogen (BUN) at Indicated Time Points
6.21; 6.63; 6.13; 6.77; 5.94; 5.77
PRIMARY
Mean Clinical Chemistry Parameter of Estradiol at Indicated Time Point
261.8; 61.3
PRIMARY
Mean Clinical Chemistry Parameter of High Sensitivity C-Reactive Protein at Indicated Time Points
38.39; 43.97; 33.76; 40.72; 27.13; 30.99
PRIMARY
Mean Hematology Parameters of Basophils, Eosinophils, Lymphocytes, Monocytes, Total Neutrophils, White Blood Cells (WBC) and Platelet Count at Indicated Time Points
0.027; 0.035; 0.030; 0.035; 0.027; 0.035
PRIMARY
Mean Hematology Parameter of Mean Corpuscle Volume (MCV) at Indicated Time Points
90.5; 91.1; 89.8; 91.6; 89.4; 91.2
PRIMARY
Mean Hematology Parameter of Hemoglobin, Mean Corpuscle Hemoglobin Concentration (MCHC) at Indicated Time Points
136.7; 134.2; 132.9; 133.5; 135.8; 134.0
PRIMARY
Mean Hematology Parameter of Mean Corpuscle Hemoglobin (MCH) at Indicated Time Points
30.22; 30.24; 30.08; 30.58; 30.10; 30.63
PRIMARY
Mean Hematology Parameter of Red Blood Cell (RBC) Count and Reticulocyte Count at Indicated Time Points
4.53; 4.43; 4.43; 4.36; 4.52; 4.37
PRIMARY
Mean Vital Sign Value of Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Indicated Time Points
78.1; 74.5; 76.0; 76.7; 73.6; 77.3
PRIMARY
Mean Vital Sign Value of Heart Rate (HR) at Indicated Time Points
74.9; 73.9; 81.2; 76.2; 77.6; 76.1
PRIMARY
Mean Vital Sign Value of Respiratory Rate (RR) at Indicated Time Points
17.1; 17.9; 17.3; 17.4; 17.4; 17.3
PRIMARY
Mean Change From Baseline in SBP and DBP at Indicated Time Points
-6.5; 1.6; -5.2; 3.7; -6.5; 3.1
PRIMARY
Mean Change From Baseline in HR at Indicated Time Points
6.5; 3.7; 2.2; 4.0; -1.4; 2.5
PRIMARY
Mean Change From Baseline in RR at Indicated Time Points
0.4; -0.7; 0.5; -0.7; 0.4; -0.6
PRIMARY
Mean Electrocardiogram (ECG) Values at Indicated Time Points
158.0; 155.0; 157.0; 159.2; 158.5; 157.2
PRIMARY
Mean Change From Baseline in ECG Values at Indicated Time Points
-1.0; 4.2; 0.4; 1.3; 6.3; 2.2
PRIMARY
Mean ECG Rhythms at Indicated Time Points
75.0; 72.8; 79.2; 72.0; 80.4; 73.7
PRIMARY
Mean Change From Baseline in ECG Rhythms at Indicated Time Points
4.2; -0.9; 5.9; 2.9; -3.1; 2.4
PRIMARY
Number of Participants With Abnormal Transition From Baseline in Clinical Chemistry Values Relative to Normal Range
1; 0; 1; 0; 1; 0
PRIMARY
Number of Participants With Abnormal Transition From Baseline in Hematology Values Relative to Normal Range
6; 1; 1; 0; 3; 3
SECONDARY
Number of Participants With Clinical Success of Clinical Response
38; 24; 38; 25; 37; 23
SECONDARY
Percentage of Participants With Clinical Success of Clinical Outcome
66.7; 88.9; 64.9; 88.9
SECONDARY
Percentage of Participants With Microbiological Success of Microbiological Outcome at End of Therapy
59.5; 94.4
SECONDARY
Percentage of Participants With Microbiological Success of Microbiological Outcome at Follow-up
59.5; 94.4
SECONDARY
Percentage of Participants With Therapeutic Success of Therapeutic Outcome
0.8636; 1.0000
SECONDARY
Mean Short Form McGill Pain Questionnaire-2 (SF-MPQ-2) Sub-score of Continuous Pain, Intermittent Pain, Neuropathic Pain and Affective Descriptors at Indicated Time Points
4.459; 4.889; 3.407; 3.533; 2.826; 2.744
SECONDARY
Mean Exudate or Pus Sub-score of SIS at Indicated Time Points
3.2; 3.2; 3.0; 2.8; 2.1; 2.2
SECONDARY
Mean Total SIS at Indicated Time Points
25.7; 26.0; 22.2; 23.3; 17.2; 18.1
SECONDARY
Mean Change From Baseline in Total SIS at Indicated Time Points
-3.4; -3.1; -8.4; -8.0; -10.9; -11.9
SECONDARY
Mean Change From Baseline in Wound Area at Indicated Time Points
-23.22; -20.71; -67.69; -124.27; -119.96; -209.79
SECONDARY
Percentage of Participants With Clinical Success at End of Therapy by Pathogen Isolated at Baseline
58.3; 93.8; 50.0; 87.5; 71.4; 100.0
SECONDARY
Population Pharmacokinetic Parameters of Apparent Total Clearance of GSK1322322 From Plasma After Oral Administration (CL/F)

Summary

This study will determine the safety, tolerability and efficacy of GSK1322322 verses Linezolid in subjects with Acute Bacterial Skin and Skin Structure Infection (ABSSSI).

Eligibility Criteria

Inclusion Criteria

  • Male or female subject age 18 years or older at the time of signing the informed consent
  • Male subjects must agree to use one of the contraception methods listed
  • A female is eligible to enter and participate in this study if she is of non-childbearing potential
  • The subject has a diagnosis of ABSSSI defined as one of the following: wound infection with cellulitis that has developed within 30 days of surgery or trauma; abscess with cellulitis, or cellulitis that has developed in no more than 7 days before enrollment with worsening over the past 48 hours OR in the investigator's opinion the patient's condition warrants systemic oral antibiotic therapy
  • The subject has at least 2 additional signs and symptoms of skin infection: purulence, erythema with or without induration, fluctuation, heat/localized warmth, and pain/tenderness
  • The subject has at least 1 systemic marker of infection: Lymphadenopathy, Fever (>38 degrees Celsius), White Blood Cell elevation, or Creatinine Reactive Protein (CRP) >Upper Limit of Normal (ULN)
  • The subject has given written, informed, dated consent to participate in the study
  • QTcB or QTcF 40 kg/m2
  • The subject has demonstrated a previous hypersensitivity reaction to GSK1322322, or to oxazolidinones
  • The subject has a secondarily infected animal/human bite
  • The subject has a chronic ulcerative lesion that is likely to be polymicrobial or caused by anaerobic organisms and unlikely to have Staphylococcus aureus or Streptococcus pyogenes as the causative agent
  • The subject has an underlying skin disease, such as pre-existing eczematous dermatitis, with clinical evidence of secondary infection
  • The subject has an infection that would normally have a high cure rate after surgical incision alone
  • The subject has a bacterial skin infection which, due to the extent, depth or severity of clinical presentation, in the opinion of the investigator, cannot be appropriately treated by an oral antibiotic
  • The subject has received more than one dose of treatment with a systemic and/or topical antibacterial within 7 days
  • The subject is currently receiving vasopressors
  • The subject is currently receiving adrenergic agents
  • The subject is currently receiving serotonergic reuptake inhibitors
  • The subject is currently receiving monoamine oxidase inhibitors
  • The subject has a documented clinical history of pseudomembranous colitis
  • The subject has known, pre-existing myelosuppression, or a history of myelosuppression with prior linezolid use, or is currently receiving a medication that produces bone marrow suppression
  • The subject has a history of seizures
  • The subject has a history of severe renal failure and is undergoing dialysis
  • The subject has a serious underlying disease that could be imminently life-threatening
  • The subject has been previously enrolled in this study
  • The subject has participated in a clinical trial and has received an investigational product within the following time period prior to the first dosing day in the current study: 30 days, 5 half-lives or twice the duration of the biological effect of the investigational product
  • Subject is unable to discontinue the use of prescription drugs listed in the protocol or non-prescription drugs, including vitamins, herbal and dietary supplements prior to the first dose of study medication through the first follow up visit
  • Lactating females or pregnant females as determined by positive urine pregnancy test at screening or prior to dosing
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01209078). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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