Phase 2
N=256
A Study to Assess Objective Endpoint Measurements of Response in Bacterial Skin Infections
Skin and Subcutaneous Tissue Bacterial Infections
Bottom Line
View on ClinicalTrials.gov: NCT01283581 ↗Enrolled (actual)
256
Serious AEs
5.2%
Results posted
Oct 2013
Primary outcome: Primary: Investigator's Assessment of Clinical Response in the ITT (Intent-to-treat) Population at Follow-up — 57; 50; 53 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- Delafloxacin (Drug); Linezolid (Drug); Vancomycin (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Melinta Therapeutics, Inc.
- Primary completion
- Nov 2011
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Investigator's Assessment of Clinical Response in the ITT (Intent-to-treat) Population at Follow-up |
57; 50; 53 | — |
| SECONDARY Erythema Clinical Success |
61; 56; 69 | — |
| SECONDARY Pharmacokinetic (PK) Parameter, Area Under Curve, (AUCinf, ug*h/mL), in Subjects Administered Delafloxacin, Vancomycin, and Linezolid |
23.4; 266.8; 106.0 | — |
| SECONDARY The Levels of Inflammation Were Examined by Measuring a Surrogate, C-Reactive Protein (CRP) |
46.6; 55.2; 49.3; 44.2; 49.6; 49.8 | — |
| SECONDARY Microbiological Response Rate in All Subjects (Microbiological Evaluable Population) |
0; 0; 0; 30; 42; 32 | — |
| SECONDARY Microbiological Response Rate in Subjects With MRSA (Methicillin Resistant Staphylococcus Aureus) in Microbiological Evaluable (ME) Population |
0; 0; 0; 18; 23; 20 | — |
| SECONDARY Clinical Response in Subjects With Infections Caused by MRSA - Microbiological ITT (MITT) Population |
19; 21; 21 | — |
Summary
The purpose of this study is to compare clinical response to the measurement techniques of several objective measures of clinical efficacy for use in future ABSSSI (Acute Bacterial Skin and Skin Structure Infection) clinical trials
Eligibility Criteria
Inclusion Criteria
- Adult (≥ 18 years of age) men or women
- Sexually active women and men with partners of childbearing potential must agree to use an acceptable form of contraception as determined by the investigator during participation in the study and for 30 days after the final dose of study drug
- Female partners of male subjects should also use an additional reliable method of contraception during study and for 30 days after the final dose of study drug
- Subjects must have a diagnosis of ABSSSI - one or more of the following 4 infection types: cellulitis/erysipelas, wound infection, major cutaneous abscess, or burn infection
- Subjects must have lymph node enlargement due to the present infection or at least one of the following symptoms of systemic infection: fever ≥ 38°C, lymphangitis, WBC (white blood cell) count ≥ 15,000 cells/μL, elevated C-reactive protein (> 5.0mg/L)
- In the opinion of the investigator, the subject must require and be a suitable candidate for IV antibiotic therapy
Exclusion Criteria
- A medical history of significant hypersensitivity or allergic reaction to quinolones, linezolid, vancomycin, or vancomycin derivatives
- Women who are pregnant or lactating
- Any chronic or underlying skin condition at the site of infection that may complicate the assessment of response
- Subjects with any of the following: infection involving prosthetic materials or foreign bodies, infection associated with a human or animal bite, osteomyelitis, decubitus ulcer, diabetic foot ulcer, septic arthritis, mediastinitis, necrotizing fasciitis, anaerobic cellulitis, or synergistic necrotizing cellulitis, myositis, tendinitis, endocarditis, toxic shock syndrome, gangrene, burns covering ≥ 10% of body surface area, severely impaired arterial blood supply, current evidence of deep vein thrombosis or superficial thrombophlebitis
- Minor abscesses, unless present with one of the ABSSSI types
- Any infection expected to require other antimicrobial agents in addition to study drug
- Receipt of > 24 hours of systemic antibiotic therapy in the 14 days before enrollment unless one of the following is documented: the subject received a single dose of a short-acting antibacterial drug 3 or more days before clinical trial enrollment for surgical prophylaxis or recently completed treatment with an antibacterial drug for an infection other than ABSSSI and the drug does not have antibacterial activity against bacterial pathogens that cause ABSSSI
- Receipt of more than 1 dose of a potentially effective antibacterial agent for treatment of the ABSSSI under study prior to enrollment
- Receipt of chronic anti-inflammatory therapy for longer than 14 days before enrollment
- Severely compromised immune systems
- Subjects taking any medicinal product which inhibits monoamine oxidases A or B or within 2 weeks of Screening
- Hypertension as defined by a systolic blood pressure of ≥ 180 mmHg or a diastolic blood pressure of ≥110 mmHg with confirmed re-check within 20 minutes of initial reading
- Subjects with pheochromocytoma, thyrotoxicosis and/or subjects taking any of the following types of medications: sympathomimetic agents, vasopressive agents, dopaminergic agents, or other agents with the potential for serotonergic interactions
- Subjects with carcinoid syndrome and/or subjects taking any of the following medications: serotonin re-uptake inhibitors, tricyclic antidepressants, serotonin 5-HT1 (serotonin receptor) receptor agonists, meperidine, or buspirone
- Known history of liver disease
- History of severe renal impairment
- Life expectancy of 140 kg in body weight
Data sourced from ClinicalTrials.gov (NCT01283581). 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.