Phase 3
N=100
A Study of Safety and Efficacy of MK-1986 (Tedizolid Phosphate) and Comparator in Participants From Birth to Less Than 12 Years of Age With Acute Bacterial Skin and Skin Structure Infections (MK-1986-018)
Acute Bacterial Skin and Skin Structure Infections
Bottom Line
View on ClinicalTrials.gov: NCT03176134 ↗Enrolled (actual)
100
Serious AEs
0.0%
Results posted
Jul 2024
Primary outcome: Primary: Number of Participants Who Experienced an Adverse Event (AE) — 7; 2; 7; 2 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- Tedizolid phosphate (Drug); Comparator (Drug)
- Age
- Pediatric · 0+ yrs
- Sex
- All
- Sponsor
- Merck Sharp & Dohme LLC
- Primary completion
- Jul 2023
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants Who Experienced an Adverse Event (AE) |
7; 2; 7; 2; 7; 2 | — |
| PRIMARY Number of Participants Who Discontinued Study Treatment Due to an AE |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Number of Participants With Hematopoietic Cytopenias |
0; 0; 1; 0; 1; 0 | — |
| SECONDARY Percentage of Participants With Clinical Response (CR) Per Investigator Assessment |
93.2; 86.7; 87.5; 100.00; 100.0; 100.0 | — |
| SECONDARY Percentage of Clinically Evaluable (CE) Participants With CR Per Investigator Assessment |
100.00; 100.0; 100.0; 100.00; 100.0; 100.0 | — |
Summary
This study will evaluate the safety, tolerability, and efficacy of tedizolid phosphate (MK-1986) compared with comparator antibacterial agent in participants from birth to less than 12 years of age with acute bacterial skin and skin structure infections (ABSSSI).
Eligibility Criteria
Inclusion Criteria
- Has a parent/legally acceptable representative who is able to give documented informed consent
- Has acute bacterial skin and skin structure infections (ABSSSI), defined as ≥1 of the following: 1) cellulitis/erysipelas, 2) major cutaneous abscess, or 3) wound infection
- Local symptoms of ABSSSI that started within 14 days before study start
- Suspected or documented Gram-positive bacterial infection
Exclusion Criteria
- Uncomplicated skin and skin structure infection
- ABSSSI due to or associated with disallowed etiology per protocol
- Received antibacterial therapy for treatment of the current episode of ABSSSI except 1) <48 hours of antibacterial therapy with a short-acting antibacterial drug, or 2) response is considered to be failure (no improvement in signs and symptoms) after at least 48 hours of therapy
- Known bacteremia, severe sepsis, or septic shock
- Significant or life-threatening condition, disease, or organ system condition
- Recent history of opportunistic infections where the underlying cause of the infection is still active, or is suspected to be at risk of opportunistic infection with unusual pathogens
- Received or is receiving treatment for active tuberculosis within 1 month of study start
- Known or suspected severe neutropenia
- Human immunodeficiency virus (HIV) positive and has Cluster of Differentiation (CD) 4 cell count <15% (HIV testing is not required for eligibility)
- Renal impairment that requires renal filtration
- Severe hepatic impairment
- Cardiac or electrocardiogram (ECG) finding that would limit participation in the study
- Received an investigational medicinal product (not approved) within 30 days before study start
- Investigational device present or removed within 30 days before study start
- Previously treated with tedizolid phosphate
- Contraindication, including hypersensitivity to tedizolid phosphate, other oxazolidinones, or any component in the formulation
- Contraindication, including hypersensitivity to all available comparator drugs
- Wound infection and history of hypersensitivity to aztreonam adjunctive therapy or metronidazole adjunctive therapy, if adjunctive therapy is required
- Needs oral administration of methotrexate, topotecan, irinotecan, or rosuvastatin, during administration of oral study drug (administration during the follow-up period, ie, after the end of treatment (EOT) visit, is allowed, as is administration during treatment with IV drug)
- Female who is pregnant or nursing or is of childbearing potential and not abstinent; or male who is not abstinent
- Use of monoamine oxidase inhibitors, tricyclic antidepressants, buspirone, selective serotonin reuptake inhibitors, or serotonin 5-hydroxytryptamine receptor agonists (triptans)
- Identified as having used illicit drugs (urine drug screening not required for entry)
Data sourced from ClinicalTrials.gov (NCT03176134). 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.