Efficacy and Safety of Dalbavancin for the Treatment of Acute Bacterial Skin and Skin Structure Infections
This study has been completed.
Sponsor:
Durata Therapeutics, Inc.
Information provided by (Responsible Party):
Durata Therapeutics, Inc.
ClinicalTrials.gov Identifier:
NCT01431339
First received: September 8, 2011
Last updated: November 5, 2012
Last verified: November 2012
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Purpose
The primary object is to compare the early clinical efficacy (after 48-72 hours of therapy) of dalbavancin to the comparator regimen (vancomycin with the option to switch to oral linezolid) for the treatment of patients with a suspected or proved gram-positive bacterial skin or skin structure infections.
| Condition | Intervention | Phase |
|---|---|---|
|
Abscess Wound Infection Surgical Site Infection Cellulitis |
Drug: IV Dalbavancin Drug: Vancomycin/Linezolid |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | A Phase 3, Randomized, Double-Blind, Double-Dummy Study to Compare the Efficacy and Safety of Dalbavancin to a Comparator Regimen (Vancomycin and Linezolid) for the Treatment of Acute Bacterial Skin and Skin Structure Infections |
Resource links provided by NLM:
Further study details as provided by Durata Therapeutics, Inc.:
Primary Outcome Measures:
- Early Clinical Efficacy [ Time Frame: After 48-72 hours of therapy ] [ Designated as safety issue: No ]Clinical response at 48-72 hours post study drug initiation, based on measurements of acute bacterial skin and skin structure infections (ABSSSI) lesion size and temperature
Secondary Outcome Measures:
- Clinical Status [ Time Frame: End of Treatment Visit (Day 14-15) ] [ Designated as safety issue: No ]Compare the clinical efficacy at end of treatment visit of dalbavancin to the comparator regimen based on lesion size, local signs temperature and receipt of other therapy
- Per-patient Microbiological Efficacy [ Time Frame: End of Treatment Visit (Day 14-15) and Short Term Follow up (Day 26-30) ] [ Designated as safety issue: No ]Compare the per-patient microbiological efficacy of dalbavancin to the comparator regimen
- Efficacy by Individual Pathogens [ Time Frame: End of Treatment Visit (Day 14-15) and Short Term Follow up Visit (Day 26-30) ] [ Designated as safety issue: No ]Compare clinical efficacy by individual pathogens in the two treatment groups
- Pathogen Eradication Rates for Individual Pathogens [ Time Frame: End of Treatment Visit (Day 14-15) and Short Term Follow-up Visit (Day 26-30) ] [ Designated as safety issue: No ]Compare pathogen eradication rates for individual pathogens in the two treatment groups
- Safety and Tolerability [ Time Frame: Through Long Term Follow-up Visit (Day 70) ] [ Designated as safety issue: Yes ]Safety ofdalbavancin and vancomycin assessed according to the incidence of adverse events (AEs), Serious AEs and discontinuations due to AEs.
- Investigator's assessment of clinical response [ Time Frame: End of Treatment Visit (Day 14-15) ] [ Designated as safety issue: No ]Success: Resolution or improvement of all signs and symptoms of the infection without treatment-related discontinuation, death or non-antibacterial intervention for the ABSSSI.
| Enrollment: | 741 |
| Study Start Date: | July 2011 |
| Study Completion Date: | November 2012 |
| Primary Completion Date: | November 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Active Comparator: Vancomycin +/- oral linezolid |
Drug: Vancomycin/Linezolid
IV Vancomycin (dosed per standard of care) with optional switch to oral linezolid (600 mg every 12 hours). Total duration of therapy is 10-14 days
|
| Experimental: Dalbavancin |
Drug: IV Dalbavancin
IV Dalbavancin 1000 mg on Day 1 and 500 mg on Day 8
|
Eligibility| Ages Eligible for Study: | 18 Years to 85 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- Male or female patients 18 - 85 years of age.
- Signed and dated informed consent document.
- Major abscess, surgical site infection, traumatic wound infection or cellulitis suspected or confirmed to be caused by Gram-positive bacteria.
- At least two (2) local signs and symptoms of ABSSSI and at least one (1) systemic sign of infection.
- Requires a minimum of 3 days of IV therapy.
- Patient willing and able to comply with study procedures.
Exclusion Criteria:
Patients presenting with any of the following:
- A contra-indication to any required study drug.
- Pregnant or nursing females.
- Sustained shock.
- Participation in another study of an investigational drug or device within 30 days.
- Receipt of a systemically or topically administered antibiotic within 14 days prior to randomization, except receipt of a single dose of a short-acting antibacterial drug 3 or more days prior to randomization.
- Infection due to a dalbavancin or vancomycin-resistant organism.
- Evidence of meningitis, necrotizing fasciitis, gas gangrene, gangrene, septic arthritis, osteomyelitis, and/or endovascular infection.
- Exclusively gram-negative bacterial or a fungal ABSSSI.
- Venous catheter infection.
- Infection of a diabetic foot ulcer or a decubitus ulcer.
- Device-related infections.
- Gram-negative bacteremia.
- Infected burns.
- Infected limb with critical ischemia.
- Superficial/simple skin and skin structure infections.
- Concomitant condition requiring non-study antibacterial therapy.
- ABSSSI requiring therapy for longer than 14 days.
- Adjunctive therapy with hyperbaric oxygen.
- More than 2 surgical interventions for ABSSSI anticipated.
- Chronic inflammatory condition precluding assessment of clinical response.
- Absolute neutrophil count < 500 cells/mm3.
- Human immunodeficiency virus (HIV) infection with a CD4 cell count < 200 cells/mm3.
- Recent bone marrow transplant, > 20 mg prednisolone per day (or equivalent) or receiving immunosuppressant drugs after organ transplantation.
- Regular, chronic antipyretic use in patients unable to modify during the first three days of study drug therapy.
- Life expectancy less than 3 months.
- Conditions that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results.
- Prior participation in the study.
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01431339
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| United States, Alabama | |
| Durata Clinical Site | |
| Montgomery, Alabama, United States, 36106 | |
| United States, California | |
| Durata Clinical Site | |
| Anaheim, California, United States, 92804 | |
| Durata Clinical Site | |
| Buena Park, California, United States, 90620 | |
| Durata Study Site | |
| Chula Vista, California, United States, 91911 | |
| Durata Clinical Site | |
| Long Beach, California, United States, 90813 | |
| Durata Study Site | |
| Los Angeles, California, United States, 90015 | |
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| Norwalk, California, United States, 90650 | |
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| Oxnard, California, United States, 93030 | |
| Durata Study SIte | |
| San Diego, California, United States, 92120 | |
| Durata Study Site | |
| Stockton, California, United States, 95204 | |
| United States, Florida | |
| Durata Clinical Site | |
| Boyton Beach, Florida, United States, 33435 | |
| Durata Clinical Site | |
| Ft. Meyers, Florida, United States, 33966 | |
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| Miami, Florida, United States, 33015 | |
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| Orlando, Florida, United States, 32837 | |
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| St. Cloud, Florida, United States, 34769 | |
| United States, Georgia | |
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| Augusta, Georgia, United States, 30901 | |
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| Columbus, Georgia, United States, 31904 | |
| United States, Illinois | |
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| Chicago, Illinois, United States, 60637 | |
| United States, Louisiana | |
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| Baton Rouge, Louisiana, United States, 70809 | |
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| New Orleans, Louisiana, United States, 70112 | |
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| Shreveport, Louisiana, United States, 71101 | |
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| Zachary, Louisiana, United States, 70791 | |
| United States, Nevada | |
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| Las Vegas, Nevada, United States, 89109 | |
| United States, Ohio | |
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| Springfield, Ohio, United States, 45502 | |
| United States, Pennsylvania | |
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| Philadelphia, Pennsylvania, United States, 19103 | |
| United States, Texas | |
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| Austin, Texas, United States, 78752 | |
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| Austin, Texas, United States, 78701 | |
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| Houston, Texas, United States, 77055 | |
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| Richmond, Texas, United States, 77469 | |
| United States, Wisconsin | |
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| Middleton, Wisconsin, United States, 53562 | |
| Bulgaria | |
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| Pleven, Bulgaria, 5800 | |
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| Plovdiv, Bulgaria, 4000 | |
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| Sevlievo, Bulgaria, 5400 | |
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| Sofia, Bulgaria, 1606 | |
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| Sofia, Bulgaria, 1431 | |
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| Sofia, Bulgaria, 1407 | |
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| Sofia, Bulgaria, 1000 | |
| Estonia | |
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| Kohtla-Jarve, Estonia | |
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| Kohtla-Jarve, Estonia, 30322 | |
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| Tallinn, Estonia, 10136 | |
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| Tallinn, Estonia, 13419 | |
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| Tartu, Estonia, 51014 | |
| Hungary | |
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| Budapest, Hungary | |
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| Budapest, Hungary, H-1081 | |
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| Debrecen, Hungary, H-4043 | |
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| Kaposvar, Hungary, H-7400 | |
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| Pecs, Hungary, H-7624 | |
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| Szeged, Hungary, H-6720 | |
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| Veszprem, Hungary, H-8200 | |
| Israel | |
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| Haifa, Israel, 31906 | |
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| Jerusalem, Israel, 91120 | |
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| Kfar Saba, Israel, 44281 | |
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| Petach Tikva, Israel, 49100 | |
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| Petah-Tiqva, Israel, 49100 | |
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| Ramat-Gan, Israel, 52621 | |
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| Tel Aviv, Israel, 64239 | |
| Korea, Republic of | |
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| Jung Gu, Daegu, Korea, Republic of, 700-721 | |
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| Ansan, Korea, Republic of, 425-707 | |
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| Daejeon, Korea, Republic of, 301721 | |
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| Gwangju, Korea, Republic of, 501-757 | |
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| Incheon, Korea, Republic of, 405-760 | |
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| Kangwon-do, Korea, Republic of, 220-71 | |
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| Seoul, Korea, Republic of, 136-705 | |
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| Seoul, Korea, Republic of, 134-701 | |
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| Seoul, Korea, Republic of, 152-703 | |
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| Seoul, Korea, Republic of, 138-736 | |
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| Seoul, Korea, Republic of, 135-710 | |
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| Seoul, Korea, Republic of, 134-701 | |
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| Seoul, Korea, Republic of, 133-791 | |
| Latvia | |
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| Daugavpils, Latvia, LV-5417 | |
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| Liepaja, Latvia, LV-3414 | |
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| Rezekne, Latvia, LV-4600 | |
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| Riga, Latvia, LV-1002 | |
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| Riga, Latvia, LV-1001 | |
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| Ventspils, Latvia, LV-3601 | |
| Lithuania | |
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| Kaunas, Lithuania, LT-45130 | |
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| Kauno m. sav, Lithuania, LT-47144 | |
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| Klaipėda, Lithuania, LT-76231 | |
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| Vilnius, Lithuania, LT-10207 | |
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| Šiauliai, Lithuania, LT-76231 | |
| Romania | |
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| Bucharest, Romania, 042122 | |
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| Bucharest, Romania, 010825 | |
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| Bucharest, Romania, 75622 | |
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| Bucharest, Romania, 010713 | |
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| Bucharest, Romania, 011461 | |
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| Burcharest, Romania, 020125 | |
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| Cluj-Napoca, Romania, 400006 | |
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| Constanta, Romania, 900709 | |
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| Targu Mures, Romania, 540072 | |
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| Timisoara, Romania, 300736 | |
| Russian Federation | |
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| Vsevolozhsk, Leningrad Region, Russian Federation, 188640 | |
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| Vsevolozhsk, Leningrad, Russian Federation, 188864 | |
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| Moscow, Russian Federation, 115280 | |
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| Moscow, Russian Federation, 111539 | |
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| Petrozavodsk, Russian Federation, 18519 | |
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| Smolensk, Russian Federation, 214018 | |
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| St. Petersburg, Russian Federation, 198099 | |
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| Tomsk, Russian Federation | |
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| Tver, Russian Federation, 170036 | |
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| Volgograd, Russian Federation, 400138 | |
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| Yaroslavl, Russian Federation, 150003 | |
| Slovakia | |
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| Banska Bystrica, Slovakia, 975 17 | |
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| Levice, Slovakia, 934 01 | |
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| Nitra, Slovakia, 950 01 | |
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| Svidnik, Slovakia, 089 01 | |
| South Africa | |
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| KwaZulu, Durban, South Africa, 4037 | |
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| KwaZulu-Natal, Ladysmieth, South Africa, 3370 | |
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| Mpumalanga, Middleburg, South Africa, 1055 | |
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| Mpekweni, Paarl, South Africa, 7646 | |
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| Western Cape, Paarl, South Africa, 7646 | |
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| Gauteng, Pretoria, South Africa, 0001 | |
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| Gauteng, Soweto, South Africa, 2013 | |
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| Johannesburg, South Africa, 1500 | |
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| Port Elizabeth, South Africa, 6014 | |
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| Port Elizabeth, South Africa, 6070 | |
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| Pretoria, South Africa, 0084 | |
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| Thabazimbi, South Africa, 0380 | |
| Taiwan | |
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| Tainan, Fukien, Taiwan, 70403 | |
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| Kaohsiung, Taiwan, 813 | |
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| Kaohsiung, Taiwan, ROC 807 | |
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| Taichung City, Taiwan, 40447 | |
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| Taipai, Taiwan | |
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| Taipei, Taiwan, 10002 | |
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| Yung Kang City, Taiwan, 71044 | |
| Ukraine | |
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| Cherkasy, Ukraine, 18009 | |
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| Dnipropetrovsk, Ukraine, 49005 | |
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| Donetsk, Ukraine, 83099 | |
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| Ivano-Frankivsk, Ukraine, 76025 | |
| Durata Study Site | |
| Ivano-Frankivsk, Ukraine, 76014 | |
| Durata Clinical Site | |
| Ivano-Frankivsk, Ukraine, 76014 | |
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| Kharkiv, Ukraine, 61058 | |
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| Kyiv, Ukraine, 02666 | |
| Durata Clinical Site | |
| Kyiv, Ukraine, 02666 | |
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| Lviv, Ukraine, 79013 | |
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| Lviv, Ukraine, 79059 | |
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| Uzhhorod, Ukraine, 88000 | |
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| Zaporizhia, Ukraine, 69032 | |
Sponsors and Collaborators
Durata Therapeutics, Inc.
Investigators
| Study Director: | Michael Dunne, MD | Durata Therapeutics, Inc. |
More Information
No publications provided
| Responsible Party: | Durata Therapeutics, Inc. |
| ClinicalTrials.gov Identifier: | NCT01431339 History of Changes |
| Other Study ID Numbers: | DUR001-302 |
| Study First Received: | September 8, 2011 |
| Last Updated: | November 5, 2012 |
| Health Authority: | United States: Food and Drug Administration |
Additional relevant MeSH terms:
|
Abscess Cellulitis Wound Infection Suppuration Infection Inflammation Pathologic Processes Skin Diseases, Infectious Connective Tissue Diseases Wounds and Injuries Vancomycin |
Dalbavancin Teicoplanin Linezolid Anti-Bacterial Agents Anti-Infective Agents Therapeutic Uses Pharmacologic Actions Protein Synthesis Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action |
ClinicalTrials.gov processed this record on June 18, 2013