Phase 2 Safety and Efficacy Study of Daptomycin in Complicated Skin and Skin Structure Infections
Phase 2 Multicenter Randomized Semi-Single Blind Study to Compare Efficacy and Safety of High-dose Short Duration Daptomycin With Conventional Therapy in Complicated Skin and Skin Structure Infections Due to Gram-positive Bacteria
1 other identifier
interventional
100
1 country
1
Brief Summary
multicenter, randomized (1:1), semi-single blind study comparing the safety and efficacy of HDSD daptomycin (10 mg/kg q24h for 4 days) with that of comparator (vancomycin +/- SSP for 7-14 days) in patients with cSSSI due to Gram-positive bacteria. Patients will be randomized on a 1:1 basis to receive either daptomycin 10 mg/kg i.v. q24h for 4 days or vancomycin 1 g. q12h for up to 14 days.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Jan 2007
Shorter than P25 for phase_2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2007
CompletedFirst Submitted
Initial submission to the registry
January 23, 2007
CompletedFirst Posted
Study publicly available on registry
January 25, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2007
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2007
CompletedSeptember 14, 2010
September 1, 2010
8 months
January 23, 2007
September 13, 2010
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Clinical Response Rate at TOC
Secondary Outcomes (2)
difference between clinical response rates at EOT
microbiological eradication rates
Interventions
Eligibility Criteria
You may qualify if:
- Informed consent obtained
- Male or female ≥18 years of age
- If female of childbearing potential, willing to practice reliable birth control measures and documented negative pregnancy test
- Skin and skin structure infections of a complicated nature that require intravenous antibiotic treatment
- Gram-positive infecting pathogen
- Physician determination that vancomycin would be the initial treatment of choice
- At least three clinical signs and symptoms associated with the cSSSI:
- Pain;
- Tenderness to palpation;
- Elevated Temperature;
- Elevated White blood count;
- Swelling and/or induration;
- Erythema (\>1 cm beyond edge of wound or abscess);
- Pus formation;
- Creatinine clearance of ≥50 mL/min.
You may not qualify if:
- MSSA
- Known or suspected bacteremia, osteomyelitis, or endocarditis
- Primary study infection of an uncomplicated nature such as furuncles, simple abscesses, cellulitis not requiring i.v., perirectal abscess, hidradenitis suppurativa, third degree burn infections or other minor infections;
- Conditions where required surgery (in and of itself) constitutes curative treatment of the infection (e.g., amputation);
- Necrotizing infections or concomitant gangrene;
- Myositis with or without skin and skin structure infections;
- Hemodialysis or peritoneal dialysis;
- BMI ≥40 kg/m2;
- Previous antibiotics exceeding 24 hours within the 48 hours prior to the first dose of study drug
- Patients admitted for rhabdomyolysis including drug overdose
- Neutropenic patients with absolute neutrophil count ≤500 cells/mm3
- Known HIV-infected patients with CD4 count ≤200 cells/ mm3;
- Baseline CPK values ≥2 X ULN (upper limit of normal);
- Has received an investigational drug within 30 days of study entry;
- Known to be allergic or intolerant to study medications;
- +2 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Idaho Falls Infectious Diseases, PLLC
Idaho Falls, Idaho, 83404, United States
Related Publications (1)
Katz DE, Lindfield KC, Steenbergen JN, Benziger DP, Blackerby KJ, Knapp AG, Martone WJ. A pilot study of high-dose short duration daptomycin for the treatment of patients with complicated skin and skin structure infections caused by gram-positive bacteria. Int J Clin Pract. 2008 Sep;62(9):1455-64. doi: 10.1111/j.1742-1241.2008.01854.x. Epub 2008 Jul 25.
PMID: 18662172DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Richard Nathan, D.O.
Idaho Falls Infectious Diseases, PLLC
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
January 23, 2007
First Posted
January 25, 2007
Study Start
January 1, 2007
Primary Completion
September 1, 2007
Study Completion
September 1, 2007
Last Updated
September 14, 2010
Record last verified: 2010-09