NCT02569541

Brief Summary

To evaluate the safety and effectiveness of oral sodium fusidate (CEM-102) as chronic antibiotic for the treatment of bone or joint infections.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
30

participants targeted

Target at P25-P50 for phase_2

Timeline
Completed

Started Dec 2015

Typical duration for phase_2

Geographic Reach
1 country

19 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

October 5, 2015

Completed
1 day until next milestone

First Posted

Study publicly available on registry

October 6, 2015

Completed
2 months until next milestone

Study Start

First participant enrolled

December 1, 2015

Completed
1.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 17, 2017

Completed
1.3 years until next milestone

Study Completion

Last participant's last visit for all outcomes

February 21, 2019

Completed
11 months until next milestone

Results Posted

Study results publicly available

January 30, 2020

Completed
Last Updated

January 30, 2020

Status Verified

January 1, 2020

Enrollment Period

1.9 years

First QC Date

October 5, 2015

Results QC Date

January 9, 2020

Last Update Submit

January 21, 2020

Conditions

Keywords

fusidic acidprosthetic joint infectionsbone infectionsosteomyelitis

Outcome Measures

Primary Outcomes (1)

  • Clinical Success at 6 Months

    Number of participants in the intent to treat (ITT) analysis set who meet all the criteria for clinical success at the 6-Month Visit. Clinical success was defined to occur when subjects met all of the following criteria: 1) Subject was not hospitalized due to worsening of the study-qualifying orthopedic infection. 2) Subject did not undergo a definitive surgical procedure (such as amputation). 2) No additional antibiotics (after completion of companion antibiotics) are required for treatment of the orthopedic infection due to the inclusionary pathogen. 3) Wound is closed, or the open area decreased in size (L x W) and, if a skin graft was done, the graft remains viable without evidence of infection. 4) No purulent discharge from the surgical wound, or new or recurring sinus tract. 5) No worsening of redness, tenderness, or swelling at the primary infection site. 5) No bacteremia

    6 months after start of treatment

Secondary Outcomes (7)

  • Safety and Tolerability

    Entire study period - up to 24 months

  • Clinical Success at 9 Months

    9 months after start of treatment

  • Clinical Success at 12 Months

    12 months after start of treatment

  • Clinical Success at 15 Months

    15 months after start of treatment

  • Clinical Success at 18 Months

    18 months after start of treatment

  • +2 more secondary outcomes

Study Arms (1)

CEM-102 (Sodium fusidate)

EXPERIMENTAL

1500 mg by mouth every 12 hours for 2 doses, then 600 mg by mouth every 12 hours thereafter, until end of therapy: * 6 months of treatment; or * 24 months of treatment (if continued on chronic suppressive therapy)

Drug: sodium fusidate

Interventions

Also known as: CEM-102, fusidic acid
CEM-102 (Sodium fusidate)

Eligibility Criteria

Age12 Years+
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Adolescents between 12 and 18 years must weigh \>60 kg
  • Not a candidate, as determined by the Investigator, for suitable alternative therapy
  • After completion of 1-2 weeks of the companion antibiotic, must be a suitable candidate for CEM-102 monotherapy for chronic treatment

You may not qualify if:

  • Requires concomitant treatment with OATP1B1 and OATP1B3 substrates, in particular, statins (HMG-CoA reductase inhibitors)
  • Known severe renal impairment, as indicated by estimated CrCl \<30 mL/min (by Cockcroft-Gault calculation)
  • Evidence of significant liver disease: ALT \>3 Ă— ULN or direct bilirubin \>ULN; known cirrhosis with decompensation (i.e. Child-Pugh Class B or C disease)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (19)

Unknown Facility

Fountain Valley, California, 92708, United States

Location

Unknown Facility

San Dimas, California, 91773, United States

Location

Unknown Facility

Sylmar, California, 91432, United States

Location

Unknown Facility

Torrance, California, 90502, United States

Location

Unknown Facility

Tamarac, Florida, 33321, United States

Location

Unknown Facility

Springfield, Illinois, 62703, United States

Location

Unknown Facility

Louisville, Kentucky, 40202, United States

Location

Unknown Facility

Baltimore, Maryland, 21218, United States

Location

Unknown Facility

Boston, Massachusetts, 02111, United States

Location

Unknown Facility

Detroit, Michigan, 48202, United States

Location

Unknown Facility

Butte, Montana, 59701, United States

Location

Unknown Facility

Somers Point, New Jersey, 08244, United States

Location

Unknown Facility

Charlotte, North Carolina, 28207, United States

Location

Unknown Facility

Cincinnati, Ohio, 45219, United States

Location

Unknown Facility

Cleveland, Ohio, 44195, United States

Location

Unknown Facility

Haverford, Pennsylvania, 19041, United States

Location

Unknown Facility

Malvern, Pennsylvania, 19355, United States

Location

Unknown Facility

Philadelphia, Pennsylvania, 19107, United States

Location

Unknown Facility

Houston, Texas, 77030, United States

Location

MeSH Terms

Conditions

Osteomyelitis

Interventions

Fusidic Acid

Condition Hierarchy (Ancestors)

Bone Diseases, InfectiousInfectionsBone DiseasesMusculoskeletal Diseases

Intervention Hierarchy (Ancestors)

CholestadienolsCholestadienesCholestenesCholestanesSteroidsFused-Ring CompoundsPolycyclic CompoundsSterolsMembrane LipidsLipids

Results Point of Contact

Title
Carl Kraus, MD (CEO)
Organization
Arrevus, Inc.

Study Officials

  • Robert Dobbins, MD, PhD

    Melinta Therapeutics, Inc.

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 5, 2015

First Posted

October 6, 2015

Study Start

December 1, 2015

Primary Completion

October 17, 2017

Study Completion

February 21, 2019

Last Updated

January 30, 2020

Results First Posted

January 30, 2020

Record last verified: 2020-01

Data Sharing

IPD Sharing
Will not share

Locations