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Comparative Study of Ceftaroline vs. Ceftriaxone in Adults With Community-Acquired Pneumonia

Phase 3
Completed
Conditions
Bacterial Pneumonia
Interventions
Registration Number
NCT00509106
Lead Sponsor
Forest Laboratories
Brief Summary

The purpose of the study is to determine if the antibiotic ceftaroline is safe and effective in the treatment of community-acquired pneumonia in adults.

Detailed Description

Clinical trials is being held in different countries. The purpose of the study is to determine if the antibiotic ceftaroline is safe and effective in the treatment of community-acquired pneumonia in adults.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
622
Inclusion Criteria

Subjects with community-acquired pneumonia requiring:

  • initial hospitalization or treatment in an emergency room or urgent care setting
  • infection requiring initial treatment with IV antimicrobial
Exclusion Criteria
  • Community-acquired pneumonia suitable for outpatient therapy with an oral antimicrobial agent
  • Respiratory tract infections not due to community-acquired bacterial pathogens
  • Infections resistant to ceftriaxone
  • Any condition requiring concomitant systemic corticosteroids
  • History of any hypersensitivity or allergic reaction to any ß-lactam antimicrobial

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Ceftaroline fosamil for injectionCeftaroline fosamil for InjectionCeftaroline fosamil was administered in two consecutive 300 mg IV infusions over 30 minutes, every 12 hours (q12h).
IV CeftriaxoneCeftriaxoneCeftriaxone was administered as a 1-g IV infusion over 30 minutes followed by IV saline placebo infused over 30 minutes, every 24 hours (q24h).
IV CeftriaxonePlaceboCeftriaxone was administered as a 1-g IV infusion over 30 minutes followed by IV saline placebo infused over 30 minutes, every 24 hours (q24h).
Primary Outcome Measures
NameTimeMethod
Clinical Cure Rate for Ceftaroline Compared to That for Ceftriaxone at the Test of Cure (TOC) in the Modified Intent to Treat Efficacy (MITTE) Population8-15 days after last dose of study drug

Cure:Total resolution of all signs and symptoms of pneumonia (ie,CABP), or improvement to such an extent that further antimicrobial therapy was not necessary

Failure: Any of the following:

* Persistence, incomplete clinical resolution, or worsening in signs and symptoms of CABP that required alternative antimicrobial therapy

* Treatment-limiting adverse event (AE) leading to discontinuation of study drug therapy, when subject required alternative antimicrobial therapy to treat the pneumonia

* Death wherein pneumonia (ie,CABP) was considered causative

Indeterminate: Inability to determine an outcome

Clinical Cure Rate for Ceftaroline Compared With That for Ceftriaxone at TOC in the Clinically Evaluable (CE) Population8-15 days after last dose of study drug
Secondary Outcome Measures
NameTimeMethod
Clinical and Microbiological Response by Pathogen at TOC8-15 days after last dose of study drug
Clinical Response at End of Therapy (EOT)Last day of study drug administration
Microbiological Success Rate at TOC8-15 days after last dose of study drug
Overall Clinical and Radiographic Success Rate at TOC8-15 days after last dose of study drug
Clinical Relapse at Late Follow Up (LFU) Visit21-35 days after last dose of study drug
Microbiological Reinfection/Recurrence at LFU21 to 35 days after last dose of study drug
Evaluate Safetyfirst dose, throughout the treatment period, and up to the TOC visit

Trial Locations

Locations (8)

Inestigational Site

🇵🇱

Warszawa, Poland

Investigational site

🇺🇦

Kyiv, Ukraine

Investigtional Site

🇵🇱

Krakow, Poland

Invetigational Site

🇦🇷

Buenos Aires, Argentina

Investigational Site

🇺🇦

Zhytomyr, Ukraine

Investigational Drug

🇧🇬

Varna, Bulgaria

INvestigational Site

🇦🇷

Cordoba, Argentina

Investigator Site

🇵🇱

Bialystok, Poland

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