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A Study of Beta-Lactam in Hospitalized Patients With Skin and Skin Structure Infections

Phase 2
Completed
Conditions
Soft Tissue Infections
Interventions
Drug: beta-lactam
Drug: Standard care
Registration Number
NCT00303589
Lead Sponsor
Hoffmann-La Roche
Brief Summary

This 3 arm study will compare the efficacy and safety of beta-lactam with that of 'standard care' in patients with complicated skin and skin structure infections requiring hospitalization. Patients will be randomized to receive 1)beta-lactam 750mg iv q8h 2)beta-lactam 1500mg iv q8h or 3)'standard care' \[PRP (nafcillin or flucloxacillin) or vancomycin, plus aztreonam or ciprofloxacin\]. The anticipated time on study treatment is \<3 months and the target sample size is 100-500 individuals.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
313
Inclusion Criteria
  • adult patients, >=18 years of age;
  • skin or skin structure infection requiring hospitalization;
  • clinical diagnosis of a skin or skin structure infection caused by bacteria known or suspected to be susceptible to the randomized study treatment;
  • material from site of infection is clinically purulent or seropurulent.
Exclusion Criteria
  • presenting with sustained shock (SBP<90mm Hg for > 2 hours, despite adequate fluid resuscitation);
  • known or suspected concomitant bacterial infection requiring antibiotic treatment;
  • skin infection or chronic non-healing ulcer of > 2 weeks duration;
  • patients in whom surgery is the primary treatment.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
1beta-lactam-
2beta-lactam-
3Standard care-
Primary Outcome Measures
NameTimeMethod
Clinical cure rate.Event driven
Secondary Outcome Measures
NameTimeMethod
Adverse events; laboratory abnormalitiesThroughout study
Bacteriological outcomeEvent driven
Time to clinical cureEvent driven
Time to resolution of signs and symptoms of skin or soft tissue infectionEvent driven
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