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Comparative Study of Ceftaroline vs. Vancomycin Plus Aztreonam in Adult Subjects With Complicated Skin Infections

Phase 3
Completed
Conditions
Bacterial Infections
Interventions
Registration Number
NCT00423657
Lead Sponsor
Forest Laboratories
Brief Summary

The purpose of this study is to determine whether ceftaroline is effective and safe in the treatment of complicated skin infections in adults.

Detailed Description

Additional purpose of this study is to compare ceftaroline effectivity versus Vancomycin plus Aztreonam in the treatment of complicated skin infections in adults.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
680
Inclusion Criteria
  • Skin and skin structure infection (SSSI) that involves deeper soft tissue or requires significant surgical intervention, or cellulitis or abscess on lower extremity which occurs in subjects with diabetes mellitus or well-documented peripheral vascular disease.
Exclusion Criteria
  • Prior treatment of current complicated skin and skin structure infection (cSSSI) with an antimicrobial.
  • Failure of vancomycin or aztreonam as therapy for the current cSSSI, or prior isolation of an organism with in vitro resistance to vancomycin or aztreonam.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Ceftaroline fosamil for InjectionPlaceboCeftaroline fosamil 600 mg administered intravenously over 60 minutes every 12 hours, followed by placebo administered over 60 minutes every 12 hours.
IV Vancomycin plus IV Aztreonamvancomycin plus aztreonamVancomycin 1 g administered over 60 minutes every 12 hours followed by aztreonam 1 g administered over 60 minutes every 12 hours.
Ceftaroline fosamil for InjectionceftarolineCeftaroline fosamil 600 mg administered intravenously over 60 minutes every 12 hours, followed by placebo administered over 60 minutes every 12 hours.
Primary Outcome Measures
NameTimeMethod
Clinical Cure Rate at Test of Cure (TOC) (MITT Population)8-15 days after last dose of study drug administration

Cure: Total resolution of all signs and symptoms of the baseline infection, or improvement of the infection such that no further antimicrobial therapy was necessary.

Failure: Requirement of alternative antimicrobial therapy for primary infection of complicated skin and skin structure infection (cSSSI) due to inadequate response, recurrence, new infection at the same site; treatment-limiting adverse event (AE); requirement for surgery due to failure of study drug; diagnosis of osteomyelitis after Study Day 8; or death caused by cSSSI.

Indeterminate: Inability to determine an outcome

The Primary Efficacy Outcome Measure Was the Per-subject Clinical Cure Rate at the TOC Visit in the Clinically Evaluable (CE) Populations.8-15 days after last dose of study drug
Secondary Outcome Measures
NameTimeMethod
To Evaluate the Clinical and Microbiological Response by Pathogen at the TOC Visit8-15 days after last dose of study drug
To Evaluate Clinical Relapse at the Late Follow Up (LFU) Visit21 to 35 days after the last dose of study drug
To Evaluate Microbiological Reinfection or Recurrence at the LFU Visit21-35 days after last dose of study drug
To Evaluate the Clinical Response at the End of Therapy (EOT) Visitlast day of study drug administration
To Evaluate the Microbiological Success Rate at the TOC Visit8-15 days after the last dose of study drug
To Evaluate Safetyfirst study drug dose through TOC

Trial Locations

Locations (1)

Investigational Site

🇬🇧

London, United Kingdom

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