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Study Comparing the Safety and Efficacy of Tigecycline With Ampicillin-Sulbactam or Amoxicillin-Clavulanate to Treat Skin Infections
This study has been completed.
First Received: August 21, 2006   Last Updated: July 27, 2009   History of Changes
Sponsor: Wyeth
Information provided by: Wyeth
ClinicalTrials.gov Identifier: NCT00368537
  Purpose

The purpose of this study is to compare the safety and efficacy of the antibiotic tigecycline with other antibiotics, ampicillin-sulbactam, and amoxicillin-clavutanate in the treatment of a complicated skin and/or skin structure infection (cSSSI).


Condition Intervention Phase
Skin Diseases, Bacterial
Drug: Tigecycline
Drug: ampicillin-sulbactam
Phase III

Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Efficacy Study
Official Title: A Multicenter, Randomized, Open-Label Comparison of the Safety And Efficacy of Tigecycline With That of Ampicillin-Sulbactam or Amoxicillin-Clavulanate to Treat Complicated Skin And Skin Structure Infections

Resource links provided by NLM:


Further study details as provided by Wyeth:

Primary Outcome Measures:
  • The primary endpoint will be the clinical response in the clinically evaluable (CE) population at the test-of-cure (TOC) visit. [ Time Frame: Clinical response rate (cure/failure rate) 10 to 28 days after the last dose of study antibiotic(s). ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • To compare the microbiologic efficacy of tigecycline with that of the comparator in the microbiologically evaluable(ME)population [ Time Frame: Clinical response rate (cure/failure rate) 10 to 28 days after the last dose of study antibiotic(s). ] [ Designated as safety issue: No ]
  • To evaluate in vitro susceptibility data on tigecycline for a range of pathogenic bacteria that cause cSSSI [ Time Frame: Clinical response rate (cure/failure rate) 10 to 28 days after the last dose of study antibiotic(s). ] [ Designated as safety issue: No ]
  • To compare health care utilization between the treatment groups. [ Time Frame: Clinical response rate (cure/failure rate) 10 to 28 days after the last dose of study antibiotic(s). ] [ Designated as safety issue: No ]

Enrollment: 550
Study Start Date: September 2006
Study Completion Date: September 2008
Primary Completion Date: September 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Active Comparator
Arm 1: Tigecycline
Drug: Tigecycline
Treatment A: Tigecycline every 12 hours IV (an initial dose of 100 mg followed by 50 mg every 12 hours)
2: Active Comparator
Arm 2: Ampicillin-Sulbactam or Amoxicillin-Clavulanate plus or minus a glycopeptide
Drug: ampicillin-sulbactam

Ampiciliin-sulbactam: 1.5 g (1 g amplicillin plus 0.5 g sulbactam) to 3 g (3 g ampicillin plus 1 g sulbactam) IV every 6 hrs or Amoxicillin-clavulnate: 1.2 g (1000 mg amoxicillin plus 200 mg clavulanate) IV every 6 to 8 hrs.

A glycopeptide antibiotic (either vancomycin 1 g IV every 12 hrs or teicoplanin IV loading dose of 400 mg the first day followed by a maintainance dose of 200 mg daily) may be added to the aminopenicillin/betalactamase inhibitor regimen if infection with MRSA is suspected or confirmed within the first 72 hrs of enrollment. If culture results fail to show a resistant organism, use of the glucopeptide may be discontinued.


  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Clinical diagnosis of complicated skin or skin structure infection
  • Male or female, 18 years or older
  • Need for intravenous treatment in the hospital for 4 to 14 days

Exclusion Criteria:

  • Skin infection that can be treated by surgery & wound care alone
  • Diabetic foot ulcers or bedsores where the infection is present longer than 1 week
  • Poor circulation such that amputation of the infected site is likely within a month Other exclusions apply
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00368537

  Hide Study Locations
Locations
United States, Arizona
Scottsdale, Arizona, United States, 85251
United States, Arkansas
Jonesboro, Arkansas, United States, 72401
United States, California
Mission Viejo, California, United States, 92691
National City, California, United States, 91950
Chula Vista, California, United States, 91911
United States, Colorado
Denver, Colorado, United States, 80218
United States, District of Columbia
Washington, District of Columbia, United States, 20017
Washington, District of Columbia, United States, 20037
United States, Florida
Orlando, Florida, United States, 32803
Vero Beach, Florida, United States, 32960
United States, Georgia
Ft. Gordon, Georgia, United States, 30905
United States, Idaho
Idaho Falls, Idaho, United States, 83404
United States, Illinois
Springfield, Illinois, United States, 62702
Decatur, Illinois, United States, 62526
Naperville, Illinois, United States, 60540
United States, Kansas
Topeka, Kansas, United States, 66606
United States, Massachusetts
Cambridge, Massachusetts, United States, 02139
Worcester, Massachusetts, United States, 01655
United States, Michigan
Detroit, Michigan, United States, 48202
United States, Nebraska
Lincoln, Nebraska, United States, 68510
United States, New Jersey
Neptune, New Jersey, United States, 07754
Hackensack, New Jersey, United States, 07601
United States, New York
Elmira, New York, United States, 14905
New Hyde Park, New York, United States, 11040
Buffalo, New York, United States, 14215
United States, Ohio
Lima, Ohio, United States, 45801
Columbus, Ohio, United States, 43214
United States, Pennsylvania
Lansdale, Pennsylvania, United States, 19446
Philadelphia, Pennsylvania, United States, 19140
United States, Texas
Fort Worth, Texas, United States, 76104
Houston, Texas, United States, 77026
Ft. Worth, Texas, United States, 76104
Canada
Quebec, Canada, G1V 4G5
Canada, Manitoba
Winnipeg, Manitoba, Canada, R3A 1R9
Canada, Quebec
Chicoutimi, Quebec, Canada, G7H 5H6
Trois-Rivieres, Quebec, Canada, G8Z 3R9
Sherbrooke, Quebec, Canada, J1H 5N4
Montreal, Quebec, Canada, H1T 2M4
Canada, Saskatchewan
Saskatoon, Saskatchewan, Canada, S7N 0W8
Hong Kong
Hong Kong, Hong Kong
Israel
Ramat Gan, Israel, 52621
Korea, Republic of
Seoul, Korea, Republic of, 133-791
Daejeon, Korea, Republic of, 301-721
Seoul, Korea, Republic of, 120-752
Incheon, Korea, Republic of, 405-760
Lebanon
Beirut, Lebanon, 110 32090
Malaysia
Pulau Pinang, Malaysia, 10990
Philippines
Manila, Philippines, 1000
Manila, Philippines, 1014
Singapore
Singapore, Singapore, 169608
South Africa
Cape Town, South Africa, 7531
Gauteng, South Africa, 0181
Mpumalanga, South Africa, 1050
KZ-Natal, South Africa, 3610
Taiwan
Taipei, Taiwan, 220
Thailand
Bangkok, Thailand, 10330
Bangkok, Thailand, 10400
Bangkok, Thailand, 10700
Sponsors and Collaborators
Wyeth
Investigators
Study Director: Medical Monitor Wyeth
Principal Investigator: Trial Manager For Hong Kong: medinfo@wyeth.com
Principal Investigator: Trial Manager For South Africa: ZAFinfo@wyeth.com
Principal Investigator: Trial Manager For Taiwan: medinfo@wyeth.com
  More Information

No publications provided

Responsible Party: Wyeth ( Wyeth (Registry Contact: Clinical Trial Registry Specialist) )
Study ID Numbers: 3074A1-900
Study First Received: August 21, 2006
Last Updated: July 27, 2009
ClinicalTrials.gov Identifier: NCT00368537     History of Changes
Health Authority: Australia: Department of Health and Ageing Therapeutic Goods Administration;   Belgium: Institutional Review Board;   Brazil: Ministry of Health;   China: Ministry of Health;   Colombia: Institutional Review Board;   France: Ministry of Health;   Hong Kong: Department of Health;   India: Ministry of Health;   Ireland: Ministry of Health;   Italy: Ethics Committee;   Lebanon: Institutional Review Board;   Malaysia: Ministry of Health;   Mexico: Ethics Committee;   Netherlands: The Central Committee on Research Involving Human Subjects (CCMO);   Philippines: Department of Health;   Portugal: National Pharmacy and Medicines Institute;   Singapore: Health Sciences Authority;   South Africa: Medicines Control Council;   South Korea: Korea Food and Drug Administration (KFDA);   Spain: Ministry of Health;   Taiwan: Department of Health;   Thailand: Ethical Committee;   Turkey: Ministry of Health;   United Arab Emirates: General Authority for Health Services for Abu Dhabi;   United Kingdom: National Health Service

Keywords provided by Wyeth:
skin infection
antibiotics

Additional relevant MeSH terms:
Bacterial Infections
Anti-Infective Agents
Amoxicillin
Molecular Mechanisms of Pharmacological Action
Skin Diseases
Tigecycline
Ampicillin
Clavulanic Acids
Enzyme Inhibitors
Sultamicillin
Infection
Amoxicillin-Potassium Clavulanate Combination
Pharmacologic Actions
Sulbactam
Anti-Bacterial Agents
Skin Diseases, Infectious
Therapeutic Uses
Skin Diseases, Bacterial
Clavulanic Acid

ClinicalTrials.gov processed this record on November 25, 2009