Efficacy and Safety of Dalbavancin for the Treatment of Acute Bacterial Skin and Skin Structure Infections

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Durata Therapeutics, Inc.
ClinicalTrials.gov Identifier:
NCT01339091
First received: April 18, 2011
Last updated: September 10, 2012
Last verified: September 2012
  Purpose

The primary object is to compare the early clinical efficacy (after 48-72 hours of therapy) of dalbavancin to the comparator regimen (vancomycin with the option to switch to oral linezolid) for the treatment of patients with a suspected or proven gram-positive bacterial skin or skin structure infection.


Condition Intervention Phase
Abscess
Wound Infection
Surgical Site Infection
Cellulitis
Drug: Dalbavancin
Drug: Vancomycin
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: A Phase 3, Randomized, Double-Blind, Double-Dummy Study to Compare the Efficacy and Safety of Dalbavancin to a Comparator Regiment (Vancomycin and Linezolid) for the Treatment of Acute Bacterial Skin and Skin Structure Infections

Resource links provided by NLM:


Further study details as provided by Durata Therapeutics, Inc.:

Primary Outcome Measures:
  • Early Clinical Efficacy [ Time Frame: After 48-72 hours of therapy ] [ Designated as safety issue: No ]
    Clinical response at 48-72 hours post study drug initiation, based on measurements of acute bacterial skin and skin structure infections (ABSSSI) lesion size and temperature


Secondary Outcome Measures:
  • Clinical Status [ Time Frame: End of Treatment Visit (Day 14-15) ] [ Designated as safety issue: No ]
    Compare the clinical efficacy at end of treatment visit of dalbavancin to the comparator regimen based on lesion size, local signs, temperature and receipt of other therapy

  • Per-patient Microbiological Efficacy [ Time Frame: End of Treatment Visit (Day 14-15) and Short Term Follow up (Day 26-30) ] [ Designated as safety issue: No ]
    Compare the per-patient microbiological efficacy of dalbavancin to the comparator regimen.

  • Efficacy by individual pathogens [ Time Frame: End of Treatment Visit (Day 14-15) and Short Term Follow up Visit (Day 26-30) ] [ Designated as safety issue: No ]
    Compare clinical efficacy by individual pathogens in the two treatment groups

  • Pathogen Eradication Rates for Individual Pathogens [ Time Frame: End of Treatment Visit (Day 14-15) and Short Term Follow-up Visit (Day 26-30) ] [ Designated as safety issue: No ]
    Compare pathogen eradication rates for individual pathogens in the two treatment groups.

  • Safety and Tolerability [ Time Frame: Through Long Term Follow-up Visit (Day 70) ] [ Designated as safety issue: Yes ]
    Safety of dalbavancin and vancomycin assessed according to the incidence of adverse events (AEs), Serious AEs and discontinuations due to AEs

  • Investigator's assessment of clinical response [ Time Frame: End of Treatment Visit (Day 14-15) ] [ Designated as safety issue: No ]
    Success: Resolution or improvement of all signs and symptoms of the infection without treatment-related discontinuation, death or non-antibacterial intervention for the ABSSSI


Enrollment: 573
Study Start Date: March 2011
Study Completion Date: September 2012
Primary Completion Date: September 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Dalbavancin Drug: Dalbavancin
IV Dalbavancin 1000 mg on Day 1 and 500 mg on Day 8
Active Comparator: Vancomycin +/- oral linezolid Drug: Vancomycin
IV Vancomycin (dosed per standard of care) with optional switch to oral linezolid (600 mg Q12 hours). Total duration of therapy is 10-14 days.

  Eligibility

Ages Eligible for Study:   18 Years to 85 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Male or female patients 18 - 85 years of age.
  2. Signed and dated informed consent document.
  3. Major abscess, surgical site infection, traumatic wound infection or cellulitis suspected or confirmed to be caused by Gram-positive bacteria.
  4. At least two (2) local signs and symptoms of ABSSSI and at least one (1) systemic sign of infection.
  5. Requires a minimum of 3 days of IV therapy.
  6. Patient willing and able to comply with study procedures.

Exclusion Criteria:

Patients presenting with any of the following:

  1. A contra-indication to any required study drug.
  2. Pregnant or nursing females.
  3. Sustained shock.
  4. Participation in another study of an investigational drug or device within 30 days.
  5. Receipt of a systemically or topically administered antibiotic within 14 days prior to randomization, except receipt of a single dose of a short-acting antibacterial drug 3 or more days prior to randomization.
  6. Infection due to a dalbavancin or vancomycin-resistant organism.
  7. Evidence of meningitis, necrotizing fasciitis, gas gangrene, gangrene, septic arthritis, osteomyelitis, and/or endovascular infection.
  8. Exclusively gram-negative bacterial or a fungal ABSSSI.
  9. Venous catheter infection.
  10. Infection of a diabetic foot ulcer or a decubitus ulcer.
  11. Device-related infections.
  12. Gram-negative bacteremia.
  13. Infected burns.
  14. Infected limb with critical ischemia.
  15. Superficial/simple skin and skin structure infections.
  16. Concomitant condition requiring non-study antibacterial therapy.
  17. ABSSSI requiring therapy for longer than 14 days.
  18. Adjunctive therapy with hyperbaric oxygen.
  19. More than 2 surgical interventions for ABSSSI anticipated.
  20. Chronic inflammatory condition precluding assessment of clinical response.
  21. Absolute neutrophil count < 500 cells/mm3.
  22. Human immunodeficiency virus (HIV) infection with a CD4 cell count < 200 cells/mm3.
  23. Recent bone marrow transplant, > 20 mg prednisolone per day (or equivalent) or receiving immunosuppressant drugs after organ transplantation.
  24. Regular, chronic antipyretic use in patients unable to modify during the first three days of study drug therapy.
  25. Life expectancy less than 3 months.
  26. Conditions that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results.
  27. Prior participation in the study.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01339091

  Hide Study Locations
Locations
United States, California
Durata Study Site
Anaheim, California, United States, 92804
Durata Study Site
Azusa, California, United States, 91702
Durata Study Site
Bellflower, California, United States, 90706
Durata Study Site
Buena Park, California, United States, 90620
Durata Study Site
Carmel, California, United States, 46032
Durata Study Site
Chula Vista, California, United States, 92911
Durata Study Site
Covina, California, United States, 91723
Durata Study Site
Fountain Valley, California, United States, 92708
Durata Study Site
La Mesa, California, United States, 91942
Durata Study Site
Long Beach, California, United States, 90813
Durata Study Site
Los Alamitos, California, United States, 90720
Durata Study Site
Los Angeles, California, United States, 90015
Durata Study Site
Oceanside, California, United States, 92056
Durata Study Site
Palm Desert, California, United States, 92211
Durata Study Site
Pasadena, California, United States, 91105
Durata Study Site
Sacramento, California, United States, 95817
Durata Study Site
San Diego, California, United States, 92120
Durata Study Site
Santa Ana, California, United States, 92701
Durata Study Site
Sylmar, California, United States, 91342
Durata Study Site
Torrance, California, United States, 90509
Durata Study Site
Upland, California, United States, 91786
Durata Study Site
Whittier, California, United States, 90602
United States, Florida
Durata Study Site
Miami, Florida, United States, 33144
Durata Study Site
Miami, Florida, United States, 33155
Durata Study Site
Orlando, Florida, United States, 32837
Durata Study Site
St. Cloud, Florida, United States, 34769
Durata Study Site
Tampa, Florida, United States, 33613
United States, Georgia
Durata Study Site
Columbus, Georgia, United States, 31904
Durata Study Site
Savannah, Georgia, United States, 31406
United States, Idaho
Durata Study Site
Idaho Falls, Idaho, United States, 83404
Durata Study Site
Pocatello, Idaho, United States, 83202
United States, Illinois
Durata Study Site
Moline, Illinois, United States, 61265
Durata Study Site
Rock Island, Illinois, United States, 31201
United States, Louisiana
Durata Study Site
Baton Rouge, Louisiana, United States, 70808
Durata Study Site
Lafayette, Louisiana, United States, 70503
Durata Clinical Site
New Orleans, Louisiana, United States, 70112
Durata Study Site
Opelousas, Louisiana, United States, 70570
United States, Michigan
Durata Study Site
Detroit, Michigan, United States, 48202
United States, Minnesota
Durata Study Site
Minneapolis, Minnesota, United States, 55422
United States, Nevada
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Las Vegas, Nevada, United States, 89109
United States, New Jersey
Durata Study Site
Somers Point, New Jersey, United States, 08244
United States, New York
Durata Study Site
Bronx, New York, United States, 10467
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Buffalo, New York, United States, 14215
Durata Study Site
Lake Success, New York, United States, 11042
Durata Study Site
New Hyde Park, New York, United States, 11040
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Staten Island, New York, United States, 10305
United States, North Carolina
Durata Study Site
Winston Salem, North Carolina, United States, 27103
Durata Study Site
Winston-Salem, North Carolina, United States, 27103
United States, Ohio
Durata Study Site
Columbus, Ohio, United States, 43215
Durata Study Site
Lima, Ohio, United States, 45801
Durata Study Site
Toledo, Ohio, United States, 43608
United States, Pennsylvania
Durata Study Site
Pittsburgh, Pennsylvania, United States, 15213
United States, Texas
Durata Study Site
Houston, Texas, United States, 77036
Durata Study Site
Houston, Texas, United States, 77030
United States, Wisconsin
Durata Study Site
Madison, Wisconsin, United States, 53717
Durata Study Site
Middleton, Wisconsin, United States, 53562
Canada, Manitoba
Durata Study Site
Winnipeg, Manitoba, Canada, R3E 0J9
Canada, Quebec
Durata Study Site
Trois-Rivieres, Quebec, Canada, G9A 1Y1
Croatia
Durata Study Site
Dubrovnik, Croatia, 2000
Durata Clinical Site
Slavonski Brod, Croatia, 35000
Durata Study Site
Zagreb, Croatia, 1000
Durata Study Site
Zagreb, Croatia, 10000
Georgia
Durata Clinical Site
Tbilisi, Georgia
Germany
Durata Study Site
Bochum, Germany, 44791
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Munster, Germany, 48149
Poland
Durata Study Site
Krakow, Poland, 31-501
Durata Study Site
Legionowo, Poland, 05-120
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Warszawa, Poland, 03-401
Durata Study Site
Wroclaw, Poland, 51-124
Russian Federation
Durata Study Site
Kharkiv, Ukraine, Russian Federation, 61037
Durata Study Site
Kyiv city, Ukraine, Russian Federation, 02125
Durata Study Site
Ekaterinburg, Russian Federation, 620095
Durata Study Site
Moscow, Russian Federation, 129327
Durata Study Site
Moscow, Russian Federation, 111020
Durata Clinical Site
Moscow, Russian Federation, 111539
Durata Study Site
Perm, Russian Federation, 614036
Durata Study Site
Saratov, Russian Federation, 410053
Durata Study Site
Smolensk, Russian Federation, 214018
Durata Study Site
St. Petersburg, Russian Federation, 198099
Durata Study Site
St. Petersburg, Russian Federation, 194354
Durata Study Site
St. Petersburg, Russian Federation, 191104
Durata Clinical Site
St. Petersburg, Russian Federation, 94354
Durata Study Site
St. Petersburg, Russian Federation, 192242
Durata Study Site
Tomsk, Russian Federation, 634064
Ukraine
Durata Study Site
Cherkasy, Ukraine, 18009
Durata Study Site
Ivano-Frankivsk, Ukraine, 76018
Durata Study Site
Kharkiv, Ukraine, 61037
Durata Study Site
Kyiv, Ukraine, 03110
Durata Study Site
Kyiv, Ukraine, 02125
Durata Study Site
Uzhgorod, Ukraine, 88018
Durata Study Site
Zaporizhzhya, Ukraine, 69032
Durata Study Site
Zhytomyr, Ukraine, 10002
Sponsors and Collaborators
Durata Therapeutics, Inc.
Investigators
Study Director: Michael Dunne, MD Durata Therapeutics, Inc.
  More Information

No publications provided

Responsible Party: Durata Therapeutics, Inc.
ClinicalTrials.gov Identifier: NCT01339091     History of Changes
Other Study ID Numbers: DUR001-301
Study First Received: April 18, 2011
Last Updated: September 10, 2012
Health Authority: United States: Food and Drug Administration

Additional relevant MeSH terms:
Abscess
Cellulitis
Wound Infection
Suppuration
Infection
Inflammation
Pathologic Processes
Skin Diseases, Infectious
Connective Tissue Diseases
Wounds and Injuries
Vancomycin
Dalbavancin
Teicoplanin
Linezolid
Anti-Bacterial Agents
Anti-Infective Agents
Therapeutic Uses
Pharmacologic Actions
Protein Synthesis Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action

ClinicalTrials.gov processed this record on May 22, 2013