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Safety and Efficacy of CEM-102 With Rifampin Compared to Standard Therapy in Patients With Prosthetic Joint Infections or Spacer Infection

This study has been terminated.
(This study has been terminated; alternative study designs are being considered. Fusidic acid remains available under an Expanded Access Protocol.)
Information provided by (Responsible Party):
Cempra Inc Identifier:
First received: December 18, 2012
Last updated: November 18, 2014
Last verified: November 2014
To determine if oral antibiotic treatment with CEM-102 and Rifampin is as effective and safe as the standard of care antibiotic therapy for the treatment of hip and knee prosthetic joint or spacer infections

Condition Intervention Phase
Prosthetic Joint Infections of Hip
Prosthetic Joint Infections of Knee
Infected Spacers
Drug: CEM-102
Drug: IV or Oral standard of care antibiotics
Drug: Rifampin
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment

Resource links provided by NLM:

Further study details as provided by Cempra Inc:

Primary Outcome Measures:
  • Bacterial eradication of joint infection [ Time Frame: 3 to 6 months ]
    Clinical success is defined as the absence of persistent infection in a patient who did not receive alternative antibiotic therapy targeting the infection.

Enrollment: 14
Study Start Date: December 2012
Study Completion Date: July 2014
Primary Completion Date: July 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: CEM-102 plus Rifampin Drug: CEM-102
Other Name: fusidic acid
Drug: Rifampin
Active Comparator: Standard of Care Drug: IV or Oral standard of care antibiotics
Other Names:
  • vancomycin
  • daptomycin
  • linezolid
  • rifampin
  • ceftriaxone
  • cefazolin
  • ceftaroline
  • nafcillin
  • oxacillin
  • ciprofloxacin
  • levofloxacin
  • co-trimoxazole


Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Prosthetic knee or hip joint infection
  • Infected joint spacer
  • Able to swallow tablets
  • Able to voluntarily sign the informed consent form
  • Females of childbearing potential must use an acceptable method of birth control
  • The joint infection must be attributed to bacterial pathogens sensitive to fusidic acid and rifampin

Exclusion Criteria:

  • History of hypersensitivity or intolerability to sodium fusidate (Fucidin®), or to rifampin
  • Females who are pregnant or lactating
  • Requirement for significant immunosuppression
  • Bacteremia
  • Known cirrhosis or decompensated liver disease
  • Current treatment for HIV or Hepatitis C
  • Seizure disorder, requiring anti-convulsants
  Contacts and Locations
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Please refer to this study by its identifier: NCT01756924

United States, Florida
Sarasota, Florida, United States, 34232
Tamarac, Florida, United States, 33321
United States, Georgia
Savannah, Georgia, United States, 31419
United States, Maryland
Baltimore, Maryland, United States, 21215
Baltimore, Maryland, United States, 21218
United States, Massachusetts
Boston, Massachusetts, United States, 02215
United States, New York
Syracuse, New York, United States, 13507
United States, North Carolina
Durham, North Carolina, United States, 27710
United States, Pennsylvania
Philadelphia, Pennsylvania, United States, 19107
Pittsburgh, Pennsylvania, United States, 15232
United States, South Carolina
Charleston, South Carolina, United States, 29425
United States, Texas
Houston, Texas, United States, 77030
Houston, Texas, United States, 77043
Sponsors and Collaborators
Cempra Inc
  More Information

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Cempra Inc Identifier: NCT01756924     History of Changes
Other Study ID Numbers: CE06-200
Study First Received: December 18, 2012
Last Updated: November 18, 2014

Keywords provided by Cempra Inc:
prosthetic joint infection
hip arthroplasty
knee arthroplasty

Additional relevant MeSH terms:
Communicable Diseases
Arthritis, Infectious
Joint Diseases
Musculoskeletal Diseases
Anti-Bacterial Agents
Fusidic Acid
Anti-Infective Agents
Protein Synthesis Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Topoisomerase II Inhibitors
Topoisomerase Inhibitors
Antineoplastic Agents
Cytochrome P-450 CYP1A2 Inhibitors
Cytochrome P-450 Enzyme Inhibitors
Anti-Infective Agents, Urinary
Renal Agents
Antibiotics, Antitubercular
Antitubercular Agents
Leprostatic Agents
Nucleic Acid Synthesis Inhibitors
Cytochrome P-450 CYP2B6 Inducers
Cytochrome P-450 Enzyme Inducers
Cytochrome P-450 CYP2C8 Inducers
Cytochrome P-450 CYP2C19 Inducers processed this record on April 25, 2017