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This is a study of the safety and efficacy of tigecycline to ceftriaxone sodium plus metronidazole in hospitalized subjects with cIAI. Subjects will be followed for efficacy through the test-of-cure assessment. Safety evaluations will occur through the treatment and post-treatment periods and continue through resolution or stability of the adverse event(s).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| A | Active Comparator |
| |
| B | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| tigecycline | Drug | every 12 hours IV (an initial dose of 100 mg followed by 50 mg every 12 hours) |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Clinically Evaluable (CE) Patients With Clinical Response of Cure at the Test-of-Cure (TOC) Visit | CE population were those who completed TOC assessment of cure or failure (but not indeterminate) or, in case of premature discontinuation due to lack of efficacy, had completed end of treatment assessment such that assessment of clinical response could be made. Clinical response was assigned by investigator per protocol-specified guidelines and defined as: test article and initial intervention (operative and/or radiologically controlled drainage procedure) resolved the intra-abdominal infection. TOC performed 10-28 days after last dose of study drug. | up to 6 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Microbiologically Evaluable (ME) Patients With a Clinical Response of Cure at Test-of-Cure (TOC) Visit | ME population were subjects who were clinically evaluable and had baseline culture with at least 1 identified isolate that was susceptible to study drug and comparator. The clinical response was assigned by the investigator according to the protocol-specified guidelines. A clinical response of cure was defined as: the test article and the initial intervention (operative and/or radiologically controlled drainage procedure) resolved the intra-abdominal infection. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Medical Monitor | Wyeth is now a wholly owned subsidiary of Pfizer | Study Director |
| Trial Manager | For Australia, China, Hong Kong, medinfo@wyeth.com | Principal Investigator |
| Trial Manager | For Taiwan, medinfo@wyeth.com | Principal Investigator |
| Trial Manager | For Denmark, Finland, MedInfoNord@wyeth.com | Principal Investigator |
| Trial Manager | For Germany, MedinfoDEU@wyeth.com | Principal Investigator |
| Trial Manager | For South Africa, ZAFinfo@wyeth.com | Principal Investigator |
| Trial Manager | For Italy, Greece, decresg@wyeth.com | Principal Investigator |
| Trial Manager | For UK, ukmedinfo@wyeth.com | Principal Investigator |
| Trial Manager | For Switzerland, med@wyeth.com | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nambour | Queensland | 4560 | Australia | |||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22439781 | Derived | Qvist N, Warren B, Leister-Tebbe H, Zito ET, Pedersen R, McGovern PC, Babinchak T. Efficacy of tigecycline versus ceftriaxone plus metronidazole for the treatment of complicated intra-abdominal infections: results from a randomized, controlled trial. Surg Infect (Larchmt). 2012 Apr;13(2):102-9. doi: 10.1089/sur.2011.048. Epub 2012 Mar 22. |
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Patients were screened according to the inclusion/exclusion criteria. Once informed consent was obtained, the patient was enrolled into the study and assigned a randomization number and a treatment regimen.
Patients were recruited worldwide from November 2005 to July 2008.
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| ID | Title | Description |
|---|---|---|
| FG000 | Tigecycline | Tigecycline administered IV every 12 hours (an initial dose of 100 mg followed by 50 mg every 12 hours). |
| FG001 | Ceftriaxone | Ceftriaxone sodium 2 g administered IV once daily plus metronidazole 1 to 2 g daily in divided IV doses. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Randomization |
|
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| ceftriaxone plus metronidazole |
| Drug |
Ceftriaxone sodium 2 g once daily intravenously plus metronidazole 1 g to 2 g daily given in divided doses intravenously. Test article should be administered for a minimum of 4 days and up to 14 days at the discretion of the investigator. |
|
| up to 6 weeks |
| Number of Microbiologically Evaluable (ME) Patients by Microbiological Response at Test-of-Cure (TOC) Visit | Microbiological response was assessed at patient level was the combined responses for all baseline isolates identified in intra-abdominal and blood cultures. Eradication=baseline isolate not recovered from primary infection site/blood; Presumed Eradication=No sample for culture, clinical response was cure; Persistence=baseline isolate recovered from primary infection site/blood; Presumed Persistence=No sample available for culture, clinical response was failure; Superinfection=culture from primary infection site with new isolate not identified at baseline, clinical response was failure. | up to 6 weeks |
| Number of Days of Inpatient Healthcare Resource Utilization on or Before Test-of-Cure | Healthcare resource utilization assessment included days of overall inpatient hospitalization, days of primary inpatient hospitalization, days of Intensive Care Unit (ICU) treatment and days of non-ICU inpatient hospitalization | up to 6 weeks |
| Trial Manager |
| For France, infomedfrance@wyeth.com |
| Principal Investigator |
| Trial Manager | For Spain, infomed@wyeth.com | Principal Investigator |
| Trial Manager | For Turkey, Erisc@wyeth.com | Principal Investigator |
| Cairns |
| QLD 4870 |
| Australia |
| Parkville | VIC 3050 | Australia |
| Shanghai | 200032 | China |
| Odense | 5000 | Denmark |
| Lahti | 15850 | Finland |
| Seinäjoki | 60220 | Finland |
| Tampere | 33101 | Finland |
| Marseille | 13 009 | France |
| Nîmes | 30 029 | France |
| Pierre-Bénite | 69495 | France |
| Saint-Denis | 93205 | France |
| Bochum | 44791 | Germany |
| Frankfurt | 60590 | Germany |
| Freiburg im Breisgau | 79106 | Germany |
| Heidelberg | 69120 | Germany |
| Leipzig | 04129 | Germany |
| Lübeck | 23538 | Germany |
| Münster | 48149 | Germany |
| Tübingen | 72056 | Germany |
| Athens | 11527 | Greece |
| Athens | 12462 | Greece |
| Thessaloniki | 54623 | Greece |
| New Territories | Hong Kong |
| Pokfulam | Hong Kong |
| Hyderabad | Telangana | 500 082 | India |
| Bhopal | 462 038 | India |
| Lucknow | 226 014 | India |
| Mumbai | 400071 | India |
| New Delhi | 110060 | India |
| Brescia | 25123 | Italy |
| Genova | 16132 | Italy |
| Pavia | 27100 | Italy |
| Rome | 00168 | Italy |
| Udine | 33100 | Italy |
| Vicenza | 36100 | Italy |
| Manila | 1000 | Philippines |
| Quezon City | 1100 | Philippines |
| Quezon City | 1105 | Philippines |
| Almada | 2801-951 | Portugal |
| Coimbra | 3000-075 | Portugal |
| Porto | 4099-100 | Portugal |
| Porto | 4200-319 | Portugal |
| Riyadh | Saudi Arabia |
| Bellville | 7530 | South Africa |
| Kuilsriver | 7580 | South Africa |
| Parow | 7505 | South Africa |
| Pietermaritzburg | 3201 | South Africa |
| Pretoria | 001 | South Africa |
| Barcelona | 08003 | Spain |
| Bilbao | 48903 | Spain |
| Madrid | 28040 | Spain |
| Madrid | 28905 | Spain |
| Murcia | 30120 | Spain |
| Bern | 3010 | Switzerland |
| Geneva | 1211 | Switzerland |
| Lugano | 6900 | Switzerland |
| Zurich | 8091 | Switzerland |
| Changhua | 500 | Taiwan |
| Taichung | 404 | Taiwan |
| Tainan | Taiwan |
| Taipei | 100 | Taiwan |
| Taoyuan | 333 | Taiwan |
| Ankara | 06100 | Turkey (Türkiye) |
| Istanbul | 34718 | Turkey (Türkiye) |
| Stockport | Cheshire | SK2 7JE | United Kingdom |
| Birmingham | B9 5SS | United Kingdom |
| Wigan | WN1 2NN | United Kingdom |
| COMPLETED |
|
| NOT COMPLETED |
|
|
| Baseline Participants |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Tigecycline | Tigecycline administered IV every 12 hours (an initial dose of 100 mg followed by 50 mg every 12 hours). |
| BG001 | Ceftriaxone | Ceftriaxone sodium 2 g administered IV once daily plus metronidazole 1 to 2 g daily in divided IV doses. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Clinically Evaluable (CE) Patients With Clinical Response of Cure at the Test-of-Cure (TOC) Visit | CE population were those who completed TOC assessment of cure or failure (but not indeterminate) or, in case of premature discontinuation due to lack of efficacy, had completed end of treatment assessment such that assessment of clinical response could be made. Clinical response was assigned by investigator per protocol-specified guidelines and defined as: test article and initial intervention (operative and/or radiologically controlled drainage procedure) resolved the intra-abdominal infection. TOC performed 10-28 days after last dose of study drug. | All patients who received at least 1 dose of study drug who had clinical evidence of a complicated intra-abdominal infection (cIAI) and completed the test-of-cure (TOC) assessment of cure or failure within 8 to 44 days after the last administration of study article. Patients with an indeterminate assessment were excluded. | Posted | Sep 2009 | Number | participants | up to 6 weeks |
|
|
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Number of Microbiologically Evaluable (ME) Patients With a Clinical Response of Cure at Test-of-Cure (TOC) Visit | ME population were subjects who were clinically evaluable and had baseline culture with at least 1 identified isolate that was susceptible to study drug and comparator. The clinical response was assigned by the investigator according to the protocol-specified guidelines. A clinical response of cure was defined as: the test article and the initial intervention (operative and/or radiologically controlled drainage procedure) resolved the intra-abdominal infection. | All patients who received ≥1 dose, had clinical evidence of complicated intra-abdominal infection, met all inclusion/exclusion criteria, completed TOC assessment within 8-44 days after last dose, and had a baseline culture with ≥1 identified isolate that was susceptible to both study drugs. Patients with an indeterminate assessment were excluded. | Posted | Sep 2009 | Number | participants | up to 6 weeks |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Number of Microbiologically Evaluable (ME) Patients by Microbiological Response at Test-of-Cure (TOC) Visit | Microbiological response was assessed at patient level was the combined responses for all baseline isolates identified in intra-abdominal and blood cultures. Eradication=baseline isolate not recovered from primary infection site/blood; Presumed Eradication=No sample for culture, clinical response was cure; Persistence=baseline isolate recovered from primary infection site/blood; Presumed Persistence=No sample available for culture, clinical response was failure; Superinfection=culture from primary infection site with new isolate not identified at baseline, clinical response was failure. | All patients who received ≥1 dose, had clinical evidence of complicated intra-abdominal infection, met all inclusion/exclusion criteria, completed TOC assessment within 8-44 days after last dose, and had a baseline culture with ≥1 identified isolate that was susceptible to both study drugs. Patients with an indeterminate assessment were excluded. | Posted | Sep 2009 | Number | participants | up to 6 weeks |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Number of Days of Inpatient Healthcare Resource Utilization on or Before Test-of-Cure | Healthcare resource utilization assessment included days of overall inpatient hospitalization, days of primary inpatient hospitalization, days of Intensive Care Unit (ICU) treatment and days of non-ICU inpatient hospitalization | All patients who received at least 1 dose of study drug. | Posted | Sep 2009 | Mean | Standard Deviation | days | up to 6 weeks |
|
|
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Total # Affected patients includes duplicate patients that had more than one non-serious adverse events.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Tigecycline | Tigecycline administered IV every 12 hours (an initial dose of 100 mg followed by 50 mg every 12 hours). | 37 | 232 | 173 | 232 | ||
| EG001 | Ceftriaxone | Ceftriaxone sodium 2 g administered IV once daily plus metronidazole 1 to 2 g daily in divided IV doses. | 38 | 235 | 155 | 235 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Infection | General disorders | Non-systematic Assessment |
| ||
| Sepsis | General disorders | Non-systematic Assessment |
| ||
| Abscess | General disorders | Non-systematic Assessment |
| ||
| Septic shock | General disorders | Non-systematic Assessment |
| ||
| Peritonitis | General disorders | Non-systematic Assessment |
| ||
| Abdominal pain | General disorders | Non-systematic Assessment |
| ||
| Fever | General disorders | Non-systematic Assessment |
| ||
| Pain | General disorders | Non-systematic Assessment |
| ||
| Scleroderma | General disorders | Non-systematic Assessment |
| ||
| Traumatic hematoma | General disorders | Non-systematic Assessment |
| ||
| Gastrointestinal hemorrhage | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Intestinal perforation | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Colitis | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Diarrhea | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Duodenal ulcer hemorrhage | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Vomiting | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Blood in stool | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Cholelithiasis | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Gastrointestinal disorder | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Intestinal necrosis | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Intestinal obstruction | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Jaundice | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Large intestine perforation | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Liver function tests abnormal | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Nausea | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Pneumonia | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Respiratory distress syndrome | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Asthma | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Dyspnea | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Lung edema | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Respiratory failure | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Healing abnormal | Metabolism and nutrition disorders | Non-systematic Assessment |
| ||
| Acidosis | Metabolism and nutrition disorders | Non-systematic Assessment |
| ||
| Amylase increased | Metabolism and nutrition disorders | Non-systematic Assessment |
| ||
| Dehydration | Metabolism and nutrition disorders | Non-systematic Assessment |
| ||
| Pulmonary embolus | Vascular disorders | Non-systematic Assessment |
| ||
| Shock | Vascular disorders | Non-systematic Assessment |
| ||
| Atrial fibrillation | Cardiac disorders | Non-systematic Assessment |
| ||
| Cerebral ischemia | Vascular disorders | Non-systematic Assessment |
| ||
| Cerebrovascular accident | Vascular disorders | Non-systematic Assessment |
| ||
| Deep vein thrombosis | Vascular disorders | Non-systematic Assessment |
| ||
| Left heart failure | Cardiac disorders | Non-systematic Assessment |
| ||
| Peripheral vascular disease | Vascular disorders | Non-systematic Assessment |
| ||
| Ventricular fibrillation | Cardiac disorders | Non-systematic Assessment |
| ||
| Acute kidney failure | Renal and urinary disorders | Non-systematic Assessment |
| ||
| Kidney function abnormal | Renal and urinary disorders | Non-systematic Assessment |
| ||
| Urolithiasis | Renal and urinary disorders | Non-systematic Assessment |
| ||
| Local reaction to procedure | Injury, poisoning and procedural complications | Non-systematic Assessment |
| ||
| Disseminated vascular coagulation | Blood and lymphatic system disorders | Non-systematic Assessment |
| ||
| International normalized ratio increased | Blood and lymphatic system disorders | Non-systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Nausea | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Vomiting | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Diarrhea | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Constipation | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Infection | General disorders | Non-systematic Assessment |
| ||
| Hypokalemia | Metabolism and nutrition disorders | Non-systematic Assessment |
| ||
| Alkaline phosphatase increased | Metabolism and nutrition disorders | Non-systematic Assessment |
| ||
| Insomina | Nervous system disorders | Non-systematic Assessment |
| ||
| Thrombocythemia | Blood and lymphatic system disorders | Non-systematic Assessment |
| ||
| Local reacation to procedure | Injury, poisoning and procedural complications | Non-systematic Assessment |
|
The PIs agreed to allow the sponsor 60 days to review and require changes to presentations or publications but only to protect confidential information and intellectual property, and for the sponsor to file a patent application, as applicable. The PIs also agreed for data to be presented first as a joint, multi-center publication.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| U. S. Contact Center | Wyeth | clintrialresults@wyeth.com |
| ID | Term |
|---|---|
| D001064 | Appendicitis |
| D002764 | Cholecystitis |
| D004238 | Diverticulitis |
| D018784 | Abdominal Abscess |
| D059413 | Intraabdominal Infections |
| D010538 | Peritonitis |
| D000038 | Abscess |
| ID | Term |
|---|---|
| D007239 | Infections |
| D005759 | Gastroenteritis |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D002429 | Cecal Diseases |
| D007410 | Intestinal Diseases |
| D005705 | Gallbladder Diseases |
| D001660 | Biliary Tract Diseases |
| D000076385 | Diverticular Diseases |
| D013492 | Suppuration |
| D010532 | Peritoneal Diseases |
| D007249 | Inflammation |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
Not provided
Not provided
| ID | Term |
|---|---|
| D000078304 | Tigecycline |
| D002443 | Ceftriaxone |
| D008795 | Metronidazole |
| ID | Term |
|---|---|
| D013754 | Tetracyclines |
| D009279 | Naphthacenes |
| D011084 | Polycyclic Aromatic Hydrocarbons |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D011083 | Polycyclic Compounds |
| D002439 | Cefotaxime |
| D002505 | Cephacetrile |
| D002511 | Cephalosporins |
| D047090 | beta-Lactams |
| D007769 | Lactams |
| D000577 | Amides |
| D013843 | Thiazines |
| D013457 | Sulfur Compounds |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| D009593 | Nitroimidazoles |
| D009574 | Nitro Compounds |
| D007093 | Imidazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
Not provided
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| Withdrawal by Subject |
|
| Adverse Event |
|
| No bacteria observed |
|
| Failure to return |
|
| Reintervention |
|
| Male |
|
| Units | Counts |
|---|
| Participants |
|
|
|
| Units | Counts |
|---|---|
| Participants |
|
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|
|
|