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The purpose of this study is to determine whether ceftaroline is effective and safe in the treatment of Community-Acquired Pneumonia
The purpose of this study is to determine whether ceftaroline is effective and safe in the treatment of Community-Acquired Pneumonia. Clinical trials for this study is held in many countries
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ceftaroline fosamil for Injection | Experimental | Ceftaroline fosamil was administered in two consecutive 300-mg IV infusions over 30 minutes, every 12 hours (q12h). In both treatment groups, two doses of oral clarithromycin (500 mg q12h), defined as adjunctive therapy, were initiated on Study Day 1 with study drug therapy in order to provide an immunomodulatory benefit and initial therapy for possible infection due to an atypical organism. |
|
| IV Ceftriaxone | Active Comparator | Ceftriaxone was administered as a 1-g IV infusion over 30 minutes followed by IV saline placebo infused over 30 minutes, every 24 hours (q24h). In both treatment groups, two doses of oral clarithromycin (500 mg q12h), defined as adjunctive therapy, were initiated on Study Day 1 with study drug therapy in order to provide an immunomodulatory benefit and initial therapy for possible infection due to an atypical organism. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ceftaroline fosamil for Injection | Drug | 2 consecutive, 300 mg dose parenteral infused over 30 minutes, every 12 hours, for 5 to 7 days |
|
| Measure | Description | Time Frame |
|---|---|---|
| Clinical Cure Rate at Test-of-Cure (TOC) in the Modified Intent-to-Treat Efficacy (MITTE) Populations | Cure:Total resolution of all signs and symptoms of pneumonia (ie,CABP), or improvement to such an extent that further antimicrobial therapy was not necessary Failure: Any of the following:
Indeterminate: Inability to determine an outcome | 8 to 15 days after last dose of study drug |
| Clinical Cure Rate for Ceftaroline Compared to That for Ceftriaxone at Test-of-Cure (TOC) in the Clinically Evaluable (CE) Population | 8-15 days after last dose of study drug |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical Response at End of Therapy (EOT) | Last day of study drug administration | |
| Microbiological Success Rate at Test of Cure (TOC) | 8-15 days after last dose of study drug | |
Not provided
Inclusion Criteria:
Subjects are required to meet the following inclusion criteria:
Exclusion Criteria:
Subjects must NOT meet any of the following exclusion criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Thomas M File, MD, MS | Summa Health System | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Investigational site | Los Angeles | California | 90015 | United States | ||
| Investigational Site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34922058 | Derived | Dryden M, Kantecki M, Yan JL, Stone GG, Leister-Tebbe H, Wilcox M. Treatment outcomes of secondary bacteraemia in patients treated with ceftaroline fosamil: pooled results from six phase III clinical trials. J Glob Antimicrob Resist. 2022 Mar;28:108-114. doi: 10.1016/j.jgar.2021.10.027. Epub 2021 Dec 16. | |
| 30597021 | Derived |
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Patients were screened for up to 24 hours
The enrollment period was from 02 January 2008 to 29 December 2008
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| ID | Title | Description |
|---|---|---|
| FG000 | Ceftaroline Fosamil for Injection | Ceftaroline fosamil was administered in two consecutive 300-mg IV infusions over 30 minutes, every 12 hours (q12h) |
| FG001 | IV Ceftriaxone | Ceftriaxone was administered as a 1-g IV infusion over 30 minutes followed by IV saline placebo infused over 30 minutes, every 24 hours (q24h). |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| IV Ceftriaxone | Drug | 1 g dose parenteral infused over 30 minutes, every 24 hours, for 5 to 7 days |
|
|
| Placebo | Drug | Subjects randomized to receive ceftriaxone will receive ceftriaxone at a dose of 1 g infused over 30 minutes followed by IV saline placebo infused over 30 minutes, every 24 hours (q24h). Twelve hours after each dose of ceftriaxone and saline placebo (ie, between ceftriaxone doses), subjects in this group will receive two consecutive saline placebo infusions, each infused over 30 minutes q24h. The ceftriaxone and saline placebo infusions will correspond to the q12h infusions of ceftaroline, thereby maintaining the blind |
|
| Clarithromycin | Drug | In both treatment groups, two doses of oral clarithromycin (500 mg q12h), defined as adjunctive therapy, were initiated on Study Day 1 with study drug therapy in order to provide an immunomodulatory benefit and initial therapy for possible infection due to an atypical organism. |
|
| Overall (Clinical and Radiographic) Success Rate at Test of Cure (TOC) |
| 8-15 days after last day of study drug |
| Clinical and Microbiological Response by Pathogen at TOC | 8-15 days after last dose of study drug |
| Clinical Relapse at Late Follow Up (LFU) | 21-35 days after last dose of study drug |
| Microbiological Re-infection/Recurrence at LFU | 21 to 35 days after last dose of study drug |
| Evaluate Safety | first dose, throughout the treatment period, and up to the TOC visit |
| Pasadena |
| California |
| 91105 |
| United States |
| Investigational Site | Sacramento | California | 95817 | United States |
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| Investigational Site | Vilnius | LT-10207 | Lithuania |
| Investigational Site | Johor Bahru | Johor | 80100 | Malaysia |
| Inestigational Site | Cheras | Kuala Lumpur | 05460 | Malaysia |
| Investigational Site | George Town | Pulau Pinang | 10990 | Malaysia |
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| Slovakia | Nitra-Zobor | 948 88 | Slovakia |
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| Cheng K, Pypstra R, Yan JL, Hammond J. Summary of the safety and tolerability of two treatment regimens of ceftaroline fosamil: 600 mg every 8 h versus 600 mg every 12 h. J Antimicrob Chemother. 2019 Apr 1;74(4):1086-1091. doi: 10.1093/jac/dky519. |
| 26702925 | Derived | Taboada M, Melnick D, Iaconis JP, Sun F, Zhong NS, File TM, Llorens L, Friedland HD, Wilson D. Ceftaroline fosamil versus ceftriaxone for the treatment of community-acquired pneumonia: individual patient data meta-analysis of randomized controlled trials. J Antimicrob Chemother. 2016 Apr;71(4):862-70. doi: 10.1093/jac/dkv415. Epub 2015 Dec 24. |
| 25487791 | Derived | Lodise TP, Anzueto AR, Weber DJ, Shorr AF, Yang M, Smith A, Zhao Q, Huang X, File TM. Assessment of time to clinical response, a proxy for discharge readiness, among hospitalized patients with community-acquired pneumonia who received either ceftaroline fosamil or ceftriaxone in two phase III FOCUS trials. Antimicrob Agents Chemother. 2015 Feb;59(2):1119-26. doi: 10.1128/AAC.03643-14. Epub 2014 Dec 8. |
| 23357290 | Derived | Shorr AF, Kollef M, Eckburg PB, Llorens L, Friedland HD. Assessment of ceftaroline fosamil in the treatment of community-acquired bacterial pneumonia due to Streptococcus pneumoniae: insights from two randomized trials. Diagn Microbiol Infect Dis. 2013 Mar;75(3):298-303. doi: 10.1016/j.diagmicrobio.2012.12.002. Epub 2013 Jan 26. |
| 21482570 | Derived | Rank DR, Friedland HD, Laudano JB. Integrated safety summary of FOCUS 1 and FOCUS 2 trials: Phase III randomized, double-blind studies evaluating ceftaroline fosamil for the treatment of patients with community-acquired pneumonia. J Antimicrob Chemother. 2011 Apr;66 Suppl 3:iii53-9. doi: 10.1093/jac/dkr099. |
| 21482566 | Derived | File TM Jr, Low DE, Eckburg PB, Talbot GH, Friedland HD, Lee J, Llorens L, Critchley IA, Thye DA; FOCUS 1 investigators. FOCUS 1: a randomized, double-blinded, multicentre, Phase III trial of the efficacy and safety of ceftaroline fosamil versus ceftriaxone in community-acquired pneumonia. J Antimicrob Chemother. 2011 Apr;66 Suppl 3:iii19-32. doi: 10.1093/jac/dkr096. |
| COMPLETED |
|
| NOT COMPLETED |
|
|
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Ceftaroline Fosamil for Injection | Ceftaroline fosamil was administered in two consecutive 300-mg IV infusions over 30 minutes, every 12 hours (q12h) |
| BG001 | IV Ceftriaxone | Ceftriaxone was administered as a 1-g IV infusion over 30 minutes followed by IV saline placebo infused over 30 minutes, every 24 hours (q24h). |
| 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, Customized | Number | participants |
| |||||||||||||||||||
| Age, Continuous | Mean | Standard Deviation | years |
| ||||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| |||||||||||||||||||
| Race/Ethnicity, Customized | Number | 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 | Clinical Cure Rate at Test-of-Cure (TOC) in the Modified Intent-to-Treat Efficacy (MITTE) Populations | Cure:Total resolution of all signs and symptoms of pneumonia (ie,CABP), or improvement to such an extent that further antimicrobial therapy was not necessary Failure: Any of the following:
Indeterminate: Inability to determine an outcome | The MITTE Population consisted of all subjects in the MITT Population (all randomized subjects who received any amount of the study drug) in PORT Risk Class III or IV. The Pneumonia Outcomes Research Team (PORT) scale of CAP severity in which Risk Class I is associated with the lowest risk for mortality and Risk Class V represents the highest risk. | Posted | Number | participants | 8 to 15 days after last dose of study drug |
|
|
|
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Clinical Response at End of Therapy (EOT) | Not Posted | Last day of study drug administration | Participants | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Microbiological Success Rate at Test of Cure (TOC) | Not Posted | 8-15 days after last dose of study drug | Participants | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Overall (Clinical and Radiographic) Success Rate at Test of Cure (TOC) | Not Posted | 8-15 days after last day of study drug | Participants | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Clinical and Microbiological Response by Pathogen at TOC | Not Posted | 8-15 days after last dose of study drug | Participants | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Clinical Relapse at Late Follow Up (LFU) | Not Posted | 21-35 days after last dose of study drug | Participants | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Primary | Clinical Cure Rate for Ceftaroline Compared to That for Ceftriaxone at Test-of-Cure (TOC) in the Clinically Evaluable (CE) Population | Not Posted | 8-15 days after last dose of study drug | Participants | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Microbiological Re-infection/Recurrence at LFU | Not Posted | 21 to 35 days after last dose of study drug | Participants | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Evaluate Safety | Not Posted | first dose, throughout the treatment period, and up to the TOC visit | Participants |
Not provided
Safety analysis was performed on the Safety Population, consisting of any subject who received any amount of actual study drug
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Ceftaroline Fosamil for Injection | Ceftaroline fosamil was administered in two consecutive 300-mg IV infusions over 30 minutes, every 12 hours (q12h) | 28 | 298 | 65 | 298 | ||
| EG001 | IV Ceftriaxone | Ceftriaxone was administered as a 1-g IV infusion over 30 minutes followed by IV saline placebo infused over 30 minutes, every 24 hours (q24h). | 33 | 308 | 53 | 308 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anemia | Blood and lymphatic system disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Lymphadenitis | Blood and lymphatic system disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Cardiac failure | Cardiac disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Left ventricular failure | Cardiac disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Ventricular tachycardia | Cardiac disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Cardiac failure acute | Cardiac disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Cardiac failure congestive | Cardiac disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Cardio-respiratory arrest | Cardiac disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Cardiomyopathy | Cardiac disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Cardiopulmonary failure | Cardiac disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Myocardial infarction | Cardiac disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Gastritis | Gastrointestinal disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Gastrointestinal perforation | Gastrointestinal disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Sudden death | General disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Multiorgan disorder | General disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Acute hepatic failure | Hepatobiliary disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Cholecystitis acute | Hepatobiliary disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Hepatic failure | Hepatobiliary disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Hypersensitivity | Immune system disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA (11.1) | Systematic Assessment |
| |
| Bronchitis | Infections and infestations | MedDRA (11.1) | Systematic Assessment |
| |
| Empyema | Infections and infestations | MedDRA (11.1) | Systematic Assessment |
| |
| Pyothorax | Infections and infestations | MedDRA (11.1) | Systematic Assessment |
| |
| Sepsis | Infections and infestations | MedDRA (11.1) | Systematic Assessment |
| |
| Tuberculosis | Infections and infestations | MedDRA (11.1) | Systematic Assessment |
| |
| Cellulitis | Infections and infestations | MedDRA (11.1) | Systematic Assessment |
| |
| Endocarditis | Infections and infestations | MedDRA (11.1) | Systematic Assessment |
| |
| Gastroenteritis | Infections and infestations | MedDRA (11.1) | Systematic Assessment |
| |
| Lung abscess | Infections and infestations | MedDRA (11.1) | Systematic Assessment |
| |
| Pulmonary tuberculosis | Infections and infestations | MedDRA (11.1) | Systematic Assessment |
| |
| Urosepsis | Infections and infestations | MedDRA (11.1) | Systematic Assessment |
| |
| Liver function test abnormal | Investigations | MedDRA (11.1) | Systematic Assessment |
| |
| Diabetes mellitus | Metabolism and nutrition disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Gout | Metabolism and nutrition disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Type 1 diabetes mellitus | Metabolism and nutrition disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Type 2 diabetes mellitus | Metabolism and nutrition disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Myopathy | Musculoskeletal and connective tissue disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Lung adenocarcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (11.1) | Systematic Assessment |
| |
| Lung neoplasm | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (11.1) | Systematic Assessment |
| |
| Metastases to liver | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (11.1) | Systematic Assessment |
| |
| Pancreatic neoplasm | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (11.1) | Systematic Assessment |
| |
| Small cell lung cancer, state unspecified | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (11.1) | Systematic Assessment |
| |
| Lung adenocarcinoma metastatic | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (11.1) | Systematic Assessment |
| |
| Thrombotic stroke | Nervous system disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Urinary retention | Renal and urinary disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Respiratory failure | Respiratory, thoracic and mediastinal disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Pulmonary embolism | Respiratory, thoracic and mediastinal disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Asthma | Respiratory, thoracic and mediastinal disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Chronic obstructive pulmonary disease | Respiratory, thoracic and mediastinal disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Aortic aneurysm | Vascular disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Aortic dissection | Vascular disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Deep vein thrombosis | Vascular disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Ischemic cardiomyopathy | Cardiac disorders | MedDRA (11.1) | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Diarrhea | Gastrointestinal disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Insomnia | Psychiatric disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Constipation | Gastrointestinal disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Phlebitis | Vascular disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Hypertension | Vascular disorders | MedDRA (11.1) | Systematic Assessment |
| |
| Hypokalemia | Metabolism and nutrition disorders | MedDRA (11.1) | Systematic Assessment |
|
Not provided
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Vice President, Clinical Sciences | Cerexa, Inc | (510) 285-9200 | clinicaltrials@cerexa.com |
| ID | Term |
|---|---|
| D018410 | Pneumonia, Bacterial |
| D000098968 | Community-Acquired Pneumonia |
| D006192 | Haemophilus Infections |
| ID | Term |
|---|---|
| D001424 | Bacterial Infections |
| D001423 | Bacterial Infections and Mycoses |
| D007239 | Infections |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D017714 | Community-Acquired Infections |
| D016871 | Pasteurellaceae Infections |
| D016905 | Gram-Negative Bacterial Infections |
Not provided
Not provided
| ID | Term |
|---|---|
| D000097583 | Ceftaroline |
| D007267 | Injections |
| D002443 | Ceftriaxone |
| D017291 | Clarithromycin |
| ID | Term |
|---|---|
| D002511 | Cephalosporins |
| D047090 | beta-Lactams |
| D007769 | Lactams |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D013843 | Thiazines |
| D013457 | Sulfur Compounds |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| D004333 | Drug Administration Routes |
| D004358 | Drug Therapy |
| D013812 | Therapeutics |
| D002439 | Cefotaxime |
| D002505 | Cephacetrile |
| D004917 | Erythromycin |
| D018942 | Macrolides |
| D061065 | Polyketides |
| D007783 | Lactones |
Not provided
Not provided
| Title | Measurements |
|---|---|
|
| Male |
|
| Non-Hispanic |
|
| Indeterminate |
|
A two-sided 95% Confidence Interval (CI) for the observed difference in the primary outcome measure (clinical cure rate) between the ceftaroline group and the ceftriaxone group was calculated based on each of the CE and the MITTE Populations at the TOC visit. Noninferiority was concluded if the lower limit of the 95% CI was higher than -10% for each of the CE and MITTE Populations.