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Primary Objective:
To make a preliminary assessment of the efficacy of CG400549 (960 mg daily) in subjects with cABSSSI (major cutaneous abscesses) due to MRSA.
Secondary Objective(s):
This will be an open-label, exploratory study to evaluate the safety, pharmacokinetics, and efficacy of CG400549, daily for 10 to 14 days, in subjects with cABSSSI (major cutaneous abscesses) due to MRSA. All subjects will receive active treatment.
Subjects will begin study treatment upon confirmation of clinical eligibility (ie, confirmation of MRSA infection is not required pretreatment). Subjects who begin treatment with CG400549 and are subsequently not found to have S. aureus infection will be discontinued from study treatment, treated as appropriate for the identified pathogen(s), and followed for safety. These subjects will be included in the safety analyses but not in the primary efficacy analysis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Single Arm for CG400549 | Experimental | All the patients will be administered with CG400549. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CG400549 | Drug | 960mg QD at fed state approx 1 hour after meal |
|
| Measure | Description | Time Frame |
|---|---|---|
| Status of Subject's Clinical Responses | Stable/improving infection, as defined by the Investigator assessment, was defined as cessation of the spread of the redness, edema, and/or induration of the lesion or reduction in the size (length, width, and shortest distance from the peripheral margin of the abscess) of redness, edema, and/or induration and absence of fever (< 37.7 °C) | Early Clinical Evaluation (ECE, 48 to 72 hours after enrollment) |
| Measure | Description | Time Frame |
|---|---|---|
| Status of Subject's Clinical Response |
|
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jeffrey S. Overcash, MD | eStudysite | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| eStudysite | La Mesa | California | 91942 | United States |
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Subjects with complicated acute bacterial skin and skin structure infection were recruited. Study was conducted from June 2012 to October 2012 at 1 site in the United States.
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| ID | Title | Description |
|---|---|---|
| FG000 | Subjects Received CG400549, MITT | All enrolled subjects who received any amount of study drug and was equivalent to the safety population. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Subjects Received CG400549, MITT | All enrolled subjects who received any amount of study drug and was equivalent to the safety population. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of 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 | Status of Subject's Clinical Responses | Stable/improving infection, as defined by the Investigator assessment, was defined as cessation of the spread of the redness, edema, and/or induration of the lesion or reduction in the size (length, width, and shortest distance from the peripheral margin of the abscess) of redness, edema, and/or induration and absence of fever (< 37.7 °C) | Among 20 participated subjects, 11 subjects had confirmed MRSA and qualified for the mMITT population | Posted | Number | participants | Early Clinical Evaluation (ECE, 48 to 72 hours after enrollment) |
|
Serious Adverse Event(SAE) was reported from the time of signing the informed consent, and AE is recorded from the time of the first dose of study drug. AEs and SAEs were recorded until subject's last visit (TOC, day 21-28 after enrollment).
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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 | Subjects Proven MRSA, mMITT | The primary population for evaluation of the primary endpoint and comprised all MITT subjects who had confirmed MRSA |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| infection | Infections and infestations | MedDRA version 15.0 | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Seonggu Ro, Ph.D, Chief Technology Officer | CrystalGenomics, Inc. | 82 31 628 2783 | sgro@cgxinc.com |
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| ID | Term |
|---|---|
| D002481 | Cellulitis |
| ID | Term |
|---|---|
| D012874 | Skin Diseases, Infectious |
| D007239 | Infections |
| D013492 | Suppuration |
| D003240 | Connective Tissue Diseases |
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| ID | Term |
|---|---|
| C523750 | CG 400549 |
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| End of Treatment (EOT, 10-14 days after beginning treatment) and Test of Cure (TOC, 21-28 days after beginning treatment) |
| Status of Subject's Microbial Eradication Response |
| End of Treatment (EOT, 10-14 days after beginning treatment) and Test of Cure (TOC, 21-28 days after beginning treatment) |
| Overall Summary of Adverse Events | Treatment-Emergent Adverse Event (TEAE) are those that
| From time of signing the informed consent to Test of Cure (TOC, 21-28 days after after beginning treatment) |
| Mean Plasma Concentration-time Profile of CG400549 | The concentrations of CG400549 in plasma collected at each point were analyzed and calculated for its mean plasma concentration. | Day 1 predose, Day 1 1hour, Day 1 2hour, Day 1 4hour |
| secondary cellulitis |
|
| Participants |
|
| Age, Continuous | Mean | Standard Deviation | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| Units | Counts |
|---|---|
| Participants |
|
|
| Secondary | Status of Subject's Clinical Response |
| Among 11 mMITT population who had proven MRSA , 2 subjects had major protocol violations, yielding 9 subjects for CE population | Posted | Number | participants | End of Treatment (EOT, 10-14 days after beginning treatment) and Test of Cure (TOC, 21-28 days after beginning treatment) |
|
|
|
| Secondary | Status of Subject's Microbial Eradication Response |
| The ME group was not analyzed because the appropriate post-treatment skin culture data were not accessible due to the improvement of infected lesion. | Posted | End of Treatment (EOT, 10-14 days after beginning treatment) and Test of Cure (TOC, 21-28 days after beginning treatment) |
|
|
| Secondary | Overall Summary of Adverse Events | Treatment-Emergent Adverse Event (TEAE) are those that
| Posted | Number | participants | From time of signing the informed consent to Test of Cure (TOC, 21-28 days after after beginning treatment) |
|
|
|
| Secondary | Mean Plasma Concentration-time Profile of CG400549 | The concentrations of CG400549 in plasma collected at each point were analyzed and calculated for its mean plasma concentration. | Posted | Mean | Standard Deviation | ng/mL | Day 1 predose, Day 1 1hour, Day 1 2hour, Day 1 4hour |
|
|
|
| 0 |
| 11 |
| 10 |
| 11 |
| EG001 | Subjects Received CG400549, MITT | All enrolled subjects who received any amount of study drug and was equivalent to the safety population. | 0 | 20 | 13 | 20 |
| subcutaneous abscess | Infections and infestations | MedDRA version 15.0 | Non-systematic Assessment |
|
| amylase increased | Investigations | MedDRA version 15.0 | Non-systematic Assessment |
|
| lipase increased | Investigations | MedDRA version 15.0 | Non-systematic Assessment |
|
| tachycardia | Cardiac disorders | MedDRA version 15.0 | Non-systematic Assessment |
|
| cellulitis | Infections and infestations | MedDRA version 15.0 | Non-systematic Assessment |
|
| impetigo | Infections and infestations | MedDRA version 15.0 | Non-systematic Assessment |
|
| injection site cellulitis | Infections and infestations | MedDRA version 15.0 | Non-systematic Assessment |
|
| pharyngitis streptococcal | Infections and infestations | MedDRA version 15.0 | Non-systematic Assessment |
|
| urinary track infection | Infections and infestations | MedDRA version 15.0 | Non-systematic Assessment |
|
| upper respiratory tract infection | Infections and infestations | MedDRA version 15.0 | Non-systematic Assessment |
|
| diarrhoea | Gastrointestinal disorders | MedDRA version 15.0 | Non-systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA version 15.0 | Non-systematic Assessment |
|
| vomiting | Gastrointestinal disorders | MedDRA version 15.0 | Non-systematic Assessment |
|
| pyrexia | General disorders | MedDRA version 15.0 | Non-systematic Assessment |
|
| injection site reaction | General disorders | MedDRA version 15.0 | Non-systematic Assessment |
|
| headache | Nervous system disorders | MedDRA version 15.0 | Non-systematic Assessment |
|
| ligament sprain | Injury, poisoning and procedural complications | MedDRA version 15.0 | Non-systematic Assessment |
|
| muscle strain | Injury, poisoning and procedural complications | MedDRA version 15.0 | Non-systematic Assessment |
|
| Road Traffic Accident | Injury, poisoning and procedural complications | MedDRA version 15.0 | Non-systematic Assessment |
|
| abnormal dreams | Psychiatric disorders | MedDRA version 15.0 | Non-systematic Assessment |
|
| cough | Respiratory, thoracic and mediastinal disorders | MedDRA version 15.0 | Non-systematic Assessment |
|
| rash | Skin and subcutaneous tissue disorders | MedDRA version 15.0 | Non-systematic Assessment |
|
the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than or equal to 60 days but less than or equal to 120 days from the time submitted to the sponsor for review.
The sponsor can request to remove any confidential information (other than study results).
| D017437 |
| Skin and Connective Tissue Diseases |
| D007249 | Inflammation |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| Title | Measurements |
|---|---|
|
| Clinical Cure at TOC |
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| Clinical Improvement at TOC |
|
| Clinical Failure at TOC |
|
| Treatment-Related TEAE |
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| Severe Treatment-Related TEAE |
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| TEAE with outcome of death |
|
| TEAE leading to withdrawal of study medic |
|
| Serious Adverse Event |
|
|
| Day 1 4hour |
|