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| Name | Class |
|---|---|
| AstraZeneca | INDUSTRY |
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The purpose of this study is to determine whether ceftaroline is effective and safe for the treatment of patients with Community-acquired Bacterial Pneumonia (CABP) at risk for infection due to Methicillin-resistant Staphylococcus aureus (MRSA).
A Multicenter, Multinational, Randomized, Double-blind Study to Evaluate the Efficacy and safety of Ceftaroline fosamil Versus Ceftriaxone Plus Vancomycin in Adult Subjects with Community-acquired Bacterial Pneumonia at Risk for Infection Due to Methicillin-resistant Staphylococcus aureus.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ceftaroline | Experimental | Ceftaroline fosamil 600 mg Intravenous (IV) administration over 60 minutes, every 8 hours (q8h); dosing to be adjusted for renal function; treatment duration 5 to 14 days |
|
| Ceftriaxone plus vancomycin | Active Comparator | Ceftriaxone 2 g IV over 30 minutes once per day (q24h) plus vancomycin 15 mg/kg IV every 12 hours (q12h) initially and then dose adjusted based on trough concentrations; treatment duration 5 to 14 days |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ceftaroline fosamil | Drug | Ceftaroline fosamil 600 mg IV over 60 minutes q8h; treatment duration 5 to 14 days |
|
| Measure | Description | Time Frame |
|---|---|---|
| Clinical Response at Study Day 4 in the Modified Intent-to-Treat (MITT) Population | Clinical response was defined as meeting all of the following criteria:
| Study Day 4 |
| Clinical Outcome at Test of Cure (TOC) in the MITT Population | An assessment of clinical outcome was made by the Investigator at TOC. The clinical outcome categories were: Cure: Resolution of all acute signs and symptoms of CABP or improvement to such an extent that no further antimicrobial therapy was required Failure: Subjects who meet either of the following criteria:
Indeterminate: Study data are not available for evaluation of efficacy for any reason, including:
A favorable clinical outcome at Test-of Cure (TOC) was clinical cure. | Test of Cure, an average of 3 weeks |
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| Measure | Description | Time Frame |
|---|---|---|
| Microbiological Outcomes by Baseline Pathogen at TOC in the Microbiological Modified Intent-to-Treat (mMITT) Population | An overall microbiological outcome was derived based on the subject's baseline pathogen. As no follow-up specimens were collected at the TOC visit for any subjects, all microbiological outcomes were derived based strictly on clinical outcomes, as either presumed eradication (ie, source specimen was not available to culture and the subject was assessed as clinical cure) , presumed persistence (ie, source specimen was not available to culture and the subject was assessed as a clinical failure), or indeterminate (ie, source specimen was not available to culture and the subject's clinical response was assessed as indeterminate). |
Inclusion Criteria:
Subjects are required to meet All of the following inclusion criteria:
I. confirmed pneumonia (new or progressive pulmonary) II. Acute illness (≤ 7 days' duration) with at least 3 clinical signs or symptoms consistent with a lower respiratory tract infection
MRSA Risk Factors
• MRSA-positive blood culture or respiratory specimen or a risk factor for MRSA such as a history of colonization with MRSA
Exclusion Criteria:
Subjects must Not meet any of the following exclusion criteria at baseline:
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| Name | Affiliation | Role |
|---|---|---|
| Medical Monitor | Forest Laboratories Inc, an affiliate of Allergan plc | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Investigational Site | Phoenix | Arizona | 85008 | United States | ||
| Investigational Site |
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| Label | URL |
|---|---|
| Related Info | View source |
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| ID | Title | Description |
|---|---|---|
| FG000 | Ceftaroline | Ceftaroline fosamil 600 mg IV over 60 minutes q8h; treatment duration 5 to 14 days |
| FG001 | Ceftriaxone Plus Vancomycin | Ceftriaxone 2 g IV q24 plus vancomycin 15 mg/kg IV q12h initially and then dose adjusted based on trough concentrations; treatment duration 5 to 14 days |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Ceftriaxone plus vancomycin | Drug | Ceftriaxone 2g IV over 30 minutes q24h plus vancomycin 15 mg/kg IV q12h initially and then dose adjusted based on trough concentrations; treatment duration 5 to 14 days |
|
| Test of Cure, an average of 3 weeks |
| Safety Evaluation | Adverse events (AEs), serious adverse events (SAEs), deaths, discontinuation due to AEs | Baseline (Day 0) to Day 49 |
| Sylmar |
| California |
| 91342 |
| United States |
| Investigational Site | DeLand | Florida | 32720 | United States |
| Investigational Site | Chicago | Illinois | 60611 | United States |
| Investigational Site | Kansas City | Kansas | 66012 | United States |
| Investigational Site | Royal Oak | Michigan | 48073 | United States |
| Investigational Site | Minneapolis | Minnesota | 55145 | United States |
| Investigational Site | St Louis | Missouri | 63110 | United States |
| Investigational Site | Omaha | Nebraska | 68131 | United States |
| Investigational Site | Laconia | New Hampshire | 03246 | United States |
| Investigational Site | Columbus | Ohio | 43215 | United States |
| Investigational Site | Lima | Ohio | 45801 | United States |
| Investigational Site | Oklahoma City | Oklahoma | 73104 | United States |
| Investigational Site | Tbilisi | 0144 | Georgia |
| Investigational Site | Mátraháza | 3233 | Hungary |
| Investigational Site | Lodz | 90-153 | Poland |
| Investigational Site | Lublin | 20-954 | Poland |
| Investigational Site | Wilkowice-Bystra | 43-365 | Poland |
| Investigational Site | Craiova | Dolj | 200515 | Romania |
| Investigational Site | Bucharest | 030303 | Romania |
| Investigational Site | Iași | 700115 | Romania |
| Investigational Site | Moscow | 109240 | Russia |
| Investigational Site | Saint Petersburg | 196247 | Russia |
| Investigational Site | Yaroslavl | 150003 | Russia |
| Investigational Site | Alicante | 03010 | Spain |
| Investigational Site | Barcelona | 08304 | Spain |
| Investigational Site | Dnipropetrovsk | 49059 | Ukraine |
| Investigational Site | Ivano-Frankivsik | 76018 | Ukraine |
| Investigational Site | Kharkiv | 61115 | Ukraine |
| Investigational Site | Kyiv | 03680 | Ukraine |
| Investigational Site | Zaporizhzhya | 69035 | Ukraine |
| COMPLETED |
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| NOT COMPLETED |
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|
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| ID | Title | Description |
|---|---|---|
| BG000 | Ceftaroline | Ceftaroline fosamil 600 mg IV over 60 minutes q8h |
| BG001 | Ceftriaxone Plus Vancomycin | Ceftriaxone 2g IV over 30 minutes q24h plus vancomycin 15 mg/kg IV q12h initially and then dose adjusted based on trough concentrations |
| 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 |
| ||||||||||||||||
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Creatinine Clearance | Mean | Standard Deviation | mL/min/1.73 m^2 |
| |||||||||||||||
| PORT Score | The Pneumonia Outcomes Research Team (PORT) Score is a clinical prediction rule for medical practitioners to calculate the probability of morbidity and mortality among patients with community acquired pneumonia. Based on the patient's age, nursing home resident status, coexisting illnesses, physical examination findings, as well as laboratory and radiographic findings. The PORT score ranges from: A low risk of Men - Patient's age in years. Women - Patient's age in years minus 10. To a high risk of Men - Patient's age in years plus 285. Women - Patient's age in years plus 275. | Mean | Standard Deviation | units on a scale |
|
| 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 Response at Study Day 4 in the Modified Intent-to-Treat (MITT) Population | Clinical response was defined as meeting all of the following criteria:
| MITT Population: all randomized subjects who receive any amount of IV study drug and who have a confirmed diagnosis of Community-Acquired Bacterial Pneumonia (CABP) with risk factors for Methicillin-Resistant Staphylococcus aureus (MRSA) (excluding those that have a sole atypical pathogen) | Posted | Number | participants | Study Day 4 |
|
|
| ||||||||||||||||||||||||||||||||||||
| Primary | Clinical Outcome at Test of Cure (TOC) in the MITT Population | An assessment of clinical outcome was made by the Investigator at TOC. The clinical outcome categories were: Cure: Resolution of all acute signs and symptoms of CABP or improvement to such an extent that no further antimicrobial therapy was required Failure: Subjects who meet either of the following criteria:
Indeterminate: Study data are not available for evaluation of efficacy for any reason, including:
A favorable clinical outcome at Test-of Cure (TOC) was clinical cure. | MITT Population: all randomized subjects who receive any amount of IV study drug and who have a confirmed diagnosis of CABP with risk factors for MRSA (excluding those that have a sole atypical pathogen) | Posted | Number | participants | Test of Cure, an average of 3 weeks |
| ||||||||||||||||||||||||||||||||||||||
| Other Pre-specified | Microbiological Outcomes by Baseline Pathogen at TOC in the Microbiological Modified Intent-to-Treat (mMITT) Population | An overall microbiological outcome was derived based on the subject's baseline pathogen. As no follow-up specimens were collected at the TOC visit for any subjects, all microbiological outcomes were derived based strictly on clinical outcomes, as either presumed eradication (ie, source specimen was not available to culture and the subject was assessed as clinical cure) , presumed persistence (ie, source specimen was not available to culture and the subject was assessed as a clinical failure), or indeterminate (ie, source specimen was not available to culture and the subject's clinical response was assessed as indeterminate). | mMITT Population: a subset of the MITT Population, including subjects for whom at least 1 typical bacterial pathogen has been identified from an adequate microbiological specimen at baseline | Posted | Number | participants | Test of Cure, an average of 3 weeks |
| ||||||||||||||||||||||||||||||||||||||
| Other Pre-specified | Safety Evaluation | Adverse events (AEs), serious adverse events (SAEs), deaths, discontinuation due to AEs | Safety Population: all randomized subjects who received any amount of IV study drug | Posted | Number | participants | Baseline (Day 0) to Day 49 |
|
|
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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 | Ceftaroline | Ceftaroline fosamil 600 mg IV over 60 minutes q8h | 3 | 32 | 9 | 32 | ||
| EG001 | Ceftriaxone Plus Vancomycin | Ceftriaxone 2 g IV over 30 minutes q24h plus vancomycin 15 mg/kg IV q12h initially and then dose adjusted based on trough concentrations | 2 | 17 | 9 | 17 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Angina pectoris | Cardiac disorders | MedDRA 16.1 | Systematic Assessment |
| |
| Cardiac arrest | Cardiac disorders | MedDRA 16.1 | Systematic Assessment |
| |
| Myocardial Infarction | Cardiac disorders | MedDRA 16.1 | Systematic Assessment |
| |
| Clostridium difficile colitis | Infections and infestations | MedDRA 16.1 | Systematic Assessment |
| |
| Computerized tomogram thorax abnormal | Investigations | MedDRA 16.1 | Systematic Assessment |
| |
| Renal failure | Renal and urinary disorders | MedDRA 16.1 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anemia | Blood and lymphatic system disorders | MedDRA 16.1 | Systematic Assessment |
| |
| Leukopenia | Blood and lymphatic system disorders | MedDRA 16.1 | Systematic Assessment |
| |
| Abdominal Pain | Gastrointestinal disorders | MedDRA 16.1 | Systematic Assessment |
| |
| Diarrhea | Gastrointestinal disorders | MedDRA 16.1 | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA 16.1 | Systematic Assessment |
| |
| Asthenia | General disorders | MedDRA 16.1 | Systematic Assessment |
| |
| Non-cardiac chest pain | General disorders | MedDRA 16.1 | Systematic Assessment |
| |
| Edema Peripheral | General disorders | MedDRA 16.1 | Systematic Assessment |
| |
| Procedural pain | Injury, poisoning and procedural complications | MedDRA 16.1 | Systematic Assessment |
| |
| Blood pressure increased | Investigations | MedDRA 16.1 | Systematic Assessment |
| |
| Body temperature increased | Investigations | MedDRA 16.1 | Systematic Assessment |
| |
| Neutrophil count increased | Investigations | MedDRA 16.1 | Systematic Assessment |
| |
| Decreased appetite | Metabolism and nutrition disorders | MedDRA 16.1 | Systematic Assessment |
| |
| Hypocalcemia | Metabolism and nutrition disorders | MedDRA 16.1 | Systematic Assessment |
| |
| Hypokalemia | Metabolism and nutrition disorders | MedDRA 16.1 | Systematic Assessment |
| |
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA 16.1 | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA 16.1 | Systematic Assessment |
| |
| Disorientation | Psychiatric disorders | MedDRA 16.1 | Systematic Assessment |
| |
| Renal failure acute | Renal and urinary disorders | MedDRA 16.1 | Systematic Assessment |
| |
| Hypertension | Vascular disorders | MedDRA 16.1 | Systematic Assessment |
| |
| Hypophosphatemia | Metabolism and nutrition disorders | MedDRA 16.1 | Systematic Assessment |
|
Small number of subjects enrolled
The data generated in this clinical study are the exclusive property of the Sponsor and are confidential. The Sponsor will make all reasonable efforts to publish the results of the study in an appropriate peer-reviewed journal. Authorship on the primary publication of the results from this study will be based on contributions to study design, enrollment, data analysis, and interpretation of results. Publication of results by the PI will be subject to mutual agreement between the PI and Sponsor.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Medical Monitor | Cerexa, Inc | (510) 285-9200 |
| ID | Term |
|---|---|
| D007239 | Infections |
| D011014 | Pneumonia |
| ID | Term |
|---|---|
| D012141 | Respiratory Tract Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| D000097583 | Ceftaroline |
| D002443 | Ceftriaxone |
| D014640 | Vancomycin |
| 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 |
| D002439 | Cefotaxime |
| D002505 | Cephacetrile |
| D006020 | Glycopeptides |
| D006001 | Glycoconjugates |
| D002241 | Carbohydrates |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
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| Male |
|
| Not Hispanic or Latino |
|
| Unknown or Not Reported |
|
| Asian |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|
| Incomplete Data |
|
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| Units | Counts |
|---|
| Participants |
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