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| ID | Type | Description | Link |
|---|---|---|---|
| 2012-001767-71 | EudraCT Number |
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This study was designed to evaluate the efficacy of delafloxacin patients with acute bacterial skin and soft tissue infections (ABSSSI).
The efficacy and safety of delafloxacin, compared to that of vancomycin plus aztreonam, will be evaluated in a population of patients with acute bacterial skin and soft tissue infections (ABSSSI), including major cutaneous abscesses, wound infections, cellulitis/erysipelas, and burn-related infections.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Delafloxacin plus placebo | Experimental | Delafloxacin 300 mg IV every 12 hours for a minimum of 10 and up to a maximum of 28 doses |
|
| Vancomycin plus Aztreonam + placebo | Active Comparator | Vancomycin 15 mg/kg IV plus two grams Aztreonam every 12 hours for a minimum of 10 and up to a maximum of 28 doses (Aztreonam was discontinued as soon as possible if a gram-negative organism was not identified in baseline cultures) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Delafloxacin | Drug | Delafloxacin |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Objective Response at 48 to 72 Hours (FDA Primary Endpoint) | A patient was considered a responder if s/he had a ≥20% reduction in size of the area of erythema associated with the baseline ABSSSI, as determined by digital planimetry of the leading edge and had none of the reasons for clinical failure; a patient was considered a non-responder (failure) if s/he had <20% reduction in size of the area of erythema associated with the baseline ABSSSI as determined by digital planimetry of the leading edge, or had major intervention such as another antibiotic or surgical intervention or died within 74 hours after initiation of study drug. | 48 to 72 hours after starting treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Investigator Assessment at the Follow-up Visit (EMA Primary Endpoint) | A patient was considered a Cure if all baseline signs and symptoms of ABSSSI had resolved; if some symptoms remained, but the patient was improved to the extent that no additional antibiotic treatment was necessary, the response was Improved. A patient was considered a Failure for any of the following reasons: nonstudy antibacterial drug therapy was required because of lack of efficacy after at least 4 doses of study drug or for a treatment-related AE; study antibacterial drug therapy was required for longer than 28 doses; and/or unplanned surgical intervention was needed after study entry except for limited bedside debridement and standard wound care. Improved and Indeterminate responses were considered failures in the primary analysis. A sensitivity analysis was also performed, in which the assigned responses were Success (Cure + Improved) or Failure (Failure + Indeterminate/Missing). |
Not provided
Inclusion Criteria:
Exclusion Criteria:
A medical history of significant hypersensitivity or allergic reaction to quinolones, beta-lactams, vancomycin, or vancomycin derivatives according to the judgment of the investigator
Women who are pregnant or lactating
Any chronic or underlying skin condition at the site of infection that may complicate the assessment of response, including infection involving a prosthetic joint, human or animal bite, osteomyelitis, decubitus ulcer, diabetic foot ulcer, septic arthritis, mediastinitis, necrotizing fasciitis, anaerobic cellulitis, or synergistic necrotizing cellulitis, myositis, tendinitis, endocarditis, sustained shock, gangrene or gas gangrene; burns covering ≥10% of body surface area; severely impaired arterial blood supply to an extremity with an ABSSSI, deep vein thrombosis or superficial thrombophlebitis, and requiring either an amputation or multiple debridement procedures
Receipt of systemic antibiotic therapy in the 14 days before enrollment unless 1 of the following was documented:
Any underlying disease that, in the opinion of the investigator, could interfere with the subject's ability to participate in the study including severe cardiac disease, known history of liver disease, end-stage renal disease, malignancy, psychiatric disorder, ongoing treatment for seizures or untreated history of seizures, or life expectancy of <3 months
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| Name | Affiliation | Role |
|---|---|---|
| Sue K. Cammarata, MD | Melinta Therapeutics, Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Melinta Investigational Site | Montgomery | Alabama | 36106 | United States | ||
| Melinta Investigational Site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30349845 | Derived | Lodise T, Corey R, Hooper D, Cammarata S. Safety of Delafloxacin: Focus on Adverse Events of Special Interest. Open Forum Infect Dis. 2018 Sep 10;5(10):ofy220. doi: 10.1093/ofid/ofy220. eCollection 2018 Oct. | |
| 29029278 | Derived | Pullman J, Gardovskis J, Farley B, Sun E, Quintas M, Lawrence L, Ling R, Cammarata S; PROCEED Study Group. Efficacy and safety of delafloxacin compared with vancomycin plus aztreonam for acute bacterial skin and skin structure infections: a Phase 3, double-blind, randomized study. J Antimicrob Chemother. 2017 Dec 1;72(12):3471-3480. doi: 10.1093/jac/dkx329. |
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| ID | Title | Description |
|---|---|---|
| FG000 | Delafloxacin Plus Placebo | 300 mg IV every 12 hours, for a minimum of 10 and up to a maximum of 28 doses Delafloxacin: Delafloxacin Placebo: Placebo |
| FG001 | Vancomycin Plus Aztreonam + Placebo |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
Not provided
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| Vancomycin | Drug | Vancomycin |
|
| Aztreonam | Drug | Aztreonam |
|
| Placebo | Drug | Placebo |
|
|
| Study Day 14 +/- 1 day |
| Investigator Assessment at the Late Follow-up Visit | A patient was considered a Cure if all baseline signs and symptoms of ABSSSI had resolved; if some symptoms remained, but the patient was improved to the extent that no additional antibiotic treatment was necessary, the response was Improved. A patient was considered a Failure for any of the following reasons: nonstudy antibacterial drug therapy was required because of lack of efficacy after at least 4 doses of study drug or for a treatment-related AE; study antibacterial drug therapy was required for longer than 28 doses; and/or unplanned surgical intervention was needed after study entry except for limited bedside debridement and standard wound care. Improved and Indeterminate responses were considered failures in the primary analysis. A sensitivity analysis was also performed, in which the assigned responses were Success (Cure + Improved) or Failure (Failure + Indeterminate/Missing). | Study Day 21 to 28 |
| Anaheim |
| California |
| 92804 |
| United States |
| Melinta Investigational Site | Chula Vista | California | 91911 | United States |
| Melinta Investigational Site | La Mesa | California | 91942 | United States |
| Melinta Investigational Site | Long Beach | California | 90813 | United States |
| Melinta Investigational Site | Los Angeles | California | 90015 | United States |
| Melinta Investigational Site | Modesto | California | 95350 | United States |
| Melinta Investigational Site | Oceanside | California | 92056 | United States |
| Melinta Investigational Site | Pasadena | California | 91105 | United States |
| Melinta Investigational Site | Stockton | California | 95204 | United States |
| Melinta Investigational Site | Miramar | Florida | 33027 | United States |
| Melinta Investigational Site | Minneapolis | Minnesota | 55422 | United States |
| Melinta Investigational Site | Butte | Montana | 59701 | United States |
| Melinta Investigational Site | Las Vegas | Nevada | 89109 | United States |
| Melinta Investigational Site | Somers Point | New Jersey | 08244 | United States |
| Melinta Investigational Site | Smyrna | Tennessee | 37167 | United States |
| Melinta Investigational Site | Richmond | Texas | 77469 | United States |
| Melinta Investigational Site | Slavonski Brod | 35000 | Croatia |
| Melinta Investigational Site | Zagreb | 10000 | Croatia |
| Melinta Investigational Site | Zagreb | 10001 | Croatia |
| Melinta Investigational Site | Haifa | 31048 | Israel |
| Melinta Investigational Site | Haifa | 31096 | Israel |
| Melinta Investigational Site | Kfar Saba | 44281 | Israel |
| Melinta Investigational Site | Nazareth | 16100 | Israel |
| Melinta Investigational Site | Safed | 13100 | Israel |
| Melinta Investigational Site | Tel Aviv | 64239 | Israel |
| Melinta Investigational Site | Daugavpils | LV-5417 | Latvia |
| Melinta Investigational Site | Liepāja | LV-3414 | Latvia |
| Melinta Investigational Site | Riga | LV-1002 | Latvia |
| Melinta Investigational Site | Riga | LV-1006 | Latvia |
| Melinta Investigational Site | Valmiera | LV-4201 | Latvia |
| Melinta Investigational Site | Moscow | 111539 | Russia |
| Melinta Investigational Site | Perm | 614107 | Russia |
| Melinta Investigational Site | Saint Petersberg | 194354 | Russia |
| Melinta Investigational Site | Vsevolozhsk | 188640 | Russia |
| Melinta Investigational Site | Barcelona | 08003 | Spain |
| Melinta Investigational Site | Barcelona | 08221 | Spain |
| Melinta Investigational Site | Granada | 18014 | Spain |
| Melinta Investigational Site | Málaga | 29010 | Spain |
| Melinta Investigational Site | Valencia | 46010 | Spain |
| Melinta Investigational Site | Chemivtsi | 58002 | Ukraine |
| Melinta Investigational Site | Cherkasy | 18009 | Ukraine |
| Melinta Investigational Site | Dnipropetrovsk | 49005 | Ukraine |
| Melinta Investigational Site | Dnipropetrovsk | 49027 | Ukraine |
| Melinta Investigational Site | Ivano-Frankivsk | 61037 | Ukraine |
| Melinta Investigational Site | Ivano-Frankivsk | 76014 | Ukraine |
| Melinta Investigational Site | Klarkiv | 61037 | Ukraine |
| Melinta Investigational Site | Lviv | 79059 | Ukraine |
| Melinta Investigational Site | Odesa | 65025 | Ukraine |
| Melinta Investigational Site | Zaporizhzhia | 69104 | Ukraine |
| 28630189 | Derived | McCurdy S, Lawrence L, Quintas M, Woosley L, Flamm R, Tseng C, Cammarata S. In Vitro Activity of Delafloxacin and Microbiological Response against Fluoroquinolone-Susceptible and Nonsusceptible Staphylococcus aureus Isolates from Two Phase 3 Studies of Acute Bacterial Skin and Skin Structure Infections. Antimicrob Agents Chemother. 2017 Aug 24;61(9):e00772-17. doi: 10.1128/AAC.00772-17. Print 2017 Sep. |
Vancomycin 15 mg/kg IV plus two grams Aztreonam every 12 hours for a minimum of 10 and up to a maximum of 28 doses
Vancomycin: Vancomycin
Aztreonam: Aztreonam
Placebo: Placebo
| COMPLETED | Completed the Late Follow-Up (LFU) Visit |
|
| NOT COMPLETED |
|
|
Intent-to-Treat (ITT) Population included all patients who were randomly assigned to treatment.
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Delafloxacin + Placebo | 300mg iv every 12 hours for a minimum of 10 and up to a maximum of 28 doses Delafloxacin: Delafloxacin Placebo: Placebo |
| BG001 | Vancomycin Plus Aztreonam + Placebo | Vancomycin 15mg/kg iv plus two grams Aztreonam every 12 hours for a minimum of 10 and up to a maximum of 28 doses Vancomycin: Vancomycin Aztreonam: Aztreonam Placebo: Placebo |
| 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 |
| |||||||||||||||
| Age, Customized | Count of Participants | Participants |
| ||||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| ||||||||||||||||
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Region of Enrollment | Number | participants |
| ||||||||||||||||
| BMI (Body Mass Index) | Mean | Standard Deviation | kg/m2 |
| |||||||||||||||
| BMI ranges | Count of Participants | Participants |
| ||||||||||||||||
| Presence of Diabetes | 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 | Objective Response at 48 to 72 Hours (FDA Primary Endpoint) | A patient was considered a responder if s/he had a ≥20% reduction in size of the area of erythema associated with the baseline ABSSSI, as determined by digital planimetry of the leading edge and had none of the reasons for clinical failure; a patient was considered a non-responder (failure) if s/he had <20% reduction in size of the area of erythema associated with the baseline ABSSSI as determined by digital planimetry of the leading edge, or had major intervention such as another antibiotic or surgical intervention or died within 74 hours after initiation of study drug. | ITT Population | Posted | Count of Participants | Participants | 48 to 72 hours after starting treatment |
|
|
|
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Investigator Assessment at the Follow-up Visit (EMA Primary Endpoint) | A patient was considered a Cure if all baseline signs and symptoms of ABSSSI had resolved; if some symptoms remained, but the patient was improved to the extent that no additional antibiotic treatment was necessary, the response was Improved. A patient was considered a Failure for any of the following reasons: nonstudy antibacterial drug therapy was required because of lack of efficacy after at least 4 doses of study drug or for a treatment-related AE; study antibacterial drug therapy was required for longer than 28 doses; and/or unplanned surgical intervention was needed after study entry except for limited bedside debridement and standard wound care. Improved and Indeterminate responses were considered failures in the primary analysis. A sensitivity analysis was also performed, in which the assigned responses were Success (Cure + Improved) or Failure (Failure + Indeterminate/Missing). | ITT Population | Posted | Count of Participants | Participants | Study Day 14 +/- 1 day |
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Investigator Assessment at the Late Follow-up Visit | A patient was considered a Cure if all baseline signs and symptoms of ABSSSI had resolved; if some symptoms remained, but the patient was improved to the extent that no additional antibiotic treatment was necessary, the response was Improved. A patient was considered a Failure for any of the following reasons: nonstudy antibacterial drug therapy was required because of lack of efficacy after at least 4 doses of study drug or for a treatment-related AE; study antibacterial drug therapy was required for longer than 28 doses; and/or unplanned surgical intervention was needed after study entry except for limited bedside debridement and standard wound care. Improved and Indeterminate responses were considered failures in the primary analysis. A sensitivity analysis was also performed, in which the assigned responses were Success (Cure + Improved) or Failure (Failure + Indeterminate/Missing). | ITT Population | Posted | Count of Participants | Participants | Study Day 21 to 28 |
|
Adverse event data were collected from the time the patient signed the ICF through the follow-up telephone contact 30 days after the last dose of study drug (up to 45 days).
AE data are only included for the safety population which included all patients in the ITT population who received at least 1 dose of 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 | Delafloxacin Plus Placebo | 300mg iv every 12 hours, for a minimum of 10 and up to a maximum of 28 doses Delafloxacin: Delafloxacin Placebo: Placebo | 1 | 324 | 12 | 324 | 91 | 324 |
| EG001 | Vancomycin Plus Aztreonam + Placebo | Vancomycin 15mg/kg iv plus two grams Aztreonam every 12 hours for a minimum of 10 and up to a maximum of 28 doses Vancomycin: Vancomycin Aztreonam: Aztreonam Placebo: Placebo | 1 | 326 | 12 | 326 | 111 | 326 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Cellulitis | Infections and infestations | MedDRA (16.1) | Non-systematic Assessment |
| |
| Hepatitis C | Infections and infestations | MedDRA (16.1) | Non-systematic Assessment |
| |
| Infection | Infections and infestations | MedDRA (16.1) | Non-systematic Assessment |
| |
| Peritonitis | Infections and infestations | MedDRA (16.1) | Non-systematic Assessment |
| |
| Sepsis | Infections and infestations | MedDRA (16.1) | Non-systematic Assessment |
| |
| Septic Shock | Infections and infestations | MedDRA (16.1) | Non-systematic Assessment |
| |
| Skin bacterial infection | Infections and infestations | MedDRA (16.1) | Non-systematic Assessment |
| |
| Staphylococcal sepsis | Infections and infestations | MedDRA (16.1) | Non-systematic Assessment |
| |
| Depression | Psychiatric disorders | MedDRA (16.1) | Non-systematic Assessment |
| |
| Major depression | Psychiatric disorders | MedDRA (16.1) | Non-systematic Assessment |
| |
| Polysubstance dependence | Psychiatric disorders | MedDRA (16.1) | Non-systematic Assessment |
| |
| Substance-induced mood disorder | Psychiatric disorders | MedDRA (16.1) | Non-systematic Assessment |
| |
| Diarrhea | Gastrointestinal disorders | MedDRA (16.1) | Non-systematic Assessment |
| |
| Gastric ulcer perforation | Gastrointestinal disorders | MedDRA (16.1) | Non-systematic Assessment |
| |
| Abortion spontaneous | Pregnancy, puerperium and perinatal conditions | MedDRA (16.1) | Non-systematic Assessment |
| |
| Chronic obstructive pulmonary disease | Respiratory, thoracic and mediastinal disorders | MedDRA (16.1) | Non-systematic Assessment |
| |
| Pulmonary embolism | Respiratory, thoracic and mediastinal disorders | MedDRA (16.1) | Non-systematic Assessment |
| |
| Pyoderma gangrenosum | Skin and subcutaneous tissue disorders | MedDRA (16.1) | Non-systematic Assessment |
| |
| Hepatic cirrhosis | Hepatobiliary disorders | MedDRA (16.1) | Non-systematic Assessment |
| |
| Overdose | Injury, poisoning and procedural complications | MedDRA (16.1) | Non-systematic Assessment |
| |
| Stab wound | Injury, poisoning and procedural complications | MedDRA (16.1) | Non-systematic Assessment |
| |
| Soft tissue necrosis | Musculoskeletal and connective tissue disorders | MedDRA (16.1) | Non-systematic Assessment |
| |
| Cervical radiculopathy | Nervous system disorders | MedDRA (16.1) | Non-systematic Assessment |
| |
| Renal failure acute | Renal and urinary disorders | MedDRA (16.1) | Non-systematic Assessment |
| |
| Peripheral ischemia | Vascular disorders | MedDRA (16.1) | Non-systematic Assessment |
| |
| Peripheral vascular disorder | Vascular disorders | MedDRA (16.1) | Non-systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Infection | Infections and infestations | MedDRA (16.1) | Non-systematic Assessment |
| |
| Infusion site extravasation | General disorders | MedDRA (16.1) | Non-systematic Assessment |
| |
| Diarrhea | Gastrointestinal disorders | MedDRA (16.1) | Non-systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA (16.1) | Non-systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA (16.1) | Non-systematic Assessment |
|
Melinta has the right to first publication of results, which would be made in conjunction with the PIs from all appropriate sites. Thereafter, PIs may publish results provided the PI submits the proposed publication to Melinta for review at least 60 days prior to the date of the proposed publication. Melinta may remove any information that is considered confidential and/or proprietary. If a publication is not submitted within 12 months of study conclusion, the PI may publish results.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Sue Cammarata (Chief Medical Officer) | Melinta Therapeutics, Inc. | 1-844-MELINTA (1-844-635-4682) | clinicaltrials@melinta.com |
| ID | Term |
|---|---|
| D017192 | Skin Diseases, Bacterial |
| D002481 | Cellulitis |
| D007239 | Infections |
| D001424 | Bacterial Infections |
| ID | Term |
|---|---|
| D001423 | Bacterial Infections and Mycoses |
| D012874 | Skin Diseases, Infectious |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D013492 | Suppuration |
| D003240 | Connective Tissue Diseases |
| D007249 | Inflammation |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
Not provided
Not provided
| ID | Term |
|---|---|
| C477891 | delafloxacin |
| D014640 | Vancomycin |
| D001398 | Aztreonam |
| D005947 | Glucose |
| ID | Term |
|---|---|
| D006020 | Glycopeptides |
| D006001 | Glycoconjugates |
| D002241 | Carbohydrates |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
| D008997 | Monobactams |
| D047090 | beta-Lactams |
| D007769 | Lactams |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D013457 | Sulfur Compounds |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006601 | Hexoses |
| D009005 | Monosaccharides |
| D000073893 | Sugars |
Not provided
Not provided
| > 65 years |
|
| > 75 years |
|
| 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 |
|
| Europe |
|
| >= 25 |
|
| >= 30 |
|
| >= 35 |
|
|
|
|
|