Bacterial InfectionsPhase 3NCT00366249
Study Evaluating the Safety and Efficacy of a Once-daily Dose of Tigecycline vs Ertapenem in Diabetic Foot Infections (DFI) With a Substudy in Patients With Diabetic Foot Infections Complicated by Osteomyelitis.
A Phase 3 study testing Tigecycline and Ertapenem in people with Bacterial Infections and Diabetic Foot, run by Wyeth is now a wholly owned subsidiary of Pfizer at 211 sites in 39 countries.
Trial summary
The purpose of this study was to look at the safety and effectiveness of a once-daily dose of tigecycline compared to ertapenem for the treatment of diabetic foot infections. The co-primary efficacy endpoints were not met. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Bacterial Infections, Diabetic Foot, Osteomyelitis
- What is being tested?
- Tigecycline and Ertapenem
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,061 participants
- Where
- 211 sitesin 39 countries
- Study dates
- Jan 2007to Mar 2009
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Main inclusion criteria:
- Men and women aged 18 or older with diabetes and a qualifying foot infection. People with evidence of a diabetic foot infection with osteomyelitis may qualify for the osteomyelitis substudy arm.
Main exclusion criteria:
- People with additional significant disease, infection with resistant pathogens, contraindication, or hypersensitivity to any test article or related antibiotic.
Trial locations and contacts
211 sites in 39 countries.
211 sites in 39 countries
Argentina27 sites
Study site
Buenos Aires, Buenos Aires, CP 1428
Study site
Buenos Aires, 1180
Study site
Buenos Aires, 1181
Study site
Buenos Aires, 1428
Study site
Buenos Aires, CP C1180 AAX
Study site
Chivilcoy, Buenos Aires, 6620
Study site
Ciudadela, 3 de Febrero, Buenos Aires, 1702
Study site
Ciudadela, 3 de Febrero, Buenos Aires, CP 1702
Study site
Córdoba, 5000
Study site
Córdoba, 5004
Study site
Córdoba, 5016
Study site
Córdoba, CP 5000
Study site
Córdoba, CP 5016
Study site
La Plata, Buenos Aires, 1072
Study site
La Plata, Buenos Aires, 1900
Study site
La Plata, Buenos Aires, CP 1900
Study site
Loma Hermosa, Buenos Aires, 1657
Study site
Loma Hermosa, Buenos Aires, CP 1657
Study site
Mar del Plata, Buenos Aires, 7602
Study site
Mendoza, 5500
Study site
Merlo, Buenos Aires, 1722
Study site
Morón, Buenos Aires, 1072
Study site
Paraná, Entre Ríos Province, 3100
Study site
Paraná, Entre Ríos Province, CP 3100
Study site
Rosario, Santa Fe Province, 2000
Study site
San Miguel de Tucumán, Tucumán Province, 4000
Study site
Tunuyan, Mendoza Province, 5560
United States26 sites
Study site
Baltimore, Maryland, 21224
Study site
Boston, Massachusetts, 02215
Study site
Chicago, Illinois, 60637
Study site
Columbia, South Carolina, 29203
Study site
Dallas, Texas, 75203
Study site
Evanston, Illinois, 60201
Study site
Honolulu, Hawaii, 96814
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Lima, Ohio, 45801
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Los Angeles, California, 90010
Study site
Los Angeles, California, 91342
Study site
North Chicago, Illinois, 60064
Study site
Northridge, California, 91326
Study site
Orlando, Florida, 32801
Study site
Orlando, Florida, 32806
Study site
Pensacola, Florida, 32501
Study site
San Antonio, Texas, 78229
Study site
San Francisco, California, 94115
Study site
Somers Point, New Jersey, 08244
Study site
Springfield, Illinois, 62701
Study site
Springfield, Illinois, 62791
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Sylmar, California, 91342
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Toledo, Ohio, 43614
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Torrance, California, 90502
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West Palm Beach, Florida, 33407
Study site
West Reading, Pennsylvania, 19610
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Winston-Salem, North Carolina, 27103
Russia17 sites
Study site
Chelyabinsk, 454 021
Study site
Kemerovo, 650061
Study site
Moscow, 111020
Study site
Moscow, 113152
Study site
Moscow, 127299
Study site
Moscow, 127486
Study site
Moscow, 129110
Study site
Moscow, 129327
Study site
Nizhny Novgorod, 603005
Study site
Nizhny Novgorod, 603076
Study site
Novosibirsk, 630117
Study site
Omsk, 644021
Study site
Saint Petersburg, 196247
Study site
Saint Petersburg, 198095
Study site
Smolensk, 214019
Study site
Yaroslavl
Study site
Yekaterinburg, 620109
Mexico9 sites
Study site
Colonia El Ritiro, Guadalajara, 44280
Study site
Durango, 34000
Study site
Guadalajara, Jalisco, 44260
Study site
Hermosillo, Sonora, 83190
Study site
Mendoza, Mendoza, CP 5500
Study site
San Luis Potosí City, 78210
Study site
San Luis Potosí City, CP 78210
Study site
Santa Fe, Santa Fe, CP 2000
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Veracruz, 91910
Canada8 sites
Study site
Chicoutimi, Quebec, G7H 5H6
Study site
Hamilton, Ontario, L8V 1C3
Study site
Montreal, Quebec, H3T 1E2
Study site
Ottawa, Ontario, K1H 8L6
Study site
Sherbrooke, Quebec, J1H 5N4
Study site
Trois-Rivières, Quebec, G8Z 3R9
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Vancouver, British Columbia, V6Z 1Y6
Study site
Winnipeg, Manitoba, R3A 1R9
Lithuania8 sites
Study site
Kaunas, 47144
Study site
Kaunas, 50009
Study site
Kaunas, LT-50009
Study site
Klaipėda, 92288
Study site
Panevezys, 35144
Study site
Šiauliai, 76231
Study site
Vilnius, 10207
Study site
Vilnius, LT-10207
Ukraine8 sites
Study site
Cherkassy, 18009
Study site
Dnipro, 49001
Study site
Kiev, 2125
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Kyiv, 02175
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Kyiv, 2175
Study site
Lviv, 79010
Study site
Vinnytsia, 21010
Study site
Zaporizhzhya, 69600
Hungary7 sites
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Budapest, 1076
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Budapest, 1082
Study site
Budapest, H-1027
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Debrecen, 4012
Study site
Győr, 9024
Study site
Kistarcsa, 2143
Study site
Székesfehérvár, 8000
Slovakia7 sites
Study site
Banská Bystrica, 975 17
Study site
Banska.Bysterica, 97517
Study site
Bratislava, 813 69
Study site
Ľubochňa, 034 91
Study site
Martin, 036 59
Study site
Nitra, 949 01
Study site
Nové Zámky, 9401
Latvia6 sites
Study site
Liepāja, 3401
Study site
Riga, 1001
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Riga, 1002
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Riga, 1038
Study site
Riga, LV-1001
Study site
Riga, LV-1038
Poland6 sites
Study site
Bielsko-Biala, 43-300
Study site
Cieszyn, 43-400
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Gdansk, 80-211
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Lodz, 91-425
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Warsaw, 02-097
Study site
Wroclaw, 50-326
Belgium5 sites
Study site
Bornem, 2880
Study site
Brussels, 1070
Study site
Brussels, 1080
Study site
Brussels, 1090
Study site
Pellenberg, 3212
China5 sites
Study site
Beijing, 100101
Study site
Beijing, 100730
Study site
Guangzhou, 510120
Study site
Harbin, Heilongjiang, 150086
Study site
Tianjin, 300070
Germany5 sites
Study site
Bochum, North Rhine-Westphalia, 44789
Study site
Gelsenkirchen, North Rhine-Westphalia, 45891
Study site
Giessen, Hesse, 35392
Study site
Münster, Northrhien-Westphalia, 48129
Study site
Rheine, North Rhine-Westphalia, 48431
Spain5 sites
Study site
Barcelona, 8907
Study site
Getafe Madrid, 28905
Study site
Granada, 18012
Study site
Madrid, 28007
Study site
Palma de Mallorca, 7198
United Kingdom5 sites
Study site
Birmingham, West Midlands, B29 6JD
Study site
Birmingham, B95SS
Study site
London, SE5 9RS
Study site
Oxford, OX3 7LD
Study site
Wishaw, Lanarkshire, ML2 0DP
Estonia4 sites
Study site
Kohtla-Järve, Ida-Virumaa, 30322
Study site
Tallinn, 13419
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Tartu, 50410
Study site
Tartu, 51014
India4 sites
Study site
Bangalore, Karnataka, 560002
Study site
Jaipur, Rajasthan, 302001
Study site
Pune, Maharashtra, 411001
Study site
Vadodara, Gujarat, 390001
Romania4 sites
Study site
Bacau, 600114
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Bucharest, 20475
Study site
Cluj-Napoca, 400006
Study site
Lasi, 700111
South Korea4 sites
Study site
Gyeonggi-do, 425-801
Study site
Seoul, 135-710
Study site
Seoul, 136-075
Study site
Seoul, 138-736
Croatia3 sites
Study site
Zadar, 23 000
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Zagreb, 10 000
Study site
Zagreb, 10000
Greece3 sites
Study site
Athens, 106 76
Study site
Holargos, Athens, 11527
Study site
Rio-Patras, 265 04
Italy3 sites
Study site
Abano Terme (PD), 35031
Study site
Pisa, 56124
Study site
Rome, 133
South Africa3 sites
Study site
Benoni, Gauteng, 1501
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Port Elizabeth, Eastern Cape, 6014
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Pretoria, Gauteng, 84
Sweden3 sites
Study site
Copenhagen, 2400
Study site
Huddinge, 141 86
Study site
Uppsala, 751 85
Turkey (Türkiye)3 sites
Study site
Adana, 1330
Study site
Capa-Istanbul, 34390
Study site
Istanbul, 34303
Australia2 sites
Study site
Melbourne, Victoria, 3050
Study site
Melbourne, Victoria, 3128
Brazil2 sites
Study site
Rio de Janeiro, 20211-340
Study site
São Paulo, 05422-970
About this study
Official title: A Multicenter, Randomized, Double-Blind, Comparison Study of the Safety and Efficacy of a Once-Daily Dose of Tigecycline Versus Ertapenem for the Treatment of Foot Infections in Subjects With Diabetes
The purpose of this study was to look at the safety and effectiveness of a once-daily dose of tigecycline compared to ertapenem for the treatment of diabetic foot infections. The co-primary efficacy endpoints were not met.
- Conditions
- Bacterial Infections, Diabetic Foot, Osteomyelitis
- Being tested
- Tigecycline, Ertapenem
- Keywords
- Diabetic foot infection, Osteomyelitis, Diabetes Complications, Foot ulcer, Skin infection
- Medical subject headings
- Bacterial Infections, Diabetic Foot, Osteomyelitis, Diabetes Complications, Foot Ulcer, Cellulitis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TigecyclineDrug
150 mg Tigecycline once-daily IV infusion for up to 28 days, or 42 days for the substudy wth osteomyelitis
ErtapenemDrug
Ertapenem 1g IV infusion every 24 hours +/- vancomycin depending on culture results and at the discretion of investigator (for coverage of Methicillin-resistant Staphylococcus aureus (MRSA), coagulase-negative staphylococci (CNS) or enterococci coverage).
| Study group | Role | What they receive |
|---|---|---|
| A | Active comparator | Not described Receives: Drug: Tigecycline |
| B | Active comparator | Not described Receives: Drug: Ertapenem |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Patients With Clinical Response of Cure Vs. Failure.
Cure: Recovery so no added antibiotic therapy. Failure: Added antibiotic therapy for no response or worsening after improvement, new purulence, >120% doses, non-routine surgical treatment or death related to Diabetic Foot Infections (DFI) > 48 hrs.
Measured: Test of cure visit (TOC): Assessed at least 12 days post last dose
Number of Patients With Clinical Response of Cure Vs. Failure/Indeterminate.
Cure: Recovery so no added antibiotic therapy. Failure: Added antibiotic therapy for no response or worsening after improvement, new purulence, >120% doses, non-routine surgical treatment or death related to DFI > 48 hrs. Indeterminate: Lost to follow-up, death<48 hours or noninfection related.
Measured: Test of cure visit (TOC): Assessed at least 12 days post last dose
Secondary outcomes (3)
Number of Patients With Clinical Response of Cure Vs. Failure Assessed at Least 25 - 27 Weeks Post Last Dose.
Cure: Recovery so no added antibiotic therapy. Failure: Added antibiotic therapy for no response or worsening after improvement, new purulence, >120% doses, non-routine surgical treatment or death related to DFI > 48 hrs.
Measured: Test of cure visit (TOC): Assessed at least 25 - 27 weeks post last dose
Number of Patients With Clinical Response of Cure Vs. Failure/Indeterminate Assessed at Least 25 - 27 Weeks Post Last Dose.
Cure: Recovery so no added antibiotic therapy. Failure: Added antibiotic therapy for no response or worsening after improvement, new purulence, >120% doses, non-routine surgical treatment or death related to DFI > 48 hrs. Indeterminate: Lost to follow-up, death<48 hours or noninfection related.
Measured: Test of cure visit (TOC): Assessed at least 25 - 27 weeks post last dose
Number of Patients With Microbiologic Response of Eradication.
Eradication defined as: no pathogen is present in the repeat culture from the original site of infection, or a clinical response of the cure precludes the availability of a specimen for culture.
Measured: Test of cure visit (TOC): Assessed at least 12 days post last dose
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Aug 2006 (estimated)
- Study startJan 2007
- Primary completionMar 2009
- Study completionMar 2009
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Bacterial InfectionsStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 1,061 participants (actual)
Sponsor and investigators
- Lead sponsor
- Wyeth is now a wholly owned subsidiary of Pfizer
- Sponsor type
- Industry (pharma, biotech, devices)
- Investigators
- Medical Monitor, Study director, Wyeth is now a wholly owned subsidiary of PfizerTrial Manager, Principal investigator, For Belgium, trials-BEL@wyeth.comTrial Manager, Principal investigator, For Hungary, WPBUMED@wyeth.comTrial Manager, Principal investigator, For Spain, infomed@wyeth.comTrial Manager, Principal investigator, For Taiwan, medinfo@wyeth.comTrial Manager, Principal investigator, For South Africa, ZAFinfo@wyeth.comTrial Manager, Principal investigator, For Canada, clintrialparticipation@wyeth.comTrial Manager, Principal investigator, For Australia, medinfo@wyeth.com
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00366249
- Sponsor's protocol ID
- 3074K5-319
- Status last verified
- Apr 2010
- First submitted
- 17 Aug 2006
- Last updated
- 28 Apr 2010
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Lauf L, Ozsvar Z, Mitha I, Regoly-Merei J, Embil JM, Cooper A, Sabol MB, Castaing N, Dartois N, Yan J, Dukart G, Maroko R. Phase 3 study comparing tigecycline and ertapenem in patients with diabetic foot infections with and without osteomyelitis. Diagn Microbiol Infect Dis. 2014 Apr;78(4):469-80. doi: 10.1016/j.diagmicrobio.2013.12.007. Epub 2013 Dec 16.
PubMed 24439136
Study at a glance
From the registry record, last updated by the sponsor on 28 Apr 2010. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Randomized, Double-Blind, Comparison Study of the Safety and Efficacy of a Once-Daily Dose of Tigecycline Versus Ertapenem for the Treatment of Foot Infections in Subjects With Diabetes
- ClinicalTrials.gov ID
- NCT00366249
- Acronym / sponsor ID
- 3074K5-319
- Conditions
- Bacterial Infections, Diabetic Foot, Osteomyelitis
- Keywords
- Diabetic foot infection, Osteomyelitis, Diabetes Complications, Foot ulcer, Skin infection
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,061 participants (actual)
- Lead sponsor
- Wyeth is now a wholly owned subsidiary of PfizerIndustry (pharma, biotech, devices)
- Study start
- Jan 2007
- Primary completion
- Mar 2009 (actual)
- Study completion
- Mar 2009 (actual)
- First posted
- 21 Aug 2006 (estimated)
- Results
- Posted 21 Aug 2009
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study was to look at the safety and effectiveness of a once-daily dose of tigecycline compared to ertapenem for the treatment of diabetic foot infections. The co-primary efficacy endpoints were not met.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| A | Active comparator | Drug: Tigecycline |
| B | Active comparator | Drug: Ertapenem |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Tigecycline150 mg Tigecycline once-daily IV infusion for up to 28 days, or 42 days for the substudy wth osteomyelitis | Drug | A |
| ErtapenemErtapenem 1g IV infusion every 24 hours +/- vancomycin depending on culture results and at the discretion of investigator (for coverage of Methicillin-resistant Staphylococcus aureus (MRSA), coagulase-negative staphylococci (CNS) or enterococci coverage). | Drug | B |
Primary outcome
Number of Patients With Clinical Response of Cure Vs. Failure.
Time frame: Test of cure visit (TOC): Assessed at least 12 days post last dose
Cure: Recovery so no added antibiotic therapy. Failure: Added antibiotic therapy for no response or worsening after improvement, new purulence, >120% doses, non-routine surgical treatment or death related to Diabetic Foot Infections (DFI) > 48 hrs.
Number of Patients With Clinical Response of Cure Vs. Failure/Indeterminate.
Time frame: Test of cure visit (TOC): Assessed at least 12 days post last dose
Cure: Recovery so no added antibiotic therapy. Failure: Added antibiotic therapy for no response or worsening after improvement, new purulence, >120% doses, non-routine surgical treatment or death related to DFI > 48 hrs. Indeterminate: Lost to follow-up, death<48 hours or noninfection related.
3 secondary outcomes
Number of Patients With Clinical Response of Cure Vs. Failure Assessed at Least 25 - 27 Weeks Post Last Dose.
Time frame: Test of cure visit (TOC): Assessed at least 25 - 27 weeks post last dose
Number of Patients With Clinical Response of Cure Vs. Failure/Indeterminate Assessed at Least 25 - 27 Weeks Post Last Dose.
Time frame: Test of cure visit (TOC): Assessed at least 25 - 27 weeks post last dose
Number of Patients With Microbiologic Response of Eradication.
Time frame: Test of cure visit (TOC): Assessed at least 12 days post last dose
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Apr 2010.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 24439136Lauf L, Ozsvar Z, Mitha I, Regoly-Merei J, Embil JM, Cooper A, Sabol MB, Castaing N, Dartois N, Yan J, Dukart G, Maroko R. Phase 3 study comparing tigecycline and ertapenem in patients with diabetic foot infections with and without osteomyelitis. Diagn Microbiol Infect Dis. 2014 Apr;78(4):469-80. doi: 10.1016/j.diagmicrobio.2013.12.007. Epub 2013 Dec 16.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Medical Monitor study director
Wyeth is now a wholly owned subsidiary of Pfizer
Trial Manager principal investigator
For Belgium, trials-BEL@wyeth.com
Trial Manager principal investigator
For Hungary, WPBUMED@wyeth.com
211 sites in 39 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Tigecycline and Ertapenem in people with Bacterial Infections and Diabetic Foot, run by Wyeth is now a wholly owned subsidiary of Pfizer at 211 sites in 39 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 28 Apr 2010. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 211 sites in Argentina, United States, Russia, Mexico, Canada and 34 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 21 Aug 2009). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of Patients With Clinical Response of Cure Vs. Failure. (time frame: Test of cure visit (TOC): Assessed at least 12 days post last dose). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00366249, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Apr 2010.