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Complicated Skin and Soft Tissue InfectionPhase 3NCT01499277

Evaluation of Ceftaroline Fosamil Versus Vancomycin Plus Aztreonam in the Treatment of Patients With Skin Infections

A Phase 3 study testing Ceftaroline fosamil, Vancomycin and Aztreonam in people with Complicated Skin and Soft Tissue Infection, run by Pfizer at 91 sites in 28 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to evaluate the effects of Ceftaroline Fosamil versus Vancomycin plus Aztreonam in treatment of patients with complicated bacterial skin and soft tissue infections. Read more about this study

Who is it for?
Ages 18 to 99 years
What is being tested?
Ceftaroline fosamil, Vancomycin and Aztreonam
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
802 participants
Where
91 sitesin 28 countries
Study dates
May 2012to Jan 2015
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 to 99 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female, aged 18 years or older
  • Complicated skin and skin structure infection (cSSTI)
  • Infection of sufficient severity to warrant hospitalization
  • Infection of sufficient severity such that it is expected to require at least 5 days of intravenous antibiotic therapy

Who cannot join

  • Received systemic antibacterial drugs for greater than 24 hours within 96 hours prior to first dose of study drug
  • Uncomplicated skin and skin structure infections, skin infections suspected to be caused by viral or fungal pathogens
  • Diabetic foot infections, decubitus ulcers, ulcers due to peripheral vascular disease
  • Infection caused by human or animal bites, sternal wound infections, bone infection or arthritis due to an infection, critical limb ischemia of the affected limb
  • Chronic liver disease or severe impaired renal function, severe low white blood cell count, burns on greater than 15% of total body surface area, necrotizing skin infection, amputation required of primary site of infection, sustained shock

Trial locations and contacts

91 sites in 28 countries.

91 sites in 28 countries

China15 sites
  • Research Site

    Beijing

  • Research Site

    Changchun

  • Research Site

    Changsha

  • Research Site

    Chengdu

  • Research Site

    Chongqing

  • Research Site

    Fuzhou

  • Research Site

    Guangzhou

  • Research Site

    Haikou

  • Research Site

    Nanning

  • Research Site

    Qingdao

  • Research Site

    Shanghai

  • Research Site

    Shenyang

  • Research Site

    Shijiazhuang

  • Research Site

    Wuhan

  • Research Site

    Xi'an

Other trials in China

United States10 sites
  • Research Site

    Bellaire, Texas

  • Research Site

    Carmel, Indiana

  • Research Site

    Chula Vista, California

  • Research Site

    Detroit, Michigan

  • Research Site

    Garden City, New York

  • Research Site

    Hazard, Kentucky

  • Research Site

    Las Vegas, Nevada

  • Research Site

    Orlando, Florida

  • Research Site

    Springfield, Massachusetts

  • Research Site

    West Palm Beach, Florida

Other trials in United States

Russia6 sites
  • Research Site

    Moscow

  • Research Site

    Perm

  • Research Site

    Saint Petersburg

  • Research Site

    Smolensk

  • Research Site

    Vsevolozhsk

  • Research Site

    Yaroslavl

Other trials in Russia

South Korea5 sites
  • Research Site

    Ansan

  • Research Site

    Deagu

  • Research Site

    Incheon

  • Research Site

    Seoul

  • Research Site

    Wŏnju

Other trials in South Korea

Brazil4 sites
  • Research Site

    Belo Horizonte

  • Research Site

    Passo Fundo

  • Research Site

    Salvador

  • Research Site

    São José do Rio Preto

Other trials in Brazil

Israel4 sites
  • Research Site

    Haifa

  • Research Site

    Ramat Gan

  • Research Site

    Safed

  • Research Site

    Tel Aviv

Other trials in Israel

South Africa4 sites
  • Research Site

    Benoni

  • Research Site

    Cape Town

  • Research Site

    Johannesburg

  • Research Site

    Worcester

Other trials in South Africa

Spain4 sites
  • Research Site

    Barcelona

  • Research Site

    Granada

  • Research Site

    Madrid

  • Research Site

    Terrassa

Other trials in Spain

Ukraine4 sites
  • Research Site

    Cherkasy

  • Research Site

    Ivano-Frankivsk

  • Research Site

    Kharkiv

  • Research Site

    Odesa

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Bulgaria3 sites
  • Research Site

    Pleven

  • Research Site

    Rousse

  • Research Site

    Sofia

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Germany3 sites
  • Research Site

    Dessau

  • Research Site

    Hanau

  • Research Site

    Heilbronn

Other trials in Germany

Taiwan3 sites
  • Research Site

    Kaohsiung City

  • Research Site

    Taipei

  • Research Site

    Yung Kang City

Other trials in Taiwan

Turkey (Türkiye)3 sites
  • Research Site

    Ankara

  • Research Site

    Diyarbakır

  • Research Site

    Izmir

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Argentina2 sites
  • Research Site

    Córdoba

  • Research Site

    Santa Fe

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Chile2 sites
  • Research Site

    Temuco

  • Research Site

    Viña del Mar

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Croatia2 sites
  • Research Site

    Slavonski Brod

  • Research Site

    Zagreb

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Czechia2 sites
  • Research Site

    Jihlava

  • Research Site

    Pardubice

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Hong Kong2 sites
  • Research Site

    Kowloon

  • Research Site

    Pokfulam

Other trials in Hong Kong

Peru2 sites
  • Research Site

    Cusco

  • Research Site

    Lima

Other trials in Peru

Philippines2 sites
  • Research Site

    Manila

  • Research Site

    Quezon City

Other trials in Philippines

Poland2 sites
  • Research Site

    Lodz

  • Research Site

    Lublin

Other trials in Poland

Australia1 site
  • Research Site

    Parkville

Other trials in Australia

Belgium1 site
  • Research Site

    Brussels

Other trials in Belgium

France1 site
  • Research Site

    Orléans

Other trials in France

Greece1 site
  • Research Site

    Athens

Other trials in Greece

Italy1 site
  • Research Site

    Milan

Other trials in Italy

Mexico1 site
  • Research Site

    Guadalajara

Other trials in Mexico

Romania1 site
  • Research Site

    Bucharest

Other trials in Romania

About this study

Official title: A Phase III, Multicentre, Randomised, Double-Blind Comparative Study to Evaluate the Efficacy and Safety of Ceftaroline Fosamil (600 mg Every 8 Hours) Versus Vancomycin Plus Aztreonam in the Treatment of Patients With Complicated Bacterial Skin and Soft Tissue Infections With Evidence of Systemic Inflammatory Response or Underlying Comorbidities

The purpose of this study is to evaluate the effects of Ceftaroline Fosamil versus Vancomycin plus Aztreonam in treatment of patients with complicated bacterial skin and soft tissue infections.

Read the detailed description

A Phase III, Multicentre, Randomised, Double-Blind Comparative Study to Evaluate the Efficacy and Safety of Ceftaroline Fosamil (600 mg every 8 hours) Versus Vancomycin Plus Aztreonam in the Treatment of Patients with Complicated Bacterial Skin and Soft Tissue Infections With Evidence of Systemic Inflammatory Response or Underlying Comorbidities

Being tested
Ceftaroline fosamil, Vancomycin, Aztreonam
Keywords
complicated skin and soft tissue infections (cSSTI), skin infection, ceftaroline, wound infection, cellulitis, burn infection, bacterial infection, vancomycin
Medical subject headings
Soft Tissue Infections, Cellulitis, Wound Infection, Bacterial Infections

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Ceftaroline fosamilDrug

    IV ceftaroline 600mg every 8 hours

  • VancomycinDrug

    IV vancomycin 15mg/kg every 12 hours

  • AztreonamDrug

    IV aztreonam 1 g every 8 hours

Study groups in NCT01499277
Study groupRoleWhat they receive
Ceftaroline fosamilExperimentalPatients will receive 600 mg of ceftaroline fosamil administered as a 120-minute intravenous infusion very 8 hours. Each dose will be infused in a volume of 250 mL over 120-minutes followed by aztreonam placebo in a volume of 100 mL infused over 30 minutes every 8 hours. In addition vancomycin placebo will be given in a volume of 250 mL infused over 120 minutes every 12 hours. Doses will be adjusted according to the patient's renal function.
Receives: Drug: Ceftaroline fosamil
Vancomycin plus aztreonamActive comparatorPatients will receive combination of vancomycin plus aztreonam. Dose of vancomycin will be based on the patient's actual weight and will receive intravenous vancomycin every 12 hours with each dose infused over 120-minutes. Aztreonam dose will be 1 gram intravenously in a volume of 100 mL infused over 30 minutes every 8 hours. In addition, ceftaroline fosamil placebo will be given in a volume of 250 mL infused over 120 minutes every 8 hours. Doses adjusted according to patients renal function
Receives: Drug: Vancomycin; Drug: Aztreonam

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Clinical Response at Test of Cure (TOC) in Modified Intent-to-treat (MITT) Analysis Set

    The observed difference in the clinical cure rates at TOC (ceftaroline group minus vancomycin plus aztreonam group) in MITT. Clinical cure rate is measured by comparing the participant's signs and symptoms at TOC visit to those recorded at study baseline.

    Measured: 7 to 20 days after the last dose of study drug

  2. Clinical Response at TOC in Clinically Evaluable (CE) Analysis Set

    The observed difference in the clinical cure rates at TOC (ceftaroline group minus vancomycin plus aztreonam group) in CE. Clinical cure rate is measured by comparing the participant's signs and symptoms at TOC visit to those recorded at study baseline.

    Measured: 7 to 20 days after the last dose of study drug

Secondary outcomes (7)
  1. Per Patient Microbiological Response at TOC in Microbiologically Modified-intent-to-treat (mMITT) Analysis Set

    Difference in microbiological favorable response rate at TOC in mMITT analysis set. Favorable microbiological response rate is measured by comparing TOC microbiological data to baseline microbiological data. In the absence of TOC microbiological data it is presumed from the clinical response.

    Measured: 7 to 20 days after the last dose of study drug

  2. Per-patient Micro Response at TOC in Microbiologically Evaluable (ME) Analysis Set

    Difference in microbiological favorable response rate at TOC in ME. Favourable microbiological response rate is measured by comparing TOC microbiological data to baseline microbiological data. In the absence of TOC microbiological data it is presumed from the clinical response.

    Measured: 7 to 20 days after the last dose of study drug

  3. Clinical Response at End of Treatment (EOT) in MITT Analysis Set

    The observed difference in the clinical cure rates at EOT (ceftaroline group minus vancomycin plus aztreonam group) in MITT. Clinical cure rate is measured by comparing the participant's signs and symptoms at EOT visit to those recorded at study baseline.

    Measured: On day of last dose of study drug (or + 1 day)

  4. Clinical Response at EOT in CE Analysis Set

    The observed difference in the clinical cure rates at EOT (ceftaroline group minus vancomycin plus aztreonam group) in CE. Clinical cure rate is measured by comparing the participant's signs and symptoms at EOT visit to those recorded at study baseline.

    Measured: On day of last dose of study drug (or +1 day)

  5. Clinical Relapse at Late Follow-up (LFU) in CE Patients Who Were Cured at TOC

    The observed difference in the clinical relapse rates at LFU (ceftaroline group minus vancomycin plus aztreonam group) in CE. Clinical relapse rate at LFU is measured by comparing a patient's signs and symptoms at late follow-up to those when they were cured at TOC.

    Measured: 21 to 42 days after the last dose of study drug

  6. Early Response at 48 to 72 Hours of Treatment in MITT Analysis Set

    The observed difference in the early success rates at 48 to 72 hours of treatment (ceftaroline group minus vancomycin plus aztreonam group) in MITT. Early response rate as measured by comparing the participant's signs and symptoms at the 48-72 hour visit to those recorded at study baseline.

    Measured: 48 to 72 hours after first dose of study drug

  7. Per-pathogen Microbiological Response at TOC by Baseline Pathogen From Site of Skin Infection in ME

    Per-pathogen microbiological response at TOC by baseline pathogen from site of skin infection in ME analysis set

    Measured: 7 to 20 days after the last dose of study drug

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Dec 2011 (estimated)
  2. Study startMay 2012
  3. Primary completionJun 2014
  4. Study completionJan 2015

Resources

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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
802 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01499277
Sponsor's protocol ID
D3720C00001
Other IDs
2011-004013-16
Status last verified
Sep 2017
First submitted
16 Dec 2011
Last updated
6 Sep 2017

Publications

  • 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.

    PubMed 34922058
  • Wilcox M, Yan JL, Gonzalez PL, Dryden M, Stone GG, Kantecki M. Impact of Underlying Comorbidities on Outcomes of Patients Treated with Ceftaroline Fosamil for Complicated Skin and Soft Tissue Infections: Pooled Results from Three Phase III Randomized Clinical Trials. Infect Dis Ther. 2022 Feb;11(1):217-230. doi: 10.1007/s40121-021-00557-w. Epub 2021 Nov 6.

    PubMed 34741280
  • Sanchez-Garcia M, Hammond J, Yan JL, Kantecki M, Ansari W, Dryden M. Baseline Characteristics and Outcomes Among Patients with Complicated Skin and Soft Tissue Infections Admitted to the Intensive Care Unit: Analysis of the Phase 3 COVERS Randomized Trial of Ceftaroline Fosamil Versus Vancomycin Plus Aztreonam. Infect Dis Ther. 2020 Sep;9(3):609-623. doi: 10.1007/s40121-020-00297-3. Epub 2020 Jun 30.

    PubMed 32607967
  • Corey GR, Wilcox MH, Gonzalez J, Jandourek A, Wilson DJ, Friedland HD, Das S, Iaconis J, Dryden M. Ceftaroline fosamil therapy in patients with acute bacterial skin and skin-structure infections with systemic inflammatory signs: A retrospective dose comparison across three pivotal trials. Int J Antimicrob Agents. 2019 Jun;53(6):830-837. doi: 10.1016/j.ijantimicag.2019.01.016. Epub 2019 Feb 1.

    PubMed 30716446
  • 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.

    PubMed 30597021
  • Das S, Li J, Iaconis J, Zhou D, Stone GG, Yan JL, Melnick D. Ceftaroline fosamil doses and breakpoints for Staphylococcus aureus in complicated skin and soft tissue infections. J Antimicrob Chemother. 2019 Feb 1;74(2):425-431. doi: 10.1093/jac/dky439.

    PubMed 30380060
  • Dryden M, Zhang Y, Wilson D, Iaconis JP, Gonzalez J. A Phase III, randomized, controlled, non-inferiority trial of ceftaroline fosamil 600 mg every 8 h versus vancomycin plus aztreonam in patients with complicated skin and soft tissue infection with systemic inflammatory response or underlying comorbidities. J Antimicrob Chemother. 2016 Dec;71(12):3575-3584. doi: 10.1093/jac/dkw333. Epub 2016 Sep 1.

    PubMed 27585969

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Ceftaroline fosamil, Vancomycin and Aztreonam in people with Complicated Skin and Soft Tissue Infection, run by Pfizer at 91 sites in 28 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 5 exclusion criteria. 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 6 Sep 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 91 sites in China, United States, Russia, South Korea, Brazil and 23 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 9 Nov 2015). 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?

Clinical Response at Test of Cure (TOC) in Modified Intent-to-treat (MITT) Analysis Set (time frame: 7 to 20 days after the last dose of study drug). 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 NCT01499277, which also lists 7 linked publications.

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 6 Sep 2017.

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