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Skin and Subcutaneous Tissue Bacterial InfectionsPhase 3NCT01984684

Delafloxacin vs Vancomycin and Aztreonam for the Treatment of Acute Bacterial Skin and Skin Structure Infections

A Phase 3 study testing delafloxacin, vancomycin and aztreonam in people with Skin and Subcutaneous Tissue Bacterial Infections and Skin Structures and Soft Tissue Infections, run by Melinta Therapeutics, Inc. at 94 sites in 16 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 Delafloxacin versus Vancomycin plus Aztreonam in the treatment of patients with acute bacterial skin and soft tissue infections. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
delafloxacin, vancomycin and aztreonam
Could I receive a placebo?
No, everyone receives an active treatment
How many people
850 participants
Where
94 sitesin 16 countries
Study dates
May 2014to Jan 2016
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

Who may be able to join

  • Adult (≥ 18 years of age) men or women with a diagnosis of ABSSSI (cellulitis/erysipelas, wound infection, major cutaneous abscess, or burn infection) with surrounding redness of a minimum surface area of 75 cm^2 and at least two signs of systemic infection
  • In the opinion of the investigator, the subject must require and be a suitable candidate for IV antibiotic therapy, and the subject must be able and willing to comply with protocol requirements

Who cannot join

  • 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 compromised immune system, 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:
  • Received ≥ 48 hours of antibiotic therapy for ABSSSI AND clinical progression is documented (i.e., not by patient history alone).
  • Recently (within 14 days) completed a treatment course with an antibacterial drug for an infection other than ABSSSI and the drug does not have activity against bacterial pathogens that cause ABSSSI.
  • Received only 1 dose of either a single, potentially effective, short-acting antimicrobial drug or drug regimen for ABSSSI.
  • 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.

Trial locations and contacts

94 sites in 16 countries.

94 sites in 16 countries

United States31 sites
  • Melinta 303 Study Site

    Anaheim, California

  • Melinta 303 Study Site

    Butte, Montana

  • Melinta 303 Study Site

    Channelview, Texas, 77530

  • Melinta 303 Study Site

    Chula Vista, California, 91911

  • Melinta 303 Study Site

    Columbus, Georgia, 31904

  • Melinta 303 Study Site

    Columbus, Ohio

  • Melinta 303 Study Site

    DeLand, Florida

  • Melinta 303 Study Site

    Eunice, Louisiana, 70535

  • Melinta 303 Study Site

    Houston, Texas, 77024

  • Melinta 303 Study Site

    Jackson, Tennessee

  • Melinta 303 Study Site

    La Mesa, California, 91942

  • Melinta 303 Study Site

    Las Vegas, Nevada, 89109

  • Melinta 303 Study Site

    Lincoln, Nebraska

  • Melinta 303 Study Site

    Long Beach, California

  • Melinta 303 Study Site

    Minneapolis, Minnesota, 55422

  • Melinta 303 Study Site

    Mobile, Alabama, 36607

  • Melinta 303 Study Site

    Modesto, California

  • Melinta 303 Study Site

    Montgomery, Alabama

  • Melinta 303 Study Site

    Oceanside, California, 92056

  • Melinta 303 Study Site

    Orlando, Florida

  • Melinta 303 Study Site

    Rapid City, South Dakota

  • Melinta 303 Study Site

    San Antonio, Texas

  • Melinta 303 Study Site

    San Diego, California, 92114

  • Melinta 303 Study Site

    Savannah, Georgia, 31405

  • Melinta 303 Study Site

    Smyrna, Tennessee

  • Melinta 303 Study Site

    Somers Point, New Jersey, 08244

  • Melinta 303 Study Site

    Springfield, Massachusetts

  • Melinta 303 Study Site

    Stockton, California

  • Melinta 303 Study Site

    Teaneck, New Jersey

  • Melinta 303 Study Site

    Toledo, Ohio

  • Melinta 303 Study Site

    Torrance, California, 90509

Other trials in United States

South Korea8 sites
  • Melinta 303 Study Site

    Ansan, Gyeonggido

  • Melinta 303 Study Site

    Daegu

  • Melinta 303 Study Site

    Daejeon

  • Melinta 303 Study Site

    Goyang, Gyeonggido

  • Melinta 303 Study Site

    Gwangju

  • Melinta 303 Study Site

    Incheon

  • Melinta 303 Study Site

    Seoul

  • Melinta 303 Study Site

    Wŏnju, Gang'weondo

Other trials in South Korea

Brazil7 sites
  • Melinta 303 Study Site

    Belo Horizonte, Minas Gerais

  • Melinta 303 Study Site

    Campinas, São Paulo

  • Melinta 303 Study Site

    Lavras, Minas Gerais

  • Melinta 303 Study Site

    Passo Fundo, Rio Grande do Sul

  • Melinta 303 Study Site

    Salvador, Estado de Bahia

  • Melinta 303 Study Site

    São José do Rio Preto, São Paulo

  • Melinta 303 Study Site

    São Paulo

Other trials in Brazil

Taiwan6 sites
  • Melinta 303 Study Site

    Kaohsiung City

  • Melinta 303 Study Site

    New Taipei City

  • Melinta 303 Study Site

    Taichung

  • Melinta 303 Study Site

    Tainan

  • Melinta 303 Study Site

    Taipei

  • Melinta 303 Study Site

    Zhonghe

Other trials in Taiwan

Bulgaria5 sites
  • Melinta 303 Study Site

    Pleven

  • Melinta 303 Study Site

    Plovdiv

  • Melinta 303 Study Site

    Rousse

  • Melinta 303 Study Site

    Sofia

  • Melinta 303 Study Site

    Varna

Other trials in Bulgaria

Hungary5 sites
  • Melinta 303 Study Site

    Kaposvár

  • Melinta 303 Study Site

    Kecskemét

  • Melinta 303 Study Site

    Nyíregyháza

  • Melinta 303 Study Site

    Szeged

  • Melinta 303 Study Site

    Veszprém

Other trials in Hungary

Romania5 sites
  • Melinta 303 Study Site

    Bucharest

  • Melinta 303 Study Site

    Cluj-Napoca, Cluj

  • Melinta 303 Study Site

    Craiova, Dolj

  • Melinta 303 Study Site

    Târgu Mureş

  • Melinta 303 Study Site

    Timișoara, Timiș County

Other trials in Romania

Argentina4 sites
  • Melinta 303 Study Site

    Córdoba

  • Melinta 303 Study Site

    La Plata, Buenos Aires

  • Melinta 303 Study Site

    Rosario, Santa Fe Province

  • Melinta 303 Study Site

    Santa Fe

Other trials in Argentina

Estonia4 sites
  • Melinta 303 Study Site

    Kohtla-Järve

  • Melinta 303 Study Site

    Tallinn

  • Melinta 303 Study Site

    Tartu

  • Melinta 303 Study Site

    Võru

Other trials in Estonia

Georgia4 sites
  • Melinta 303 Study Site

    Batumi

  • Melinta 303 Study Site

    Kutaisi

  • Melinta 303 Study Site

    Tbilisi

  • Melinta 303 Study Site

    Zugdidi

Other trials in Georgia

Latvia4 sites
  • Melinta 303 Study Site

    Daugavpils

  • Melinta 303 Study Site

    Liepāja

  • Melinta 303 Study Site

    Rēzekne

  • Melinta 303 Study Site

    Riga

Other trials in Latvia

Peru4 sites
  • Melinta 303 Study Site

    Cusco

  • Melinta 303 Study Site

    Lima

  • Melinta 303 Study Site

    Loreto

  • Melinta 303 Study Site

    Trujillo, La Libertad

Other trials in Peru

Chile2 sites
  • Melinta 303 Study Site

    Santiago

  • Melinta 303 Study Site

    Temuco

Other trials in Chile

Mexico2 sites
  • Melinta 303 Study Site

    Guadalajara, Jalisco

  • Melinta 303 Study Site

    Monterrey, Nuevo León

Other trials in Mexico

Slovakia2 sites
  • Melinta 303 Study Site

    Banská Bystrica

  • Melinta 303 Study Site

    Prešov

Other trials in Slovakia

Moldova1 site
  • Melinta 303 Study Site

    Chisinau

Other trials in Moldova

About this study

Official title: A Phase 3, Multicenter, Randomized, Double-blind, Active Controlled Study to Evaluate the Efficacy + Safety of IV + Oral Delafloxacin Compared With Vancomycin + Aztreonam in Patients With Acute Bacterial Skin and Skin Structure Infections (ABSSSI)

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

Read the detailed description

The purpose of this study is to determine if delafloxacin, an investigational drug, is safe and effective in the treatment of skin and nearby tissue infections compared with a combination of other antibiotics, vancomycin and aztreonam.

Being tested
delafloxacin, vancomycin, aztreonam
Keywords
Bacterial skin infection, infection, skin, delafloxacin, vancomycin, aztreonam, methicillin-resistant Staphylococcus aureus (MRSA) bacteria, bacterial infection, Anti-Infective Agents
Medical subject headings
Soft Tissue Infections, Skin Diseases, Bacterial, Infections, Bacterial Infections

What participants receive

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

  • delafloxacinDrug

    Also called RX-3341

  • vancomycinDrug

  • aztreonamDrug

Study groups in NCT01984684
Study groupRoleWhat they receive
DelafloxacinExperimentalDelafloxacin 300 mg IV Q12H for 6 doses, then Delafloxacin 450 mg oral tablet Q12H for a minimum of 10 up to a maximum of 28 doses total
Receives: Drug: delafloxacin
Vancomycin plus AztreonamActive comparatorVancomycin 15 mg/kg IV plus two grams Aztreonam every 12 hours for a minimum of 10 up to a maximum of 28 doses total (Aztreonam was discontinued as soon as possible if a gram-negative organism was not identified in baseline cultures)
Receives: Drug: vancomycin; Drug: aztreonam

What is being measured

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

  1. Objective Response of ≥20% Reduction in Lesion Erythema Area Compared to Baseline at 48 to 72 Hours After Initiation of Treatment as Determined by Digital Measurements of the Leading Edge.

    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.

    Measured: 48 to 72 hrs after starting treatment

Secondary outcomes (2)
  1. Investigator-assessed Response of Signs and Symptoms of Infection at the Follow up Visit (European Medicines Agency [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).

    Measured: Study Day 14 ± 1

  2. Investigator-assessed Response of Signs and Symptoms of Infection 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).

    Measured: Study Day 21 to 28

Timeline

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

  1. First posted15 Nov 2013 (estimated)
  2. Study startMay 2014
  3. Primary completionDec 2015
  4. Study completionJan 2016

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
850 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01984684
Sponsor's protocol ID
RX-3341-303
Status last verified
Nov 2017
First submitted
8 Nov 2013
Last updated
17 Nov 2017
Data monitoring committee
No
Individual data sharing
No

Publications

  • 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.

    PubMed 30349845
  • O'Riordan W, McManus A, Teras J, Poromanski I, Cruz-Saldariagga M, Quintas M, Lawrence L, Liang S, Cammarata S; PROCEED Study Group. A Comparison of the Efficacy and Safety of Intravenous Followed by Oral Delafloxacin With Vancomycin Plus Aztreonam for the Treatment of Acute Bacterial Skin and Skin Structure Infections: A Phase 3, Multinational, Double-Blind, Randomized Study. Clin Infect Dis. 2018 Aug 16;67(5):657-666. doi: 10.1093/cid/ciy165.

    PubMed 29518178
  • 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.

    PubMed 28630189

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing delafloxacin, vancomycin and aztreonam in people with Skin and Subcutaneous Tissue Bacterial Infections and Skin Structures and Soft Tissue Infections, run by Melinta Therapeutics, Inc. at 94 sites in 16 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 2 inclusion and 8 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 17 Nov 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 94 sites in United States, South Korea, Brazil, Taiwan, Bulgaria and 11 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 28 Aug 2017). 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?

Objective Response of ≥20% Reduction in Lesion Erythema Area Compared to Baseline at 48 to 72 Hours After Initiation of Treatment as Determined by Digital Measurements of the Leading Edge. (time frame: 48 to 72 hrs after starting treatment). 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 NCT01984684, which also lists 3 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 17 Nov 2017.

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