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Acute Bacterial Skin and Skin Structure InfectionsPhase 3NCT03137173

Ceftobiprole in the Treatment of Patients With Acute Bacterial Skin and Skin Structure Infections

A Phase 3 study testing ceftobiprole medocaril and vancomycin+aztreonam in people with Acute Bacterial Skin and Skin Structure Infections, run by Basilea Pharmaceutica at 34 sites in 4 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

This was a randomized, double-blind, active-controlled, parallel-group, multicenter study in adult hospitalized patients to establish the safety and efficacy of ceftobiprole medocaril compared with vancomycin plus aztreonam in the treatment of acute bacterial skin and skin structure infections (ABSSSIs). Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
ceftobiprole medocaril and vancomycin+aztreonam
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
679 participants
Where
34 sitesin 4 countries
Study dates
19 Feb 2018to 22 Apr 2019
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

  • Male or female, aged ≥18 years.
  • Diagnosis of ABSSSI, meeting at least one of the definitions in (a) to (c) below. Local symptoms must have started within the 7 days prior to the Screening visit:
  • Cellulitis/erysipelas, defined as a diffuse skin infection characterized by all of the following within 24 hours:
  • i. Rapidly spreading areas of erythema, edema, and/or induration with a minimum total lesion surface area of 75cm^2
  • ii. No collection of pus apparent upon visual examination
  • iii. At least two of the following local signs of infection:
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  • erythema
  • induration
  • localized warmth
  • pain or tenderness on palpation
  • swelling/edema
  • Major cutaneous abscess, defined as infection characterized by a collection of pus within the dermis or deeper that is apparent upon visual examination before or after therapeutic intervention and is accompanied by all of the following within 24 hours:
  • i. Erythema, edema and/or induration with a minimum total lesion surface area of 75 cm^2.
  • ii. At least two of the following local signs of infection:
  • fluctuance
  • incision and drainage required
  • purulent or seropurulent drainage
  • localized warmth
  • pain or tenderness on palpation
  • Wound infection, defined as infection of any apparent break in the skin characterized by at least one of the following:
  • i. Superficial incision/surgical site infection meeting all of the following criteria:
  • involves only the skin or subcutaneous tissue around the incision (does not involve fascia).
  • occurs within 30 days of procedure.
  • purulent drainage (spontaneous or therapeutic) with surrounding erythema, edema and/ or induration with a minimum total lesion surface area of 75cm^2.
  • ii. Post-traumatic wound (including penetrating trauma, e.g., needle, nail, knife, insect and spider bites) meeting the following criterion within 24 hours:
  • Purulent drainage (spontaneous or therapeutic) with surrounding erythema, edema and/or induration with a minimum total lesion surface area of 75cm^2.
  • At least one of the following regional or systemic signs of infection at the Screening visit:
  • Lymph node tenderness and volume increase, or palpable lymph node proximal to the primary ABSSSI.
  • Fever > 38 °C/100.4 °F measured orally, > 38.5 °C / 101.3 °F measured tympanically, > 37.5 °C / 99.5 °F measured by the axillary method, or > 39 °C / 102.2 °F measured rectally.
  • White blood cell (WBC) count > 10.0 × 10^9/L or < 4.0 × 10^9/L.
  • > 10% immature neutrophils (band forms).
  • Requirement for IV antibacterial treatment.
  • Willing and able to adhere to study procedures (including prohibitions and restrictions) as specified in this protocol.
  • Willing and able to remain hospitalized (in a hospital or equivalent medical confinement or clinical research unit) until completion of the early-clinical-response assessment for the primary endpoint.
  • Informed consent signed by the patient, or their legally acceptable representative if appropriate, indicating that they understand the purpose of, and procedures required for, the study, and are willing to participate.

Who cannot join

  • Patients meeting any one of the following:
  • Use of any systemic antibacterial treatment within 14 days, or topical antibacterial administration on the primary lesion within 96 hours, before first infusion of study drug.
  • Exception: Receipt of a single dose of a short acting (half-life ≤ 12 hours) antibacterial therapy (e.g., for surgical prophylaxis) within > 3 days before randomization (i.e., patients cannot have received any antibacterial treatment within 72 hours of randomization).
  • Contraindication to the administration of either of the study treatments, including known clinically-relevant hypersensitivity to related antibacterial treatments (e.g., beta-lactam and glycopeptide antibiotics), or to metronidazole if required as adjunctive therapy.
  • Participation in any other clinical study within the 30 days prior to randomization, or any prior participation in this study.
  • The primary ABSSSI is an uncomplicated skin and skin structure infection, such as furuncles, minor abscesses (area of suppuration not surrounded by cellulitis/erysipelas), impetiginous lesions, superficial or limited cellulitis/erysipelas, or minor wound infections (e.g., stitch abscesses).
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  • The primary ABSSSI is due to, or associated with, any of the following:
  • Diabetic foot infection, gangrene, or perianal abscess.
  • Concomitant infection at another site (e.g., septic arthritis, endocarditis, osteomyelitis), not including a secondary ABSSSI lesion.
  • Infected burns.
  • Decubitus or chronic skin ulcer, or ischemic ulcer due to peripheral vascular disease (arterial or venous).
  • Any evolving necrotizing process (e.g., necrotizing fasciitis).
  • Infections at vascular catheter sites, or involving thrombophlebitis.
  • The primary ABSSSI is associated with, or in close proximity to, a prosthetic device.
  • Patients who are placed in a hyperbaric chamber as adjunctive therapy for the ABSSSI.
  • Patients expected to require more than two surgical interventions in the operating room for the ABSSSI.
  • Severe sepsis or septic shock.
  • Significant or life-threatening condition (e.g., endocarditis, meningitis) that would confound, or interfere with, the assessment of the ABSSSI.
  • Another severe, acute or chronic medical condition, psychiatric condition, or laboratory abnormality that may increase the risks associated with study participation or administration of the investigational product, or may interfere with the interpretation of study results, and which, in the judgment of the investigator, would make the patient inappropriate for entry into this study.
  • Receiving treatment for active tuberculosis.
  • Absolute neutrophil count < 0.5 × 10^9/L.
  • Recent history of opportunistic infections (i.e., within 30 days) if the underlying cause of these infections is still active (e.g., leukemia, transplant, acquired immunodeficiency syndrome [AIDS]).
  • Patients receiving systemic steroids (> 40 mg per day prednisolone, or equivalent), or receiving immunosuppressant drugs.
  • Requirement for peritoneal dialysis, plasmapheresis, hemodialysis, venovenous dialysis, or other forms of renal filtration, or expected to require such treatment before the TOC visit.
  • Alanine transaminase (ALT) or aspartate transaminase (AST) levels ≥ 8× the upper limit of normal, OR severe hepatic disease with Child-Pugh class C.
  • Women who are pregnant or nursing.
  • Women who are of childbearing potential and unwilling to use an acceptable method of birth control during the study: female sterilization (bilateral tubal occlusion or oophorectomy, or hysterectomy) or male partner vasectomy; intrauterine device (IUD); combined (estrogen and progesterone containing) hormonal contraception (oral, vaginal ring, or transdermal patch) with an ethinylestradiol dose of at least 30 µg, plus use of male condoms (preferably with spermicides), female condoms, a female diaphragm or a cervical cap; or total sexual abstinence.
  • Women are not considered to be of childbearing potential if they are either ≥ 1 year post-menopausal (where menopause is defined as at least 12 months of amenorrhea), or have a serum follicle stimulating hormone (FSH) measurement consistent with post-menopausal status according to local laboratory thresholds. An FSH measurement at Screening is to be obtained for post-menopausal females aged < 50 years, or for those aged ≥ 50 years who have been post-menopausal for < 2 years.
  • Inability to start study-drug therapy within 24 hours of Screening.
  • Patients with illicit drug use within 12 months of screening, including heroin, other opioids (unless prescribed for medical reasons unrelated to heroin substitution), cocaine / crack cocaine, and amphetamine or methamphetamine. Exception: Cannabis use.

Trial locations and contacts

34 sites in 4 countries.

34 sites in 4 countries

United States16 sites
  • Physician Alliance Research Center

    Anaheim, California, 92804

  • Saint Joseph's Clinical Research

    Anaheim, California, 92804

  • Mercury Street Medical Group

    Butte, Montana, 59701

  • eStudySite - Chula Vista - PPDS

    Chula Vista, California, 91911

  • Gonzalez MD and Aswad MD Health Services

    Coral Gables, Florida, 33134

  • Central Valley Research LLC

    Fresno, California, 93721

  • Marvel Clinical Research

    Huntington Beach, California, 92647

  • eStudySite - La Mesa - PPDS

    La Mesa, California, 91942

  • Omnibus Clinical Research

    La Palma, California, 90623

  • eStudySite - Las Vegas - PPDS

    Las Vegas, Nevada, 89109

  • Excel Clinical Research

    Las Vegas, Nevada, 89109

  • Alliance Research LLC

    Long Beach, California, 90813

  • Long Beach Clinical Trials

    Long Beach, California, 90813

  • L&C Professional Medical Research Institute

    Miami, Florida, 33144

  • Central Valley Research, LLC

    Modesto, California, 95350

  • South Jersey Infectious Disease

    Somers Point, New Jersey, 08244

Other trials in United States

Ukraine10 sites
  • Dnipropetrovsk I.I. Mechnуkov Regional Clinical Hospital, Surgery Department #2

    Dnipro, 49005

  • Ivano-Frankivsk City Clinical Hospital Surgery 1

    Ivano-Frankivsk, 76008

  • Ivano-Frankivsk City Clinical Hospital General Surgery

    Ivano-Frankivsk, 76018

  • Kyiv City Clinical Hospital

    Kyiv, 03110

  • Public City Clinical Hospital of Emergency Medical Care

    Lviv, 79000

  • Lviv Regional Clinical Hospital

    Lviv, 79059

  • Central City Clinical Hospital

    Uzhhorod, 88000

  • Vinnytsia M.I. Pyrohov Regional Clinical Hospital

    Vinnytsia, 21018

  • Zaporizhia City Clinical Hospital of Urgent and Emergency Medical Care

    Zaporizhia, 69000

  • Central District Hospital

    Zhytomyr, 12430

Other trials in Ukraine

Bulgaria4 sites
  • University Multiprofile Hospital for Active Treatment

    Pleven, 5800

  • University Multiprofile Hospital for Active Treatment

    Plovdiv, 4004

  • University Multiprofile Hospital for Active Treatment

    Rousse, 7002

  • "University Multiprofile Hospital for Active Treatment and Emergency Medicine ""N. I. Pirogov"", Clinic of Purulent-Septic Surgery-"N.I. Pirogov""

    Sofia, 1606

Other trials in Bulgaria

Hungary4 sites
  • Kaposi Mor Teaching Hospital

    Kaposvár, 7400

  • CRU Hungary Ltd.

    Miskolc, 3529

  • University of SzegednAlbert Szent-Gyorgyi Clinical Center

    Szeged, 6720

  • Csolnoky Ferenc Hospital

    Veszprém, 8200

Other trials in Hungary

About this study

Official title: A Randomized, Double-blind, Multicenter Study to Establish the Safety and Efficacy of Ceftobiprole Medocaril Compared With Vancomycin Plus Aztreonam in the Treatment of Acute Bacterial Skin and Skin Structure Infections

This was a randomized, double-blind, active-controlled, parallel-group, multicenter study in adult hospitalized patients to establish the safety and efficacy of ceftobiprole medocaril compared with vancomycin plus aztreonam in the treatment of acute bacterial skin and skin structure infections (ABSSSIs).

Read the detailed description

This was a randomized, double-blind, active-controlled, parallel-group, multicenter study in adult hospitalized patients with ABSSSIs. Randomization was stratified by study site and type of ABSSSI (with major cutaneous abscess comprising ≤ 30% of the Intent-to-Treat [ITT] population).

Primary endpoint for FDA: Early clinical response based on the percent reduction in lesion size at 48-72 hours compared to baseline in patients who did not receive rescue therapy and were alive, in the ITT population.

Primary endpoint for EMA: Investigator-assessed clinical success at the test-of-cure (TOC) visit 15-22 days after randomization, in the co-primary ITT and Clinically Evaluable (CE) populations.

Being tested
ceftobiprole medocaril, vancomycin+aztreonam

What participants receive

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

  • ceftobiprole medocarilDrug

    Also called ceftobiprole

    ceftobiprole 500 mg was to be administered every 8 hours as a 2-hour IV infusion (with dose adjustment for renal impairment). The treatment duration was for a minimum of 5 days and a maximum of 10 days. Treatment could be extended up to 14 days if in the investigator's opinion this was required, and the extension was approved by the sponsor's medical monitor.

  • vancomycin+aztreonamDrug

    Vancomycin 1000 mg (or 15 mg/kg) was to be administered every 12 hours (with dose adjustment for renal impairment) as 2-hour IV infusion. Vancomycin dose adjustment for morbidly obese and hypermetabolic patients was to be done according to local standard of care. When locally available, vancomycin trough testing (VTT) might have been used by the unblinded pharmacist or delegate to adjust the vancomycin dose. The treatment duration was for a minimum of 5 days and a maximum of 10 days. Treatment could be extended up to 14 days if in the investigator's opinion this was required, and the extension was approved by the sponsor's medical monitor.

    Aztreonam 1000 mg was to be administered as a 0.5-hour IV infusion every 12 hours. If CLCR was < 30 mL/min (i.e., severe renal impairment), the aztreonam dosage regimen was to be adjusted. The requirement to continue aztreonam therapy beyond Day 3 was to be reassessed at the 72-hour study visit.

Study groups in NCT03137173
Study groupRoleWhat they receive
ceftobiprole medocarilExperimentalPatients treated with ceftobiprole medocaril 500 mg q8h (with dose adjustment for renal impairment).
Receives: Drug: ceftobiprole medocaril
vancomycin+aztreonamActive comparatorPatients treated with vancomycin 1000 mg (or 15 mg/kg) q12h plus aztreonam 1000 mg q12h (both with dose adjustment for renal impairment).
Receives: Drug: vancomycin+aztreonam

What is being measured

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

  1. Early Clinical Response

    Comparison of early clinical response, including ≥ 20% reduction from baseline in the primary lesion area (based on ruler measurements), survival for ≥ 72 hours and no rescue therapy in the ITT population

    Measured: 48-72 hours after start of study drug treatment

Secondary outcomes (2)
  1. Investigator-assessed Clinical Success in the ITT Population

    Comparison of investigator-assessed clinical success (based on resolution of baseline signs and symptoms of the primary infection) in the ITT population

    Measured: 15-22 days after randomization

  2. Investigator-assessed Clinical Success in the Clinically Evaluable (CE) Population

    Comparison of investigator-assessed clinical success (based on resolution of baseline signs and symptoms of the primary infection) in the clinically evaluable (CE) population

    Measured: 15-22 days after randomization

Timeline

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

  1. First posted2 May 2017
  2. Study start19 Feb 2018
  3. Primary completion22 Apr 2019
  4. Study completion22 Apr 2019

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
679 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03137173
Sponsor's protocol ID
BPR-CS-008
Other IDs
HHSO100201600002C
Status last verified
Sep 2026
First submitted
27 Apr 2017
Last updated
18 Sep 2026
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Welte T, Scheeren TW, Overcash JS, Saulay M, Engelhardt M, Hamed K. Efficacy and safety of ceftobiprole in patients aged 65 years or older: a post hoc analysis of three Phase III studies. Future Microbiol. 2021 May;16:543-555. doi: 10.2217/fmb-2021-0042. Epub 2021 May 7.

    PubMed 33960817
  • Overcash JS, Kim C, Keech R, Gumenchuk I, Ninov B, Gonzalez-Rojas Y, Waters M, Simeonov S, Engelhardt M, Saulay M, Ionescu D, Smart JI, Jones ME, Hamed KA. Ceftobiprole Compared With Vancomycin Plus Aztreonam in the Treatment of Acute Bacterial Skin and Skin Structure Infections: Results of a Phase 3, Randomized, Double-blind Trial (TARGET). Clin Infect Dis. 2021 Oct 5;73(7):e1507-e1517. doi: 10.1093/cid/ciaa974.

    PubMed 32897367

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing ceftobiprole medocaril and vancomycin+aztreonam in people with Acute Bacterial Skin and Skin Structure Infections, run by Basilea Pharmaceutica at 34 sites in 4 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 35 inclusion and 30 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 18 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 34 sites in United States, Ukraine, Bulgaria, Hungary. 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 18 May 2020). 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?

Early Clinical Response (time frame: 48-72 hours after start of study drug 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 NCT03137173, which also lists 2 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 18 Sep 2026.

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