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Skin/Soft Tissue InfectionsPhase 4NCT00087490

Skin Structure Infections With Suspected or Proven Methicillin-Resistant Staphylococcus Aureus (MRSA)

A Phase 4 study testing linezolid and vancomycin in people with Skin/Soft Tissue Infections and Methicillin Resistant Staphylococcus Aureus (MRSA), run by Pfizer at 126 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

To determine if linezolid is superior to vancomycin in the treatment of complicated skin and soft tissue infections due to MRSA in adult subjects Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
linezolid and vancomycin
How many people
1,077 participants
Where
126 sitesin 16 countries
Study dates
Oct 2004to Jul 2007
Phase
Phase 4
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 and female subjects with signs or symptoms consistent with infection, and if available, laboratory findings consistent with staphylococcal infection (e.g., Gram stain and culture results).
  • Signs and symptoms consistent with infection
  • Infection suspected to be due to Methicillin Resistant Staphylococcus Aureus

Who cannot join

  • Subjects who were treated with a previous antibiotic (systemic or topical) with MRSA activity (other than linezolid or vancomycin) for more than 24 hours and treatment extended into the 72 hour period prior to the first dose of study drug, unless documented to be a treatment failure (72 hours of treatment and not responding).
  • Subjects with uncomplicated skin or superficial skin structure infection such as superficial/simple cellulitis, impetiginous lesion, furuncle, or simple abscess that only need surgical drainage for cure.
  • Subjects excluded with necrotizing fasciitis, gas gangrene, osteomyelitis

Trial locations and contacts

126 sites in 16 countries.

126 sites in 16 countries

United States76 sites
  • Pfizer Investigational Site

    Akron, Ohio, 44304

  • Pfizer Investigational Site

    Akron, Ohio, 44309

  • Pfizer Investigational Site

    Akron, Ohio, 44310

  • Pfizer Investigational Site

    Atlanta, Georgia, 30309

  • Pfizer Investigational Site

    Atlantis, Florida, 33462

  • Pfizer Investigational Site

    Augusta, Georgia, 30909

  • Pfizer Investigational Site

    Baltimore, Maryland, 21201

  • Pfizer Investigational Site

    Baltimore, Maryland, 21230

  • Pfizer Investigational Site

    Baltimore, Maryland, 21237

  • Pfizer Investigational Site

    Blue Ridge, Georgia, 30513

  • Pfizer Investigational Site

    Boston, Massachusetts, 02111

  • Pfizer Investigational Site

    Butte, Montana, 59701

  • Pfizer Investigational Site

    Chicago, Illinois, 60637

  • Pfizer Investigational Site

    Columbus, Ohio, 43214

  • Pfizer Investigational Site

    Columbus, Ohio, 43215

  • Pfizer Investigational Site

    Dallas, Texas, 75235

  • Pfizer Investigational Site

    Dallas, Texas, 75390-9016

  • Pfizer Investigational Site

    Dallas, Texas, 75390

  • Pfizer Investigational Site

    Decatur, Illinois, 62526

  • Pfizer Investigational Site

    Denver, Colorado, 80205

  • Pfizer Investigational Site

    Denver, Colorado, 80218

  • Pfizer Investigational Site

    Ducktown, Tennessee, 37326

  • Pfizer Investigational Site

    East Lansing, Michigan, 48824

  • Pfizer Investigational Site

    Fort Worth, Texas, 76107

  • Pfizer Investigational Site

    Forth Worth, Texas, 76104

  • Pfizer Investigational Site

    Hartford, Connecticut, 06102

  • Pfizer Investigational Site

    Hartford, Connecticut, 06106

  • Pfizer Investigational Site

    Hines, Illinois, 60141

  • Pfizer Investigational Site

    Honolulu, Hawaii, 96813

  • Pfizer Investigational Site

    Honolulu, Hawaii, 96817

  • Pfizer Investigational Site

    Houston, Texas, 77030

  • Pfizer Investigational Site

    Iowa City, Iowa, 52242

  • Pfizer Investigational Site

    Jackson, Tennessee, 38301

  • Pfizer Investigational Site

    Lansing, Michigan, 48912

  • Pfizer Investigational Site

    Lincoln, Nebraska, 46851

  • Pfizer Investigational Site

    Lincoln, Nebraska, 68510

  • Pfizer Investigational Site

    Los Angeles, California, 90033

  • Pfizer Investigational Site

    Louisville, Kentucky, 40202-1798

  • Pfizer Investigational Site

    Louisville, Kentucky, 40217

  • Pfizer Investigational Site

    Louisville, Kentucky, 40222

  • Pfizer Investigational Site

    Maywood, Illinois, 60153

  • Pfizer Investigational Site

    Melbourne, Florida, 32901

  • Pfizer Investigational Site

    Miami, Florida, 33136

  • Pfizer Investigational Site

    Minneapolis, Minnesota, 55422-2998

  • Pfizer Investigational Site

    Montgomery, Alabama, 36106

  • Pfizer Investigational Site

    Mpls, Minnesota, 55422

  • Pfizer Investigational Site

    New Haven, Connecticut, 06510

  • Pfizer Investigational Site

    New Haven, Connecticut, 06515

  • Pfizer Investigational Site

    New Orleans, Louisiana, 70121

  • Pfizer Investigational Site

    North Chicago, Illinois, 60064

  • Pfizer Investigational Site

    Northlake, Illinois, 60164

  • Pfizer Investigational Site

    Palm Springs, California, 92262

  • Pfizer Investigational Site

    Pensacola, Florida, 32501-6390

  • Pfizer Investigational Site

    Philadelphia, Pennsylvania, 19107

  • Pfizer Investigational Site

    Philadelphia, Pennsylvania, 19140

  • Pfizer Investigational Site

    Philadelphia, Pennsylvania, 19141

  • Pfizer Investigational Site

    Rancho Mirage, California, 92270

  • Pfizer Investigational Site

    Saint Paul, Minnesota, 55101

  • Pfizer Investigational Site

    San Pedro, California, 90732

  • Pfizer Investigational Site

    Santa Fe Springs, California, 90670

  • Pfizer Investigational Site

    Somers Point, New Jersey, 08244

  • Pfizer Investigational Site

    Springfield, Illinois, 62701

  • Pfizer Investigational Site

    Springfield, Illinois, 62702

  • Pfizer Investigational Site

    St. George, Utah, 84770

  • Pfizer Investigational Site

    St. George, Utah, 84790

  • Pfizer Investigational Site

    Stony Brook, New York, 11794

  • Pfizer Investigational Site

    Sylmar, California, 91342

  • Pfizer Investigational Site

    Tacoma, Washington, 98431

  • Pfizer Investigational Site

    Toledo, Ohio, 43608

  • Pfizer Investigational Site

    Torrance, California, 90502

  • Pfizer Investigational Site

    Torrance, California, 90503

  • Pfizer Investigational Site

    Torrance, California, 90509

  • Pfizer Investigational Site

    Tucson, Arizona, 85723

  • Pfizer Investigational Site

    West Reading, Pennsylvania, 19611

  • Pfizer Investigational Site

    West Roxbury, Massachusetts, 02132

  • Pfizer Investigational Site

    Winston-Salem, North Carolina, 27103

Other trials in United States

Italy6 sites
  • Pfizer Investigational Site

    Genova, 16132

  • Pfizer Investigational Site

    Naples, 80131

  • Pfizer Investigational Site

    Roma, 00149

  • Pfizer Investigational Site

    Roma, 00168

  • Pfizer Investigational Site

    Udine, 33100

  • Pfizer Investigational Site

    Varese, 21100

Other trials in Italy

Portugal5 sites
  • Pfizer Investigational Site

    Amadora, 2720

  • Pfizer Investigational Site

    Coimbra, 3090

  • Pfizer Investigational Site

    Lisbon, 1449-005

  • Pfizer Investigational Site

    Lisbon

  • Pfizer Investigational Site

    Pragal, Almada, 2800-525

Other trials in Portugal

South Africa5 sites
  • Pfizer Investigational Site

    Johannesburg, 2113

  • Pfizer Investigational Site

    Kuilsriver, Western Province, 7580

  • Pfizer Investigational Site

    Parow, 7499

  • Pfizer Investigational Site

    Pretoria, 0001

  • Pfizer Investigational Site

    Pretoria, 0184

Other trials in South Africa

Venezuela5 sites
  • Pfizer Investigational Site

    Ciudad Bolívar, Bolívar, 8001

  • Pfizer Investigational Site

    Distrito Capital, Miranda, 1040

  • Pfizer Investigational Site

    Distrito Capital, Miranda, 1070

  • Pfizer Investigational Site

    Maracaibo, Zulia, 4002

  • Pfizer Investigational Site

    Valencia, Valencia, 2002

Other trials in Venezuela

Argentina4 sites
  • Pfizer Investigational Site

    Buenos Aires, Buenos Aires, C1039AAO

  • Pfizer Investigational Site

    Buenos Aires, C1425DQK

  • Pfizer Investigational Site

    Córdoba, 5000

  • Pfizer Investigational Site

    Loma Hermosa, Buenos Aires, 1653

Other trials in Argentina

Belgium3 sites
  • Pfizer Investigational Site

    Charleroi, 6000

  • Pfizer Investigational Site

    Ghent, 9000

  • Pfizer Investigational Site

    Montigny-le-Tilleul, 6110

Other trials in Belgium

Colombia3 sites
  • Pfizer Investigational Site

    Barranquilla, Atlántico

  • Pfizer Investigational Site

    Bogota, Cundinamarca

  • Pfizer Investigational Site

    Floridablanca, Santander Department

Other trials in Colombia

Mexico3 sites
  • Pfizer Investigational Site

    Guadalajara, Jalisco, 44280

  • Pfizer Investigational Site

    Mexico City, Mexico City, 14000

  • Pfizer Investigational Site

    Monterrey, Nuevo León, 64020

Other trials in Mexico

Russia3 sites
  • Pfizer Investigational Site

    Moscow, 119048

  • Pfizer Investigational Site

    Moscow

  • Pfizer Investigational Site

    Smolensk

Other trials in Russia

Spain3 sites
  • Pfizer Investigational Site

    Córdoba, Cordoba, 14004

  • Pfizer Investigational Site

    Girona, Gerona, 17007

  • Pfizer Investigational Site

    Seville, Sevilla, 41013

Other trials in Spain

United Kingdom3 sites
  • Pfizer Investigational Site

    Edinburgh, EH4 2XU

  • Pfizer Investigational Site

    Leeds, LS1 3EX

  • Pfizer Investigational Site

    Winchester, Hampshire, SO22 5DG

Other trials in United Kingdom

Brazil2 sites
  • Pfizer Investigational Site

    São José do Rio Preto, São Paulo, 15090-000

  • Pfizer Investigational Site

    São Paulo, São Paulo, 01221-020

Other trials in Brazil

Chile2 sites
  • Pfizer Investigational Site

    Providencia, Santiago Metropolitan

  • Pfizer Investigational Site

    Santiago

Other trials in Chile

Malaysia2 sites
  • Pfizer Investigational Site

    Kuala Lumpur, 50586

  • Pfizer Investigational Site

    Kuala Lumpur, 50603

Other trials in Malaysia

Singapore1 site
  • Pfizer Investigational Site

    Singapore, Singapore, 529889

Other trials in Singapore

About this study

Official title: Linezolid in the Treatment of Subjects With Complicated Skin and Soft Tissue Infections Proven to be Due to Methicillin-Resistant Staphylococcus Aureus

To determine if linezolid is superior to vancomycin in the treatment of complicated skin and soft tissue infections due to MRSA in adult subjects

Being tested
linezolid, vancomycin

What participants receive

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

What is being measured

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

  1. Clinical Outcome in Participants With Baseline Methicillin-Resistant Staphylococcus Aureus (MRSA) at End of Study (EOS) for Per-Protocol (PP) Population

    Clinical response (CR) was based primarily on global assessment of clinical presentation of participant made by investigator at evaluation time point. At EOS, CR was evaluated as "success" (cure: resolution of clinical signs or (/) symptoms of infection when compared to baseline); "failure": persistence/progression of baseline signs/symptoms of infection after at least 2 days of treatment/development of new clinical findings consistent with active infection; "unknown": extenuating circumstances precluding classification to 1 of above. "Unknown" was excluded from present analysis.

    Measured: EOS (6 to 28 days after the last dose of study drug)

Secondary outcomes (14)
  1. Clinical Outcome in Participants With Baseline MRSA at End of Treatment (EOT) for PP Population

    CR evaluated at EOT visit as "success" (cure: resolution of clinical sign/symptoms of infection when compared with baseline; and improvement: 2/more improvement in clinical sign/symptoms of infection when compared with baseline); "failure": persistence/progression of baseline signs/symptoms of infection after at least 2 days of treatment/development of new clinical findings consistent with active infection; "unknown": extenuating circumstances precluding classification to 1 of above. "Unknown": excluded from present analysis.

    Measured: EOT (within 72 hours of last dose of study drug)

  2. Clinical Outcome in Participants With Baseline MRSA at EOS for Modified-Intent to Treat (mITT) Population

    CR was based primarily on global assessment of clinical presentation of participant made by investigator at evaluation time point. At EOS, CR was evaluated as "success" (cure: resolution of clinical signs/symptoms of infection when compared to baseline); "failure": persistence/progression of baseline signs/symptoms of infection after at least 2 days of treatment/development of new clinical findings consistent with active infection; "unknown": extenuating circumstances precluding classification to 1 of above. "Unknown" was excluded from present analysis.

    Measured: EOS (6 to 28 days after the last dose of study drug)

  3. Clinical Outcome in Participants With Baseline MRSA at EOT for mITT Population

    CR evaluated at EOT visit as "success" (cure: resolution of clinical sign/symptoms of infection when compared with baseline; and improvement: 2/more improvement in clinical sign/symptoms of infection when compared with baseline); "failure": persistence/progression of baseline signs/symptoms of infection after at least 2 days of treatment/development of new clinical findings consistent with active infection; "unknown": extenuating circumstances precluding classification to 1 of above. "Unknown": excluded from present analysis.

    Measured: EOT (within 72 hours of last dose of study drug)

  4. Microbiological Outcome in Participants With Baseline MRSA at EOS for PP Population

    Microbiological outcome dichotomized to "success" (eradication: absence of baseline isolate (BI) in culture of original infection site (IS); presumed eradication: participant cured and no specimen available for culture; superinfection: clinically failed or improved with new pathogen identified from primary IS other than BI; colonization: isolate was present but not producing infection) and "failure" (persistence: BI present in original IS; presumed persistence: clinically failed and no specimen available for culture; recurrence: presence of isolate at EOS, that was eradicated at EOT).

    Measured: EOS (6 to 28 days after the last dose of study drug)

  5. Microbiological Outcome in Participants With Baseline MRSA at EOT for PP Population

    Microbiological outcome dichotomized to "success" (eradication: absence of baseline isolate (BI) in culture of original infection site (IS); presumed eradication: participant cured and no specimen available for culture; superinfection: clinically failed or improved with new pathogen identified from primary IS other than BI; colonization: isolate was present but not producing infection) and "failure" (persistence: BI present in original IS; presumed persistence: clinically failed and no specimen available for culture).

    Measured: EOT (within 72 hours of last dose of study drug)

  6. Microbiological Outcome in Participants With Baseline MRSA at EOS for mITT Population

    Microbiological outcome dichotomized to "success" (eradication: absence of baseline isolate (BI) in culture of original infection site (IS); presumed eradication: participant cured and no specimen available for culture; superinfection: clinically failed or improved with new pathogen identified from primary IS other than BI; colonization: isolate was present but not producing infection) and "failure" (persistence: BI present in original IS; presumed persistence: clinically failed and no specimen available for culture; recurrence: presence of isolate at EOS, that was eradicated at EOT).

    Measured: EOS (6 to 28 days after the last dose of study drug)

  7. Microbiological Outcome in Participants With Baseline MRSA at EOT for mITT Population

    Microbiological outcome dichotomized to "success" (eradication: absence of baseline isolate (BI) in culture of original infection site (IS); presumed eradication: participant cured and no specimen available for culture; superinfection: clinically failed or improved with new pathogen identified from primary IS other than BI; colonization: isolate was present but not producing infection) and "failure" (persistence: BI present in original IS; presumed persistence: clinically failed and no specimen available for culture).

    Measured: EOT (within 72 hours of last dose of study drug)

  8. Number of Participants With Clinical Signs and Symptoms at EOT and EOS for PP Population

    Participant's clinical evaluation of signs and symptoms were based on global assessment by investigator at specific timepoints. Signs and symptoms of an active skin or soft tissue infection caused by suspected MRSA included purulent discharge, nonpurulent discharge, erythema, swelling, induration, tenderness, pain and local skin warmth. It was recorded by the sponsor using wound parameter score ranging from 0 to 3; "0= none, 1= mild, 2= moderate and 3= severe".

    Measured: EOT (within 72 hours of last dose of study drug), EOS (6 to 28 days after the last dose of study drug)

  9. Number of Participants With Clinical Signs and Symptoms at EOT and EOS for mITT Population

    Participant's clinical evaluation of signs and symptoms were based on global assessment by investigator at specific timepoints. Signs and symptoms of an active skin or soft tissue infection caused by suspected MRSA included purulent discharge, nonpurulent discharge, erythema, swelling, induration, tenderness, pain and local skin warmth. It was recorded using wound parameter score ranging from 0 to 3; "0= none, 1= mild, 2= moderate and 3= severe".

    Measured: EOT (within 72 hours of last dose of study drug), EOS (6 to 28 days after the last dose of study drug)

  10. Duration of Hospital Stay for PP Population

    Duration of Hospital Stay was defined as the number of days the participant was cared as an inpatient in the hospital during the maximum 34 days of the study period. The number of days in the hospital was counted from start of study medication to date of discharge or last date known to be in the hospital (for missing discharge dates and participants who died) or Day 34 for participants who continued hospitalization beyond EOS period.

    Measured: Baseline up to EOS (6 to 28 days after the last dose of study drug)

  11. Duration of Hospital Stay for mITT Population

    Duration of Hospital Stay was defined as the number of days the participant was cared as an inpatient in the hospital during the maximum 34 days of the study period. The number of days in the hospital was counted from start of study medication to date of discharge or last date known to be in the hospital (for missing discharge dates and participants who died) or Day 34 for participants who continued hospitalization beyond EOS period.

    Measured: Baseline up to EOS (6 to 28 days after the last dose of study drug)

  12. Duration of Intravenous Therapy for PP Population

    Duration of intravenous antibiotic treatment was measured as the number of days intravenous doses of study medication was administered, before and after discharge.

    Measured: Baseline up to EOS (6 to 28 days after the last dose of study drug)

  13. Duration of Intravenous Therapy for mITT Population

    Duration of intravenous antibiotic treatment was measured as the number of days intravenous doses of study medication was administered, before and after discharge.

    Measured: Baseline up to EOS (6 to 28 days after the last dose of study drug)

  14. Number of Participants Using Medical Resources

    Medical resources utilization included a daily log of the participants' location in the hospital and outside of the hospital (non-hospital location), adjusted duration of stay (difference between duration of stay and the duration of discharge delay) and daily log of study drug dosing.

    Measured: Baseline up to EOS (6 to 28 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 posted13 Jul 2004 (estimated)
  2. Study startOct 2004
  3. Primary completionJul 2007
  4. Study completionJul 2007

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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
1,077 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00087490
Sponsor's protocol ID
A5951002
Status last verified
Jun 2012
First submitted
9 Jul 2004
Last updated
8 Aug 2012

Publications

  • Puzniak LA, Morrow LE, Huang DB, Barreto JN. Impact of weight on treatment efficacy and safety in complicated skin and skin structure infections and nosocomial pneumonia caused by methicillin-resistant Staphylococcus aureus. Clin Ther. 2013 Oct;35(10):1557-70. doi: 10.1016/j.clinthera.2013.08.001. Epub 2013 Sep 3.

    PubMed 24011955
  • Itani KM, Biswas P, Reisman A, Bhattacharyya H, Baruch AM. Clinical efficacy of oral linezolid compared with intravenous vancomycin for the treatment of methicillin-resistant Staphylococcus aureus-complicated skin and soft tissue infections: a retrospective, propensity score-matched, case-control analysis. Clin Ther. 2012 Aug;34(8):1667-73.e1. doi: 10.1016/j.clinthera.2012.06.018. Epub 2012 Jul 6.

    PubMed 22770644

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing linezolid and vancomycin in people with Skin/Soft Tissue Infections and Methicillin Resistant Staphylococcus Aureus (MRSA), run by Pfizer at 126 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 3 inclusion and 3 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 8 Aug 2012. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 126 sites in United States, Italy, Portugal, South Africa, Venezuela 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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 8 Aug 2012). 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 Outcome in Participants With Baseline Methicillin-Resistant Staphylococcus Aureus (MRSA) at End of Study (EOS) for Per-Protocol (PP) Population (time frame: EOS (6 to 28 days after the last dose of study drug)). 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 NCT00087490, 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 8 Aug 2012.

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