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Bacterial InfectionsPhase 3NCT00423657

Comparative Study of Ceftaroline vs. Vancomycin Plus Aztreonam in Adult Subjects With Complicated Skin Infections

A Phase 3 study testing ceftaroline and vancomycin plus aztreonam in people with Bacterial Infections, run by Forest Laboratories at 54 sites in 12 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 determine whether ceftaroline is effective and safe in the treatment of complicated skin infections in adults. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Bacterial Infections
What is being tested?
ceftaroline and vancomycin plus aztreonam
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
680 participants
Where
54 sitesin 12 countries
Study dates
Mar 2007to Dec 2007
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

  • Skin and skin structure infection (SSSI) that involves deeper soft tissue or requires significant surgical intervention, or cellulitis or abscess on lower extremity which occurs in subjects with diabetes mellitus or well-documented peripheral vascular disease.

Who cannot join

  • Prior treatment of current complicated skin and skin structure infection (cSSSI) with an antimicrobial.
  • Failure of vancomycin or aztreonam as therapy for the current cSSSI, or prior isolation of an organism with in vitro resistance to vancomycin or aztreonam.

Trial locations and contacts

54 sites in 12 countries.

54 sites in 12 countries

United States17 sites
  • Investigational Site

    Atlantis, Florida, 33462

  • Investigational Site

    Baltimore, Maryland, 21201

  • Investigational Site

    Buena Park, California, 90620

  • Investigational Site

    Butte, Montana, 59701

  • Investigational Site

    Columbus, Georgia, 31904

  • Investigational Site

    Hawaiian Gardens, California, 90716

  • Investigational Site

    Los Angeles, California, 90033

  • Investigational Site

    Marietta, Georgia, 30060

  • Investigational Site

    Milwaukee, Wisconsin, 53215

  • Investigational Site

    Minneapolis, Minnesota, 55422

  • Investigational Site

    Pasadena, California, 91105

  • Investigational Site

    San Diego, California, 92114

  • Investigational Site

    San Jose, California, 95124

  • Investigational Site

    Somers Point, New Jersey, 08244

  • Investigational Site

    Springfield, Illinois, 62701

  • Investigational Site

    Tacoma, Washington, 98405

  • Investigational Site

    Toledo, Ohio, 43608

Other trials in United States

Poland9 sites
  • Investigational Site

    Bielsko-Biala, 43-316

  • Investigational Site

    Krakow, 31-501

  • Investigational Site

    Krakow, 31-820

  • Investigational Site

    Lodz, 91-425

  • Investigational Site

    Lublin, 20-954

  • Investigational Site

    Poznan, 61-848

  • Investigational Site

    Warsaw, 02-097

  • Investigational Site

    Warsaw, 03-401

  • Investigational Site

    Wroclaw, 50-326

Other trials in Poland

Germany5 sites
  • Investigational Site

    Cottbus, 03048

  • Investigational Site

    Dortmund, 44145

  • Investigational Site

    Homburg/Saar, D-66421

  • Investigational Site

    Mainz, D-55101

  • Investigational Site

    Wiesbaden, 65191

Other trials in Germany

Russia5 sites
  • Investigational Site

    Moscow, 111020

  • Investigational Site

    Moscow, 119048

  • Investigational Site

    Moscow Region, 143405

  • Investigational Site

    Saint Petersburg, 192242

  • Investigational Site

    Saint Petersburg

Other trials in Russia

Ukraine4 sites
  • Investigational Site

    Kharkiv, 61176

  • Investigational Site

    Kyiv, 03110

  • Investigational Site

    Lviv, 79044

  • Investigational Site

    Zaporizhya, 69000

Other trials in Ukraine

Argentina3 sites
  • Investigational Site

    Buenos Aires

  • Investigational Site

    Córdoba

  • Investigational Site

    Santa Fe

Other trials in Argentina

Austria3 sites
  • Investigational Site

    Braunau am Inn

  • Investigational Site

    Graz, 8036

  • Investigational Site

    Sankt Pölten, 3100

Other trials in Austria

Chile2 sites
  • Investigational Site

    Temuco

  • Investigational Site

    Valdivia

Other trials in Chile

Mexico2 sites
  • Investigational Site

    Guadalajara, Jalisco, 44280

  • Investigational Site

    Seattle Zapopan, Jalisco, 45170

Other trials in Mexico

United Kingdom2 sites
  • Investigational Site

    London, N19 5LW

  • Investigational Site

    London, SW10 9NH

Other trials in United Kingdom

Brazil1 site
  • Investigational Site

    Sao Paula

Other trials in Brazil

Latvia1 site
  • Investigational Site

    Riga, LV-1001

Other trials in Latvia

About this study

Official title: A Phase 3, Multicenter, Randomized, Double-blind, Comparative Study to Evaluate the Safety and Efficacy of Ceftaroline Versus Vancomycin Plus Aztreonam in Adult Subjects With Complicated Skin and Skin Structure Infection (cSSSI)

The purpose of this study is to determine whether ceftaroline is effective and safe in the treatment of complicated skin infections in adults.

Read the detailed description

Additional purpose of this study is to compare ceftaroline effectivity versus Vancomycin plus Aztreonam in the treatment of complicated skin infections in adults.

Being tested
ceftaroline, vancomycin plus aztreonam, Placebo
Keywords
Abscess, Antibacterial, Antibiotic, Antimicrobial, Bacterial infection, skin, Ceftaroline, Ceftaroline acetate, Cellulitis, Cephalosporin, Complicated skin and skin structure infection (cSSSI), cSSSI, Intravenous, Methicillin-resistant Staphylococcus Aureus (MRSA), PPI-0903, Prodrug, Skin disease, bacterial, Skin infection, Staphylococcal skin infection, Staphylococcus aureus, Streptococcal skin infection
Medical subject headings
Bacterial Infections, Abscess, Skin Diseases, Bacterial, Cellulitis, Staphylococcal Skin Infections, Staphylococcal Infections, Surgical Wound Infection

What participants receive

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

  • ceftarolineDrug

    Also called Experimental

    600 mg parenteral infused over 60 minutes, every 12 hours for 5 to 14 days

  • vancomycin plus aztreonamDrug

    Also called Active Comparator

    vancomycin at 1 g parenteral infused over 60 minutes followed by aztreonam 1 g infused over 60 minutes, every 12 hours, for 5 to 14 days.

  • PlaceboDrug

    Ceftaroline fosamil 600 mg administered intravenously over 60 minutes every 12 hours, followed by placebo administered over 60 minutes every 12 hours.

Study groups in NCT00423657
Study groupRoleWhat they receive
Ceftaroline fosamil for InjectionExperimentalCeftaroline fosamil 600 mg administered intravenously over 60 minutes every 12 hours, followed by placebo administered over 60 minutes every 12 hours.
Receives: Drug: ceftaroline; Drug: Placebo
IV Vancomycin plus IV AztreonamActive comparatorVancomycin 1 g administered over 60 minutes every 12 hours followed by aztreonam 1 g administered over 60 minutes every 12 hours.
Receives: Drug: vancomycin plus aztreonam

What is being measured

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

  1. Clinical Cure Rate at Test of Cure (TOC) (MITT Population)

    Cure: Total resolution of all signs and symptoms of the baseline infection, or improvement of the infection such that no further antimicrobial therapy was necessary.

    Failure: Requirement of alternative antimicrobial therapy for primary infection of complicated skin and skin structure infection (cSSSI) due to inadequate response, recurrence, new infection at the same site; treatment-limiting adverse event (AE); requirement for surgery due to failure of study drug; diagnosis of osteomyelitis after Study Day 8; or death caused by cSSSI.

    Indeterminate: Inability to determine an outcome

    Measured: 8-15 days after last dose of study drug administration

  2. The Primary Efficacy Outcome Measure Was the Per-subject Clinical Cure Rate at the TOC Visit in the Clinically Evaluable (CE) Populations.

    Measured: 8-15 days after last dose of study drug

Secondary outcomes (6)
  1. To Evaluate the Microbiological Success Rate at the TOC Visit

    Measured: 8-15 days after the last dose of study drug

  2. To Evaluate the Clinical Response at the End of Therapy (EOT) Visit

    Measured: last day of study drug administration

  3. To Evaluate the Clinical and Microbiological Response by Pathogen at the TOC Visit

    Measured: 8-15 days after last dose of study drug

  4. To Evaluate Clinical Relapse at the Late Follow Up (LFU) Visit

    Measured: 21 to 35 days after the last dose of study drug

  5. To Evaluate Microbiological Reinfection or Recurrence at the LFU Visit

    Measured: 21-35 days after last dose of study drug

  6. To Evaluate Safety

    Measured: first study drug dose through TOC

Timeline

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

  1. First posted18 Jan 2007 (estimated)
  2. Study startMar 2007
  3. Primary completionDec 2007
  4. Study completionDec 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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
680 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00423657
Sponsor's protocol ID
P903-07
Status last verified
Feb 2017
First submitted
16 Jan 2007
Last updated
14 Mar 2017
Data monitoring committee
No

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
  • 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
  • Corrado ML. Integrated safety summary of CANVAS 1 and 2 trials: Phase III, randomized, double-blind studies evaluating ceftaroline fosamil for the treatment of patients with complicated skin and skin structure infections. J Antimicrob Chemother. 2010 Nov;65 Suppl 4:iv67-iv71. doi: 10.1093/jac/dkq256.

    PubMed 21115456
  • Wilcox MH, Corey GR, Talbot GH, Thye D, Friedland D, Baculik T; CANVAS 2 investigators. CANVAS 2: the second Phase III, randomized, double-blind study evaluating ceftaroline fosamil for the treatment of patients with complicated skin and skin structure infections. J Antimicrob Chemother. 2010 Nov;65 Suppl 4:iv53-iv65. doi: 10.1093/jac/dkq255.

    PubMed 21115455
  • Corey GR, Wilcox M, Talbot GH, Friedland HD, Baculik T, Witherell GW, Critchley I, Das AF, Thye D. Integrated analysis of CANVAS 1 and 2: phase 3, multicenter, randomized, double-blind studies to evaluate the safety and efficacy of ceftaroline versus vancomycin plus aztreonam in complicated skin and skin-structure infection. Clin Infect Dis. 2010 Sep 15;51(6):641-50. doi: 10.1086/655827.

    PubMed 20695801

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing ceftaroline and vancomycin plus aztreonam in people with Bacterial Infections, run by Forest Laboratories at 54 sites in 12 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 1 inclusion and 2 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 14 Mar 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 54 sites in United States, Poland, Germany, Russia, Ukraine and 7 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 18 Nov 2010). 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 Cure Rate at Test of Cure (TOC) (MITT Population) (time frame: 8-15 days after last dose of study drug administration). 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 NCT00423657, 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 14 Mar 2017.

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