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Community-Acquired Bacterial PneumoniaPhase 3NCT01371838

A Study to Evaluate the Efficacy and Safety of Intravenous Ceftaroline Versus Intravenous Ceftriaxone in the Treatment of Adult Hospitalised Patients With Community-Acquired Bacterial Pneumonia in Asia

A Phase 3 study testing Ceftaroline and Ceftriaxone in people with Community-Acquired Bacterial Pneumonia and Lung Infection of Individual Not Recently Hospitalized, run by Pfizer at 43 sites in 5 countries.

Completed

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

Official record
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Trial summary

This purpose of this study is to Evaluate the Efficacy and Safety of Intravenous Ceftaroline Versus Intravenous Ceftriaxone in the Treatment of Adult Hospitalised Patients With Community-Acquired Bacterial Pneumonia in Asia. Read more about this study

Who is it for?
Ages 18 to 150 years
What is being tested?
Ceftaroline and Ceftriaxone
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
848 participants
Where
43 sitesin 5 countries
Study dates
Dec 2011to May 2013
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 150 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Males and females 18 or more years of age
  • Lung Infection of Individual not Recently Hospitalized meeting the following criteria: Radiographically-confirmed pneumonia (new or progressive infection site of the lungs) consistent with bacterial pneumonia), AND Acute illness (≤ 7 days duration) with at least three of the following clinical signs or symptoms consistent with lung infection: New or increased cough, Purulent sputum or change in sputum character, Auscultatory findings consistent with pneumonia, Difficulty in breathing, short breath, or decreased partial pressure of oxygen in blood, Fever greater than 38ºC oral or body temperature lower than that required for normal body function(< 35ºC), White blood cell count greater than or less than the normal, Greater than 15% immature neutrophils (bands) irrespective of white blood cell count, AND Moderate lung infection
  • The subject must require initial hospitalization, or treatment in an emergency room or urgent care setting, by the standard of care
  • The subject's infection would require initial treatment with intravenous antimicrobials
  • Female subjects of child-bearing potential, and those who are fewer than 2 years post-menopausal, must agree to, and comply with, using highly effective methods of birth control while participating in this study

Who cannot join

  • Lung Infection of Individual not Recently Hospitalized suitable for outpatient therapy with an oral antimicrobial agent
  • Confirmed or suspected respiratory tract infections attributable to sources other than bacteria from the individuals not recently hospitalized(e.g., ventilator-associated pneumonia, hospital-acquired pneumonia, visible/gross aspiration pneumonia, suspected viral, fungal, or mycobacterial infection of the lung)
  • Non-infectious causes of lung lesion (e.g., pulmonary embolism, chemical pneumonitis from aspiration, hypersensitivity pneumonia, congestive heart failure)
  • Accumulation of pus in the pleural cavity
  • Microbiologically-documented infection with a pathogen known to be resistant to ceftriaxone, or epidemiological or clinical context suggesting high likelihood of a ceftriaxone-resistant "typical" bacterial pathogen.

Trial locations and contacts

43 sites in 5 countries.

43 sites in 5 countries

China13 sites
  • Research Site

    Beijing

  • Research Site

    Chengdu

  • Research Site

    Guangzhou

  • Research Site

    Haikou

  • Research Site

    Hangzhou

  • Research Site

    Hefei

  • Research Site

    Jiangyin

  • Research Site

    Nanchang

  • Research Site

    Shanghai

  • Research Site

    Shenyang

  • Research Site

    Shenzhen

  • Research Site

    Shijiazhuang

  • Research Site

    Wuxi

Other trials in China

India12 sites
  • Research Site

    Bangalore

  • Research Site

    Calicut

  • Research Site

    Goa

  • Research Site

    Hyderabad

  • Research Site

    Jaipur

  • Research Site

    Lucknow

  • Research Site

    Ludhiana

  • Research Site

    Mysore

  • Research Site

    New Delhi

  • Research Site

    Trivandrum

  • Research Site

    Varanasi

  • Research Site

    Vellore

Other trials in India

South Korea10 sites
  • Research Site

    Anyang-si

  • Research Site

    Bucheon-si

  • Research Site

    Cheonan-si

  • Research Site

    Chuncheon

  • Research Site

    Daegu

  • Research Site

    Daejeon

  • Research Site

    Incheon

  • Research Site

    Seoul

  • Research Site

    Suwon

  • Research Site

    Wŏnju

Other trials in South Korea

Taiwan4 sites
  • Research Site

    Kaohsiung City

  • Research Site

    Keelung

  • Research Site

    Taichung

  • Research Site

    Taipei

Other trials in Taiwan

Vietnam4 sites
  • Research Site

    Can Tho

  • Research Site

    Hanoi

  • Research Site

    Ho Chi Minh City

  • Research Site

    Hochiminh

Other trials in Vietnam

About this study

Official title: A Phase III, Multicentre, Randomised, Double-Blind, Comparative Study to Evaluate the Efficacy and Safety of Intravenous Ceftaroline Versus Intravenous Ceftriaxone in the Treatment of Adult Hospitalised Patients With Community-Acquired Bacterial Pneumonia in Asia

This purpose of this study is to Evaluate the Efficacy and Safety of Intravenous Ceftaroline Versus Intravenous Ceftriaxone in the Treatment of Adult Hospitalised Patients With Community-Acquired Bacterial Pneumonia in Asia.

Being tested
Ceftaroline, Ceftriaxone
Keywords
Community-Acquired Bacterial Pneumonia

What participants receive

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

  • CeftarolineDrug

    Two consecutive infusions q12h for 5 to 7 days

  • CeftriaxoneDrug

    One dose infusion followed by IV saline placebo infused q24h for 5 to 7 days plus two consecutive saline placebo infusion q24h.

Study groups in NCT01371838
Study groupRoleWhat they receive
CeftarolineExperimentalNot described
Receives: Drug: Ceftaroline
Ceftriaxone plus placeboActive comparatorNot described
Receives: Drug: Ceftriaxone

What is being measured

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

  1. Clinical Cure Rate for Ceftaroline Compared to That for Ceftriaxone at Test of Cure (TOC) in CE Population

    Cure:Total resolution of all signs and symptoms of pneumonia (ie,CABP), or improvement to such an extent that further antimicrobial therapy was not necessary Failure: Any of the following: •Persistence, incomplete clinical resolution, or worsening in signs and symptoms of CABP that required alternative antimicrobial therapy •Treatment-limiting AE leading to discontinuation of study drug therapy, when subject required alternative antimicrobial therapy to treat the pneumonia •Death wherein pneumonia (ie,CABP) was considered causative Indeterminate: Inability to determine an outcome

    Measured: 7-20 days after last dose of study drug

Secondary outcomes (15)
  1. Clinical Response at End of Treatment (EOT) Visit in MITT Population

    Measured: Last day of study drug administration

  2. Clinical Response at End of Treatment (EOT) Visit in CE Population

    Measured: Last day of study drug administration

  3. Clinical Response at the Test of Cure (TOC) Visit in MITT Population

    Measured: 7-20 days after last day of study drug administration

  4. Clinical Response at the Test of Cure (TOC) Visit in mMITT Population

    Measured: 7-20 days after last day of study drug administration

  5. Clinical Response at the Test of Cure (TOC) Visit in ME Population

    Measured: 7-20 days after last day of study drug administration

  6. Clinical Response at Test of Cure (TOC) Visit by Pathogen in ME Population

    Measured: 7-20 days after last dose of study drug

  7. Per-Pathogen Microbiological Response at Test of Cure (TOC) Visit by Pathogen in ME Population

    Measured: 7-20 days after last dose of study drug

  8. Per-Patient Microbiological Response at Test of Cure (TOC) Visit in mMITT Population

    An outcome is considered as favourable if the per-pathogen response for that subject is either Eradication (An adequate source specimen demonstrates absence of the original baseline pathogen) or presumed eradication (An adequate source specimen was not available to culture and the patient was assessed as a clinical cure). Here, an adequate source specimen is defined as any sample that may yield the growth of a CABP pathogen eg, blood, respiratory specimens, or pleural fluid.

    Measured: 7-20 days after last day of study drug administration

  9. Per-Patient Microbiological Response at Test of Cure (TOC) Visit in ME Population

    An outcome is considered as favourable if the per-pathogen response for that subject is either Eradication (An adequate source specimen demonstrates absence of the original baseline pathogen) or presumed eradication (An adequate source specimen was not available to culture and the patient was assessed as a clinical cure). Here, an adequate source specimen is defined as any sample that may yield the growth of a CABP pathogen eg, blood, respiratory specimens, or pleural fluid.

    Measured: 7-20 days after last day of study drug administration

  10. Overall (Clinical and Radiographic) Success Rate at Test of Cure (TOC) Visit in MITT Population

    Measured: 7-20 days after last day of study drug administration

  11. Overall (Clinical and Radiographic) Success Rate at Test of Cure (TOC) Visit in CE Population

    Measured: 7-20 days after last dose of study drug

  12. Clinical Relapse at the LFU Visit for Clinical Cure Patients at Test of Cure (TOC) Visit in MITT Population

    Measured: 21-42 days after last day of study drug administration

  13. Clinical Relapse at the LFU Visit for Clinical Cure Patients at Test of Cure (TOC) Visit in CE Population

    Measured: 21-42 days after last day of study drug administration

  14. Microbiological Re-infection/Recurrence at LFU Visit in mMITT Population

    Measured: 21-42 days after last dose of study drug

  15. Microbiological Re-infection/Recurrence at LFU Visit in ME Population

    Measured: 21-42 days after 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 Jun 2011 (estimated)
  2. Study startDec 2011
  3. Primary completionMay 2013
  4. Study completionMay 2013

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
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
848 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01371838
Sponsor's protocol ID
D3720C00002
Status last verified
Sep 2017
First submitted
27 Apr 2011
Last updated
6 Sep 2017

Publications

  • Zhuo C, Huang Y, Liu W, Xu JF, Zhu WY, Stone GG, Yan JL, Mohamed N. Efficacy and Safety of Ceftaroline Fosamil in Hospitalized Patients with Community-Acquired Pneumonia in China: Subset Analysis of an International Phase 3 Randomized Controlled Trial. Infect Drug Resist. 2022 Feb 23;15:605-617. doi: 10.2147/IDR.S342558. eCollection 2022.

    PubMed 35237053
  • 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
  • Li J, Das S, Zhou D, Al-Huniti N. Population Pharmacokinetic Modeling and Probability of Target Attainment Analyses in Asian Patients With Community-Acquired Pneumonia Treated With Ceftaroline Fosamil. Clin Pharmacol Drug Dev. 2019 Jul;8(5):682-694. doi: 10.1002/cpdd.673. Epub 2019 May 1.

    PubMed 31044546
  • 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
  • Taboada M, Melnick D, Iaconis JP, Sun F, Zhong NS, File TM, Llorens L, Friedland HD, Wilson D. Ceftaroline fosamil versus ceftriaxone for the treatment of community-acquired pneumonia: individual patient data meta-analysis of randomized controlled trials. J Antimicrob Chemother. 2016 Apr;71(4):862-70. doi: 10.1093/jac/dkv415. Epub 2015 Dec 24.

    PubMed 26702925
  • Zhong NS, Sun T, Zhuo C, D'Souza G, Lee SH, Lan NH, Chiang CH, Wilson D, Sun F, Iaconis J, Melnick D. Ceftaroline fosamil versus ceftriaxone for the treatment of Asian patients with community-acquired pneumonia: a randomised, controlled, double-blind, phase 3, non-inferiority with nested superiority trial. Lancet Infect Dis. 2015 Feb;15(2):161-71. doi: 10.1016/S1473-3099(14)71018-7. Epub 2014 Dec 22.

    PubMed 25539586

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Ceftaroline and Ceftriaxone in people with Community-Acquired Bacterial Pneumonia and Lung Infection of Individual Not Recently Hospitalized, run by Pfizer at 43 sites in 5 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 5 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 43 sites in China, India, South Korea, Taiwan, Vietnam. 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 23 Sep 2014). 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 for Ceftaroline Compared to That for Ceftriaxone at Test of Cure (TOC) in CE Population (time frame: 7-20 days after 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 NCT01371838, 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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