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Skin and Subcutaneous Tissue Bacterial InfectionsPhase 3NCT01421511

TR-701 FA vs Linezolid for the Treatment of Acute Bacterial Skin and Skin Structure Infections

A Phase 3 study testing TR-701 FA and Linezolid in people with Skin and Subcutaneous Tissue Bacterial Infections, run by Trius Therapeutics LLC, a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA) at 117 sites in 11 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 is a randomized, double-blind, double-dummy, multicenter, global Phase 3 study of IV to oral TR-701 FA 200 mg once daily for 6 days versus IV to oral Zyvox® (linezolid) 600 mg every 12 hours for 10 days for the treatment of ABSSSI in adults. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
TR-701 FA and Linezolid
Could I receive a placebo?
No, everyone receives an active treatment
How many people
666 participants
Where
117 sitesin 11 countries
Study dates
15 Sep 2011to 10 Jan 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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients requiring IV antibiotic therapy and with systemic signs of infection diagnosed with ABSSSI.
  • Diagnosed with Cellulitis/ erysipelas, major cutaneous abscess, or wound infections

Who cannot join

  • Uncomplicated skin infections
  • Severe sepsis or septic shock
  • ABSSSI solely due to gram-negative pathogens

Trial locations and contacts

117 sites in 11 countries.

117 sites in 11 countries

United States35 sites
  • Trius investigator site 150

    Baton Rouge, Louisiana, 70809

  • Trius investigator site 154

    Boston, Massachusetts, 02115

  • Trius investigator site 138

    Carmel, Indiana, 46032

  • Trius investigator site 103

    Chula Vista, California, 91911

  • Trius investigator site 101

    Columbus, Georgia, 31904

  • Trius investigator site 140

    Columbus, Ohio, 43215

  • Trius investigator site 164

    Creve Coeur, Missouri, 63141

  • Trius investigator site 139

    Denver, Colorado, 80218

  • Trius investigator site 159

    Dothan, Alabama, 36305

  • Trius investigator site 166

    Edgewater, Florida, 32132

  • Trius investigator site 143

    Escondido, California, 92025

  • Trius investigator site 165

    Eunice, Louisiana, 70535

  • Trius investigator site 155

    Franklin, Tennessee, 37064

  • Trius investigator site 148

    Houston, Texas, 77030

  • Trius investigator site 105

    La Mesa, California, 91942

  • Trius investigator site 160

    Las Vegas, Nevada, 89169

  • Trius investigator site 162

    Lima, Ohio, 45801

  • Trius investigator site 106

    Long Beach, California, 90813

  • Trius investigator site 157

    Long Beach, California, 90813

  • Trius investigator site 145

    Memphis, Tennessee, 38104

  • Trius investigator site 153

    Minneapolis, Minnesota, 55415

  • Trius investigator site 142

    National City, California, 91950

  • Trius investigator site 137

    Newark, Delaware, 19718

  • Trius investigator site 144

    Owensboro, Kentucky, 42303

  • Trius investigator site 149

    Picayune, Mississippi, 39466

  • Trius investigator site 161

    Rapid City, South Dakota, 57702

  • Trius investigator site 163

    Royal Oak, Michigan, 48073

  • Trius investigator site 170

    San Diego, California, 92123

  • Trius investigator site 167

    Santa Ana, California, 92701

  • Trius investigator site 169

    Smyrna, Tennessee, 37167

  • Trius investigator site 146

    Springfield, Massachusetts, 01199

  • Trius investigator site 168

    Stockton, California, 95204

  • Trius investigator site 141

    Sylmar, California, 91342

  • Trius investigator site 147

    Teaneck, New Jersey, 07666

  • Trius investigator site 136

    West Roxbury, Massachusetts, 02132

Other trials in United States

Brazil14 sites
  • Trius investigator site 362

    Belo Horizonte, MG, Brazil, 30110-934

  • Trius investigator site 361

    Belo Horizonte, MG, Brazil, 30140-062

  • Trius investigator site 361

    Belo Horizonte

  • Trius investigator site 362

    Belo Horizonte

  • Trius investigator site 365

    Belo Horizonte

  • Trius investigator site 364

    Campinas, SP, Brazil, 13060-904

  • Trius investigator site 364

    Campinas

  • Trius investigator site 366

    Curitiba

  • Trius investigator site 367

    Curitiba

  • Trius investigator site 369

    Jaú

  • Trius investigator site 363

    Porto Alegre, RS, Brazil, 90110-270

  • Trius investigator site 363

    Porto Alegre

  • Trius investigator site 370

    Porto Alegre

  • Trius investigator site 360

    São Paulo

Other trials in Brazil

Russia14 sites
  • Trius investigator site 287

    Barmaul, 656024

  • Trius investigator site 286

    Irkutsk, 664079

  • Trius investigator site 293

    Lipetsk, 389035/398005

  • Trius investigator site 295

    Moscow, 115093

  • Trius investigator site 290

    Moscow, 115280

  • Trius investigator site 291

    Moscow, 115280

  • Trius investigator site 288

    Moscow, 119435

  • Trius investigator site 297

    Novosibirsk, 630008

  • Trius investigator site 285

    Novosibirsk, 630051

  • Trius investigator site 294

    Saint Petersburg, 194291

  • Trius investigator site 289

    Saint Petersburg, 198099

  • Trius investigator site 296

    Saint Petersburg

  • Trius investigator site 298

    Tomsk, 634063

  • Trius investigator site 292

    Vsevolozhsk, Leningradskaya Oblast', 188640

Other trials in Russia

Argentina12 sites
  • Trius investigator site 354

    Buenos Aires

  • Trius investigator site 355

    Buenos Aires

  • Trius investigator site 351

    Cludad Autonoma de Buenos Aires, C1155AHD

  • Trius investigator site 352

    Cludadela, Buenos Aires, B1702FWM

  • Trius investigator site 354

    General Roriquez, Buenos Aires, B1748

  • Trius investigator site 350

    La Plata, Buenos Aires, B1900AXI

  • Trius investigator site 350

    La Plata, Buenos Aires

  • Trius investigator site 358

    La Plata

  • Trius investigator site 353

    Luján, Buenos Aires, B6700AOJ

  • Trius investigator site 357

    Mar del Plata

  • Trius investigator site 359

    Paraná, Entre Rios

  • Trius investigator site 356

    Rosario

Other trials in Argentina

South Africa12 sites
  • Trius investigator site 445

    Benoni, 1501

  • Trius investigator site 442

    Bloemfontein, Free States, 9317

  • Trius investigator site 441

    Blowmfontein, Free States, 9301

  • Trius investigator 447

    Breyten, Mpunalanga, 2330

  • Trius investigator 451

    Centurion, Gauteng, 0157

  • Trius investigator 448

    Dundee, KwaZulu-Natal, 3000

  • Trius investigator site 440

    Gezina Pretoria, Gauteng, 0084

  • Trius investigator 446

    Middelburg, Mpumalanga, 1051

  • Trius investigator 443

    Port Elizabeth, Eastern Cape, 6020

  • Trius investigator 450

    Pretoria, Gauteng, 0083

  • Trius investigator 449

    Pretoria, Gauteng, 0084

  • Trius investigator 444

    Worscester, Cape, 6850

Other trials in South Africa

Australia7 sites
  • Trius investigator 500

    Cairns, Queensland, 4870

  • Trius investigator 501

    Herston, Queensland, 4029

  • Trius investigator 503

    Nambour, Queensland, 4560

  • Trius investigator 505

    Richmond, Victoria, 2131

  • Trius investigator 506

    Southport, Queensland, 4215

  • Trius investigator 502

    Woolloongabba, Queensland, 4102

  • Trius investigator 504

    Woolloongabba, Queensland, 4102

Other trials in Australia

Poland6 sites
  • Trius investigator site 216

    Bydgoszcz, 85-094

  • Trius investigator site 211

    Lodz, 93-513

  • Trius investigator site 214

    Lublin, 20-081

  • Trius investigator site 213

    Poznan, 60-631

  • Trius investigator site 215

    Szczecin, 70-111

  • Trius investigator site 212

    Warsaw, 02-097

Other trials in Poland

Spain6 sites
  • Trius investigator site 272

    Alcorcón, Madrid, 28922

  • Trius investigator site 277

    Barakaldo, Vizcaya, 48903

  • Trius investigator site 276

    Madrid, 28046

  • Trius investigator site 275

    Majadahonda, Madrid, 28222

  • Trius investigator site 273

    Mataró, Barcelona, 08304

  • Trius investigator site 274

    Santander, 39008

Other trials in Spain

Germany5 sites
  • Trius investigator site 207

    Berlin, 10249

  • Trius investigator site 208

    Dresden, Saxony, 01307

  • Trius investigator site 205

    Hamburg, 20246

  • Trius investigator site 204

    Lübeck, Schleswig-Holstein, 23538

  • Trius investigator site 206

    Quedlinburg, Saxony-Anhalt, 06484

Other trials in Germany

Mexico4 sites
  • Trius investigator site 380

    Guadalajara

  • Trius investigator site 381

    Guadalajara

  • Trius investigator site 382

    Mexico City

  • Trius investigator site 383

    Monterrey

Other trials in Mexico

New Zealand2 sites
  • Trius investigator 521

    Otahuhu, Auckland

  • Trius investigator 520

    Sydenham, Christchurch, 8024

Other trials in New Zealand

About this study

Official title: A Phase 3 Randomized, Double-Blind, Multicenter Study Comparing the Efficacy and Safety of IV to Oral 6-Day TR-701 Free Acid and IV to Oral 10-Day Linezolid for the Treatment of ABSSSI

This is a randomized, double-blind, double-dummy, multicenter, global Phase 3 study of IV to oral TR-701 FA 200 mg once daily for 6 days versus IV to oral Zyvox® (linezolid) 600 mg every 12 hours for 10 days for the treatment of ABSSSI in adults. Patients are to start treatment with at least 2 IV doses and may receive IV therapy for the entire treatment duration.

Approximately 100 to 140 sites globally will participate in this study. Patients with an ABSSSI caused by suspected or documented gram positive pathogen(s) at baseline will be randomized 1:1 to study treatment.

Read the detailed description

The primary objective is to determine the noninferiority (NI) in the early clinical response rate of intravenous (IV) to oral 6 day TR-701 free acid (FA) compared with that of IV to oral 10-day linezolid treatment at 48-72 hours after the first infusion of study drug in the intent-to-treat (ITT) analysis set in patients with acute bacterial skin and skin structure infections (ABSSSI).

Being tested
TR-701 FA, Linezolid
Keywords
ABSSSI, Tedizolid Phosphate, TR-701, Acute Bacterial Skin and Skin Structure Infections

What participants receive

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

  • TR-701 FADrug

    • TR-701 FA 200 mg once daily in 250 mL sterile saline for injection as a 60 minute IV infusion
    • TR-701 FA Tablets, 200 mg, orally once daily
  • LinezolidDrug

    • Linezolid 600 mg IV Injection twice daily in 300 mL sterile saline for injection as a 60 minute IV infusion
    • Linezolid Tablets, 600 mg, orally every 12 hours
Study groups in NCT01421511
Study groupRoleWhat they receive
TR-701 FAExperimental• TR-701 FA IV followed by TR-701 FA tablets
Receives: Drug: TR-701 FA
LinezolidActive comparator• Linezolid IV followed by Linezolid Tablets
Receives: Drug: Linezolid

What is being measured

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

  1. The Early Clinical Response Rate

    Responder: No increase in lesion surface area from baseline.

    Measured: 48-72 hours

Secondary outcomes (7)
  1. Clinical Response at the End of Therapy Visit

    Responder: No increase in lesion surface area from baseline.

    Measured: Day 11

  2. Clinical Response at the End of Therapy Visit in the Clinically Evaluable at End of Therapy Analysis Set

    Responder: No increase in lesion surface area from baseline.

    Measured: End of Therapy Day 11

  3. Investigator's Assessment of Clinical Success at the Post Treatment Evaluation Visit

    Clinical success defined as resolution/near resolution of disease specific signs and symptoms, absence/near resolution of baseline systemic signs of infection, and no further antibiotic therapy required for treatment of primary ABSSSI lesion.

    Measured: Post-Treatment Evaluation (7-14 days after the End of Therapy)

  4. Investigator's Assessment of Clinical Success of the Post Therapy Evaluation Visit in Clinically Evaluable-Post Treatment Evaluation Analysis Set.

    Clinical success defined as resolution/near resolution of disease specific signs and symptoms, absence/near resolution of baseline systemic signs of infection, no new signs, symptoms or complications attributable to the ABSSSI and no further antibiotic therapy required for treatment of primary ABSSSI lesion.

    Measured: Post-Treatment Evaluation (7-14 days after the End of Therapy)

  5. Investigator's Assessment of Clinical Response at the 48-72 Hour Visit

    Clinical improvement defined as improvement in overall clinical status.

    Measured: 48-72 Hours

  6. Investigator's Assessment of Clinical Response at the Day-7 Visit

    Clinical improvement defined as improvement in overall clinical status.

    Measured: Day 7

  7. Change From Baseline in Patient-reported Pain, by Study Visit

    0=no pain, 10=worst pain Only 1 visit per participant for Day 4-6, only 1 visit for Day 7-9, and only 1 visit for Day 10-13.

    Measured: Multiple

Timeline

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

  1. First posted22 Aug 2011 (estimated)
  2. Study start15 Sep 2011
  3. Primary completion10 Jan 2013
  4. Study completion10 Jan 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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
666 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01421511
Sponsor's protocol ID
1986-010
Other IDs
TR701-113
Status last verified
Jul 2018
First submitted
19 Aug 2011
Last updated
29 Aug 2018
Data monitoring committee
Yes
Individual data sharing
Yes: https://www.merck.com/clinical-trials/pdf/ProcedureAccessClinicalTrialData.pdf

Publications

  • Sandison T, De Anda C, Fang E, Das AF, Prokocimer P. Clinical Response of Tedizolid versus Linezolid in Acute Bacterial Skin and Skin Structure Infections by Severity Measure Using a Pooled Analysis from Two Phase 3 Double-Blind Trials. Antimicrob Agents Chemother. 2017 Apr 24;61(5):e02687-16. doi: 10.1128/AAC.02687-16. Print 2017 May.

    PubMed 28264845
  • Nathwani D, Corey R, Das AF, Sandison T, De Anda C, Prokocimer P. Early Clinical Response as a Predictor of Late Treatment Success in Patients With Acute Bacterial Skin and Skin Structure Infections: Retrospective Analysis of 2 Randomized Controlled Trials. Clin Infect Dis. 2017 Jan 15;64(2):214-217. doi: 10.1093/cid/ciw750. Epub 2016 Dec 21.

    PubMed 28003218
  • Powers JH 3rd, Das AF, De Anda C, Prokocimer P. Clinician-reported lesion measurements in skin infection trials: Definitions, reliability, and association with patient-reported pain. Contemp Clin Trials. 2016 Sep;50:265-72. doi: 10.1016/j.cct.2016.08.010. Epub 2016 Aug 13.

    PubMed 27530088
  • Shorr AF, Lodise TP, Corey GR, De Anda C, Fang E, Das AF, Prokocimer P. Analysis of the phase 3 ESTABLISH trials of tedizolid versus linezolid in acute bacterial skin and skin structure infections. Antimicrob Agents Chemother. 2015 Feb;59(2):864-71. doi: 10.1128/AAC.03688-14. Epub 2014 Nov 24.

    PubMed 25421472
  • Lodise TP, Fang E, Minassian SL, Prokocimer PG. Platelet profile in patients with acute bacterial skin and skin structure infections receiving tedizolid or linezolid: findings from the Phase 3 ESTABLISH clinical trials. Antimicrob Agents Chemother. 2014 Dec;58(12):7198-204. doi: 10.1128/AAC.03509-14. Epub 2014 Sep 22.

    PubMed 25246392
  • Moran GJ, Fang E, Corey GR, Das AF, De Anda C, Prokocimer P. Tedizolid for 6 days versus linezolid for 10 days for acute bacterial skin and skin-structure infections (ESTABLISH-2): a randomised, double-blind, phase 3, non-inferiority trial. Lancet Infect Dis. 2014 Aug;14(8):696-705. doi: 10.1016/S1473-3099(14)70737-6. Epub 2014 Jun 5.

    PubMed 24909499

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing TR-701 FA and Linezolid in people with Skin and Subcutaneous Tissue Bacterial Infections, run by Trius Therapeutics LLC, a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA) at 117 sites in 11 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 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 29 Aug 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 117 sites in United States, Brazil, Russia, Argentina, South Africa and 6 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 8 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?

The Early Clinical Response Rate (time frame: 48-72 hours). 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 NCT01421511, which also lists 6 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 29 Aug 2018.

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