Staphylococcus Aureus BacteremiaPhase 4NCT01701219
Safety and Efficacy Study of Ceftaroline in Subjects With Staphylococcus Aureus Bacteremia or With Persistent Methicillin-Resistant Staphylococcus Aureus Bacteremia
A Phase 4 study testing Ceftaroline fosamil in people with Staphylococcus Aureus Bacteremia and Methicillin-resistant Staphylococcus Aureus (MRSA) Bacteremia, run by Forest Laboratories at 27 sites in United States.
Trial summary
This is a study of safety and efficacy of ceftaroline fosamil in Subjects with Staphylococcus aureus Bacteremia or with Methicillin-Resistant Staphylococcus aureus (MRSA) Bacteremia persisting after at least 72 hours of vancomycin and/or daptomycin treatment. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Staphylococcus Aureus Bacteremia, Methicillin-resistant Staphylococcus Aureus (MRSA) Bacteremia
- What is being tested?
- Ceftaroline fosamil
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 56 participants
- Where
- 27 sitesUnited States
- Study dates
- Jan 2013to Jul 2014
- Phase
- Phase 4
- Are there results?
- None posted in the registry
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
- Presence of bacteremia due solely to:
- S. aureus on at least 1 blood culture within 72 hours of beginning study drug (Cohort A) OR
- MRSA on a baseline blood culture and on at least 1 additional blood culture after at least 72 hours of vancomycin and/or daptomycin treatment (Cohort B).
- Male or female ≥ 18 years of age.
- If female of childbearing potential must be willing to practice sexual abstinence or dual methods of contraception during treatment and for at least 30 days after the last dose of study drug.
- Expectation of survival for at least 2 months.
Who cannot join
- For subjects in Cohort A: previous therapy for more than 48 hours with any parenteral antibiotic with activity against S. aureus within 72 hours of positive blood culture results.
- For subjects in Cohort B: previous therapy for more than 48 hours with any parenteral antibiotic with activity against MRSA, except vancomycin and/or daptomycin, within 72 hours of positive blood culture results confirming persistence.
- Previous episode of S. aureus bacteremia within 3 months.
- Known left-sided endocarditis or prosthetic heart valve.
- Osteomyelitis or prosthetic joint infection except new onset nonhardware-associated vertebral osteomyelitis.
- History of any hypersensitivity or allergic reaction to any β-lactam antibacterial agent.
- Evidence of significant hepatic, hematologic, or immunologic impairment.
- Pregnant or nursing females.
Trial locations and contacts
27 sites in 1 country.
27 sites in 1 country
United States27 sites
Investigational Site
Annandale, Virginia, 22003
Investigational Site
Birmingham, Alabama, 35294
Investigational Site
Boston, Massachusetts, 02111
Investigational Site
Chicago, Illinois, 60612
Investigational Site
Decatur, Georgia, 30030
Investigational Site
Detroit, Michigan, 48201
Investigational Site
Detroit, Michigan, 48202
Investigational Site
Fort Wayne, Indiana, 46845
Investigational Site
Greenville, South Carolina, 29605
Investigational Site
Grosse Pointe Woods, Michigan, 48236
Investigational Site
Hartford, Connecticut, 06102
Investigational Site
Houston, Texas, 77030
Investigational Site
Jamaica, New York, 11418
Investigational Site
Laconia, New Hampshire, 03246
Investigational Site
Louisville, Kentucky, 40202
Investigational Site
Macon, Georgia, 31201
Investigational Site
Neptune City, New Jersey, 07753
Investigational Site
Newark, New Jersey, 07102
Investigational Site
Pensacola, Florida, 32504
Investigational Site
Roanoke, Virginia, 24014
Investigational Site
Royal Oak, Michigan, 48073
Investigational Site
Sacramento, California, 95817
Investigational Site
San Francisco, California, 94110
Investigational Site
Stuart, Florida, 34994
Investigational Site
Sylmar, California, 91342
Investigational Site
Toledo, Ohio, 43620
Investigational Site
Torrance, California, 90502
About this study
Official title: A Multicenter, 2-Cohort Study to Describe the Safety and Efficacy of Ceftaroline Fosamil in Subjects With Staphylococcus Aureus Bacteremia or With Persistent Methicillin-Resistant Staphylococcus Aureus Bacteremia
This is a study of safety and efficacy of ceftaroline fosamil in Subjects with Staphylococcus aureus Bacteremia or with Methicillin-Resistant Staphylococcus aureus (MRSA) Bacteremia persisting after at least 72 hours of vancomycin and/or daptomycin treatment.
Read the detailed description
Subjects with either S. aureus bacteremia or persistent MRSA bacteremia will be treated with open label ceftaroline fosamil, safety will be monitored and clearance of bacteremia will be evaluated.
- Conditions
- Staphylococcus Aureus Bacteremia, Methicillin-resistant Staphylococcus Aureus (MRSA) Bacteremia
- Being tested
- Ceftaroline fosamil
- Keywords
- Staphylococcus aureus bacteremia, Methicillin-resistant Staphylococcus aureus bacteremia, MRSA bacteremia, Blood, Adult, Infections, Blood Culture
- Medical subject headings
- Bacteremia, Infections
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Ceftaroline fosamilDrug
Also called Teflaro®, PPI-0903, TAK-599, TAK599
Ceftaroline fosamil 600 mg intravenous (IV) infused over 60 (± 10) minutes every 8 hours (q8h) (± 1 hour) (dosing may be adjusted for renal function)
| Study group | Role | What they receive |
|---|---|---|
| Cohort A | Other | S. aureus on at least 1 blood culture within 72 hours of beginning study drug Receives: Drug: Ceftaroline fosamil |
| Cohort B | Other | MRSA on a baseline blood culture and on at least 1 additional blood culture after at least 72 hours of vancomycin and/or daptomycin treatment Receives: Drug: Ceftaroline fosamil |
What is being measured
The primary outcome is the main question the study is designed to answer.
Evaluate the safety of ceftaroline fosamil in adult Subjects (≥ 18 years of age) with Staphylococcus aureus Bacteremia or with MRSA Bacteremia persisting after at least 72 hours of vancomycin and/or daptomycin treatment
Efficacy outcome measures:
- Time to clearance of bacteremia
- Time to defervescence
- Clinical outcome
- Mortality
- Readmission
Measured: 60 days following completion of antibacterial therapy and discharge from the hospital, anticipated between 74 to 119 days
Secondary outcomes (1)
Evaluate the efficacy of ceftaroline fosamil in adult Subjects (≥ 18 years of age) with Staphylococcus aureus Bacteremia or with MRSA Bacteremia persisting after at least 72 hours of vancomycin and/or daptomycin treatment
Safety evaluations will be conducted and assessments will include:
- Adverse events including deaths will be evaluated
- Laboratory: complete blood count (CBC) with differential and chemistry panel
Measured: Between 3 and 119 days
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Oct 2012 (estimated)
- Study startJan 2013
- Primary completionMay 2014
- Study completionJul 2014
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Staphylococcus Aureus BacteremiaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 56 participants (actual)
Sponsor and investigators
- Lead sponsor
- Forest Laboratories
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01701219
- Sponsor's protocol ID
- CPT-MD-32
- Status last verified
- Jul 2014
- First submitted
- 3 Oct 2012
- Last updated
- 31 Jul 2014
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 31 Jul 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, 2-Cohort Study to Describe the Safety and Efficacy of Ceftaroline Fosamil in Subjects With Staphylococcus Aureus Bacteremia or With Persistent Methicillin-Resistant Staphylococcus Aureus Bacteremia
- ClinicalTrials.gov ID
- NCT01701219
- Acronym / sponsor ID
- CPT-MD-32
- Conditions
- Staphylococcus Aureus Bacteremia, Methicillin-resistant Staphylococcus Aureus (MRSA) Bacteremia
- Keywords
- Staphylococcus aureus bacteremia, Methicillin-resistant Staphylococcus aureus bacteremia, MRSA bacteremia, Blood, Adult, Infections, Blood Culture
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 56 participants (actual)
- Lead sponsor
- Forest LaboratoriesIndustry (pharma, biotech, devices)
- Study start
- Jan 2013
- Primary completion
- May 2014 (actual)
- Study completion
- Jul 2014 (actual)
- First posted
- 5 Oct 2012 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a study of safety and efficacy of ceftaroline fosamil in Subjects with Staphylococcus aureus Bacteremia or with Methicillin-Resistant Staphylococcus aureus (MRSA) Bacteremia persisting after at least 72 hours of vancomycin and/or daptomycin treatment.
Detailed description
Subjects with either S. aureus bacteremia or persistent MRSA bacteremia will be treated with open label ceftaroline fosamil, safety will be monitored and clearance of bacteremia will be evaluated.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Cohort A | Other | Drug: Ceftaroline fosamilS. aureus on at least 1 blood culture within 72 hours of beginning study drug |
| Cohort B | Other | Drug: Ceftaroline fosamilMRSA on a baseline blood culture and on at least 1 additional blood culture after at least 72 hours of vancomycin and/or daptomycin treatment |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Presence of bacteremia due solely to:
- Male or female ≥ 18 years of age.
- If female of childbearing potential must be willing to practice sexual abstinence or dual methods of contraception during treatment and for at least 30 days after the last dose of study drug.
- Expectation of survival for at least 2 months.
Key exclusion criteria (8 listed)
- For subjects in Cohort A: previous therapy for more than 48 hours with any parenteral antibiotic with activity against S. aureus within 72 hours of positive blood culture results.
- For subjects in Cohort B: previous therapy for more than 48 hours with any parenteral antibiotic with activity against MRSA, except vancomycin and/or daptomycin, within 72 hours of positive blood culture results confirming persistence.
- Previous episode of S. aureus bacteremia within 3 months.
- Known left-sided endocarditis or prosthetic heart valve.
- Osteomyelitis or prosthetic joint infection except new onset nonhardware-associated vertebral osteomyelitis.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Ceftaroline fosamilAlso: Teflaro®, PPI-0903, TAK-599, TAK599Ceftaroline fosamil 600 mg intravenous (IV) infused over 60 (± 10) minutes every 8 hours (q8h) (± 1 hour) (dosing may be adjusted for renal function) | Drug | Cohort A, Cohort B |
Primary outcome
Evaluate the safety of ceftaroline fosamil in adult Subjects (≥ 18 years of age) with Staphylococcus aureus Bacteremia or with MRSA Bacteremia persisting after at least 72 hours of vancomycin and/or daptomycin treatment
Time frame: 60 days following completion of antibacterial therapy and discharge from the hospital, anticipated between 74 to 119 days
Efficacy outcome measures: * Time to clearance of bacteremia * Time to defervescence * Clinical outcome * Mortality * Readmission
1 secondary outcome
Evaluate the efficacy of ceftaroline fosamil in adult Subjects (≥ 18 years of age) with Staphylococcus aureus Bacteremia or with MRSA Bacteremia persisting after at least 72 hours of vancomycin and/or daptomycin treatment
Time frame: Between 3 and 119 days
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 31 Jul 2014.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
27 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Ceftaroline fosamil in people with Staphylococcus Aureus Bacteremia and Methicillin-resistant Staphylococcus Aureus (MRSA) Bacteremia, run by Forest Laboratories at 27 sites in United States.
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 6 inclusion and 8 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 31 Jul 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 27 sites in United States. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Evaluate the safety of ceftaroline fosamil in adult Subjects (≥ 18 years of age) with Staphylococcus aureus Bacteremia or with MRSA Bacteremia persisting after at least 72 hours of vancomycin and/or daptomycin treatment (time frame: 60 days following completion of antibacterial therapy and discharge from the hospital, anticipated between 74 to 119 days). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 31 Jul 2014.