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Bacterial InfectionsPhase 3NCT02066402

Efficacy and Safety of Intravenous to Oral 6-Day Tedizolid Phosphate vs. Intravenous to Oral 10-Day Linezolid in Patients With Acute Bacterial Skin and Skin Structure Infection (ABSSSI)

A Phase 3 study testing Tedizolid (BAY119-2631) and Linezolid in people with Bacterial Infections, run by Bayer at 55 sites in 4 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 study is aimed to evaluate the efficacy and safety between Tedizolid 200mg daily (intra venous) I.V. to oral for 6-day treatment compared with that of Linezolid 600mg twice daily I.V. 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?
Tedizolid (BAY119-2631) and Linezolid
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
598 participants
Where
55 sitesin 4 countries
Study dates
4 Mar 2014to 18 Apr 2016
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

  • Males or females >/=18 years old
  • Adequate venous access for a minimum of 2 I.V. doses of study drug
  • Acute Bacterial Skin and skin structure infection (ABSSSI) meeting at least 1 of the clinical syndrome definitions listed below and requiring I.V. antibiotic therapy. Local symptoms must have started within 7 days before the Screening Visit
  • Cellulitis/erysipelas
  • Major cutaneous abscess
  • Wound Infection
  • Suspected or documented gram-positive infection from baseline Gram stain or culture.

Who cannot join

  • Uncomplicated skin and skin structure infections such as furuncles, minor abscesses
  • Infections associated with, or in close proximity to, a prosthetic device
  • Severe sepsis or septic shock
  • Known bacteremia at time of screening
  • ABSSSI due to or associated with any of the following:
  • Suspected or documented gram-negative pathogens in patients with cellulitis/erysipelas or major cutaneous abscess that require an antibiotic with specific gram-negative coverage. Patients with wound infections where gram-negative adjunctive therapy is warranted may be enrolled if they meet the other eligibility criteria
Show all 18Show fewer
  • Diabetic foot infections, gangrene, or perianal abscess
  • Concomitant infection at another site not including a secondary ABSSSI lesion (eg, septic arthritis, endocarditis, osteomyelitis)
  • Infected burns
  • Decubitus or chronic skin ulcer, or ischemic ulcer due to peripheral vascular disease (arterial or venous)
  • Any evolving necrotizing process (ie, necrotizing fasciitis)
  • Use of antibiotics as follows:
  • Systemic antibiotic with gram-positive cocci activity for the treatment of any infection within 24 hours before the first infusion of study drug
  • Patients who failed prior therapy for the primary infection site are also excluded from enrollment
  • Topical antibiotic on the primary lesion within 24 hours before the first infusion of study drug except for antibiotic/antiseptic-coated dressing applied to the clean postsurgical wound
  • Administration of Linezolid within 30 days before the first infusion of the study drug
  • Recent history of opportunistic infections where the underlying cause of these infections is still active (eg, leukemia, transplant, acquired immunodeficiency syndrome [AIDS])
  • Previous exposure to Tedizolid Phosphate treatment

Trial locations and contacts

55 sites in 4 countries.

55 sites in 4 countries

China41 sites
  • Study site

    Beijing, 100034

  • Study site

    Beijing, 100044

  • Study site

    Beijing, 100050

  • Study site

    Beijing, 100191

  • Study site

    Beijing, 100730

  • Study site

    Changchun, Jilin, 130021

  • Study site

    Changsha, Hunan, 410005

  • Study site

    Changsha, Hunan, 410013

  • Study site

    Changsha, Hunan, 410015

  • Study site

    Chengdu, Sichuan, 610041

  • Study site

    Chongqing, 400042

  • Study site

    Dalian, Liaoning, 116027

  • Study site

    Fuzhou, Fujian, 350025

  • Study site

    Guangzhou, Guangdong, 510120

  • Study site

    Guangzhou, Guangdong, 510180

  • Study site

    Hangzhou, Zhejiang, 310003

  • Study site

    Hangzhou, Zhejiang, 310009

  • Study site

    Hangzhou, Zhejiang, 310014

  • Study site

    Hangzhou, Zhejiang, 310016

  • Study site

    Jinan, Shandong, 250012

  • Study site

    Kunming, Yunnan, 650032

  • Study site

    Nanjing, Jiangsu, 210029

  • Study site

    Nanjing, Jiangsu

  • Study site

    Shanghai, 200003

  • Study site

    Shanghai, 200025

  • Study site

    Shanghai, 200062

  • Study site

    Shanghai, 200092

  • Study site

    Shanghai, 201406

  • Study site

    Shanghai, 201700

  • Study site

    Shenyang, Liaoning, 110001

  • Study site

    Shenyang, Liaoning, 110016

  • Study site

    Suzhou, Jiangsu, 215006

  • Study site

    Taiyuan, Shanxi, 030001

  • Study site

    Tianjin, 300052

  • Study site

    Tianjin, 300121

  • Study site

    Ürümqi, Xinjiang, 830054

  • Study site

    Wuhan, Hubei, 430030

  • Study site

    Wuhu, Anhui, 241001

  • Study site

    Wuxi, Jiangsu

  • Study site

    Xi'an, Shaanxi, 710038

  • Study site

    Xi'an, Shaanxi, 710061

Other trials in China

Taiwan7 sites
  • Study site

    Kaohsiung City, 807

  • Study site

    Kaohsiung City, 81362

  • Study site

    Taichung, 40447

  • Study site

    Tainan, 710

  • Study site

    Taipei, 10002

  • Study site

    Taipei, 116

  • Study site

    Taoyuan, 333

Other trials in Taiwan

United States5 sites
  • Study site

    Chula Vista, California, 91911

  • Study site

    La Mesa, California, 91942

  • Study site

    Las Vegas, Nevada, 89109

  • Study site

    Oceanside, California, 92056

  • Study site

    Teaneck, New Jersey, 07666

Other trials in United States

Philippines2 sites
  • Study site

    City of Taguig

  • Study site

    Quezon City

Other trials in Philippines

About this study

Official title: A Phase 3 Randomized, Double-Blind, Multicenter Study Comparing the Efficacy and Safety of Intravenous to Oral 6-Day Tedizolid Phosphate and Intravenous to Oral 10-Day Linezolid for the Treatment of Acute Bacterial Skin and Skin Structure Infections

This study is aimed to evaluate the efficacy and safety between Tedizolid 200mg daily (intra venous) I.V. to oral for 6-day treatment compared with that of Linezolid 600mg twice daily I.V. to oral for 10-day treatment Acute Bacterial Skin and skin structure infection (ABSSSI).This is a double-blind, randomized, active control, 7-10days treatment for all subjects.

Read the detailed description

Number of participants with adverse evnets as a measure of safety and tolerability will be covered in Adverse Events section.

ABSSSI Efficacy Safety Tedizolid Phosphate Linezolid

Being tested
Tedizolid (BAY119-2631), Placebo Tedizolid (BAY119-2631), Linezolid, Placebo Linezolid
Medical subject headings
Bacterial Infections

What participants receive

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

  • Tedizolid (BAY119-2631)Drug

    50 % of the participants will be randomized to this arm and will receive 200 mg Tedizolid once daily i.v to oral from 1-6 days

  • Placebo Tedizolid (BAY119-2631)Drug

    50 % of the participants will be randomized to this arm and will receive 200 mg Placebo Tedizolid once daily i.v to oral from 7-10 days

  • LinezolidDrug

    50 % of the participants will be randomized to this arm and will receive 600 mg Linezolid twice daily i.v. to oral from 1-10 days

  • Placebo LinezolidDrug

    50 % of the participants will be randomized to this arm and will receive 600 mg Placebo Linezolid twice daily i.v. to oral from 1-10 days

Study groups in NCT02066402
Study groupRoleWhat they receive
Tedizolid Phosphate (Sivextro, BAY119-2631)ExperimentalParticipants received 200 mg Tedizolid Phosphate once daily intravenous (I.V.) infusion to oral for 6 days, followed by 4 days of placebo.
Receives: Drug: Tedizolid (BAY119-2631); Drug: Placebo Tedizolid (BAY119-2631); Drug: Placebo Linezolid
LinezolidActive comparatorParticipants received 600 mg Linezolid twice daily I.V. infusion to oral for 10 days.
Receives: Drug: Placebo Tedizolid (BAY119-2631); Drug: Linezolid

What is being measured

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

  1. Percentage of Participants With Early Clinical Response at 48-72 Hours After the First Infusion of Study Drug in the ITT Analysis Set.

    Early clinical response is defined as responder if there is >=20% reduction in the area of erythema, edema, and/or induration (length × width) of the primary acute bacterial skin and skin structure infections (ABSSSI) lesion, compared with baseline at the 48-72 Hour visit.

    Measured: Baseline and 48-72 hours visit

Secondary outcomes (10)
  1. Programmatically Defined Clinical Response at End of Therapy (EOT) Visit in the ITT Analysis Set

    Clinical Failure: Presence of fever; No lesion size decrease from baseline; Clinician assessment of tenderness worse than mild; Persistent same or great intensity purulent drainage of wound infection; Confounding use of systemic concomitant antibiotic; TEAE lead to study drug discontinuation; Require additional antibiotic treatment for primary lesion; Unplanned major surgical intervention. Clinical Success: Afebrile or fever due to other cause; Lesion size decrease from baseline; Clinician assessment of mild/absent tenderness; None/lesser intensity purulent drainage of wound infection; None confounding use of systemic concomitant antibiotic; None TEAE leading to study drug discontinuation; No additional antibiotic therapy for primary lesion; No unplanned major surgical intervention; No osteomyelitis after baseline; For wound/abscess: no incision/drainage of the ABSSSI site after Day1 unless planned. For cellulitis/ersipelas: no incision/drainage of the ABSSSI site after 48-72 H Visit.

    Measured: Baseline and EOT visit (Day 11)

  2. Programmatically Defined Clinical Response at End of Therapy (EOT) Visit in the Clinically Evaluable at EOT (CE-EOT) Analysis Set

    Clinical response will be defined as percentage of participants with clinical success, clinical failure or indeterminate.

    Measured: Baseline and EOT visit (Day 11)

  3. Overall Investigator's Assessment of Clinical Success at Post Therapy Evaluation (PTE) Visit (7-14 Days After EOT Visit) in the ITT Analysis Set

    The Investigator made an assessment of clinical response at the PTE Visit (7-14 days after the EOT Visit +2 days). Participants assessed as a clinical failure at the EOT Visit are considered a clinical failure at the PTE Visit. Percentage of participants with clinical success, clinical failure or indeterminate were reported.

    Measured: Baseline and post-therapy evaluation visit (7-14 days after Day 11)

  4. Overall Investigator's Assessment of Clinical Success at Post Therapy Evaluation (PTE) Visit (7-14 Days After EOT Visit) in the Clinically Evaluable at Post Therapy Evaluation (CE-PTE) Analysis Set

    The Investigator made an assessment of clinical response at the PTE Visit (7-14 days after the EOT Visit +2 days). Participants assessed as a clinical failure at the EOT Visit are considered a clinical failure at the PTE Visit. Percentage of participants with clinical success, clinical failure or indeterminate were reported.

    Measured: Baseline and post-therapy evaluation visit (7-14 days after Day 11)

  5. Investigator's Assessment of Clinical Response at 48-72 Hours

    The Investigator made an assessment of clinical response at the 48-72 Hour Visit based on following definition: Improving (Improvement in overall clinical status of ABSSSI compatible with continuation of study drug therapy); Stable (Signs and symptoms stable, no apparent change in overall clinical status but compatible with continuation of study drug therapy); Other.

    Measured: Baseline and at 48-72 hours

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

    The Investigator made an assessment of clinical response at Day 7 Visit based on following definition: Improving (Improvement in overall clinical status of ABSSSI compatible with continuation of study drug therapy); Other.

    Measured: Baseline and Day 7 visit

  7. Value of the Visual Analog Scale (VAS) Pain Scores at Each Time Point

    The patient-reported level of pain were assessed by the visual analog scale (VAS) pain score. VAS pain score ranged from 0 mm (no pain) to 100 mm (worst pain ever). It used a 100 mm VAS to instruct the patient to indicate the point along the line that represents the pain they are feeling. Once the patient indicates how much pain they are feeling, measure the distance from no pain and enter the value.

    Measured: Up to EOT visit (Day 11)

  8. Change From Baseline in the Visual Analog Scale (VAS) Pain Scores at Each Time Point

    The patient-reported level of pain were assessed by the visual analog scale (VAS) pain score. VAS pain score ranged from 0 mm (no pain) to 100 mm (worst pain ever). It used a 100 mm VAS to instruct the patient to indicate the point along the line that represents the pain they are feeling. Once the patient indicates how much pain they are feeling, measure the distance from no pain and enter the value.

    Measured: Up to EOT visit (Day 11)

  9. Value of the Faces Rating Scale (FRS) Pain Scores at Each Time Point

    The patient-reported level of pain were assessed by the faces rating scale (FRS) pain score. Ask the patient to rate their pain from 0 to 10 with 0 being no pain at all and 10 being the worst pain then enter the numerical value.

    Measured: Up to EOT visit (Day 11)

  10. Change From Baseline in the Faces Rating Scale (FRS) Pain Scores at Each Time Point

    The patient-reported level of pain were assessed by the faces rating scale (FRS) pain score. The patient-reported level of pain were assessed by the faces rating scale (FRS) pain score. Ask the patient to rate their pain from 0 to 10 with 0 being no pain at all and 10 being the worst pain then enter the numerical value.

    Measured: Up to EOT visit (Day 11)

Timeline

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

  1. First posted19 Feb 2014 (estimated)
  2. Study start4 Mar 2014
  3. Primary completion6 Mar 2016
  4. Study completion18 Apr 2016

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
598 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02066402
Sponsor's protocol ID
16121
Status last verified
May 2017
First submitted
17 Feb 2014
Last updated
7 Jun 2017
Data monitoring committee
No

Publications

  • Lv X, Alder J, Li L, O'Riordan W, Rybak MJ, Ye H, Zhang R, Zhang Z, Zhu X, Wilcox MH. Efficacy and Safety of Tedizolid Phosphate versus Linezolid in a Randomized Phase 3 Trial in Patients with Acute Bacterial Skin and Skin Structure Infection. Antimicrob Agents Chemother. 2019 Jun 24;63(7):e02252-18. doi: 10.1128/AAC.02252-18. Print 2019 Jul.

    PubMed 30988146

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Tedizolid (BAY119-2631) and Linezolid in people with Bacterial Infections, run by Bayer at 55 sites in 4 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 7 inclusion and 18 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 7 Jun 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 55 sites in China, Taiwan, United States, Philippines. 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 7 Jun 2017). 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?

Percentage of Participants With Early Clinical Response at 48-72 Hours After the First Infusion of Study Drug in the ITT Analysis Set. (time frame: Baseline and 48-72 hours visit). 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 NCT02066402, which also lists 1 linked publication.

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 7 Jun 2017.

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