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Efficacy and Safety of Dalbavancin for the Treatment of Acute Bacterial Skin and Skin Structure Infections

Primary Purpose

Abscess, Wound Infection, Surgical Site Infection

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Dalbavancin
Vancomycin / Linezolid
Sponsored by
Durata Therapeutics Inc., an affiliate of Allergan plc
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Abscess

Eligibility Criteria

18 Years - 85 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Male or female patients 18 - 85 years of age.
  2. Signed and dated informed consent document.
  3. Major abscess, surgical site infection, traumatic wound infection or cellulitis suspected or confirmed to be caused by Gram-positive bacteria.
  4. At least two (2) local signs and symptoms of ABSSSI and at least one (1) systemic sign of infection.
  5. Requires a minimum of 3 days of IV therapy.
  6. Patient willing and able to comply with study procedures.

Exclusion Criteria:

Patients presenting with any of the following:

  1. A contra-indication to any required study drug.
  2. Pregnant or nursing females.
  3. Sustained shock.
  4. Participation in another study of an investigational drug or device within 30 days.
  5. Receipt of a systemically or topically administered antibiotic within 14 days prior to randomization, except receipt of a single dose of a short-acting antibacterial drug 3 or more days prior to randomization.
  6. Infection due to a dalbavancin or vancomycin-resistant organism.
  7. Evidence of meningitis, necrotizing fasciitis, gas gangrene, gangrene, septic arthritis, osteomyelitis, and/or endovascular infection.
  8. Exclusively gram-negative bacterial or a fungal ABSSSI.
  9. Venous catheter infection.
  10. Infection of a diabetic foot ulcer or a decubitus ulcer.
  11. Device-related infections.
  12. Gram-negative bacteremia.
  13. Infected burns.
  14. Infected limb with critical ischemia.
  15. Superficial/simple skin and skin structure infections.
  16. Concomitant condition requiring non-study antibacterial therapy.
  17. ABSSSI requiring therapy for longer than 14 days.
  18. Adjunctive therapy with hyperbaric oxygen.
  19. More than 2 surgical interventions for ABSSSI anticipated.
  20. Chronic inflammatory condition precluding assessment of clinical response.
  21. Absolute neutrophil count < 500 cells/mm3.
  22. Human immunodeficiency virus (HIV) infection with a CD4 cell count < 200 cells/mm3.
  23. Recent bone marrow transplant, > 20 mg prednisolone per day (or equivalent) or receiving immunosuppressant drugs after organ transplantation.
  24. Regular, chronic antipyretic use in patients unable to modify during the first three days of study drug therapy.
  25. Life expectancy less than 3 months.
  26. Conditions that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results.
  27. Prior participation in the study.

Sites / Locations

  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Clinical Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Clinical Site
  • Durata Study Site
  • Durata Study Site
  • Durata Clinical Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Clinical Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Clinical Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site
  • Durata Study Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Dalbavancin

Vancomycin with possible switch to oral linezolid

Arm Description

Outcomes

Primary Outcome Measures

Early Clinical Efficacy
Clinical response at 48-72 hours post study drug initiation, based on measurements of acute bacterial skin and skin structure infections (ABSSSI) lesion size and temperature

Secondary Outcome Measures

>= 20% Reduction in Lesion Area
Clinical response at 48-72 hours post study drug initiation, based on measurements of acute bacterial skin and skin structure infections (ABSSSI) lesion size
Clinical Status
Compare the clinical efficacy at end of treatment visit of dalbavancin to the comparator regimen based on lesion size, local signs, temperature and receipt of non-study antibiotics
Clinical Status
Compare the clinical efficacy at the day 28 follow-up visit of dalbavancin to the comparator regimen based on lesion size, local signs, temperature and receipt of non-study antibiotics

Full Information

First Posted
April 18, 2011
Last Updated
December 26, 2013
Sponsor
Durata Therapeutics Inc., an affiliate of Allergan plc
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1. Study Identification

Unique Protocol Identification Number
NCT01339091
Brief Title
Efficacy and Safety of Dalbavancin for the Treatment of Acute Bacterial Skin and Skin Structure Infections
Official Title
A Phase 3, Randomized, Double-Blind, Double-Dummy Study to Compare the Efficacy and Safety of Dalbavancin to a Comparator Regiment (Vancomycin and Linezolid) for the Treatment of Acute Bacterial Skin and Skin Structure Infections
Study Type
Interventional

2. Study Status

Record Verification Date
December 2013
Overall Recruitment Status
Completed
Study Start Date
March 2011 (undefined)
Primary Completion Date
September 2012 (Actual)
Study Completion Date
November 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Durata Therapeutics Inc., an affiliate of Allergan plc

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The primary object is to compare the early clinical efficacy (after 48-72 hours of therapy) of dalbavancin to the comparator regimen (vancomycin with the option to switch to oral linezolid) for the treatment of patients with a suspected or proven gram-positive bacterial skin or skin structure infection.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Abscess, Wound Infection, Surgical Site Infection, Cellulitis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
573 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Dalbavancin
Arm Type
Experimental
Arm Title
Vancomycin with possible switch to oral linezolid
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
Dalbavancin
Intervention Description
IV Dalbavancin 1000 mg on Day 1 and 500 mg on Day 8
Intervention Type
Drug
Intervention Name(s)
Vancomycin / Linezolid
Intervention Description
IV Vancomycin (1 gram Q 12 hours or 15mg/Kg Q 12 hours) with optional switch to oral linezolid (600 mg Q12 hours). Total duration of therapy is 10-14 days.
Primary Outcome Measure Information:
Title
Early Clinical Efficacy
Description
Clinical response at 48-72 hours post study drug initiation, based on measurements of acute bacterial skin and skin structure infections (ABSSSI) lesion size and temperature
Time Frame
48-72 hours after the initiation of study therapy
Secondary Outcome Measure Information:
Title
>= 20% Reduction in Lesion Area
Description
Clinical response at 48-72 hours post study drug initiation, based on measurements of acute bacterial skin and skin structure infections (ABSSSI) lesion size
Time Frame
48-72 hours after the initiation of study therapy
Title
Clinical Status
Description
Compare the clinical efficacy at end of treatment visit of dalbavancin to the comparator regimen based on lesion size, local signs, temperature and receipt of non-study antibiotics
Time Frame
End of Treatment Visit (Day 14-15)
Title
Clinical Status
Description
Compare the clinical efficacy at the day 28 follow-up visit of dalbavancin to the comparator regimen based on lesion size, local signs, temperature and receipt of non-study antibiotics
Time Frame
Follow-Up Visit (day 28)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female patients 18 - 85 years of age. Signed and dated informed consent document. Major abscess, surgical site infection, traumatic wound infection or cellulitis suspected or confirmed to be caused by Gram-positive bacteria. At least two (2) local signs and symptoms of ABSSSI and at least one (1) systemic sign of infection. Requires a minimum of 3 days of IV therapy. Patient willing and able to comply with study procedures. Exclusion Criteria: Patients presenting with any of the following: A contra-indication to any required study drug. Pregnant or nursing females. Sustained shock. Participation in another study of an investigational drug or device within 30 days. Receipt of a systemically or topically administered antibiotic within 14 days prior to randomization, except receipt of a single dose of a short-acting antibacterial drug 3 or more days prior to randomization. Infection due to a dalbavancin or vancomycin-resistant organism. Evidence of meningitis, necrotizing fasciitis, gas gangrene, gangrene, septic arthritis, osteomyelitis, and/or endovascular infection. Exclusively gram-negative bacterial or a fungal ABSSSI. Venous catheter infection. Infection of a diabetic foot ulcer or a decubitus ulcer. Device-related infections. Gram-negative bacteremia. Infected burns. Infected limb with critical ischemia. Superficial/simple skin and skin structure infections. Concomitant condition requiring non-study antibacterial therapy. ABSSSI requiring therapy for longer than 14 days. Adjunctive therapy with hyperbaric oxygen. More than 2 surgical interventions for ABSSSI anticipated. Chronic inflammatory condition precluding assessment of clinical response. Absolute neutrophil count < 500 cells/mm3. Human immunodeficiency virus (HIV) infection with a CD4 cell count < 200 cells/mm3. Recent bone marrow transplant, > 20 mg prednisolone per day (or equivalent) or receiving immunosuppressant drugs after organ transplantation. Regular, chronic antipyretic use in patients unable to modify during the first three days of study drug therapy. Life expectancy less than 3 months. Conditions that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results. Prior participation in the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Michael Dunne, MD
Organizational Affiliation
Durata Therapeutics Inc., an affiliate of Allergan plc
Official's Role
Study Director
Facility Information:
Facility Name
Durata Study Site
City
Anaheim
State/Province
California
ZIP/Postal Code
92804
Country
United States
Facility Name
Durata Study Site
City
Azusa
State/Province
California
ZIP/Postal Code
91702
Country
United States
Facility Name
Durata Study Site
City
Bellflower
State/Province
California
ZIP/Postal Code
90706
Country
United States
Facility Name
Durata Study Site
City
Buena Park
State/Province
California
ZIP/Postal Code
90620
Country
United States
Facility Name
Durata Study Site
City
Carmel
State/Province
California
ZIP/Postal Code
46032
Country
United States
Facility Name
Durata Study Site
City
Chula Vista
State/Province
California
ZIP/Postal Code
92911
Country
United States
Facility Name
Durata Study Site
City
Covina
State/Province
California
ZIP/Postal Code
91723
Country
United States
Facility Name
Durata Study Site
City
Fountain Valley
State/Province
California
ZIP/Postal Code
92708
Country
United States
Facility Name
Durata Study Site
City
La Mesa
State/Province
California
ZIP/Postal Code
91942
Country
United States
Facility Name
Durata Study Site
City
Long Beach
State/Province
California
ZIP/Postal Code
90813
Country
United States
Facility Name
Durata Study Site
City
Los Alamitos
State/Province
California
ZIP/Postal Code
90720
Country
United States
Facility Name
Durata Study Site
City
Los Angeles
State/Province
California
ZIP/Postal Code
90015
Country
United States
Facility Name
Durata Study Site
City
Oceanside
State/Province
California
ZIP/Postal Code
92056
Country
United States
Facility Name
Durata Study Site
City
Palm Desert
State/Province
California
ZIP/Postal Code
92211
Country
United States
Facility Name
Durata Study Site
City
Pasadena
State/Province
California
ZIP/Postal Code
91105
Country
United States
Facility Name
Durata Study Site
City
Sacramento
State/Province
California
ZIP/Postal Code
95817
Country
United States
Facility Name
Durata Study Site
City
San Diego
State/Province
California
ZIP/Postal Code
92120
Country
United States
Facility Name
Durata Study Site
City
Santa Ana
State/Province
California
ZIP/Postal Code
92701
Country
United States
Facility Name
Durata Study Site
City
Sylmar
State/Province
California
ZIP/Postal Code
91342
Country
United States
Facility Name
Durata Study Site
City
Torrance
State/Province
California
ZIP/Postal Code
90509
Country
United States
Facility Name
Durata Study Site
City
Upland
State/Province
California
ZIP/Postal Code
91786
Country
United States
Facility Name
Durata Study Site
City
Whittier
State/Province
California
ZIP/Postal Code
90602
Country
United States
Facility Name
Durata Study Site
City
Miami
State/Province
Florida
ZIP/Postal Code
33144
Country
United States
Facility Name
Durata Study Site
City
Miami
State/Province
Florida
ZIP/Postal Code
33155
Country
United States
Facility Name
Durata Study Site
City
Orlando
State/Province
Florida
ZIP/Postal Code
32837
Country
United States
Facility Name
Durata Study Site
City
St. Cloud
State/Province
Florida
ZIP/Postal Code
34769
Country
United States
Facility Name
Durata Study Site
City
Tampa
State/Province
Florida
ZIP/Postal Code
33613
Country
United States
Facility Name
Durata Study Site
City
Columbus
State/Province
Georgia
ZIP/Postal Code
31904
Country
United States
Facility Name
Durata Study Site
City
Savannah
State/Province
Georgia
ZIP/Postal Code
31406
Country
United States
Facility Name
Durata Study Site
City
Idaho Falls
State/Province
Idaho
ZIP/Postal Code
83404
Country
United States
Facility Name
Durata Study Site
City
Pocatello
State/Province
Idaho
ZIP/Postal Code
83202
Country
United States
Facility Name
Durata Study Site
City
Moline
State/Province
Illinois
ZIP/Postal Code
61265
Country
United States
Facility Name
Durata Study Site
City
Rock Island
State/Province
Illinois
ZIP/Postal Code
31201
Country
United States
Facility Name
Durata Study Site
City
Baton Rouge
State/Province
Louisiana
ZIP/Postal Code
70808
Country
United States
Facility Name
Durata Study Site
City
Lafayette
State/Province
Louisiana
ZIP/Postal Code
70503
Country
United States
Facility Name
Durata Clinical Site
City
New Orleans
State/Province
Louisiana
ZIP/Postal Code
70112
Country
United States
Facility Name
Durata Study Site
City
Opelousas
State/Province
Louisiana
ZIP/Postal Code
70570
Country
United States
Facility Name
Durata Study Site
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48202
Country
United States
Facility Name
Durata Study Site
City
Minneapolis
State/Province
Minnesota
ZIP/Postal Code
55422
Country
United States
Facility Name
Durata Study Site
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89109
Country
United States
Facility Name
Durata Study Site
City
Somers Point
State/Province
New Jersey
ZIP/Postal Code
08244
Country
United States
Facility Name
Durata Study Site
City
Bronx
State/Province
New York
ZIP/Postal Code
10467
Country
United States
Facility Name
Durata Study Site
City
Buffalo
State/Province
New York
ZIP/Postal Code
14215
Country
United States
Facility Name
Durata Study Site
City
Lake Success
State/Province
New York
ZIP/Postal Code
11042
Country
United States
Facility Name
Durata Study Site
City
New Hyde Park
State/Province
New York
ZIP/Postal Code
11040
Country
United States
Facility Name
Durata Study Site
City
Staten Island
State/Province
New York
ZIP/Postal Code
10305
Country
United States
Facility Name
Durata Study Site
City
Winston Salem
State/Province
North Carolina
ZIP/Postal Code
27103
Country
United States
Facility Name
Durata Study Site
City
Winston-Salem
State/Province
North Carolina
ZIP/Postal Code
27103
Country
United States
Facility Name
Durata Study Site
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43215
Country
United States
Facility Name
Durata Study Site
City
Lima
State/Province
Ohio
ZIP/Postal Code
45801
Country
United States
Facility Name
Durata Study Site
City
Toledo
State/Province
Ohio
ZIP/Postal Code
43608
Country
United States
Facility Name
Durata Study Site
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15213
Country
United States
Facility Name
Durata Study Site
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
Durata Study Site
City
Houston
State/Province
Texas
ZIP/Postal Code
77036
Country
United States
Facility Name
Durata Study Site
City
Madison
State/Province
Wisconsin
ZIP/Postal Code
53717
Country
United States
Facility Name
Durata Study Site
City
Middleton
State/Province
Wisconsin
ZIP/Postal Code
53562
Country
United States
Facility Name
Durata Study Site
City
Winnipeg
State/Province
Manitoba
ZIP/Postal Code
R3E 0J9
Country
Canada
Facility Name
Durata Study Site
City
Trois-Rivieres
State/Province
Quebec
ZIP/Postal Code
G9A 1Y1
Country
Canada
Facility Name
Durata Study Site
City
Dubrovnik
ZIP/Postal Code
2000
Country
Croatia
Facility Name
Durata Clinical Site
City
Slavonski Brod
ZIP/Postal Code
35000
Country
Croatia
Facility Name
Durata Study Site
City
Zagreb
ZIP/Postal Code
10000
Country
Croatia
Facility Name
Durata Study Site
City
Zagreb
ZIP/Postal Code
1000
Country
Croatia
Facility Name
Durata Clinical Site
City
Tbilisi
Country
Georgia
Facility Name
Durata Study Site
City
Bochum
ZIP/Postal Code
44791
Country
Germany
Facility Name
Durata Study Site
City
Munster
ZIP/Postal Code
48149
Country
Germany
Facility Name
Durata Study Site
City
Krakow
ZIP/Postal Code
31-501
Country
Poland
Facility Name
Durata Study Site
City
Legionowo
ZIP/Postal Code
05-120
Country
Poland
Facility Name
Durata Study Site
City
Warszawa
ZIP/Postal Code
03-401
Country
Poland
Facility Name
Durata Study Site
City
Wroclaw
ZIP/Postal Code
51-124
Country
Poland
Facility Name
Durata Study Site
City
Kharkiv
State/Province
Ukraine
ZIP/Postal Code
61037
Country
Russian Federation
Facility Name
Durata Study Site
City
Kyiv city
State/Province
Ukraine
ZIP/Postal Code
02125
Country
Russian Federation
Facility Name
Durata Study Site
City
Ekaterinburg
ZIP/Postal Code
620095
Country
Russian Federation
Facility Name
Durata Study Site
City
Moscow
ZIP/Postal Code
111020
Country
Russian Federation
Facility Name
Durata Clinical Site
City
Moscow
ZIP/Postal Code
111539
Country
Russian Federation
Facility Name
Durata Study Site
City
Moscow
ZIP/Postal Code
129327
Country
Russian Federation
Facility Name
Durata Study Site
City
Perm
ZIP/Postal Code
614036
Country
Russian Federation
Facility Name
Durata Study Site
City
Saratov
ZIP/Postal Code
410053
Country
Russian Federation
Facility Name
Durata Study Site
City
Smolensk
ZIP/Postal Code
214018
Country
Russian Federation
Facility Name
Durata Study Site
City
St. Petersburg
ZIP/Postal Code
191104
Country
Russian Federation
Facility Name
Durata Study Site
City
St. Petersburg
ZIP/Postal Code
192242
Country
Russian Federation
Facility Name
Durata Study Site
City
St. Petersburg
ZIP/Postal Code
194354
Country
Russian Federation
Facility Name
Durata Study Site
City
St. Petersburg
ZIP/Postal Code
198099
Country
Russian Federation
Facility Name
Durata Clinical Site
City
St. Petersburg
ZIP/Postal Code
94354
Country
Russian Federation
Facility Name
Durata Study Site
City
Tomsk
ZIP/Postal Code
634064
Country
Russian Federation
Facility Name
Durata Study Site
City
Cherkasy
ZIP/Postal Code
18009
Country
Ukraine
Facility Name
Durata Study Site
City
Ivano-Frankivsk
ZIP/Postal Code
76018
Country
Ukraine
Facility Name
Durata Study Site
City
Kharkiv
ZIP/Postal Code
61037
Country
Ukraine
Facility Name
Durata Study Site
City
Kyiv
ZIP/Postal Code
02125
Country
Ukraine
Facility Name
Durata Study Site
City
Kyiv
ZIP/Postal Code
03110
Country
Ukraine
Facility Name
Durata Study Site
City
Uzhgorod
ZIP/Postal Code
88018
Country
Ukraine
Facility Name
Durata Study Site
City
Zaporizhzhya
ZIP/Postal Code
69032
Country
Ukraine
Facility Name
Durata Study Site
City
Zhytomyr
ZIP/Postal Code
10002
Country
Ukraine

12. IPD Sharing Statement

Citations:
PubMed Identifier
34905144
Citation
Gonzalez PL, Rappo U, Akinapelli K, McGregor JS, Puttagunta S, Dunne MW. Outcomes in Patients with Staphylococcus aureus Bacteremia Treated with Dalbavancin in Clinical Trials. Infect Dis Ther. 2022 Feb;11(1):423-434. doi: 10.1007/s40121-021-00568-7. Epub 2021 Dec 14.
Results Reference
derived
PubMed Identifier
24897082
Citation
Boucher HW, Wilcox M, Talbot GH, Puttagunta S, Das AF, Dunne MW. Once-weekly dalbavancin versus daily conventional therapy for skin infection. N Engl J Med. 2014 Jun 5;370(23):2169-79. doi: 10.1056/NEJMoa1310480.
Results Reference
derived

Learn more about this trial

Efficacy and Safety of Dalbavancin for the Treatment of Acute Bacterial Skin and Skin Structure Infections

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