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Omadacycline Versus Linezolid for the Treatment of ABSSSI (EudraCT #2013-003644-23)

Primary Purpose

Bacterial Infections, Skin Structures and Soft Tissue Infections

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Omadacycline
Linezolid
Sponsored by
Paratek Pharmaceuticals Inc
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Bacterial Infections

Eligibility Criteria

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

Inclusion Criteria:

  • Patients, ages 18 years or older who have signed the informed consent
  • Has a qualifying skin and skin structure infection
  • Female patients must not be pregnant at the time of enrollment
  • Must agree to a reliable method of birth control during the study and for 30 days following the last dose of study drug

Exclusion Criteria:

  • Infections where the outcome is strongly influenced by factors other than protocol-defined treatment and procedures, that require antibacterial treatment for greater than 14 days
  • Evidence of significant immunological disease
  • Severe sepsis or septic shock
  • Has a history of hypersensitivity or allergic reaction to any tetracycline or to linezolid
  • Has received an investigational drug within past 30 days
  • Women who are pregnant or nursing

Sites / Locations

  • Site 261
  • Site 262
  • Site 254
  • Site 258
  • Site 252
  • Site 260
  • Site 269
  • Site 259
  • Site 264
  • Site 256
  • Site 253
  • Site 257
  • Site 268
  • Site 266
  • Site 263
  • Site 270
  • Site 273
  • Site 255
  • Site 104
  • Site 102
  • Site 105
  • Site 103
  • Site 101
  • Site 205
  • Site 201
  • Site 203
  • Site 202
  • Site 204
  • Site 207
  • Site 211
  • Site 208
  • Site 209
  • Site 110
  • Site 111
  • Site 114
  • Site 113
  • Site 213
  • Site 219
  • Site 214
  • Site 216
  • Site 122
  • Site 123
  • Site 124
  • Site 120
  • Site 121
  • Site 234
  • Site 233
  • Site 236
  • Site 238
  • Site 239
  • Site 237
  • Site 130
  • Site 133
  • Site 131
  • Site 134
  • Site 132
  • Site 141
  • Site 142
  • Site 146
  • Site 144
  • Site 140
  • Site 145
  • Site 143
  • Site 241
  • Site 244
  • Site 222
  • Site 221
  • Site 247
  • Site 246
  • Site 172
  • Site 173
  • Site 179
  • Site 171
  • Site 170
  • Site 174
  • Site 175
  • Site 178
  • Site 176

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Omadacycline

Linezolid

Arm Description

Omadacycline IV; Omadacycline tablets

Linezolid IV; Linezolid tablets

Outcomes

Primary Outcome Measures

Number of Participants With Early Clinical Response
Early clinical response is defined as clinical success, which is categorized as survival with at least a 20% reduction of acute bacterial skin and skin structure infection (ABSSSI) primary lesion size compared to Screening measurements, without receiving any rescue antibacterial therapy. An indeterminate classification is used for a response that could not be adequately inferred because the participant was not assessed because they withdrew consent, were lost to follow-up, or other specified reason.

Secondary Outcome Measures

Number of Participants With the Indicated Investigator Assessment of Clinical Response in the mITT Population at the Post Therapy Evaluation (PTE) Visit
At the PTE Visit the investigator indicated one of the following outcomes relating to the primary infection under study: Clinical Success: participant was alive; the infection was sufficiently resolved such that further antibacterial therapy was not needed. These participants may have had some residual changes related to infection requiring ancillary treatment. Clinical Failure was defined as meeting any of the following criteria: infection required additional treatment with alternative antibacterial therapy; participant received antibacterial therapy between the End-of-Treatment (EOT) Visit and the PTE Visit that may have been effective for the infection under study for a different infection from the one under study; unplanned major surgical intervention for the infection under study between the EOT and PTE Visits; participant died before evaluation. Indeterminate: clinical response to test article could not be adequately inferred.
Number of Participants With the Indicated Investigator Assessment of Clinical Response in the Clinically Evaluable-Post Therapy Evaluation (CE-PTE) Population
At the PTE Visit the investigator indicated one of the following outcomes relating to the primary infection under study: Clinical Success: participant was alive; the infection was sufficiently resolved such that further antibacterial therapy was not needed. These participants may have had some residual changes related to infection requiring ancillary treatment. Clinical Failure was defined as meeting any of the following criteria: infection required additional treatment with alternative antibacterial therapy; participant received antibacterial therapy between the EOT Visit and the PTE Visit that may have been effective for the infection under study for a different infection from the one under study; unplanned major surgical intervention for the infection under study between the EOT and PTE Visits; participant died before evaluation.
Number of Participants With the Indicated Type of Adverse Event (AE)
An AE is defined as any untoward, undesired, or unplanned event in the form of signs, symptoms, disease, or laboratory or physiologic observations occurring in a person given a test article or in a clinical study. The event does not need to be causally related to the test article or clinical study. A serious adverse event (SAE) is defined as an event that resulted in death, was life-threatening, required hospitalization or prolongation of an existing hospitalization, resulted in a persistent or significant disability or incapacity, resulted in cancer, or resulted in a congenital anomaly or birth defect. A treatment-emergent AE (TEAE) is defined as any AE that newly appeared, increased in frequency, or worsened in severity on or after the initiation of active test article. Vital sign measurements, electrocardiogram findings, and laboratory values classified as adverse events were included in the analysis. Data are presented as the number of participants with at least 1 of the event.

Full Information

First Posted
February 19, 2015
Last Updated
March 20, 2019
Sponsor
Paratek Pharmaceuticals Inc
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1. Study Identification

Unique Protocol Identification Number
NCT02378480
Brief Title
Omadacycline Versus Linezolid for the Treatment of ABSSSI (EudraCT #2013-003644-23)
Official Title
A Phase 3 Randomized, Double-blind, Multi-center Study to Compare the Safety and Efficacy of Omadacycline IV/PO to Linezolid IV/PO for Treating Adults With Acute Bacterial Skin and Skin Structure Infections (ABSSSI)
Study Type
Interventional

2. Study Status

Record Verification Date
March 2019
Overall Recruitment Status
Completed
Study Start Date
June 2015 (undefined)
Primary Completion Date
April 2016 (Actual)
Study Completion Date
May 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Paratek Pharmaceuticals Inc

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate the safety and efficacy of omadacycline as compared to linezolid in the treatment of adults with acute bacterial skin and skin structure infections.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Bacterial Infections, Skin Structures and Soft Tissue Infections

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
655 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Omadacycline
Arm Type
Experimental
Arm Description
Omadacycline IV; Omadacycline tablets
Arm Title
Linezolid
Arm Type
Active Comparator
Arm Description
Linezolid IV; Linezolid tablets
Intervention Type
Drug
Intervention Name(s)
Omadacycline
Intervention Description
Injection for IV dosing; Tablets for oral dosing
Intervention Type
Drug
Intervention Name(s)
Linezolid
Other Intervention Name(s)
Zyvox
Intervention Description
Infusion solution for IV dosing; Tablets for oral dosing
Primary Outcome Measure Information:
Title
Number of Participants With Early Clinical Response
Description
Early clinical response is defined as clinical success, which is categorized as survival with at least a 20% reduction of acute bacterial skin and skin structure infection (ABSSSI) primary lesion size compared to Screening measurements, without receiving any rescue antibacterial therapy. An indeterminate classification is used for a response that could not be adequately inferred because the participant was not assessed because they withdrew consent, were lost to follow-up, or other specified reason.
Time Frame
Screening; 48 to 72 hours after the first dose of test article
Secondary Outcome Measure Information:
Title
Number of Participants With the Indicated Investigator Assessment of Clinical Response in the mITT Population at the Post Therapy Evaluation (PTE) Visit
Description
At the PTE Visit the investigator indicated one of the following outcomes relating to the primary infection under study: Clinical Success: participant was alive; the infection was sufficiently resolved such that further antibacterial therapy was not needed. These participants may have had some residual changes related to infection requiring ancillary treatment. Clinical Failure was defined as meeting any of the following criteria: infection required additional treatment with alternative antibacterial therapy; participant received antibacterial therapy between the End-of-Treatment (EOT) Visit and the PTE Visit that may have been effective for the infection under study for a different infection from the one under study; unplanned major surgical intervention for the infection under study between the EOT and PTE Visits; participant died before evaluation. Indeterminate: clinical response to test article could not be adequately inferred.
Time Frame
Screening; 7 to 14 days after the last day of therapy
Title
Number of Participants With the Indicated Investigator Assessment of Clinical Response in the Clinically Evaluable-Post Therapy Evaluation (CE-PTE) Population
Description
At the PTE Visit the investigator indicated one of the following outcomes relating to the primary infection under study: Clinical Success: participant was alive; the infection was sufficiently resolved such that further antibacterial therapy was not needed. These participants may have had some residual changes related to infection requiring ancillary treatment. Clinical Failure was defined as meeting any of the following criteria: infection required additional treatment with alternative antibacterial therapy; participant received antibacterial therapy between the EOT Visit and the PTE Visit that may have been effective for the infection under study for a different infection from the one under study; unplanned major surgical intervention for the infection under study between the EOT and PTE Visits; participant died before evaluation.
Time Frame
Screening; 7 to 14 days after the last day of therapy
Title
Number of Participants With the Indicated Type of Adverse Event (AE)
Description
An AE is defined as any untoward, undesired, or unplanned event in the form of signs, symptoms, disease, or laboratory or physiologic observations occurring in a person given a test article or in a clinical study. The event does not need to be causally related to the test article or clinical study. A serious adverse event (SAE) is defined as an event that resulted in death, was life-threatening, required hospitalization or prolongation of an existing hospitalization, resulted in a persistent or significant disability or incapacity, resulted in cancer, or resulted in a congenital anomaly or birth defect. A treatment-emergent AE (TEAE) is defined as any AE that newly appeared, increased in frequency, or worsened in severity on or after the initiation of active test article. Vital sign measurements, electrocardiogram findings, and laboratory values classified as adverse events were included in the analysis. Data are presented as the number of participants with at least 1 of the event.
Time Frame
0 to 37 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients, ages 18 years or older who have signed the informed consent Has a qualifying skin and skin structure infection Female patients must not be pregnant at the time of enrollment Must agree to a reliable method of birth control during the study and for 30 days following the last dose of study drug Exclusion Criteria: Infections where the outcome is strongly influenced by factors other than protocol-defined treatment and procedures, that require antibacterial treatment for greater than 14 days Evidence of significant immunological disease Severe sepsis or septic shock Has a history of hypersensitivity or allergic reaction to any tetracycline or to linezolid Has received an investigational drug within past 30 days Women who are pregnant or nursing
Facility Information:
Facility Name
Site 261
City
Mobile
State/Province
Alabama
ZIP/Postal Code
36608
Country
United States
Facility Name
Site 262
City
Chula Vista
State/Province
California
ZIP/Postal Code
91911
Country
United States
Facility Name
Site 254
City
La Mesa
State/Province
California
ZIP/Postal Code
91942
Country
United States
Facility Name
Site 258
City
Oceanside
State/Province
California
ZIP/Postal Code
92056
Country
United States
Facility Name
Site 252
City
Santa Ana
State/Province
California
ZIP/Postal Code
92705
Country
United States
Facility Name
Site 260
City
Santa Ana
State/Province
California
ZIP/Postal Code
92705
Country
United States
Facility Name
Site 269
City
Stockton
State/Province
California
ZIP/Postal Code
95204
Country
United States
Facility Name
Site 259
City
Miami
State/Province
Florida
ZIP/Postal Code
33144
Country
United States
Facility Name
Site 264
City
West Palm Beach
State/Province
Florida
ZIP/Postal Code
33407
Country
United States
Facility Name
Site 256
City
Augusta
State/Province
Georgia
ZIP/Postal Code
30909
Country
United States
Facility Name
Site 253
City
Columbus
State/Province
Georgia
ZIP/Postal Code
31904
Country
United States
Facility Name
Site 257
City
Springfield
State/Province
Massachusetts
ZIP/Postal Code
01199
Country
United States
Facility Name
Site 268
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48202
Country
United States
Facility Name
Site 266
City
Butte
State/Province
Montana
ZIP/Postal Code
59701
Country
United States
Facility Name
Site 263
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89119
Country
United States
Facility Name
Site 270
City
Somers Point
State/Province
New Jersey
ZIP/Postal Code
08244
Country
United States
Facility Name
Site 273
City
Buffalo
State/Province
New York
ZIP/Postal Code
14215
Country
United States
Facility Name
Site 255
City
Rapid City
State/Province
South Dakota
ZIP/Postal Code
57702
Country
United States
Facility Name
Site 104
City
Pleven
Country
Bulgaria
Facility Name
Site 102
City
Plovdiv
Country
Bulgaria
Facility Name
Site 105
City
Plovdiv
Country
Bulgaria
Facility Name
Site 103
City
Rousse
Country
Bulgaria
Facility Name
Site 101
City
Sofia
Country
Bulgaria
Facility Name
Site 205
City
Slavonski Brod
Country
Croatia
Facility Name
Site 201
City
Zagreb
ZIP/Postal Code
10000
Country
Croatia
Facility Name
Site 203
City
Zagreb
ZIP/Postal Code
10000
Country
Croatia
Facility Name
Site 202
City
Zagreb
Country
Croatia
Facility Name
Site 204
City
Zagreb
Country
Croatia
Facility Name
Site 207
City
Athens
Country
Greece
Facility Name
Site 211
City
Athens
Country
Greece
Facility Name
Site 208
City
Thessaloniki
Country
Greece
Facility Name
Site 209
City
Thessaloniki
Country
Greece
Facility Name
Site 110
City
Budapest
Country
Hungary
Facility Name
Site 111
City
Budapest
Country
Hungary
Facility Name
Site 114
City
Miskolc
Country
Hungary
Facility Name
Site 113
City
Szeged
Country
Hungary
Facility Name
Site 213
City
Holon
Country
Israel
Facility Name
Site 219
City
Kfar-Saba
Country
Israel
Facility Name
Site 214
City
Nazareth
Country
Israel
Facility Name
Site 216
City
Safed
Country
Israel
Facility Name
Site 122
City
Daugavpils
Country
Latvia
Facility Name
Site 123
City
Liepaja
Country
Latvia
Facility Name
Site 124
City
Rezekne
Country
Latvia
Facility Name
Site 120
City
Riga
Country
Latvia
Facility Name
Site 121
City
Riga
Country
Latvia
Facility Name
Site 234
City
Cusco
Country
Peru
Facility Name
Site 233
City
Lima
Country
Peru
Facility Name
Site 236
City
Lima
Country
Peru
Facility Name
Site 238
City
Lima
Country
Peru
Facility Name
Site 239
City
Lima
Country
Peru
Facility Name
Site 237
City
Trujillo
Country
Peru
Facility Name
Site 130
City
Bydgoszcz
Country
Poland
Facility Name
Site 133
City
Katowice
Country
Poland
Facility Name
Site 131
City
Lodz
Country
Poland
Facility Name
Site 134
City
Olsztyn
Country
Poland
Facility Name
Site 132
City
Warszawa
Country
Poland
Facility Name
Site 141
City
Bucharest
Country
Romania
Facility Name
Site 142
City
Bucharest
Country
Romania
Facility Name
Site 146
City
Bucharest
Country
Romania
Facility Name
Site 144
City
Cluj-Napoca
Country
Romania
Facility Name
Site 140
City
Craiova
Country
Romania
Facility Name
Site 145
City
Timisoara
Country
Romania
Facility Name
Site 143
City
Târgu-Mureş
Country
Romania
Facility Name
Site 241
City
Benoni
State/Province
Gauteng
Country
South Africa
Facility Name
Site 244
City
Thabazimbi
State/Province
Limpopo
Country
South Africa
Facility Name
Site 222
City
Terrassa
State/Province
Barcelona
Country
Spain
Facility Name
Site 221
City
Barcelona
State/Province
Cataluna
Country
Spain
Facility Name
Site 247
City
Ankara
Country
Turkey
Facility Name
Site 246
City
Trabzon
Country
Turkey
Facility Name
Site 172
City
Dnipropetrovsk
Country
Ukraine
Facility Name
Site 173
City
Dnipropetrovsk
Country
Ukraine
Facility Name
Site 179
City
Kharkiv
Country
Ukraine
Facility Name
Site 171
City
Kyiv
Country
Ukraine
Facility Name
Site 170
City
Lviv
Country
Ukraine
Facility Name
Site 174
City
Odesa
Country
Ukraine
Facility Name
Site 175
City
Uzhhorod
Country
Ukraine
Facility Name
Site 178
City
Vinnytsia
Country
Ukraine
Facility Name
Site 176
City
Zaporizhia
Country
Ukraine

12. IPD Sharing Statement

Citations:
PubMed Identifier
35776862
Citation
Vacalis S, Brunton S, Gindi J. Omadacycline in Skin Infections and Pneumonia: A Review of the Evidence. J Fam Pract. 2022 Jun;71(5 Suppl):S10-S21. doi: 10.12788/jfp.0424.
Results Reference
derived
PubMed Identifier
33458763
Citation
Pai MP, Wilcox MH, Chitra S, McGovern PC. Safety and efficacy of omadacycline by BMI categories and diabetes history in two Phase III randomized studies of patients with acute bacterial skin and skin structure infections. J Antimicrob Chemother. 2021 Apr 13;76(5):1315-1322. doi: 10.1093/jac/dkaa558.
Results Reference
derived
PubMed Identifier
33326848
Citation
Cornely OA, File TM Jr, Garrity-Ryan L, Chitra S, Noble R, McGovern PC. Safety and efficacy of omadacycline for treatment of community-acquired bacterial pneumonia and acute bacterial skin and skin structure infections in patients with mild-to-moderate renal impairment. Int J Antimicrob Agents. 2021 Feb;57(2):106263. doi: 10.1016/j.ijantimicag.2020.106263. Epub 2020 Dec 14.
Results Reference
derived
PubMed Identifier
31367742
Citation
Abrahamian FM, Sakoulas G, Tzanis E, Manley A, Steenbergen J, Das AF, Eckburg PB, McGovern PC. Omadacycline for Acute Bacterial Skin and Skin Structure Infections. Clin Infect Dis. 2019 Aug 1;69(Suppl 1):S23-S32. doi: 10.1093/cid/ciz396.
Results Reference
derived
PubMed Identifier
30726689
Citation
O'Riordan W, Green S, Overcash JS, Puljiz I, Metallidis S, Gardovskis J, Garrity-Ryan L, Das AF, Tzanis E, Eckburg PB, Manley A, Villano SA, Steenbergen JN, Loh E. Omadacycline for Acute Bacterial Skin and Skin-Structure Infections. N Engl J Med. 2019 Feb 7;380(6):528-538. doi: 10.1056/NEJMoa1800170.
Results Reference
derived

Learn more about this trial

Omadacycline Versus Linezolid for the Treatment of ABSSSI (EudraCT #2013-003644-23)

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