A Study of Safety and Efficacy of MK-1986 (Tedizolid Phosphate) and Comparator in Participants From Birth to Less Than 12 Years of Age With Acute Bacterial Skin and Skin Structure Infections (MK-1986-018)
Acute Bacterial Skin and Skin Structure Infections
About this trial
This is an interventional treatment trial for Acute Bacterial Skin and Skin Structure Infections
Eligibility Criteria
Inclusion Criteria:
- Has a parent/legally acceptable representative who is able to give documented informed consent
- Has ABSSSI, defined as ≥1 of the following: 1) cellulitis/erysipelas, 2) major cutaneous abscess, or 3) wound infection
- Local symptoms of ABSSSI that started within 14 days before study start
- Suspected or documented Gram-positive bacterial infection
- Body weight ≥3.2 kg
Exclusion Criteria:
- Uncomplicated skin and skin structure infection
- ABSSSI due to or associated with disallowed etiology per protocol
- Received antibacterial therapy for treatment of the current episode of ABSSSI except 1) <48 hours of antibacterial therapy with a short-acting antibacterial drug, or 2) response is considered to be failure (no improvement in signs and symptoms) after at least 48 hours of therapy
- Known bacteremia, severe sepsis, or septic shock
- Significant or life-threatening condition, disease, or organ system condition
- Recent history of opportunistic infections where the underlying cause of the infection is still active, or is suspected to be at risk of opportunistic infection with unusual pathogens
- Received or is receiving treatment for active tuberculosis within 1 month of study start
- Known or suspected severe neutropenia
- Human immunodeficiency virus (HIV) positive and has Cluster of Differentiation (CD) 4 cell count <15% (HIV testing is not required for eligibility)
- Renal impairment that requires renal filtration
- Severe hepatic impairment
- Cardiac or electrocardiogram (ECG) finding that would limit participation in the study
- Received an investigational medicinal product (not approved) within 30 days before study start
- Investigational device present or removed within 30 days before study start
- Previously treated with tedizolid phosphate
- Contraindication, including hypersensitivity to tedizolid phosphate, other oxazolidinones, or any component in the formulation
- Contraindication, including hypersensitivity to all available comparator drugs
- Wound infection and history of hypersensitivity to aztreonam adjunctive therapy or metronidazole adjunctive therapy, if adjunctive therapy is required
- Needs oral administration of methotrexate, topotecan, irinotecan, or rosuvastatin, during administration of oral study drug (administration during the follow-up period, ie, after the EOT visit, is allowed, as is administration during treatment with IV drug)
- Female who is pregnant or nursing or is of childbearing potential and not abstinent; or male who is not abstinent
- Use of monoamine oxidase inhibitors, tricyclic antidepressants, buspirone, selective serotonin reuptake inhibitors, or serotonin 5-hydroxytryptamine receptor agonists (triptans)
- Identified as having used illicit drugs (urine drug screening not required for entry)
Sites / Locations
- Rady Children's Hospital-San Diego ( Site 0118)
- Ann & Robert H. Lurie Children's Hospital of Chicago ( Site 0129)
- Children's Hospital of Michigan ( Site 0100)
- William Beaumont Hospital ( Site 0108)
- St. Louis Children's Hospital ( Site 0127)
- Cook Children's Medical Center ( Site 0124)
- Baylor College of Medicine - Texas Children's Hospital ( Site 0107)
- Children's Hospital of Richmond at VCU ( Site 0123)
- Hospital Pequeno Principe ( Site 0276)
- Inst de Medicina Integral Professor Fernando Figueira- IMIP ( Site 0277)
- Centro de Estudos e Pesquisa em Molestias Infecciosas - CPCL-CENTRO DE ESTUDOS E PESQUISAS EM MOLES
- Instituto D'Or de Pesquisa e Ensino (IDOR)-Hospital São Luiz Jabaquara ( Site 0283)
- MHAT Sv. Nikolay Chudotvorets EOOD ( Site 0338)
- UMHAT Deva Maria ( Site 0333)
- MHAT City Clinic Sv. Georgi EOOD ( Site 0334)
- MHAT Dr. Stamen Iliev AD ( Site 0339)
- UMHAT Dr. Georgi Stranski EAD ( Site 0330)
- UMHAT Sv. Georgi ( Site 0332)
- MBAL Medica Ruse EOOD ( Site 0336)
- UMHAT Kanev AD ( Site 0337)
- UMHATEM. N.I.Pirogov. EAD ( Site 0331)
- JSC Evex Hospitals. ( Site 0601)
- Tbilisi State Medical University G. Zhvania Pediatric Academic Clinic ( Site 0600)
- JSC Evex Hospital ( Site 0602)
- JSC Evex Hospitals ( Site 0603)
- Haunersches Kinderspital ( Site 0480)
- Clinica Privada ( Site 0551)
- Private Practice Mario Melgar ( Site 0552)
- Private Practice Dra. Manrique ( Site 0553)
- Daugavpils Regional Hospital ( Site 0651)
- Liepaja Regional Hospital ( Site 0652)
- Hospital of Lithuanian University of Health Sciences Kaunas ( Site 0701)
- Klaipedos Vaiku Ligonine ( Site 0700)
- Vaiku ligonine VsI VUL Santaros kliniku filialas ( Site 0702)
- Instituto Nacional de Pediatria ( Site 0231)
- Hospital Infantil de Mexico Federico Gomez ( Site 0227)
- Hospital Civil Fray Antonio Alcalde-pediatrics infectious diseases ( Site 0230)
- CHRISTUS - LATAM HUB CENTER OF EXCELLENCE AND INNOVATION S.C. ( Site 0241)
- Centenario Hospital Miguel Hidalgo-Pediatrics Department ( Site 0239)
- Wojewodzki Szpital Obserwacyjno Zakazny ( Site 0429)
- Wojewodzki Szpital Specjalistyczny im. dr. Wladyslawa Bieganskiego ( Site 0427)
- SZPZOZ im. Dzieci Warszawy w Dziekanowie Lesnym ( Site 0431)
- City Childrens Clinical Emergency Hospital ( Site 0507)
- Smolensk Regional Clinical Hospital ( Site 0511)
- Children s Republican Clinical Hospital ( Site 0512)
- Emmed Research Incorporating ( Site 0377)
- Setshaba Research Centre ( Site 0378)
- Enhancing Care Foundation-DICRS ( Site 0381)
- Cukurova Uni Tip Fak Cocuk Saglıgı ve Hasta ABD ( Site 0353)
- Hacettepe Universitesi Tip Fakultesi Hastanesi ( Site 0351)
- Ankara City Hospital-Infectious Disease and Clinical Microbiology ( Site 0359)
- Osmangazi UTF ( Site 0357)
- Istanbul Universitesi Istanbul Tip Fakultesi ( Site 0355)
- Sisli Hamide Etfal Egitim ve Arastirma Hastanesi ( Site 0358)
- Ege UTF ( Site 0356)
- Dnipropetrovsk Oblast Children's Clinical Hospital ( Site 0868)
- SI Dnipropetrovsk Regional Children Clinical Hospital DOR ( Site 0863)
- Ivano-Frankivsk Regional Children Clinical Hospital ( Site 0865)
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Arm 8
Experimental
Active Comparator
Experimental
Active Comparator
Experimental
Active Comparator
Experimental
Active Comparator
Cohort 1: Tedizolid phosphate 6 to <12 Years
Cohort 1 Comparator: 6 to <12 Years
Cohort 2: Tedizolid phosphate 2 to <6 Years
Cohort 2 Comparator: 2 to <6 Years
Cohort 3: Tedizolid phosphate 28 Days to <2 Years
Cohort 3: Comparator: 28 Days to <2 Years
Cohort 4: Tedizolid phosphate Birth to <28 Days Neonates
Comparator: Birth to <28 Days (Term and preterm neonates)
Participants will receive tedizolid phosphate once-daily single 200-mg dose (body weight ≥50 kg) or twice-daily 2-mg/kg doses (body weight 30 kg to <50 kg); or twice-daily 2.5-mg/kg doses (body weight 3.2 kg to <30 kg), by IV and/or oral suspension for 6 to 10 days.
Participants will receive comparator IV and/or oral per local standard of care for 10 to 14 days
Participants will receive tedizolid phosphate once-daily single 200-mg dose (body weight ≥50 kg) or twice-daily 2-mg/kg doses (body weight 30 kg to <50 kg); or twice-daily 2.5-mg/kg doses (body weight 3.2 kg to <30 kg), by IV and/or oral suspension for 6 to 10 days.
Participants will receive comparator IV and/or oral per local standard of care for 10 to 14 days
Participants will receive tedizolid phosphate once-daily single 200-mg dose (body weight ≥50 kg) or twice-daily 2-mg/kg doses (body weight 30 kg to <50 kg); or twice-daily 2.5-mg/kg doses (body weight 3.2 kg to <30 kg), by IV and/or oral suspension for 6 to 10 days.
Participants will receive comparator IV and/or oral per local standard of care for 10 to 14 days
Participants will receive tedizolid phosphate ≤200 mg daily dose, IV and/or oral suspension for 6 to 10 days. Exact mg/kg dose is to be determined based on results of another study covering the age range.
Participants will receive comparator IV and/or oral per local standard of care for 10 to14 days