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Safety and Efficacy Study of Oxazolidinones to Treat Uncomplicated Skin Infections

Primary Purpose

Infectious Skin Diseases, Bacterial Skin Diseases, Staphylococcal Skin Infections

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Radezolid
Radezolid
Linezolid
Sponsored by
Melinta Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Infectious Skin Diseases

Eligibility Criteria

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

Inclusion Criteria:

  • Adult patients with uSSSI
  • Adult (men and women) ≥18 years
  • Females must be post-menopausal for at least 1 year or surgically sterile
  • Sexually active males must use a barrier method of birth control during and for 30 days after the study
  • Acceptable clinical diagnoses of uSSSI include, but are not limited to: Simple abscess, Impetiginous lesions, Folliculitis, Furunculosis, Carbuncles, Cellulitis
  • The infection is accompanied by 2 or more of the following local signs and symptoms: Pain/tenderness, Swelling, Erythema, Localized warmth, Purulent drainage/discharge, Induration, Regional lymph node swelling or tenderness, Extension of redness
  • A sample for microbiologic culture must be obtained from the primary infection site at the screening visit
  • The patient must require and be a suitable candidate for oral antibiotic therapy in the opinion of the Investigator and be able to swallow tablets or capsules intact
  • A written, voluntarily signed informed consent must be obtained from the patient prior to the initiation of any study-related procedures

Exclusion Criteria:

  • Cellulitis (area greater than 10cm2), chronic or recurrent furunculosis, postoperative wound infection, leg ulcer, decubitus ulcer(s), erysipelas, progressive lymphangitis, acute paronychia or a deep tissue abscess such as pilonidal or breast abscess. Also excluded are skin infections resulting from animal bites
  • Patients with a complicated skin and skin structure infection as judged by the Investigator
  • Infections that can be treated by surgical incision alone according to the judgment of the Investigator
  • Treatment with the following anti-infective agents prior to study drug administration: systemic antibiotic within 7 days; azithromycin within 14 days; a long-acting injectable antibiotic within 30 days
  • Any infection which requires the use of a concomitant antimicrobial agent, in addition to study drug
  • Concomitant topical therapy at the infection site for the period within 48 hours prior to study drug administration through TOC
  • A chronic or underlying skin condition at the site of infection or infections involving prosthetic materials
  • A wound secondary to burn injury or acne vulgaris
  • Any infection site that requires: intraoperative surgical debridement; excision of infected area
  • Documented or suspected bacteremia
  • Fungal infection involving the nail bed or scalp at the primary uSSSI site
  • Significant peripheral vascular disease
  • An abscess at an anatomical location where the incidence of anaerobic pathogen involvement is increased
  • Patient receiving a daily dose of > 15 mg of systemic prednisone or equivalent, for > 10 days within the period starting 14 days prior to study drug administration or anticipated through TOC
  • Patient with known human immunodeficiency virus (HIV) infection.
  • Medical history of hypersensitivity or allergic reaction to linezolid according to the judgment of the Investigator
  • Patients receiving serotonergic agents, selective serotonin reuptake inhibitors (SSRIs), or monoamine oxidase inhibitors (MAOIs)
  • Patients who have severe liver disease
  • History of pheochromocytoma, untreated hyperthyroidism, untreated or uncontrolled hypertension, carcinoid syndrome
  • Evidence of uncontrolled, clinically significant (according to the judgment of the Investigator) cardiovascular, pulmonary, metabolic, gastrointestinal, neurological, or endocrine disease; malignancy or psychiatric disorder
  • Current evidence of deep vein thrombosis or superficial thrombophlebitis
  • Experienced a recent clinically significant coagulopathy
  • Evidence of clinically significant immunosuppression
  • Patient who previously enrolled in this study
  • Patient who has previously enrolled in any other clinical trial within 4 weeks of enrollment through TOC. Treatment with an investigational drug within 4 weeks prior to study drug administration
  • Patient residing in a chronic care facility
  • Any underlying condition or disease state that would interfere with the completion of the study procedures and evaluation of the absorption of study drug

Sites / Locations

  • Drug Research & Analysis Corp
  • OWENS Pharma Research Center
  • Healthcare Partners Medical Group
  • HealthCare Partners Medical Group
  • Olive View- UCLA Center, Dept. Emergency Medicine
  • South Florida Clinical Research
  • Southeast Regional Research Group
  • Contemporary Medicine, LLC
  • Infectious Disease of Indiana, PSC.
  • Clinical Trials of America, Inc.
  • Arnold Markowitz, MD., PC
  • Mercury Street Medical Group, LLC
  • Jamaica Hospital Medical Center
  • ALL-TRIALS Clinical Research, LLC
  • Summa Health System
  • Brandywine Clinical Research
  • Warminster Medical Associates, P.C.
  • McKenzie Medical Center
  • J. Lewis Research, Inc.

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Active Comparator

Arm Label

1

2

3

Arm Description

Radezolid 450 mg PO QD

Radezolid 450 mg PO BID

Linezolid 600 mg PO BID

Outcomes

Primary Outcome Measures

Number of Participants With a Clinical Response of Cure
To qualify as a Cure, participants were required to fulfill the following criteria: all systemic signs and symptoms of uSSSI present at screening were improved or resolved; no further antibiotic therapy was necessary for treatment of uSSSI; and there was no worsening or appearance of new signs and symptoms of uSSSI.

Secondary Outcome Measures

Number of Patients With Per-Patient Microbiologic Response of Eradicated
The microbiological response at the patient level was considered Eradicated (documented or presumed)if no pathogens were present in repeat cultures taken from the original site of infection or a clinical response of cure precluded the ability to obtain a culturable specimen.

Full Information

First Posted
March 26, 2008
Last Updated
February 26, 2014
Sponsor
Melinta Therapeutics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00646958
Brief Title
Safety and Efficacy Study of Oxazolidinones to Treat Uncomplicated Skin Infections
Official Title
A Phase 2, Multicenter, Randomized, Open-Label, Comparative Study to Evaluate the Safety and Efficacy of RX-1741 Versus Linezolid in the Outpatient Treatment of Adult Patients With Uncomplicated Skin and Skin Structure Infection
Study Type
Interventional

2. Study Status

Record Verification Date
February 2014
Overall Recruitment Status
Completed
Study Start Date
December 2007 (undefined)
Primary Completion Date
April 2008 (Actual)
Study Completion Date
April 2008 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Melinta Therapeutics, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to assess the efficacy, safety and tolerability of RX-1741, an oxazolidinone, versus linezolid, another oxazolidinone, in the treatment of uncomplicated skin and skin structure infections

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Infectious Skin Diseases, Bacterial Skin Diseases, Staphylococcal Skin Infections, Streptococcal Infections, Abscess

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
150 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Description
Radezolid 450 mg PO QD
Arm Title
2
Arm Type
Experimental
Arm Description
Radezolid 450 mg PO BID
Arm Title
3
Arm Type
Active Comparator
Arm Description
Linezolid 600 mg PO BID
Intervention Type
Drug
Intervention Name(s)
Radezolid
Other Intervention Name(s)
RX-1741
Intervention Description
450mg PO QD
Intervention Type
Drug
Intervention Name(s)
Radezolid
Other Intervention Name(s)
RX-1741
Intervention Description
450mg PO BID
Intervention Type
Drug
Intervention Name(s)
Linezolid
Other Intervention Name(s)
Zyvox
Intervention Description
600mg PO BID
Primary Outcome Measure Information:
Title
Number of Participants With a Clinical Response of Cure
Description
To qualify as a Cure, participants were required to fulfill the following criteria: all systemic signs and symptoms of uSSSI present at screening were improved or resolved; no further antibiotic therapy was necessary for treatment of uSSSI; and there was no worsening or appearance of new signs and symptoms of uSSSI.
Time Frame
Test of Cure (TOC), day 10-20
Secondary Outcome Measure Information:
Title
Number of Patients With Per-Patient Microbiologic Response of Eradicated
Description
The microbiological response at the patient level was considered Eradicated (documented or presumed)if no pathogens were present in repeat cultures taken from the original site of infection or a clinical response of cure precluded the ability to obtain a culturable specimen.
Time Frame
Test of Cure (TOC), day 10-20

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Adult patients with uSSSI Adult (men and women) ≥18 years Females must be post-menopausal for at least 1 year or surgically sterile Sexually active males must use a barrier method of birth control during and for 30 days after the study Acceptable clinical diagnoses of uSSSI include, but are not limited to: Simple abscess, Impetiginous lesions, Folliculitis, Furunculosis, Carbuncles, Cellulitis The infection is accompanied by 2 or more of the following local signs and symptoms: Pain/tenderness, Swelling, Erythema, Localized warmth, Purulent drainage/discharge, Induration, Regional lymph node swelling or tenderness, Extension of redness A sample for microbiologic culture must be obtained from the primary infection site at the screening visit The patient must require and be a suitable candidate for oral antibiotic therapy in the opinion of the Investigator and be able to swallow tablets or capsules intact A written, voluntarily signed informed consent must be obtained from the patient prior to the initiation of any study-related procedures Exclusion Criteria: Cellulitis (area greater than 10cm2), chronic or recurrent furunculosis, postoperative wound infection, leg ulcer, decubitus ulcer(s), erysipelas, progressive lymphangitis, acute paronychia or a deep tissue abscess such as pilonidal or breast abscess. Also excluded are skin infections resulting from animal bites Patients with a complicated skin and skin structure infection as judged by the Investigator Infections that can be treated by surgical incision alone according to the judgment of the Investigator Treatment with the following anti-infective agents prior to study drug administration: systemic antibiotic within 7 days; azithromycin within 14 days; a long-acting injectable antibiotic within 30 days Any infection which requires the use of a concomitant antimicrobial agent, in addition to study drug Concomitant topical therapy at the infection site for the period within 48 hours prior to study drug administration through TOC A chronic or underlying skin condition at the site of infection or infections involving prosthetic materials A wound secondary to burn injury or acne vulgaris Any infection site that requires: intraoperative surgical debridement; excision of infected area Documented or suspected bacteremia Fungal infection involving the nail bed or scalp at the primary uSSSI site Significant peripheral vascular disease An abscess at an anatomical location where the incidence of anaerobic pathogen involvement is increased Patient receiving a daily dose of > 15 mg of systemic prednisone or equivalent, for > 10 days within the period starting 14 days prior to study drug administration or anticipated through TOC Patient with known human immunodeficiency virus (HIV) infection. Medical history of hypersensitivity or allergic reaction to linezolid according to the judgment of the Investigator Patients receiving serotonergic agents, selective serotonin reuptake inhibitors (SSRIs), or monoamine oxidase inhibitors (MAOIs) Patients who have severe liver disease History of pheochromocytoma, untreated hyperthyroidism, untreated or uncontrolled hypertension, carcinoid syndrome Evidence of uncontrolled, clinically significant (according to the judgment of the Investigator) cardiovascular, pulmonary, metabolic, gastrointestinal, neurological, or endocrine disease; malignancy or psychiatric disorder Current evidence of deep vein thrombosis or superficial thrombophlebitis Experienced a recent clinically significant coagulopathy Evidence of clinically significant immunosuppression Patient who previously enrolled in this study Patient who has previously enrolled in any other clinical trial within 4 weeks of enrollment through TOC. Treatment with an investigational drug within 4 weeks prior to study drug administration Patient residing in a chronic care facility Any underlying condition or disease state that would interfere with the completion of the study procedures and evaluation of the absorption of study drug
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Scott Hopkins, MD
Organizational Affiliation
Melinta Therapeutics, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Drug Research & Analysis Corp
City
Montgomery
State/Province
Alabama
Country
United States
Facility Name
OWENS Pharma Research Center
City
Long Beach
State/Province
California
Country
United States
Facility Name
Healthcare Partners Medical Group
City
Los Angeles
State/Province
California
Country
United States
Facility Name
HealthCare Partners Medical Group
City
Pasadena
State/Province
California
Country
United States
Facility Name
Olive View- UCLA Center, Dept. Emergency Medicine
City
Sylmar
State/Province
California
Country
United States
Facility Name
South Florida Clinical Research
City
Atlantis
State/Province
Florida
Country
United States
Facility Name
Southeast Regional Research Group
City
Columbus
State/Province
Georgia
Country
United States
Facility Name
Contemporary Medicine, LLC
City
Hinesville
State/Province
Georgia
Country
United States
Facility Name
Infectious Disease of Indiana, PSC.
City
Indianapolis
State/Province
Indiana
Country
United States
Facility Name
Clinical Trials of America, Inc.
City
Shreveport
State/Province
Louisiana
Country
United States
Facility Name
Arnold Markowitz, MD., PC
City
Keego Harbor
State/Province
Michigan
Country
United States
Facility Name
Mercury Street Medical Group, LLC
City
Butte
State/Province
Montana
Country
United States
Facility Name
Jamaica Hospital Medical Center
City
Jamaica
State/Province
New York
Country
United States
Facility Name
ALL-TRIALS Clinical Research, LLC
City
Winston-Salem
State/Province
North Carolina
Country
United States
Facility Name
Summa Health System
City
Akron
State/Province
Ohio
Country
United States
Facility Name
Brandywine Clinical Research
City
Downington
State/Province
Pennsylvania
Country
United States
Facility Name
Warminster Medical Associates, P.C.
City
Warminster
State/Province
Pennsylvania
Country
United States
Facility Name
McKenzie Medical Center
City
McKenzie
State/Province
Tennessee
Country
United States
Facility Name
J. Lewis Research, Inc.
City
Salt Lake City
State/Province
Utah
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Safety and Efficacy Study of Oxazolidinones to Treat Uncomplicated Skin Infections

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