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NCT01175707

Study Comparing Cubicin With Vancomycin in Treatment of Participants With Complicated Skin and Skin Structure Infections in a Home Infusion Setting

Terminated Phase 4 Results posted Last updated 26 December 2018
What this trial tests

Phase 4 trial testing Daptomycin in Complicated Skin or Skin Structure Infection in 80 participants. Terminated before completion.

Timeline
15 July 2010
Primary endpoint
17 November 2011
17 November 2011

Quick facts

Lead sponsorCubist Pharmaceuticals LLC, a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA)
PhasePhase 4
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposehealth services research
Enrollment80
Start date15 July 2010
Primary completion17 November 2011
Estimated completion17 November 2011
Sites4 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Cubist Pharmaceuticals LLC, a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA) — full company profile →

Who can join

18 and older, any sex, with Complicated Skin or Skin Structure Infection. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Time Spent (Minutes) for Home Infusion Therapy Primary · Day 1 up to Day 14

Each participant is counted once per category. Avg=average; Admin=administer.

Total antibiotic therapy duration
GroupValue95% CI
Daptomycin160.7± 326.07
Vancomycin1430.1± 1331.45
Total time to administer drug
GroupValue95% CI
Daptomycin87.6± 132.66
Vancomycin1001.7± 696.76
Avg time per day to administer drug
GroupValue95% CI
Daptomycin6.64± 8.221
Vancomycin127.78± 59.565
Avg time to admin drug per infusion
GroupValue95% CI
Daptomycin6.64± 8.221
Vancomycin95.81± 23.566
Total caregiver time to admin drug
GroupValue95% CI
Daptomycin261.8± 494.86
Vancomycin1336± 1527.67
Avg caregiver time per day to admin drug
GroupValue95% CI
Daptomycin16.66± 21.376
Vancomycin148.66± 174.709
Avg caregiver time per infusion to admin drug
GroupValue95% CI
Daptomycin16.66± 21.376
Vancomycin124.25± 175.856
Total nursing time
GroupValue95% CI
Daptomycin393.0± 229.34
Vancomycin404.2± 321.42
Total Antibiotic Therapy Duration (in Days) Per Participant for Home Infusion Therapy Primary · Day 1 up to Day 14

The mean duration in home-infusion antibiotic therapy per participant is presented.

GroupValue95% CI
Daptomycin13.0± 6.05
Vancomycin11.0± 6.11
Number of Nurse Visits or Consultations Per Participant for Home Infusion Therapy Primary · Day 1 up to Day 14

Each participant is counted once per category.

Total number of nursing visits
GroupValue95% CI
Daptomycin5.8± 3.90
Vancomycin5.0± 4.18
Total number of scheduled nursing visits
GroupValue95% CI
Daptomycin4.1± 1.91
Vancomycin4.4± 3.98
Total number of unscheduled nursing visits
GroupValue95% CI
Daptomycin4.91± 4.0
Vancomycin1.24± 1.0
Total number of pharmacist consultations
GroupValue95% CI
Daptomycin9.6± 4.22
Vancomycin9.6± 5.79
Number of Participants With at Least 1 Unscheduled Nursing Visit During Home Infusion Therapy Primary · Day 1 up to Day 14
GroupValue95% CI
Daptomycin12
Vancomycin15
Number of Participants With at Least One Pharmacist Consultation During Home Infusion Therapy Primary · Day 1 up to Day 14
GroupValue95% CI
Daptomycin40
Vancomycin40
Reasons for Nurse Visits During Home Infusion Therapy Primary · Day 1 up to Day 14

The reason for a participant's nurse visit is presented. There may be more than one reason for nurse visits per participant.

Laboratory assessment
GroupValue95% CI
Daptomycin36
Vancomycin36
Participant/Caregiver teaching
GroupValue95% CI
Daptomycin26
Vancomycin29
Site/Catheter care
GroupValue95% CI
Daptomycin5
Vancomycin10
Clinical assessment
GroupValue95% CI
Daptomycin1
Vancomycin2
Other
GroupValue95% CI
Daptomycin28
Vancomycin19
Reasons for Pharmacist Consultations During Home Infusion Therapy Primary · Day 1 up to Day 14

The reason for a participant's pharmacist consultation is presented. There may be more than one reason for pharmacist consultations per participant.

Development/revision of care plan
GroupValue95% CI
Daptomycin25
Vancomycin25
Review of written reports of participant status
GroupValue95% CI
Daptomycin16
Vancomycin20
Review of related labs and other studies
GroupValue95% CI
Daptomycin38
Vancomycin36
Communication - participant
GroupValue95% CI
Daptomycin38
Vancomycin37
Communication - prescriber
GroupValue95% CI
Daptomycin26
Vancomycin25
Communication - home care nurse
GroupValue95% CI
Daptomycin25
Vancomycin20
Communication - integration of new information
GroupValue95% CI
Daptomycin3
Vancomycin4
Other
GroupValue95% CI
Daptomycin13
Vancomycin13
Percentage of Treatment Goals Met at End of Therapy Primary · Day 1 up to Day 14

Treatment goals included: 1. Elimination of infection/achieved desired response. 2. Laboratory values were within normal limits or improved indicating progress toward therapy goal. 3. Pain was controlled. 4. Participant did not have catheter site complications (eg,infection, loss of patency). 5. Participant had no knowledge deficits related to administration, equipment use, side effects and waste disposal. 6. Participant had no side effects, adverse drug reactions and/or drug or food interactions. 7. Signs and symptoms of infection did improve or resolve. 8. Participant was compliant with IV t

GroupValue95% CI
Daptomycin74.98± 10.842
Vancomycin75.21± 11.823
Number of Participants With at Least 1 Intervention Related to Complicated Skin or Skin Structure Infection (cSSSI) During Home Infusion Therapy Secondary · Day 1 up to Day 14

Type of interventions include Intravenous (IV) line replacement, IV line removal, IV line placement (post study therapy), Incision and drainage (wound), Incision and drainage (line), Debridement, Declotting procedure, and Blood draw.

Had at least 1 intervention
GroupValue95% CI
Daptomycin9
Vancomycin4
Had no intervention
GroupValue95% CI
Daptomycin31
Vancomycin36
Mean Number of Interventions Per Participant During Home Infusion Therapy Secondary · Day 1 up to Day 14

Type of interventions include IV line replacement, IV line removal, IV line placement (post study therapy), incision and drainage (wound), incision and drainage (line), debridement, declotting procedure, and blood draw.

GroupValue95% CI
Daptomycin1.8± 1.30
Vancomycin1.5± 0.58
Number of Intervention Types During Home Infusion Therapy Secondary · Day 1 up to Day 14

There may be more than one type of intervention per participant. A participant is counted only once for each category even if they had several instances of a given intervention.

IV line replacement
GroupValue95% CI
Daptomycin2
Vancomycin0
Incision and drainage (wound)
GroupValue95% CI
Daptomycin0
Vancomycin1
De-clotting procedure
GroupValue95% CI
Daptomycin3
Vancomycin2
Other
GroupValue95% CI
Daptomycin6
Vancomycin2
Participants Who Had More Than 1 Laboratory Assessment During Home Infusion Therapy Secondary · Day 1 up to Day 14

Laboratory assessments include serum creatinine, creatine phosphokinase (CPK), and Vancomycin trough.

GroupValue95% CI
Daptomycin40
Vancomycin40

Adverse events — posted to ClinicalTrials.gov

Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Daptomycin
Serious: 7/40 (18%)
Deaths:
Vancomycin
Serious: 7/40 (18%)
Deaths:

Serious adverse events (11 terms)

ReactionSystemDaptomycinVancomycin
InfectionInfections and infestations
CellulitisInfections and infestations
Device related infectionInfections and infestations
GangreneInfections and infestations
HaematuriaRenal and urinary disorders
Renal failure acuteRenal and urinary disorders
LymphadenopathyBlood and lymphatic system disorders
Blood creatinine increasedInvestigations
White blood cell count increasedInvestigations
GoutMetabolism and nutrition disorders
Pain in extremityMusculoskeletal and connective tissue disorders
Other adverse events (19 terms — click to expand)

ReactionSystemDaptomycinVancomycin
RashSkin and subcutaneous tissue disorders
Medical device complicationGeneral disorders
CellulitisInfections and infestations
UrticariaSkin and subcutaneous tissue disorders
Abdominal pain upperGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
AstheniaGeneral disorders
Catheter site erythemaGeneral disorders
Catheter site haemorrhageGeneral disorders
Device occlusionGeneral disorders
Infusion site painGeneral disorders
HypersensitivityImmune system disorders
AbscessInfections and infestations
Breast cellulitisInfections and infestations
Fungal infectionInfections and infestations
Fungal skin infectionInfections and infestations
Blood creatine phosphokinase increasedInvestigations
Blood pressure increasedInvestigations
DyspnoeaRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Infection, Cellulitis, Device related infection, Gangrene, Haematuria, Renal failure acute, Lymphadenopathy, Blood creatinine increased.

Data from ClinicalTrials.gov NCT01175707 adverse events section.

Sponsor's own description

This is a randomized, open-label, multi-center, phase 4 study designed to compare intravenous (IV) daptomycin and IV vancomycin administered in a home infusion setting for the treatment of complicated skin and skin structure infections (cSSSI) due to Gram-positive bacteria in participants who are prescribed vancomycin for 7 to 14 days and who are planning to receive vancomycin in a home-infusion setting.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

Verify or expand the search:

Other trials of Daptomycin

Trials testing the same drug.

Other Cubist Pharmaceuticals LLC, a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA) trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01175707.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing