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 TherapyPrimary· Day 1 up to Day 14
Each participant is counted once per category. Avg=average; Admin=administer.
Total antibiotic therapy duration
Group
Value
95% CI
Daptomycin
160.7
± 326.07
Vancomycin
1430.1
± 1331.45
Total time to administer drug
Group
Value
95% CI
Daptomycin
87.6
± 132.66
Vancomycin
1001.7
± 696.76
Avg time per day to administer drug
Group
Value
95% CI
Daptomycin
6.64
± 8.221
Vancomycin
127.78
± 59.565
Avg time to admin drug per infusion
Group
Value
95% CI
Daptomycin
6.64
± 8.221
Vancomycin
95.81
± 23.566
Total caregiver time to admin drug
Group
Value
95% CI
Daptomycin
261.8
± 494.86
Vancomycin
1336
± 1527.67
Avg caregiver time per day to admin drug
Group
Value
95% CI
Daptomycin
16.66
± 21.376
Vancomycin
148.66
± 174.709
Avg caregiver time per infusion to admin drug
Group
Value
95% CI
Daptomycin
16.66
± 21.376
Vancomycin
124.25
± 175.856
Total nursing time
Group
Value
95% CI
Daptomycin
393.0
± 229.34
Vancomycin
404.2
± 321.42
Total Antibiotic Therapy Duration (in Days) Per Participant for Home Infusion TherapyPrimary· Day 1 up to Day 14
The mean duration in home-infusion antibiotic therapy per participant is presented.
Group
Value
95% CI
Daptomycin
13.0
± 6.05
Vancomycin
11.0
± 6.11
Number of Nurse Visits or Consultations Per Participant for Home Infusion TherapyPrimary· Day 1 up to Day 14
Each participant is counted once per category.
Total number of nursing visits
Group
Value
95% CI
Daptomycin
5.8
± 3.90
Vancomycin
5.0
± 4.18
Total number of scheduled nursing visits
Group
Value
95% CI
Daptomycin
4.1
± 1.91
Vancomycin
4.4
± 3.98
Total number of unscheduled nursing visits
Group
Value
95% CI
Daptomycin
4.91
± 4.0
Vancomycin
1.24
± 1.0
Total number of pharmacist consultations
Group
Value
95% CI
Daptomycin
9.6
± 4.22
Vancomycin
9.6
± 5.79
Number of Participants With at Least 1 Unscheduled Nursing Visit During Home Infusion TherapyPrimary· Day 1 up to Day 14
Group
Value
95% CI
Daptomycin
12
Vancomycin
15
Number of Participants With at Least One Pharmacist Consultation During Home Infusion TherapyPrimary· Day 1 up to Day 14
Group
Value
95% CI
Daptomycin
40
Vancomycin
40
Reasons for Nurse Visits During Home Infusion TherapyPrimary· 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
Group
Value
95% CI
Daptomycin
36
Vancomycin
36
Participant/Caregiver teaching
Group
Value
95% CI
Daptomycin
26
Vancomycin
29
Site/Catheter care
Group
Value
95% CI
Daptomycin
5
Vancomycin
10
Clinical assessment
Group
Value
95% CI
Daptomycin
1
Vancomycin
2
Other
Group
Value
95% CI
Daptomycin
28
Vancomycin
19
Reasons for Pharmacist Consultations During Home Infusion TherapyPrimary· 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
Group
Value
95% CI
Daptomycin
25
Vancomycin
25
Review of written reports of participant status
Group
Value
95% CI
Daptomycin
16
Vancomycin
20
Review of related labs and other studies
Group
Value
95% CI
Daptomycin
38
Vancomycin
36
Communication - participant
Group
Value
95% CI
Daptomycin
38
Vancomycin
37
Communication - prescriber
Group
Value
95% CI
Daptomycin
26
Vancomycin
25
Communication - home care nurse
Group
Value
95% CI
Daptomycin
25
Vancomycin
20
Communication - integration of new information
Group
Value
95% CI
Daptomycin
3
Vancomycin
4
Other
Group
Value
95% CI
Daptomycin
13
Vancomycin
13
Percentage of Treatment Goals Met at End of TherapyPrimary· 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
Group
Value
95% CI
Daptomycin
74.98
± 10.842
Vancomycin
75.21
± 11.823
Number of Participants With at Least 1 Intervention Related to Complicated Skin or Skin Structure Infection (cSSSI) During Home Infusion TherapySecondary· 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
Group
Value
95% CI
Daptomycin
9
Vancomycin
4
Had no intervention
Group
Value
95% CI
Daptomycin
31
Vancomycin
36
Mean Number of Interventions Per Participant During Home Infusion TherapySecondary· 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.
Group
Value
95% CI
Daptomycin
1.8
± 1.30
Vancomycin
1.5
± 0.58
Number of Intervention Types During Home Infusion TherapySecondary· 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
Group
Value
95% CI
Daptomycin
2
Vancomycin
0
Incision and drainage (wound)
Group
Value
95% CI
Daptomycin
0
Vancomycin
1
De-clotting procedure
Group
Value
95% CI
Daptomycin
3
Vancomycin
2
Other
Group
Value
95% CI
Daptomycin
6
Vancomycin
2
Participants Who Had More Than 1 Laboratory Assessment During Home Infusion TherapySecondary· Day 1 up to Day 14
Laboratory assessments include serum creatinine, creatine phosphokinase (CPK), and Vancomycin trough.
Group
Value
95% CI
Daptomycin
40
Vancomycin
40
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.
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.
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Sponsor: as reported to ClinicalTrials.gov by Cubist Pharmaceuticals LLC, a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA)
Last refreshed: 26 December 2018
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.