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NCT01598311

A Study of CB-183,315 in Participants With Clostridium Difficile Associated Diarrhea (MK-4261-006)

Completed Phase 3 Results posted Last updated 22 August 2022
What this trial tests

Phase 3 trial testing CB-183,315 in Clostridium Difficile Infection in 608 participants. Completed in 25 August 2015.

Timeline
16 May 2012
Primary endpoint
26 July 2015
25 August 2015

Quick facts

Lead sponsorCubist Pharmaceuticals LLC, a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA)
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment608
Start date16 May 2012
Primary completion26 July 2015
Estimated completion25 August 2015

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

Adults 18 to 89, any sex, with Clostridium Difficile 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.

Adjusted Percentage of Participants Meeting Clinical Response Criteria for Cure at End of Treatment (EOT) Primary · Up to 3 days after EOT (up to Day 13)

The percentage of participants considered "cured" (i.e., ≤2 loose stools per 24 hour period for at least 2 consecutive days and no need for additional antibiotics during the 3 days following EOT) was determined in the mMITT population. A CDAD diagnosis was defined as: 1) diarrhea with a minimum of 3 unformed bowel movements (UBM) or \>200 mL volume of stool for participants with a collection device (e.g., rectal tube or colostomy bag) over 24 hours; and 2) a positive result for Clostridium difficile toxin by enzyme immunoassay (EIA), polymerase chain reaction (PCR), or a cell culture cytotoxin

GroupValue95% CI
CB-183,31583.478.7 – 87.2
Vancomycin82.177.2 – 85.9
Number of Clinical Failure Events up to Day 40 Secondary · Up to 30 days after EOT (up to Day 40)

The total number of clinical failure events, which included treatment failure, CDAD recurrence, death, or being lost to follow-up, occurring during each time period was determined in each arm.

Day 0 to Day 13
GroupValue95% CI
CB-183,31548
Vancomycin54
Day 14 to Day 24
GroupValue95% CI
CB-183,31542
Vancomycin49
Day 25 to Day 35
GroupValue95% CI
CB-183,31511
Vancomycin11
Day 36 to Day 40
GroupValue95% CI
CB-183,3152
Vancomycin2
Adjusted Percentage of Participants With Sustained Clinical Response at End of Study Secondary · Up to 40 days after EOT (up to Day 50)

The percentage of participants with sustained clinical response was determined for each arm. Sustained clinical response was declared when participants had a clinical outcome of cure at EOT, did not experience any CDAD recurrence, did not die, were not lost to follow-up, and did not have the end of study visit prior to Day 40. Percentages were first stratified according to age (\<75 or ≥75 years) and number of previous CDAD episodes (0 or ≥1) and constructed using Mehrotra-Railkar continuity-corrected minimum-risk stratum weights, and the weighted averages were then derived across strata in or

GroupValue95% CI
CB-183,31563.357.7 – 68.7
Vancomycin59.053.4 – 64.5
Percentage of Participants Experiencing an Adverse Event (AE) Primary · Up to 30 days after EOT (up to Day 40)

An AE is any untoward medical occurrence in a participant administered a pharmaceutical product that does not necessarily have to have a causal relationship with this treatment.

GroupValue95% CI
CB-183,31552.4
Vancomycin60.1
Percentage of Participants Discontinuing From Study Treatment Due to an AE Primary · Up to EOT (up to Day 10)

An AE is any untoward medical occurrence in a participant administered a pharmaceutical product that does not necessarily have to have a causal relationship with this treatment.

GroupValue95% CI
CB-183,3153.7
Vancomycin3.0

Adverse events — posted to ClinicalTrials.gov

Time frame: All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

CB-183,315
Serious: 33/294 (11%)
Deaths: 9/294
Vancomycin
Serious: 39/301 (13%)
Deaths: 11/301

Serious adverse events (66 terms)

ReactionSystemCB-183,315Vancomycin
Cardiac failure congestiveCardiac disorders
Abdominal painGastrointestinal disorders
PneumoniaInfections and infestations
Cardiac arrestCardiac disorders
Myocardial infarctionCardiac disorders
CellulitisInfections and infestations
Septic shockInfections and infestations
AnaemiaBlood and lymphatic system disorders
Autoimmune haemolytic anaemiaBlood and lymphatic system disorders
LeukopeniaBlood and lymphatic system disorders
ThrombocytopeniaBlood and lymphatic system disorders
Acute myocardial infarctionCardiac disorders
Angina pectorisCardiac disorders
Cardiac failureCardiac disorders
Cardio-respiratory arrestCardiac disorders
Left ventricular failureCardiac disorders
PericarditisCardiac disorders
Ventricular tachycardiaCardiac disorders
Sickle cell anaemia with crisisCongenital, familial and genetic disorders
Adrenal insufficiencyEndocrine disorders
DiarrhoeaGastrointestinal disorders
EnteritisGastrointestinal disorders
Enterovesical fistulaGastrointestinal disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
IleusGastrointestinal disorders
Other adverse events (3 terms — click to expand)

ReactionSystemCB-183,315Vancomycin
HeadacheNervous system disorders
NauseaGastrointestinal disorders
DiarrhoeaGastrointestinal disorders

Most-reported serious reactions: Cardiac failure congestive, Abdominal pain, Pneumonia, Cardiac arrest, Myocardial infarction, Cellulitis, Septic shock, Anaemia.

Data from ClinicalTrials.gov NCT01598311 adverse events section.

Sponsor's own description

A total of 608 participants with Clostridium Difficile Associated Diarrhea (CDAD) will participate in this study; participants will receive either oral vancomycin or CB-183,315 in a blinded fashion. Treatment will last for 10 days and participants will be followed up for at least 40 days and a maximum of 100 days. The purpose of this study is to evaluate how well CB-183,315 treats CDAD as compared to vancomycin.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Clostridium difficile infection.
    Smits WK, Lyras D, Lacy DB, Wilcox MH, et al · · 2016 · cited 678× · PMID 27158839 · DOI 10.1038/nrdp.2016.20
  2. The multifaceted nature of antimicrobial peptides: current synthetic chemistry approaches and future directions.
    Gan BH, Gaynord J, Rowe SM, Deingruber T, et al · · 2021 · cited 309× · PMID 34042120 · DOI 10.1039/d0cs00729c
  3. Antibiotics in the clinical pipeline in October 2019.
    Butler MS, Paterson DL. · · 2020 · cited 174× · PMID 32152527 · DOI 10.1038/s41429-020-0291-8
  4. Recurrent Clostridium difficile infection: From colonization to cure.
    Shields K, Araujo-Castillo RV, Theethira TG, Alonso CD, et al · · 2015 · cited 77× · PMID 25930686 · DOI 10.1016/j.anaerobe.2015.04.012
  5. Surotomycin versus vancomycin in adults with Clostridium difficile infection: primary clinical outcomes from the second pivotal, randomized, double-blind, Phase 3 trial.
    Daley P, Louie T, Lutz JE, Khanna S, et al · · 2017 · cited 55× · PMID 28961905 · DOI 10.1093/jac/dkx299
  6. Novel therapies and preventative strategies for primary and recurrent Clostridium difficile infections.
    Dieterle MG, Rao K, Young VB. · · 2019 · cited 44× · PMID 30238983 · DOI 10.1111/nyas.13958
  7. Antimicrobial Peptides and Cell-Penetrating Peptides: Non-Antibiotic Membrane-Targeting Strategies Against Bacterial Infections.
    Huang X, Li G. · · 2023 · cited 30× · PMID 36879855 · DOI 10.2147/idr.s396566
  8. The Antimicrobial Stewardship Approach to Combating Clostridium Difficile.
    Wenzler E, Mulugeta SG, Danziger LH. · · 2015 · cited 14× · PMID 27025621 · DOI 10.3390/antibiotics4020198

Verify or expand the search:

Other trials of CB-183,315

Trials testing the same drug.

Other recruiting trials for Clostridium Difficile Infection

Currently open trials in the same condition.

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/NCT01598311.

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