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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT01400867
Other study ID # P903-23
Secondary ID
Status Completed
Phase Phase 2/Phase 3
First received July 19, 2011
Last updated January 12, 2015
Start date December 2011
Est. completion date July 2014

Study information

Verified date January 2015
Source Forest Laboratories
Contact n/a
Is FDA regulated No
Health authority United States: Food and Drug Administration
Study type Interventional

Clinical Trial Summary

This is a study of safety, effectiveness, blood levels and tolerance of Ceftaroline fosamil in children with skin infections receiving antibiotic therapy in the hospital.


Description:

To evaluate safety, effectiveness, pharmacokinetics and tolerance of Ceftaroline fosamil in children who are initially hospitalized with Acute Bacterial Skin and Skin Structure Infections (ABSSSI).


Recruitment information / eligibility

Status Completed
Enrollment 163
Est. completion date July 2014
Est. primary completion date May 2014
Accepts healthy volunteers No
Gender Both
Age group 2 Months to 17 Years
Eligibility Inclusion Criteria:

- Male or female, 2 months to < 18 years old.

- Presence of ABSSSI warranting initial hospitalization.

- Presence of ABSSSI with measurable margins of erythema, that includes deeper and/or extensive soft tissue involvement, or requires significant therapeutic surgical intervention

Exclusion Criteria:

- Documented history of any hypersensitivity or allergic reaction to vancomycin, aztreonam, or any ß-lactam antimicrobial

- Uncomplicated skin and soft tissue infections

- More than 24 hours of prior antimicrobial therapy = 96 hours before randomization.

- Requirement for any concomitant systemic antimicrobial therapy

- History of seizures, excluding well-documented febrile seizure of childhood.

- Clinical signs or suspicion of meningitis

Study Design

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Investigator), Primary Purpose: Treatment


Related Conditions & MeSH terms


Intervention

Drug:
Ceftaroline fosamil
Subjects = 6 months old: 12 mg/kg IV for subjects weighing = 33 kg and 400 mg for subjects weighing > 33 kg will be infused over 60 (± 10) minutes every 8 hours (q8h) (± 1 hour) Subjects < 6 months old: 8mg/kg infused over 60 (± 10) minutes every 8 hours (q8h) (± 1 hour)
Vancomycin +/- Aztreonam or Cefazolin +/- Aztreonam
Vancomycin 15mg/kg IV over 60 minutes (or a maximum of 10mg/min whichever is longer) +/- Aztreonam 30 mg/kg IV every 8 hours over 60 minutes (for infections involving gram negative pathogen suspected or confirmed) Cefazolin 75mg/kg IV divided every 8 hours over 60 minutes (for sites that do not empirically cover for MRSA) +/- Aztreonam 30 mg/kg IV every 8 hours over 60 minutes (for infections involving gram negative pathogen suspected or confirmed
Cephalexin or Clindamycin or Linezolid
Possible oral switch on or after study day 4. Cephalexin: 25 mg/kg q6h PO or Clindamycin: 10 mg/kg q8h PO or Linezolid 600mg q12h (cohort 1) or 10 mg/kg q8h (cohorts 2,3 and 4) PO.

Locations

Country Name City State
Argentina Investigational Site - Buenos Aires 1 Buenos Aires
Argentina Investigational Site - Buenos Aires 2 Buenos Aires
Argentina Investigational Site - Buenos Aires 3 Buenos Aires
Argentina Investigational Site - Buenos Aires 4 Buenos Aires
Argentina Investigational Site - Buenos Aires 5 Buenos Aires
Argentina Investigational Site - Buenos Aires 6 Buenos Aires
Argentina Investigational Site - Santa Fe 1 Santa Fe
Argentina Investigational Site - Santa Fe 2 Santa Fe
Chile Investigational Site - Puente Alto Puente Alto Santiago
Chile Investigational Site - San Ramon San Ramon Santiago
Chile Investigational Site - Vina Del Mar Vina del Mar
Chile Investigational Site - Vitacura Vitacura Santiago
Georgia Investigational Site - Tbilisi 1 Tbilisi
Georgia Investigational Site - Tbilisi 2 Tbilisi
Latvia Investigational Site - Daugavpils Daugavpils
Latvia Investigational Site - Liepaja Liepaja
Latvia Investigational Site - Rezekne Rezekne
Latvia Investigational Site - Riga Riga
Lithuania Investigational Site - Kaunas Kaunas
Lithuania Investigational Site - Vilnius Vilnius
Poland Investigational Site - Bydgoszcz 1 Bydgoszcz
Poland Investigational Site - Bydgoszcz 2 Bydgoszcz
Poland Investigational Site - Lodz Lodz
Poland Investigational Site - Lublin Lublin
Poland Investigational Site - Rzeszow Rzeszow
Poland Investigational Site - Warszawa Warszawa
Romania Investigational Site - Bucharest 1 Bucharest
Romania Investigational Site - Bucharest 2 Bucharest
Romania Investigational Site - Constanta Constanta
Romania Investigational Site - Timisoara Timisoara
Romania Investigational Site - Tirgu Mures Tirgu Mures
South Africa Investigational Site - Cape Town 1 Cape Town
South Africa Investigational Site - Cape Town 2 Cape Town
South Africa Investigational Site - Cape Town 3 Cape Town
South Africa Investigational Site - Johannesburg Johannesburg
Spain Investigational Site - Badalona Badalona
Spain Investigational Site - Esplugues de Llobregat Esplugues de Llobregat
Spain Investigational Site - Getafe Getafe
Spain Investigational Site - Madrid 1 Madrid
Spain Investigational Site - Madrid 2 Madrid
Spain Investigational Site - Madrid 3 Madrid
Spain Investigational Site - Santiago de Compostela Santiago de Compostela
Spain Investigational Site - Valencia Valencia
United States Investigational Site - Akron Akron Ohio
United States Investigational Site - Atlanta Atlanta Georgia
United States Investigational Site - Austin 1 Austin Texas
United States Investigational Site - Baltimore Baltimore Maryland
United States Investigational Site - Bronx Bronx New York
United States Investigational Site - Brooklyn Brooklyn New York
United States Investigational Site - Charleston Charleston South Carolina
United States Investigational Site - Chicago 1 Chicago Illinois
United States Investigational Site - Chicago 2 Chicago Illinois
United States Investigational Site - Cleveland 1 Cleveland Ohio
United States Investigational Site - Cleveland 2 Cleveland Ohio
United States Investigational Site - Detroit Detroit Michigan
United States Investigational Site - Fort Worth Fort Worth Texas
United States Investigational Site - Jacksonville Jacksonville Florida
United States Investigational Site - Memphis Memphis Tennessee
United States Investigational Site - Morgantown Morgantown West Virginia
United States Investigational Site - New Hyde Park New Hyde Park New York
United States Investigational Site - Norfolk Norfolk Virginia
United States Investigational Site - Orange Orange California
United States Investigational Site - Phoenix Phoenix Arizona
United States Investigational Site - Pittsburgh Pittsburgh Pennsylvania
United States Investigational Site - Richmond Richmond Virginia
United States Investigational Site - Rochester Rochester New York
United States Investigational Site - San Diego San Diego California
United States Investigational Site - Seattle Seattle Washington
United States Investigational Site - Shreveport Shreveport Louisiana
United States Investigational Site - Springfield Springfield Illinois
United States Investigational Site - Toledo Toledo Ohio

Sponsors (2)

Lead Sponsor Collaborator
Forest Laboratories AstraZeneca

Countries where clinical trial is conducted

United States,  Argentina,  Chile,  Georgia,  Latvia,  Lithuania,  Poland,  Romania,  South Africa,  Spain, 

Outcome

Type Measure Description Time frame Safety issue
Primary Evaluate the safety and tolerability of ceftaroline versus comparator in pediatric subjects ages 2 months to < 18 years with ABSSSI. Evaluate the safety and tolerability of IV administered ceftaroline fosamil in children with skin infections. Summaries of AEs, SAEs, deaths, laboratory evaluations (hematology studies, comprehensive and metabolic panel), pain scales, vital signs, and physical examinations will be provided for each treatment group. Between 26 and 50 days. Yes
Secondary Evaluate the efficacy of ceftaroline versus comparator in pediatric subjects ages 2 months to < 18 years with ABSSSI. The number and percentage of subjects in each treatment group classified as clinical cure in the Modified Intent to Treat (MITT) and Clinical Evaluable (CE) populations at Day 3, EOIV, EOT and TOC. Between 1 and 5 days No
Secondary Evaluate the pharmacokinetics of ceftaroline versus comparator in pediatric subjects ages 2 months to < 18 years with ABSSSI. Analyze concentrations of ceftaroline fosamil, ceftaroline, and M-1 in plasma, and if available, in cerebrospinal fluid (CSF; if collected as part of routine medical care) Between 1 and 5 days No

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