Study Comparing the Safety and Efficacy of Tigecycline With Ampicillin-Sulbactam or Amoxicillin-Clavulanate to Treat Skin Infections

NCT ID: NCT00368537

Last Updated: 2012-08-09

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

550 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-09-30

Study Completion Date

2008-09-30

Brief Summary

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The purpose of this study is to compare the safety and efficacy of the antibiotic tigecycline with other antibiotics, ampicillin-sulbactam, and amoxicillin-clavulanate in the treatment of a complicated skin and/or skin structure infection (cSSSI).

Detailed Description

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Conditions

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Skin Diseases, Bacterial

Keywords

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skin infection antibiotics

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

Arm 1: Tigecycline

Group Type ACTIVE_COMPARATOR

Tigecycline

Intervention Type DRUG

Treatment A: Tigecycline every 12 hours intravenous (IV) (an initial dose of 100 mg followed by 50 mg every 12 hours)

2

Arm 2: Ampicillin-Sulbactam or Amoxicillin-Clavulanate plus or minus a glycopeptide

Group Type ACTIVE_COMPARATOR

ampicillin-sulbactam

Intervention Type DRUG

Ampicillin-sulbactam: 1.5 g (1 g ampicillin plus 0.5 g sulbactam) to 3 g (3 g ampicillin plus 1 g sulbactam) intravenous (IV) every 6 hrs or Amoxicillin-clavulanate: 1.2 g (1000 mg amoxicillin plus 200 mg clavulanate) IV every 6 to 8 hrs.

A glycopeptide antibiotic (either vancomycin 1 g IV every 12 hrs or teicoplanin IV loading dose of 400 mg the first day followed by a maintenance dose of 200 mg daily) may be added to the aminopenicillin/betalactamase inhibitor regimen if infection with methicillin-resistant staphylococcus aureus (MRSA) is suspected or confirmed within the first 72 hrs of enrollment. If culture results fail to show a resistant organism, use of the glycopeptide may be discontinued.

Interventions

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Tigecycline

Treatment A: Tigecycline every 12 hours intravenous (IV) (an initial dose of 100 mg followed by 50 mg every 12 hours)

Intervention Type DRUG

ampicillin-sulbactam

Ampicillin-sulbactam: 1.5 g (1 g ampicillin plus 0.5 g sulbactam) to 3 g (3 g ampicillin plus 1 g sulbactam) intravenous (IV) every 6 hrs or Amoxicillin-clavulanate: 1.2 g (1000 mg amoxicillin plus 200 mg clavulanate) IV every 6 to 8 hrs.

A glycopeptide antibiotic (either vancomycin 1 g IV every 12 hrs or teicoplanin IV loading dose of 400 mg the first day followed by a maintenance dose of 200 mg daily) may be added to the aminopenicillin/betalactamase inhibitor regimen if infection with methicillin-resistant staphylococcus aureus (MRSA) is suspected or confirmed within the first 72 hrs of enrollment. If culture results fail to show a resistant organism, use of the glycopeptide may be discontinued.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Clinical diagnosis of complicated skin or skin structure infection
* Male or female, 18 years or older
* Need for intravenous treatment for 4 to 14 days

Exclusion Criteria

* Skin infection that can be treated by surgery \& wound care alone
* Diabetic foot ulcers or bedsores where the infection is present longer than 1 week
* Poor circulation such that amputation of the infected site is likely within a month Other exclusions apply
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Wyeth is now a wholly owned subsidiary of Pfizer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Monitor

Role: STUDY_DIRECTOR

Wyeth is now a wholly owned subsidiary of Pfizer

Trial Manager

Role: PRINCIPAL_INVESTIGATOR

For Hong Kong: [email protected]

Trial Manager

Role: PRINCIPAL_INVESTIGATOR

For South Africa: [email protected]

Trial Manager

Role: PRINCIPAL_INVESTIGATOR

For Taiwan: [email protected]

Locations

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Scottsdale, Arizona, United States

Site Status

Jonesboro, Arkansas, United States

Site Status

Chula Vista, California, United States

Site Status

Mission Viejo, California, United States

Site Status

National City, California, United States

Site Status

Denver, Colorado, United States

Site Status

Washington D.C., District of Columbia, United States

Site Status

Washington D.C., District of Columbia, United States

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Orlando, Florida, United States

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Vero Beach, Florida, United States

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Fort Eisenhower, Georgia, United States

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Idaho Falls, Idaho, United States

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Decatur, Illinois, United States

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Naperville, Illinois, United States

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Springfield, Illinois, United States

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Topeka, Kansas, United States

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Cambridge, Massachusetts, United States

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Worcester, Massachusetts, United States

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Detroit, Michigan, United States

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Lincoln, Nebraska, United States

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Hackensack, New Jersey, United States

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Neptune City, New Jersey, United States

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Buffalo, New York, United States

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Elmira, New York, United States

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New Hyde Park, New York, United States

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Columbus, Ohio, United States

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Lima, Ohio, United States

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Lansdale, Pennsylvania, United States

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Philadelphia, Pennsylvania, United States

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Fort Worth, Texas, United States

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Houston, Texas, United States

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Winnipeg, Manitoba, Canada

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Chicoutimi, Quebec, Canada

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Montreal, Quebec, Canada

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Québec, Quebec, Canada

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Sherbrooke, Quebec, Canada

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Trois-Rivières, Quebec, Canada

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Saskatoon, Saskatchewan, Canada

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Hong Kong, , Hong Kong

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Ramat Gan, , Israel

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Beirut, , Lebanon

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Pulau Pinang, , Malaysia

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Manila, , Philippines

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Manila, , Philippines

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Singapore, , Singapore

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Cape Town, , South Africa

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Gauteng, , South Africa

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KZ-Natal, , South Africa

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Mpumalanga, , South Africa

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Daejeon, , South Korea

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Incheon, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Taipei, , Taiwan

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Bangkok, , Thailand

Site Status

Bangkok, , Thailand

Site Status

Bangkok, , Thailand

Site Status

Countries

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United States Canada Hong Kong Israel Lebanon Malaysia Philippines Singapore South Africa South Korea Taiwan Thailand

References

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Matthews P, Alpert M, Rahav G, Rill D, Zito E, Gardiner D, Pedersen R, Babinchak T, McGovern PC; Tigecycline 900 cSSSI Study Group. A randomized trial of tigecycline versus ampicillin-sulbactam or amoxicillin-clavulanate for the treatment of complicated skin and skin structure infections. BMC Infect Dis. 2012 Nov 12;12:297. doi: 10.1186/1471-2334-12-297.

Reference Type DERIVED
PMID: 23145952 (View on PubMed)

Other Identifiers

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3074A1-900

Identifier Type: -

Identifier Source: org_study_id