Trial Outcomes & Findings for Safety and Efficacy Study of Oxazolidinones to Treat Uncomplicated Skin Infections (NCT NCT00646958)

NCT ID: NCT00646958

Last Updated: 2014-03-27

Results Overview

To qualify as a Cure, participants were required to fulfill the following criteria: all systemic signs and symptoms of uSSSI present at screening were improved or resolved; no further antibiotic therapy was necessary for treatment of uSSSI; and there was no worsening or appearance of new signs and symptoms of uSSSI.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

150 participants

Primary outcome timeframe

Test of Cure (TOC), day 10-20

Results posted on

2014-03-27

Participant Flow

This study targeted participants with uncomplicated skin and soft tissue infections (uSSSI) for which oral, outpatient treatment was appropriate. Eligible uSSSIs included simple abscesses, impetigo, folliculitis, furunculosis, carbuncles, and cellulitis (area \<10 cm2).

Participant milestones

Participant milestones
Measure
Radezolid QD
450 mg by mouth (PO) once daily (QD)
Radezolid BID
450 mg by mouth (PO) twice daily (BID)
Linezolid BID
600 mg by mouth (PO) BID
Overall Study
STARTED
51
50
49
Overall Study
COMPLETED
40
41
40
Overall Study
NOT COMPLETED
11
9
9

Reasons for withdrawal

Reasons for withdrawal
Measure
Radezolid QD
450 mg by mouth (PO) once daily (QD)
Radezolid BID
450 mg by mouth (PO) twice daily (BID)
Linezolid BID
600 mg by mouth (PO) BID
Overall Study
Lack of Efficacy
1
0
0
Overall Study
Adverse Event
4
0
0
Overall Study
Lost to Follow-up
1
5
7
Overall Study
Protocol Violation
1
1
0
Overall Study
Abnormal screening lab tests
1
1
0
Overall Study
Withdrawal by Subject
1
2
0
Overall Study
Did not receive study drug
2
0
2

Baseline Characteristics

Safety and Efficacy Study of Oxazolidinones to Treat Uncomplicated Skin Infections

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Radezolid QD
n=51 Participants
450 mg by mouth (PO) once daily (QD)
Radezolid BID
n=50 Participants
450 mg by mouth (PO) twice daily (BID)
Linezolid BID
n=49 Participants
600 mg by mouth (PO) BID
Total
n=150 Participants
Total of all reporting groups
Age, Continuous
42.8 years
STANDARD_DEVIATION 12.43 • n=5 Participants
43.6 years
STANDARD_DEVIATION 13.65 • n=7 Participants
43.7 years
STANDARD_DEVIATION 16.33 • n=5 Participants
43.3 years
STANDARD_DEVIATION 14.10 • n=4 Participants
Sex: Female, Male
Female
14 Participants
n=5 Participants
14 Participants
n=7 Participants
13 Participants
n=5 Participants
41 Participants
n=4 Participants
Sex: Female, Male
Male
37 Participants
n=5 Participants
36 Participants
n=7 Participants
36 Participants
n=5 Participants
109 Participants
n=4 Participants

PRIMARY outcome

Timeframe: Test of Cure (TOC), day 10-20

Population: Clinically Evaluable participants were those that met the entry criteria, received a certain amount of drug, did not receive any additional antibiotics before Test of Cure (TOC), and who presented for a TOC evaluation in the appropriate window.

To qualify as a Cure, participants were required to fulfill the following criteria: all systemic signs and symptoms of uSSSI present at screening were improved or resolved; no further antibiotic therapy was necessary for treatment of uSSSI; and there was no worsening or appearance of new signs and symptoms of uSSSI.

Outcome measures

Outcome measures
Measure
Radezolid QD
n=39 Participants
450 mg by mouth (PO) once daily (QD)
Radezolid BID
n=36 Participants
450 mg by mouth (PO) twice daily (BID)
Linezolid BID
n=38 Participants
600 mg by mouth (PO) BID
Number of Participants With a Clinical Response of Cure
38 Participants
34 Participants
37 Participants

SECONDARY outcome

Timeframe: Test of Cure (TOC), day 10-20

Population: Microbiologically Evaluable patients were those that met the entry criteria, received a certain amount of drug, did not receive any additional antibiotics before TOC, presented for a TOC evaluation in the appropriate window, and who had a baseline pathogen that was susceptible to study drug.

The microbiological response at the patient level was considered Eradicated (documented or presumed)if no pathogens were present in repeat cultures taken from the original site of infection or a clinical response of cure precluded the ability to obtain a culturable specimen.

Outcome measures

Outcome measures
Measure
Radezolid QD
n=20 Participants
450 mg by mouth (PO) once daily (QD)
Radezolid BID
n=26 Participants
450 mg by mouth (PO) twice daily (BID)
Linezolid BID
n=23 Participants
600 mg by mouth (PO) BID
Number of Patients With Per-Patient Microbiologic Response of Eradicated
20 Participants
23 Participants
21 Participants

Adverse Events

Radezolid QD

Serious events: 0 serious events
Other events: 20 other events
Deaths: 0 deaths

Radezolid BID

Serious events: 0 serious events
Other events: 17 other events
Deaths: 0 deaths

Linezolid BID

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Radezolid QD
n=49 participants at risk
450 mg by mouth (PO) once daily (QD)
Radezolid BID
n=50 participants at risk
450 mg by mouth (PO) twice daily (BID)
Linezolid BID
n=47 participants at risk
600 mg by mouth (PO) BID
Gastrointestinal disorders
Diarrhea
22.4%
11/49 • Safety was monitored as follows: on Day 1 (after signing the informed consent), and on Days 5 (on therapy) +/-1; 5-10 (EOT) +/-1; and 10-20 (TOC) +/-1. All SAEs and any AEs ongoing at TOC were followed until they either resolved or were deemed stable.
While 51, 50 and 49 subjects were randomized to radezolid qd, radezolid bid, and linezolid, respectively, safety was assessed in the ITT population (those who received at least 1 dose of study drug.) Four subjects (2 in radezolid qd and 2 in linezolid) did not receive any study drug; thus, the # of subjects at risk is 49, 50 and 47, respectively.
22.0%
11/50 • Safety was monitored as follows: on Day 1 (after signing the informed consent), and on Days 5 (on therapy) +/-1; 5-10 (EOT) +/-1; and 10-20 (TOC) +/-1. All SAEs and any AEs ongoing at TOC were followed until they either resolved or were deemed stable.
While 51, 50 and 49 subjects were randomized to radezolid qd, radezolid bid, and linezolid, respectively, safety was assessed in the ITT population (those who received at least 1 dose of study drug.) Four subjects (2 in radezolid qd and 2 in linezolid) did not receive any study drug; thus, the # of subjects at risk is 49, 50 and 47, respectively.
2.1%
1/47 • Safety was monitored as follows: on Day 1 (after signing the informed consent), and on Days 5 (on therapy) +/-1; 5-10 (EOT) +/-1; and 10-20 (TOC) +/-1. All SAEs and any AEs ongoing at TOC were followed until they either resolved or were deemed stable.
While 51, 50 and 49 subjects were randomized to radezolid qd, radezolid bid, and linezolid, respectively, safety was assessed in the ITT population (those who received at least 1 dose of study drug.) Four subjects (2 in radezolid qd and 2 in linezolid) did not receive any study drug; thus, the # of subjects at risk is 49, 50 and 47, respectively.
Nervous system disorders
Headache
12.2%
6/49 • Safety was monitored as follows: on Day 1 (after signing the informed consent), and on Days 5 (on therapy) +/-1; 5-10 (EOT) +/-1; and 10-20 (TOC) +/-1. All SAEs and any AEs ongoing at TOC were followed until they either resolved or were deemed stable.
While 51, 50 and 49 subjects were randomized to radezolid qd, radezolid bid, and linezolid, respectively, safety was assessed in the ITT population (those who received at least 1 dose of study drug.) Four subjects (2 in radezolid qd and 2 in linezolid) did not receive any study drug; thus, the # of subjects at risk is 49, 50 and 47, respectively.
6.0%
3/50 • Safety was monitored as follows: on Day 1 (after signing the informed consent), and on Days 5 (on therapy) +/-1; 5-10 (EOT) +/-1; and 10-20 (TOC) +/-1. All SAEs and any AEs ongoing at TOC were followed until they either resolved or were deemed stable.
While 51, 50 and 49 subjects were randomized to radezolid qd, radezolid bid, and linezolid, respectively, safety was assessed in the ITT population (those who received at least 1 dose of study drug.) Four subjects (2 in radezolid qd and 2 in linezolid) did not receive any study drug; thus, the # of subjects at risk is 49, 50 and 47, respectively.
6.4%
3/47 • Safety was monitored as follows: on Day 1 (after signing the informed consent), and on Days 5 (on therapy) +/-1; 5-10 (EOT) +/-1; and 10-20 (TOC) +/-1. All SAEs and any AEs ongoing at TOC were followed until they either resolved or were deemed stable.
While 51, 50 and 49 subjects were randomized to radezolid qd, radezolid bid, and linezolid, respectively, safety was assessed in the ITT population (those who received at least 1 dose of study drug.) Four subjects (2 in radezolid qd and 2 in linezolid) did not receive any study drug; thus, the # of subjects at risk is 49, 50 and 47, respectively.
Gastrointestinal disorders
Nausea
8.2%
4/49 • Safety was monitored as follows: on Day 1 (after signing the informed consent), and on Days 5 (on therapy) +/-1; 5-10 (EOT) +/-1; and 10-20 (TOC) +/-1. All SAEs and any AEs ongoing at TOC were followed until they either resolved or were deemed stable.
While 51, 50 and 49 subjects were randomized to radezolid qd, radezolid bid, and linezolid, respectively, safety was assessed in the ITT population (those who received at least 1 dose of study drug.) Four subjects (2 in radezolid qd and 2 in linezolid) did not receive any study drug; thus, the # of subjects at risk is 49, 50 and 47, respectively.
2.0%
1/50 • Safety was monitored as follows: on Day 1 (after signing the informed consent), and on Days 5 (on therapy) +/-1; 5-10 (EOT) +/-1; and 10-20 (TOC) +/-1. All SAEs and any AEs ongoing at TOC were followed until they either resolved or were deemed stable.
While 51, 50 and 49 subjects were randomized to radezolid qd, radezolid bid, and linezolid, respectively, safety was assessed in the ITT population (those who received at least 1 dose of study drug.) Four subjects (2 in radezolid qd and 2 in linezolid) did not receive any study drug; thus, the # of subjects at risk is 49, 50 and 47, respectively.
6.4%
3/47 • Safety was monitored as follows: on Day 1 (after signing the informed consent), and on Days 5 (on therapy) +/-1; 5-10 (EOT) +/-1; and 10-20 (TOC) +/-1. All SAEs and any AEs ongoing at TOC were followed until they either resolved or were deemed stable.
While 51, 50 and 49 subjects were randomized to radezolid qd, radezolid bid, and linezolid, respectively, safety was assessed in the ITT population (those who received at least 1 dose of study drug.) Four subjects (2 in radezolid qd and 2 in linezolid) did not receive any study drug; thus, the # of subjects at risk is 49, 50 and 47, respectively.
Investigations
Elevated AST
4.1%
2/49 • Safety was monitored as follows: on Day 1 (after signing the informed consent), and on Days 5 (on therapy) +/-1; 5-10 (EOT) +/-1; and 10-20 (TOC) +/-1. All SAEs and any AEs ongoing at TOC were followed until they either resolved or were deemed stable.
While 51, 50 and 49 subjects were randomized to radezolid qd, radezolid bid, and linezolid, respectively, safety was assessed in the ITT population (those who received at least 1 dose of study drug.) Four subjects (2 in radezolid qd and 2 in linezolid) did not receive any study drug; thus, the # of subjects at risk is 49, 50 and 47, respectively.
0.00%
0/50 • Safety was monitored as follows: on Day 1 (after signing the informed consent), and on Days 5 (on therapy) +/-1; 5-10 (EOT) +/-1; and 10-20 (TOC) +/-1. All SAEs and any AEs ongoing at TOC were followed until they either resolved or were deemed stable.
While 51, 50 and 49 subjects were randomized to radezolid qd, radezolid bid, and linezolid, respectively, safety was assessed in the ITT population (those who received at least 1 dose of study drug.) Four subjects (2 in radezolid qd and 2 in linezolid) did not receive any study drug; thus, the # of subjects at risk is 49, 50 and 47, respectively.
0.00%
0/47 • Safety was monitored as follows: on Day 1 (after signing the informed consent), and on Days 5 (on therapy) +/-1; 5-10 (EOT) +/-1; and 10-20 (TOC) +/-1. All SAEs and any AEs ongoing at TOC were followed until they either resolved or were deemed stable.
While 51, 50 and 49 subjects were randomized to radezolid qd, radezolid bid, and linezolid, respectively, safety was assessed in the ITT population (those who received at least 1 dose of study drug.) Four subjects (2 in radezolid qd and 2 in linezolid) did not receive any study drug; thus, the # of subjects at risk is 49, 50 and 47, respectively.
Investigations
Abnormal LFT
0.00%
0/49 • Safety was monitored as follows: on Day 1 (after signing the informed consent), and on Days 5 (on therapy) +/-1; 5-10 (EOT) +/-1; and 10-20 (TOC) +/-1. All SAEs and any AEs ongoing at TOC were followed until they either resolved or were deemed stable.
While 51, 50 and 49 subjects were randomized to radezolid qd, radezolid bid, and linezolid, respectively, safety was assessed in the ITT population (those who received at least 1 dose of study drug.) Four subjects (2 in radezolid qd and 2 in linezolid) did not receive any study drug; thus, the # of subjects at risk is 49, 50 and 47, respectively.
4.0%
2/50 • Safety was monitored as follows: on Day 1 (after signing the informed consent), and on Days 5 (on therapy) +/-1; 5-10 (EOT) +/-1; and 10-20 (TOC) +/-1. All SAEs and any AEs ongoing at TOC were followed until they either resolved or were deemed stable.
While 51, 50 and 49 subjects were randomized to radezolid qd, radezolid bid, and linezolid, respectively, safety was assessed in the ITT population (those who received at least 1 dose of study drug.) Four subjects (2 in radezolid qd and 2 in linezolid) did not receive any study drug; thus, the # of subjects at risk is 49, 50 and 47, respectively.
2.1%
1/47 • Safety was monitored as follows: on Day 1 (after signing the informed consent), and on Days 5 (on therapy) +/-1; 5-10 (EOT) +/-1; and 10-20 (TOC) +/-1. All SAEs and any AEs ongoing at TOC were followed until they either resolved or were deemed stable.
While 51, 50 and 49 subjects were randomized to radezolid qd, radezolid bid, and linezolid, respectively, safety was assessed in the ITT population (those who received at least 1 dose of study drug.) Four subjects (2 in radezolid qd and 2 in linezolid) did not receive any study drug; thus, the # of subjects at risk is 49, 50 and 47, respectively.
Nervous system disorders
Somnolence
0.00%
0/49 • Safety was monitored as follows: on Day 1 (after signing the informed consent), and on Days 5 (on therapy) +/-1; 5-10 (EOT) +/-1; and 10-20 (TOC) +/-1. All SAEs and any AEs ongoing at TOC were followed until they either resolved or were deemed stable.
While 51, 50 and 49 subjects were randomized to radezolid qd, radezolid bid, and linezolid, respectively, safety was assessed in the ITT population (those who received at least 1 dose of study drug.) Four subjects (2 in radezolid qd and 2 in linezolid) did not receive any study drug; thus, the # of subjects at risk is 49, 50 and 47, respectively.
4.0%
2/50 • Safety was monitored as follows: on Day 1 (after signing the informed consent), and on Days 5 (on therapy) +/-1; 5-10 (EOT) +/-1; and 10-20 (TOC) +/-1. All SAEs and any AEs ongoing at TOC were followed until they either resolved or were deemed stable.
While 51, 50 and 49 subjects were randomized to radezolid qd, radezolid bid, and linezolid, respectively, safety was assessed in the ITT population (those who received at least 1 dose of study drug.) Four subjects (2 in radezolid qd and 2 in linezolid) did not receive any study drug; thus, the # of subjects at risk is 49, 50 and 47, respectively.
0.00%
0/47 • Safety was monitored as follows: on Day 1 (after signing the informed consent), and on Days 5 (on therapy) +/-1; 5-10 (EOT) +/-1; and 10-20 (TOC) +/-1. All SAEs and any AEs ongoing at TOC were followed until they either resolved or were deemed stable.
While 51, 50 and 49 subjects were randomized to radezolid qd, radezolid bid, and linezolid, respectively, safety was assessed in the ITT population (those who received at least 1 dose of study drug.) Four subjects (2 in radezolid qd and 2 in linezolid) did not receive any study drug; thus, the # of subjects at risk is 49, 50 and 47, respectively.
Infections and infestations
Infections and infestations
4.1%
2/49 • Safety was monitored as follows: on Day 1 (after signing the informed consent), and on Days 5 (on therapy) +/-1; 5-10 (EOT) +/-1; and 10-20 (TOC) +/-1. All SAEs and any AEs ongoing at TOC were followed until they either resolved or were deemed stable.
While 51, 50 and 49 subjects were randomized to radezolid qd, radezolid bid, and linezolid, respectively, safety was assessed in the ITT population (those who received at least 1 dose of study drug.) Four subjects (2 in radezolid qd and 2 in linezolid) did not receive any study drug; thus, the # of subjects at risk is 49, 50 and 47, respectively.
0.00%
0/50 • Safety was monitored as follows: on Day 1 (after signing the informed consent), and on Days 5 (on therapy) +/-1; 5-10 (EOT) +/-1; and 10-20 (TOC) +/-1. All SAEs and any AEs ongoing at TOC were followed until they either resolved or were deemed stable.
While 51, 50 and 49 subjects were randomized to radezolid qd, radezolid bid, and linezolid, respectively, safety was assessed in the ITT population (those who received at least 1 dose of study drug.) Four subjects (2 in radezolid qd and 2 in linezolid) did not receive any study drug; thus, the # of subjects at risk is 49, 50 and 47, respectively.
0.00%
0/47 • Safety was monitored as follows: on Day 1 (after signing the informed consent), and on Days 5 (on therapy) +/-1; 5-10 (EOT) +/-1; and 10-20 (TOC) +/-1. All SAEs and any AEs ongoing at TOC were followed until they either resolved or were deemed stable.
While 51, 50 and 49 subjects were randomized to radezolid qd, radezolid bid, and linezolid, respectively, safety was assessed in the ITT population (those who received at least 1 dose of study drug.) Four subjects (2 in radezolid qd and 2 in linezolid) did not receive any study drug; thus, the # of subjects at risk is 49, 50 and 47, respectively.
Investigations
Investigations
6.1%
3/49 • Safety was monitored as follows: on Day 1 (after signing the informed consent), and on Days 5 (on therapy) +/-1; 5-10 (EOT) +/-1; and 10-20 (TOC) +/-1. All SAEs and any AEs ongoing at TOC were followed until they either resolved or were deemed stable.
While 51, 50 and 49 subjects were randomized to radezolid qd, radezolid bid, and linezolid, respectively, safety was assessed in the ITT population (those who received at least 1 dose of study drug.) Four subjects (2 in radezolid qd and 2 in linezolid) did not receive any study drug; thus, the # of subjects at risk is 49, 50 and 47, respectively.
8.0%
4/50 • Safety was monitored as follows: on Day 1 (after signing the informed consent), and on Days 5 (on therapy) +/-1; 5-10 (EOT) +/-1; and 10-20 (TOC) +/-1. All SAEs and any AEs ongoing at TOC were followed until they either resolved or were deemed stable.
While 51, 50 and 49 subjects were randomized to radezolid qd, radezolid bid, and linezolid, respectively, safety was assessed in the ITT population (those who received at least 1 dose of study drug.) Four subjects (2 in radezolid qd and 2 in linezolid) did not receive any study drug; thus, the # of subjects at risk is 49, 50 and 47, respectively.
8.5%
4/47 • Safety was monitored as follows: on Day 1 (after signing the informed consent), and on Days 5 (on therapy) +/-1; 5-10 (EOT) +/-1; and 10-20 (TOC) +/-1. All SAEs and any AEs ongoing at TOC were followed until they either resolved or were deemed stable.
While 51, 50 and 49 subjects were randomized to radezolid qd, radezolid bid, and linezolid, respectively, safety was assessed in the ITT population (those who received at least 1 dose of study drug.) Four subjects (2 in radezolid qd and 2 in linezolid) did not receive any study drug; thus, the # of subjects at risk is 49, 50 and 47, respectively.

Additional Information

Eugene Sun, M.D.

Melinta Therapeutics

Phone: 203.624.5606

Results disclosure agreements

  • Principal investigator is a sponsor employee The sponsor retains control of all publication rights.
  • Publication restrictions are in place

Restriction type: OTHER