Trial Outcomes & Findings for Evaluation of Daptomycin for the Emergency Department Treatment of Complicated Skin and Skin Structure Infections (NCT NCT01549613)

NCT ID: NCT01549613

Last Updated: 2014-08-01

Results Overview

RDTC cellulitis protocol discharge criteria

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

104 participants

Primary outcome timeframe

Time point at which outcome measure is assessed 30 days from the date of admission.

Results posted on

2014-08-01

Participant Flow

Participant milestones

Participant milestones
Measure
Standard Treatment With Daptomycin
Daptomycin will be given in a one-time dose of 4mg/kg in a one-time dose to be infused over 2 minutes at the initiation of patient therapy in the RDTC cellulitis protocol Daptomycin: • Daptomycin will be given in a one-time dose of 4mg/kg in a one-time dose to be infused over 2 minutes at the initiation of patient therapy in the RDTC cellulitis protocol.
Standard Treatment of Vancomycin
Vancomycin will be given in a dose of 15mg/kg at baseline and again at 12 hours to be infused over 1 to 2 hours. Vancomycin: • Vancomycin will be given in a dose of 15mg/kg at baseline and again at 12 hours to be infused over 1 to 2 hours.
Overall Study
STARTED
50
50
Overall Study
COMPLETED
39
39
Overall Study
NOT COMPLETED
11
11

Reasons for withdrawal

Reasons for withdrawal
Measure
Standard Treatment With Daptomycin
Daptomycin will be given in a one-time dose of 4mg/kg in a one-time dose to be infused over 2 minutes at the initiation of patient therapy in the RDTC cellulitis protocol Daptomycin: • Daptomycin will be given in a one-time dose of 4mg/kg in a one-time dose to be infused over 2 minutes at the initiation of patient therapy in the RDTC cellulitis protocol.
Standard Treatment of Vancomycin
Vancomycin will be given in a dose of 15mg/kg at baseline and again at 12 hours to be infused over 1 to 2 hours. Vancomycin: • Vancomycin will be given in a dose of 15mg/kg at baseline and again at 12 hours to be infused over 1 to 2 hours.
Overall Study
Lost to Follow-up
11
11

Baseline Characteristics

Evaluation of Daptomycin for the Emergency Department Treatment of Complicated Skin and Skin Structure Infections

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Standard Treatment With Daptomycin
n=50 Participants
Daptomycin will be given in a one-time dose of 4mg/kg in a one-time dose to be infused over 2 minutes at the initiation of patient therapy in the RDTC cellulitis protocol Daptomycin: • Daptomycin will be given in a one-time dose of 4mg/kg in a one-time dose to be infused over 2 minutes at the initiation of patient therapy in the RDTC cellulitis protocol.
Standard Treatment of Vancomycin
n=50 Participants
Vancomycin will be given in a dose of 15mg/kg at baseline and again at 12 hours to be infused over 1 to 2 hours. Vancomycin: • Vancomycin will be given in a dose of 15mg/kg at baseline and again at 12 hours to be infused over 1 to 2 hours.
Total
n=100 Participants
Total of all reporting groups
Age, Continuous
42 years
STANDARD_DEVIATION 12 • n=5 Participants
38 years
STANDARD_DEVIATION 13 • n=7 Participants
40 years
STANDARD_DEVIATION 12.5 • n=5 Participants
Sex: Female, Male
Female
21 Participants
n=5 Participants
15 Participants
n=7 Participants
36 Participants
n=5 Participants
Sex: Female, Male
Male
29 Participants
n=5 Participants
35 Participants
n=7 Participants
64 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
Race (NIH/OMB)
Asian
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
Race (NIH/OMB)
Black or African American
20 participants
n=5 Participants
14 participants
n=7 Participants
34 participants
n=5 Participants
Race (NIH/OMB)
White
29 participants
n=5 Participants
34 participants
n=7 Participants
63 participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants

PRIMARY outcome

Timeframe: Time point at which outcome measure is assessed 30 days from the date of admission.

RDTC cellulitis protocol discharge criteria

Outcome measures

Outcome measures
Measure
Standard Treatment With Daptomycin
n=50 Participants
Daptomycin will be given in a one-time dose of 4mg/kg in a one-time dose to be infused over 2 minutes at the initiation of patient therapy in the RDTC cellulitis protocol Daptomycin: • Daptomycin will be given in a one-time dose of 4mg/kg in a one-time dose to be infused over 2 minutes at the initiation of patient therapy in the RDTC cellulitis protocol.
Standard Treatment of Vancomycin
n=50 Participants
Vancomycin will be given in a dose of 15mg/kg at baseline and again at 12 hours to be infused over 1 to 2 hours. Vancomycin: • Vancomycin will be given in a dose of 15mg/kg at baseline and again at 12 hours to be infused over 1 to 2 hours.
Satisfaction of Discharge Criteria
15 participants
Interval -0.58 to 1.98
14 participants

SECONDARY outcome

Timeframe: Time frame begins on admission to RDTC for cellulitis and measurements will be taken every 2hour times 2 and every 4 hours until discharge from the RDTC.

Change in lesion area and temperature

Outcome measures

Outcome data not reported

Adverse Events

Standard Treatment With Daptomycin

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Standard Treatment of Vancomycin

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Standard Treatment With Daptomycin
n=50 participants at risk
Daptomycin will be given in a one-time dose of 4mg/kg in a one-time dose to be infused over 2 minutes at the initiation of patient therapy in the RDTC cellulitis protocol Daptomycin: • Daptomycin will be given in a one-time dose of 4mg/kg in a one-time dose to be infused over 2 minutes at the initiation of patient therapy in the RDTC cellulitis protocol.
Standard Treatment of Vancomycin
n=50 participants at risk
Vancomycin will be given in a dose of 15mg/kg at baseline and again at 12 hours to be infused over 1 to 2 hours. Vancomycin: • Vancomycin will be given in a dose of 15mg/kg at baseline and again at 12 hours to be infused over 1 to 2 hours.
Investigations
hospital readmission
2.0%
1/50 • Number of events 1
4.0%
2/50 • Number of events 2
Skin and subcutaneous tissue disorders
redman syndrome
0.00%
0/50
2.0%
1/50 • Number of events 1
Skin and subcutaneous tissue disorders
Sought treatment of town
0.00%
0/50
2.0%
1/50 • Number of events 1
Skin and subcutaneous tissue disorders
hives
2.0%
1/50 • Number of events 1
0.00%
0/50
General disorders
scheduled surgery for ovarian cyst
2.0%
1/50 • Number of events 1
0.00%
0/50
General disorders
Returned to pmc for HPT and Diabetes
2.0%
1/50 • Number of events 1
0.00%
0/50
Skin and subcutaneous tissue disorders
Iv infiltrated
0.00%
0/50
2.0%
1/50 • Number of events 1
Skin and subcutaneous tissue disorders
dog bite
0.00%
0/50
2.0%
1/50 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Red streak
0.00%
0/50
2.0%
1/50 • Number of events 1

Additional Information

George J. Shaw, MD, PhD

University of Cincinnati, Dept. of Emergency Medicine

Phone: 513-558-8098

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place