Trial Outcomes & Findings for A Study of CB-183,315 in Participants With Clostridium Difficile Associated Diarrhea (MK-4261-006) (NCT NCT01598311)
NCT ID: NCT01598311
Last Updated: 2022-08-22
Results Overview
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 neutralization assay. 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 order to calculate the adjusted percentage.
COMPLETED
PHASE3
608 participants
Up to 3 days after EOT (up to Day 13)
2022-08-22
Participant Flow
This study enrolled adult participants with Clostridium Difficile associated diarrhea (CDAD) at 104 study centers in North America, Asia-Pacific, and South America.
Participant milestones
| Measure |
CB-183,315
Participants took CB-183,315 250 mg twice daily (b.i.d.) and placebo b.i.d. by mouth for 10 days.
|
Vancomycin
Participants took vancomycin 125 mg four times daily (q.i.d.) by mouth for 10 days.
|
|---|---|---|
|
Overall Study
STARTED
|
303
|
305
|
|
Overall Study
Treated
|
294
|
301
|
|
Overall Study
Treated and Confirmed CDAD
|
285
|
292
|
|
Overall Study
COMPLETED
|
256
|
244
|
|
Overall Study
NOT COMPLETED
|
47
|
61
|
Reasons for withdrawal
| Measure |
CB-183,315
Participants took CB-183,315 250 mg twice daily (b.i.d.) and placebo b.i.d. by mouth for 10 days.
|
Vancomycin
Participants took vancomycin 125 mg four times daily (q.i.d.) by mouth for 10 days.
|
|---|---|---|
|
Overall Study
Physician Decision
|
4
|
5
|
|
Overall Study
Adverse Event
|
9
|
13
|
|
Overall Study
Lost to Follow-up
|
7
|
12
|
|
Overall Study
Withdrawal by Subject
|
9
|
13
|
|
Overall Study
No reason provided.
|
0
|
5
|
|
Overall Study
Randomized but never treated
|
8
|
5
|
|
Overall Study
Treated but no confirmed CDAD
|
9
|
8
|
|
Overall Study
Assigned to CB but received vancomycin
|
1
|
0
|
Baseline Characteristics
A Study of CB-183,315 in Participants With Clostridium Difficile Associated Diarrhea (MK-4261-006)
Baseline characteristics by cohort
| Measure |
CB-183,315
n=285 Participants
Participants took CB-183,315 250 mg b.i.d. and placebo b.i.d. by mouth for 10 days.
|
Vancomycin
n=292 Participants
Participants took vancomycin 125 mg q.i.d. by mouth for 10 days.
|
Total
n=577 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Continuous
|
57.6 Years
STANDARD_DEVIATION 18.3 • n=93 Participants
|
56.5 Years
STANDARD_DEVIATION 18.3 • n=4 Participants
|
57.1 Years
STANDARD_DEVIATION 18.3 • n=27 Participants
|
|
Sex: Female, Male
Female
|
173 Participants
n=93 Participants
|
194 Participants
n=4 Participants
|
367 Participants
n=27 Participants
|
|
Sex: Female, Male
Male
|
112 Participants
n=93 Participants
|
98 Participants
n=4 Participants
|
210 Participants
n=27 Participants
|
PRIMARY outcome
Timeframe: Up to 3 days after EOT (up to Day 13)Population: The analysis population consists of all randomized and treated participants with a confirmed CDAD diagnosis (mMITT population).
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 neutralization assay. 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 order to calculate the adjusted percentage.
Outcome measures
| Measure |
CB-183,315
n=285 Participants
Participants took CB-183,315 250 mg b.i.d. and placebo b.i.d. by mouth for 10 days.
|
Vancomycin
n=292 Participants
Participants took vancomycin 125 mg q.i.d. by mouth for 10 days.
|
|---|---|---|
|
Adjusted Percentage of Participants Meeting Clinical Response Criteria for Cure at End of Treatment (EOT)
|
83.4 Adjusted percentage of participants
Interval 78.7 to 87.2
|
82.1 Adjusted percentage of participants
Interval 77.2 to 85.9
|
PRIMARY outcome
Timeframe: Up to 30 days after EOT (up to Day 40)Population: The analysis population consists of all randomized and treated participants (Safety Population).
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.
Outcome measures
| Measure |
CB-183,315
n=294 Participants
Participants took CB-183,315 250 mg b.i.d. and placebo b.i.d. by mouth for 10 days.
|
Vancomycin
n=301 Participants
Participants took vancomycin 125 mg q.i.d. by mouth for 10 days.
|
|---|---|---|
|
Percentage of Participants Experiencing an Adverse Event (AE)
|
52.4 Percentage of Participants
|
60.1 Percentage of Participants
|
PRIMARY outcome
Timeframe: Up to EOT (up to Day 10)Population: The analysis population consists of all randomized and treated participants (Safety Population).
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.
Outcome measures
| Measure |
CB-183,315
n=294 Participants
Participants took CB-183,315 250 mg b.i.d. and placebo b.i.d. by mouth for 10 days.
|
Vancomycin
n=301 Participants
Participants took vancomycin 125 mg q.i.d. by mouth for 10 days.
|
|---|---|---|
|
Percentage of Participants Discontinuing From Study Treatment Due to an AE
|
3.7 Percentage of Participants
|
3.0 Percentage of Participants
|
SECONDARY outcome
Timeframe: Up to 30 days after EOT (up to Day 40)Population: The analysis population consists of all randomized and treated participants with a confirmed CDAD diagnosis (mMITT population).
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.
Outcome measures
| Measure |
CB-183,315
n=285 Participants
Participants took CB-183,315 250 mg b.i.d. and placebo b.i.d. by mouth for 10 days.
|
Vancomycin
n=292 Participants
Participants took vancomycin 125 mg q.i.d. by mouth for 10 days.
|
|---|---|---|
|
Number of Clinical Failure Events up to Day 40
Day 0 to Day 13
|
48 Number of Failure Events
|
54 Number of Failure Events
|
|
Number of Clinical Failure Events up to Day 40
Day 14 to Day 24
|
42 Number of Failure Events
|
49 Number of Failure Events
|
|
Number of Clinical Failure Events up to Day 40
Day 25 to Day 35
|
11 Number of Failure Events
|
11 Number of Failure Events
|
|
Number of Clinical Failure Events up to Day 40
Day 36 to Day 40
|
2 Number of Failure Events
|
2 Number of Failure Events
|
SECONDARY outcome
Timeframe: Up to 40 days after EOT (up to Day 50)Population: The analysis population consists of all randomized and treated participants with a confirmed CDAD diagnosis (mMITT population).
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 order to calculate the adjusted percentage.
Outcome measures
| Measure |
CB-183,315
n=285 Participants
Participants took CB-183,315 250 mg b.i.d. and placebo b.i.d. by mouth for 10 days.
|
Vancomycin
n=292 Participants
Participants took vancomycin 125 mg q.i.d. by mouth for 10 days.
|
|---|---|---|
|
Adjusted Percentage of Participants With Sustained Clinical Response at End of Study
|
63.3 Adjusted percentage of participants
Interval 57.7 to 68.7
|
59.0 Adjusted percentage of participants
Interval 53.4 to 64.5
|
Adverse Events
CB-183,315
Vancomycin
Serious adverse events
| Measure |
CB-183,315
n=294 participants at risk
Participants took CB-183,315 250 mg b.i.d. and placebo b.i.d. by mouth for 10 days.
|
Vancomycin
n=301 participants at risk
Participants took vancomycin 125 mg q.i.d. by mouth for 10 days.
|
|---|---|---|
|
Blood and lymphatic system disorders
Anaemia
|
0.00%
0/294 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.33%
1/301 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Blood and lymphatic system disorders
Autoimmune haemolytic anaemia
|
0.34%
1/294 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.00%
0/301 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Blood and lymphatic system disorders
Leukopenia
|
0.34%
1/294 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.00%
0/301 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Blood and lymphatic system disorders
Thrombocytopenia
|
0.34%
1/294 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.00%
0/301 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Cardiac disorders
Acute myocardial infarction
|
0.00%
0/294 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.33%
1/301 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Cardiac disorders
Angina pectoris
|
0.00%
0/294 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.33%
1/301 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Cardiac disorders
Cardiac arrest
|
0.34%
1/294 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.66%
2/301 • Number of events 2 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Cardiac disorders
Cardiac failure
|
0.34%
1/294 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.00%
0/301 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Cardiac disorders
Cardiac failure congestive
|
1.4%
4/294 • Number of events 4 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.66%
2/301 • Number of events 2 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Cardiac disorders
Cardio-respiratory arrest
|
0.00%
0/294 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.33%
1/301 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Cardiac disorders
Left ventricular failure
|
0.00%
0/294 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.33%
1/301 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Cardiac disorders
Myocardial infarction
|
0.00%
0/294 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.66%
2/301 • Number of events 2 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Cardiac disorders
Pericarditis
|
0.00%
0/294 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.33%
1/301 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Cardiac disorders
Ventricular tachycardia
|
0.34%
1/294 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.00%
0/301 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Congenital, familial and genetic disorders
Sickle cell anaemia with crisis
|
0.00%
0/294 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.33%
1/301 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Endocrine disorders
Adrenal insufficiency
|
0.34%
1/294 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.00%
0/301 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Gastrointestinal disorders
Abdominal pain
|
0.34%
1/294 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
1.3%
4/301 • Number of events 4 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Gastrointestinal disorders
Diarrhoea
|
0.34%
1/294 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.33%
1/301 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Gastrointestinal disorders
Enteritis
|
0.00%
0/294 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.33%
1/301 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Gastrointestinal disorders
Enterovesical fistula
|
0.34%
1/294 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.00%
0/301 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Gastrointestinal disorders
Gastrooesophageal reflux disease
|
0.34%
1/294 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.00%
0/301 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Gastrointestinal disorders
Ileus
|
0.00%
0/294 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.33%
1/301 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Gastrointestinal disorders
Intestinal obstruction
|
0.34%
1/294 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.00%
0/301 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Gastrointestinal disorders
Irritable bowel syndrome
|
0.00%
0/294 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.33%
1/301 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Gastrointestinal disorders
Lower gastrointestinal haemorrhage
|
0.34%
1/294 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.00%
0/301 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Gastrointestinal disorders
Nausea
|
0.34%
1/294 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.00%
0/301 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Gastrointestinal disorders
Pancreatitis
|
0.34%
1/294 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.33%
1/301 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Gastrointestinal disorders
Pancreatitis acute
|
0.34%
1/294 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.00%
0/301 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Gastrointestinal disorders
Vomiting
|
0.34%
1/294 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.33%
1/301 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
General disorders
Impaired healing
|
0.34%
1/294 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.00%
0/301 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
General disorders
Systemic inflammatory response syndrome
|
0.00%
0/294 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.33%
1/301 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Hepatobiliary disorders
Cholecystitis acute
|
0.34%
1/294 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.00%
0/301 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Immune system disorders
Heart transplant rejection
|
0.34%
1/294 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.00%
0/301 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Infections and infestations
Abscess limb
|
0.34%
1/294 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.33%
1/301 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Infections and infestations
Cellulitis
|
0.68%
2/294 • Number of events 2 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.00%
0/301 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Infections and infestations
Infective exacerbation of chronic obstructive airways disease
|
0.00%
0/294 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.33%
1/301 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Infections and infestations
Klebsiella bacteraemia
|
0.00%
0/294 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.33%
1/301 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Infections and infestations
Lobar pneumonia
|
0.34%
1/294 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.33%
1/301 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Infections and infestations
Pneumonia
|
1.0%
3/294 • Number of events 3 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.33%
1/301 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Infections and infestations
Septic shock
|
0.00%
0/294 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.66%
2/301 • Number of events 2 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Infections and infestations
Serratia sepsis
|
0.34%
1/294 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.00%
0/301 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Infections and infestations
Staphylococcal sepsis
|
0.34%
1/294 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.00%
0/301 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Injury, poisoning and procedural complications
Alcohol poisoning
|
0.00%
0/294 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.33%
1/301 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Injury, poisoning and procedural complications
Facial bones fracture
|
0.00%
0/294 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.33%
1/301 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Injury, poisoning and procedural complications
Head injury
|
0.00%
0/294 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.33%
1/301 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Injury, poisoning and procedural complications
Hip fracture
|
0.00%
0/294 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.33%
1/301 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Metabolism and nutrition disorders
Cachexia
|
0.00%
0/294 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.33%
1/301 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Metabolism and nutrition disorders
Diabetic ketoacidosis
|
0.34%
1/294 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.00%
0/301 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Metabolism and nutrition disorders
Hypercalcaemia
|
0.34%
1/294 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.00%
0/301 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Metabolism and nutrition disorders
Hypoglycaemia
|
0.34%
1/294 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.33%
1/301 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Musculoskeletal and connective tissue disorders
Back pain
|
0.34%
1/294 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.00%
0/301 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Bile duct cancer
|
0.00%
0/294 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.33%
1/301 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Cancer pain
|
0.00%
0/294 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.33%
1/301 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Oesophageal carcinoma
|
0.34%
1/294 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.00%
0/301 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Nervous system disorders
Aphasia
|
0.00%
0/294 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.33%
1/301 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Nervous system disorders
Convulsion
|
0.00%
0/294 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.33%
1/301 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Nervous system disorders
Hepatic encephalopathy
|
0.34%
1/294 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.00%
0/301 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Psychiatric disorders
Depression
|
0.34%
1/294 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.00%
0/301 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
|
0.00%
0/294 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.33%
1/301 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Respiratory, thoracic and mediastinal disorders
Dyspnoea
|
0.00%
0/294 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.33%
1/301 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Respiratory, thoracic and mediastinal disorders
Pleural effusion
|
0.34%
1/294 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.00%
0/301 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Skin and subcutaneous tissue disorders
Dermatitis contact
|
0.00%
0/294 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.33%
1/301 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Vascular disorders
Aortic aneurysm rupture
|
0.00%
0/294 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.33%
1/301 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Vascular disorders
Femoral artery embolism
|
0.34%
1/294 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.00%
0/301 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Vascular disorders
Hypertensive crisis
|
0.00%
0/294 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.33%
1/301 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Vascular disorders
Hypovolaemic shock
|
0.34%
1/294 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
0.33%
1/301 • Number of events 1 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
Other adverse events
| Measure |
CB-183,315
n=294 participants at risk
Participants took CB-183,315 250 mg b.i.d. and placebo b.i.d. by mouth for 10 days.
|
Vancomycin
n=301 participants at risk
Participants took vancomycin 125 mg q.i.d. by mouth for 10 days.
|
|---|---|---|
|
Gastrointestinal disorders
Diarrhoea
|
2.7%
8/294 • Number of events 9 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
7.3%
22/301 • Number of events 23 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Gastrointestinal disorders
Nausea
|
8.5%
25/294 • Number of events 25 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
7.6%
23/301 • Number of events 23 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
|
Nervous system disorders
Headache
|
10.5%
31/294 • Number of events 33 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
12.0%
36/301 • Number of events 38 • All AEs were collected up to Day 13; only serious AEs (SAEs) and drug-related AEs were collected up to Day 50.
The analysis population consists of all randomized participants who received ≥1 dose of study drug.
|
Additional Information
Senior Vice President, Global Clinical Development
Merck Sharp & Dohme Corp.
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place