Bacterial Pneumonia
Conditions
Keywords
Nosocomial pneumonia, MRSA
Brief summary
Study 0015 (NCT00107952) compares the safety and effectiveness of an investigational drug, telavancin, with vancomycin for the treatment of hospital-acquired pneumonia.
Interventions
Telavancin 10 mg/kg/day IV for up to 21 days.
Vancomycin 1 Gm IV q 12 hrs for up to 21 days
Sponsors
Study design
Eligibility
Inclusion criteria
* Clinical signs and symptoms consistent with pneumonia acquired after at least 48 hours of continuous stay in an inpatient acute or chronic care facility or acquired within 7 days after being discharged from a hospitalization of greater than or equal to 3 days duration.
Exclusion criteria
* Received more than 24 hours of potentially effective systemic (IV, IM or PO) antibiotic therapy for Gram-positive pneumonia immediately prior to randomization
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Clinical Response | 7 - 14 days following end of antibiotic treatment | Clinical Response: Categorical (Cured, Failed or Indeterminate) * Failure is at least one of the following: Persistence or progression of signs and symptoms of pneumonia that still require antibiotic therapy; Termination of study med due to lack of efficacy; Death on or after Day 3 attributable to primary infection * Cure: Signs and symptoms of pneumonia improved to the point that no further antibiotics for pneumonia were required, and baseline radiographic findings improved or did not progress. * Indeterminate: Inability to determine outcome |
Countries
United States
Participant flow
Recruitment details
Enrollment Period: 08Feb05 to 11Jul07
Participants by arm
| Arm | Count |
|---|---|
| Telavancin Patients with Gram-positive hospital acquired pneumonia (HAP) (primarily due to MRSA) were randomized to receive telavancin 10 mg/kg IV every 24 hrs. | 372 |
| Vancomycin Patients with Gram-positive hospital acquired pneumonia (HAP)(primarily due to MRSA) were randomized to receive vancomycin 1 Gm IV administered every 12 hrs. | 374 |
| Total | 746 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Death | 75 | 61 |
| Overall Study | Lost to Follow-up | 0 | 3 |
| Overall Study | Never received study treatment | 9 | 6 |
| Overall Study | Other | 2 | 5 |
| Overall Study | Withdrawal by Subject | 9 | 6 |
Baseline characteristics
| Characteristic | Vancomycin | Telavancin | Total |
|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 212 Participants | 202 Participants | 414 Participants |
| Age, Categorical Between 18 and 65 years | 162 Participants | 170 Participants | 332 Participants |
| Age, Continuous | 64 years STANDARD_DEVIATION 17.3 | 63 years STANDARD_DEVIATION 19.2 | 64 years STANDARD_DEVIATION 18.3 |
| Diabetes Status Diabetic | 100 Participants | 100 Participants | 200 Participants |
| Diabetes Status Non-Diabetic | 274 Participants | 272 Participants | 546 Participants |
| Ethnicity (NIH/OMB) Hispanic or Latino | 66 Participants | 78 Participants | 144 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 308 Participants | 294 Participants | 602 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| History of Pneumonia No prior history of pneumonia | 321 participants | 310 participants | 631 participants |
| History of Pneumonia Prior history of pneumonia | 53 participants | 62 participants | 115 participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 2 Participants | 2 Participants |
| Race (NIH/OMB) Asian | 87 Participants | 91 Participants | 178 Participants |
| Race (NIH/OMB) Black or African American | 14 Participants | 10 Participants | 24 Participants |
| Race (NIH/OMB) More than one race | 1 Participants | 1 Participants | 2 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 1 Participants | 1 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) White | 272 Participants | 267 Participants | 539 Participants |
| Region of Enrollment Argentina | 24 participants | 24 participants | 48 participants |
| Region of Enrollment Australia | 25 participants | 20 participants | 45 participants |
| Region of Enrollment Belgium | 5 participants | 3 participants | 8 participants |
| Region of Enrollment Brazil | 14 participants | 12 participants | 26 participants |
| Region of Enrollment Canada | 10 participants | 14 participants | 24 participants |
| Region of Enrollment Chile | 5 participants | 9 participants | 14 participants |
| Region of Enrollment Croatia | 31 participants | 28 participants | 59 participants |
| Region of Enrollment Czech Republic | 1 participants | 0 participants | 1 participants |
| Region of Enrollment France | 17 participants | 15 participants | 32 participants |
| Region of Enrollment Greece | 8 participants | 4 participants | 12 participants |
| Region of Enrollment India | 41 participants | 44 participants | 85 participants |
| Region of Enrollment Israel | 24 participants | 25 participants | 49 participants |
| Region of Enrollment Italy | 4 participants | 3 participants | 7 participants |
| Region of Enrollment Malaysia | 7 participants | 13 participants | 20 participants |
| Region of Enrollment Malta | 1 participants | 2 participants | 3 participants |
| Region of Enrollment Peru | 3 participants | 2 participants | 5 participants |
| Region of Enrollment Poland | 2 participants | 0 participants | 2 participants |
| Region of Enrollment South Africa | 2 participants | 2 participants | 4 participants |
| Region of Enrollment Taiwan | 34 participants | 29 participants | 63 participants |
| Region of Enrollment Turkey | 1 participants | 2 participants | 3 participants |
| Region of Enrollment United Kingdom | 2 participants | 4 participants | 6 participants |
| Region of Enrollment United States | 113 participants | 117 participants | 230 participants |
| Sex: Female, Male Female | 161 Participants | 137 Participants | 298 Participants |
| Sex: Female, Male Male | 213 Participants | 235 Participants | 448 Participants |
| Ventilator Status Non-ventilated | 203 Participants | 202 Participants | 405 Participants |
| Ventilator Status Ventilated | 171 Participants | 170 Participants | 341 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 321 / 372 | 317 / 374 |
| serious Total, serious adverse events | 127 / 372 | 88 / 374 |
Outcome results
Clinical Response
Clinical Response: Categorical (Cured, Failed or Indeterminate) * Failure is at least one of the following: Persistence or progression of signs and symptoms of pneumonia that still require antibiotic therapy; Termination of study med due to lack of efficacy; Death on or after Day 3 attributable to primary infection * Cure: Signs and symptoms of pneumonia improved to the point that no further antibiotics for pneumonia were required, and baseline radiographic findings improved or did not progress. * Indeterminate: Inability to determine outcome
Time frame: 7 - 14 days following end of antibiotic treatment
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Telavancin | Clinical Response | Cured | 214 participants |
| Telavancin | Clinical Response | Failure | 46 participants |
| Telavancin | Clinical Response | Indeterminate | 56 participants |
| Telavancin | Clinical Response | Missing | 56 participants |
| Vancomycin | Clinical Response | Missing | 44 participants |
| Vancomycin | Clinical Response | Cured | 221 participants |
| Vancomycin | Clinical Response | Indeterminate | 41 participants |
| Vancomycin | Clinical Response | Failure | 68 participants |