Bacterial Infections, Infection
Conditions
Keywords
acute bacterial skin and skin structure infection, bacteria
Brief summary
This is a Phase II, multi-center, randomized, double-blind study comparing the safety and efficacy of two doses of BC-3781 versus vancomycin in patients with acute bacterial skin and skin structure infection.
Detailed description
The purpose of the study is to determine the efficacy of 2 dose regimens of BC-3781 versus the licensed medicinal product vancomycin over 5 to 14 days. The population in this study will be patients with an acute bacterial skin and skin structure infection (ABSSSI) and they will receive treatment with one of two doses of BC-3781 or vancomycin, a standard treatment for this condition.
Interventions
BC-3781 dose 100mg is administered as i.v. infusion every 12 h for 5 to 14 days depending on the clinical response.
Vancomycin is administered as i.v. infusion every 12 h for 5 to 14 days depending on the clinical response.
Sponsors
Study design
Eligibility
Inclusion criteria
* Male or female patients \> 18 * Documented acute bacterial skin and skin structure infection
Exclusion criteria
* Uncomplicated skin and skin structure infection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Clinical Response | Test of Cure (TOC), 7 - 14 days post final treatment | Clinical Response of Success was defined as resolution of the subject's clinical signs and symptoms with no additional antimicrobial therapy required. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| BC-3781 Dose 100mg BC-3781: BC-3781 dose 100mg is administered as i.v. infusion every 12 h for 5 to 14 days depending on the clinical response. | 70 |
| BC-3781 Dose 150mg BC-3781: BC-3781 dose 150mg is administered as i.v. infusion every 12 h for 5 to 14 days depending on the clinical response. | 71 |
| Vancomycin Vancomycin: Vancomycin is administered as i.v. infusion every 12 h for 5 to 14 days depending on the clinical response. | 66 |
| Total | 207 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 |
|---|---|---|---|---|
| Overall Study | Adverse Event | 1 | 0 | 1 |
| Overall Study | Lost to Follow-up | 0 | 2 | 5 |
| Overall Study | Other | 1 | 1 | 0 |
| Overall Study | study drug missed on 2 consecutive days | 1 | 2 | 1 |
| Overall Study | Withdrawal by Subject | 1 | 1 | 1 |
Baseline characteristics
| Characteristic | BC-3781 Dose 150mg | Vancomycin | BC-3781 Dose 100mg | Total |
|---|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 3 Participants | 3 Participants | 4 Participants | 10 Participants |
| Age, Categorical Between 18 and 65 years | 68 Participants | 63 Participants | 66 Participants | 197 Participants |
| Age, Continuous | 42.2 years STANDARD_DEVIATION 13.41 | 40.4 years STANDARD_DEVIATION 13.7 | 41.7 years STANDARD_DEVIATION 13.07 | 41.4 years STANDARD_DEVIATION 13.35 |
| Diabetic Status Diabetic | 19 Participants | 10 Participants | 14 Participants | 43 Participants |
| Diabetic Status Non-diabetic | 52 Participants | 56 Participants | 56 Participants | 164 Participants |
| Ethnicity (NIH/OMB) Hispanic or Latino | 12 Participants | 14 Participants | 11 Participants | 37 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 59 Participants | 52 Participants | 59 Participants | 170 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 5 Participants | 0 Participants | 2 Participants | 7 Participants |
| Race (NIH/OMB) Asian | 1 Participants | 1 Participants | 0 Participants | 2 Participants |
| Race (NIH/OMB) Black or African American | 13 Participants | 6 Participants | 9 Participants | 28 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 1 Participants | 1 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 1 Participants | 0 Participants | 2 Participants | 3 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) White | 51 Participants | 59 Participants | 56 Participants | 166 Participants |
| Sex: Female, Male Female | 24 Participants | 27 Participants | 22 Participants | 73 Participants |
| Sex: Female, Male Male | 47 Participants | 39 Participants | 48 Participants | 134 Participants |
| Smoking Status Current Smoker | 31 Participants | 32 Participants | 34 Participants | 97 Participants |
| Smoking Status Non-Smoker | 33 Participants | 23 Participants | 29 Participants | 85 Participants |
| Smoking Status Past Smoker | 7 Participants | 11 Participants | 7 Participants | 25 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk |
|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 70 | 0 / 71 | 0 / 66 |
| other Total, other adverse events | 50 / 70 | 48 / 71 | 49 / 66 |
| serious Total, serious adverse events | 1 / 70 | 2 / 71 | 2 / 66 |
Outcome results
Clinical Response
Clinical Response of Success was defined as resolution of the subject's clinical signs and symptoms with no additional antimicrobial therapy required.
Time frame: Test of Cure (TOC), 7 - 14 days post final treatment
Population: Clinically Evaluable Population: A subset of all randomized patients who met additional pre-defined criteria.
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| BC-3781 Dose 100mg | Clinical Response | Success | 54 Participants |
| BC-3781 Dose 100mg | Clinical Response | Failure | 6 Participants |
| BC-3781 Dose 150mg | Clinical Response | Failure | 6 Participants |
| BC-3781 Dose 150mg | Clinical Response | Success | 48 Participants |
| Vancomycin | Clinical Response | Failure | 4 Participants |
| Vancomycin | Clinical Response | Success | 47 Participants |
Clinical Response
Clinical Response of Success was defined as resolution of the subject's clinical signs and symptoms with no additional antimicrobial therapy required
Time frame: Test of Cure (TOC), 7 - 14 days post final treatment
Population: Modified Intent-to-Treat Population: A subset of the Intent-to Treat Population who had a documented Gram-positive pathogen from a blood culture or from a culture of the acute bacterial skin and skin structure infection at baseline.
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| BC-3781 Dose 100mg | Clinical Response | Failure | 8 Participants |
| BC-3781 Dose 100mg | Clinical Response | Success | 41 Participants |
| BC-3781 Dose 100mg | Clinical Response | Missing | 1 Participants |
| BC-3781 Dose 150mg | Clinical Response | Failure | 6 Participants |
| BC-3781 Dose 150mg | Clinical Response | Success | 42 Participants |
| BC-3781 Dose 150mg | Clinical Response | Missing | 3 Participants |
| Vancomycin | Clinical Response | Success | 42 Participants |
| Vancomycin | Clinical Response | Missing | 3 Participants |
| Vancomycin | Clinical Response | Failure | 6 Participants |