Status:

TERMINATED

Daptomycin Versus Vancomycin in the Treatment of Nosocomial or Healthcare-associated MRSA Bacteremia

Lead Sponsor:

Assistance Publique - Hôpitaux de Paris

Collaborating Sponsors:

Novartis

Conditions:

Nosocomial Infection

Healthcare-associated Infection

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

Hypothesis: The use of daptomycin to treat nosocomial or healthcare-associated bacteremia due to methicillin-resistant S. aureus (MRSA) would increase the proportion of patients whose blood cultures a...

Detailed Description

Introduction: Nosocomial and/or healthcare-associated Staphylococcus aureus infections are common, serious conditions. S. aureus accounts for about 20% of cases of nosocomial bacteremia, and is associ...

Eligibility Criteria

Inclusion

  • INCLUSION CRITERIA :
  • Patients with nosocomial and/or healthcare-associated bacteremia with Gram-positive cocci in clusters
  • Confirmed to be meticillin-resistant S. aureus using a GeneXpert rapid molecular test
  • Aged 18 years or older
  • Who have given their written consent when this is possible or someone from his/her family, or if not possible, emergency inclusion
  • Who can receive follow-up for the entire duration of the study, i.e. 90 days
  • EXCLUSION CRITERIA :
  • Known allergy to vancomycin or daptomycin
  • Women who are pregnant or breast-feeding
  • Patients who have received vancomycin treatment for more than 48 hours between the diagnostic blood culture and randomization
  • Specific sites of infection: pneumonia, meningitis, brain abscess, osteitis, polymicrobial infection
  • Life expectancy considered to be less than 72 hours
  • Severe hepatic impairment (Child C)
  • Short-term intravascular catheters which cannot be removed immediately
  • EXCLUSION CRITERIA between D1 and D5 inclusive :
  • Specific sites of infection: osteitis diagnosed between D1 and D5 inclusive
  • Permanent foreign material infection (endovascular stents, replacement heart valves or joints, pace maker etc.) which cannot be removed within 36 hours of the first dose of the study drug

Exclusion

    Key Trial Info

    Start Date :

    May 1 2012

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    July 1 2014

    Estimated Enrollment :

    10 Patients enrolled

    Trial Details

    Trial ID

    NCT01515020

    Start Date

    May 1 2012

    End Date

    July 1 2014

    Last Update

    August 26 2014

    Active Locations (1)

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    Page 1 of 1 (1 locations)

    1

    Hopital Beaujon

    Clichy, France, 92118