Actively Recruiting

Phase 4
All Genders
NCT05137119

Staphylococcus Aureus Network Adaptive Platform Trial

Led by University of Melbourne · Updated on 2026-05-06

8000

Participants Needed

161

Research Sites

354 weeks

Total Duration

On this page

Sponsors

U

University of Melbourne

Lead Sponsor

B

Berry Consultants

Collaborating Sponsor

AI-Summary

What this Trial Is About

The Staphylococcus aureus Network Adaptive Platform (SNAP) trial is an International Multi-Centered Randomised Adaptive Platform Clinical Trial to evaluate a range of interventions to reduce mortality for patients with Staphylococcus Aureus bacteraemia (SAB).

CONDITIONS

Official Title

Staphylococcus Aureus Network Adaptive Platform Trial

Who Can Participate

All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Staphylococcus aureus complex grown from at least one blood culture
  • Admitted to a participating hospital at the time of eligibility assessment or admitted anytime from blood culture collection until assessment if deceased
  • For adjunctive treatment domain: Eligible for platform and regardless of clindamycin susceptibility
  • For PSSA treatment domain: Penicillin-susceptible Staphylococcus aureus isolated as per defined testing criteria
  • For MSSA treatment domain: Methicillin-susceptible Staphylococcus aureus isolated
  • For MRSA treatment domain: MRSA confirmed microbiologically
  • For early oral switch domain: Clearance of SAB by blood cultures at specified days, afebrile, source control achieved, no evidence of metastatic foci
  • For PET/CT domain: Patient accessible for PET/CT at participating site
Not Eligible

You will not qualify if you...

  • More than 72 hours since index blood culture collection at time of platform entry
  • Polymicrobial bacteraemia involving more than one organism (excluding contaminants)
  • Previous participation in randomised SNAP platform
  • Positive blood culture for same S. aureus strain between 72 hours and 180 days prior
  • Treating team advises against enrolment or if death is imminent
  • Patient for end-of-life care without appropriate antibiotic treatment
  • Age under 18 years where paediatric recruitment is not approved
  • Patient deceased since index blood culture collection
  • Allergy or hypersensitivity reactions to study antibiotics per domain criteria
  • Current severe diarrhoea or C. difficile associated diarrhoea
  • Currently receiving antibiotics that cannot be stopped or substituted
  • Presence of prosthetic cardiac devices, intravascular clots, or intracardiac infections for early oral switch domain
  • Pregnancy, breastfeeding, recent PET/CT, clinical instability, or contraindications for PET/CT domain

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 161 locations

1

Houston Methodist Research Institute

Houston, Texas, United States, 77030

Actively Recruiting

2

Canberra Hospital

Garran, Australia Capital Territory, Australia, 2605

Actively Recruiting

3

Blacktown Hospital

Blacktown, New South Wales, Australia, 2148

Actively Recruiting

4

Royal Prince Alfred Hospital

Camperdown, New South Wales, Australia, 2050

Actively Recruiting

5

Concord Repatriation and General Hospital

Concord, New South Wales, Australia, 2139

Actively Recruiting

6

St Vincent's Hospital Sydney

Darlinghurst, New South Wales, Australia, 2010

Actively Recruiting

7

Nepean Hospital

Kingswood, New South Wales, Australia, 2747

Actively Recruiting

8

St George Hospital

Kogarah, New South Wales, Australia, 2217

Not Yet Recruiting

9

Liverpool Hospital

Liverpool, New South Wales, Australia, 2170

Actively Recruiting

10

John Hunter Hospital

New Lambton Heights, New South Wales, Australia, 2305

Actively Recruiting

11

John Hunter Children's Hospital

Newcastle, New South Wales, Australia, 2305

Actively Recruiting

12

Orange Health Service

Orange, New South Wales, Australia, 2800

Actively Recruiting

13

Prince of Wales Hospital

Randwick, New South Wales, Australia, 2031

Actively Recruiting

14

Sydney Children's Hospital

Randwick, New South Wales, Australia, 2031

Actively Recruiting

15

The Children's Hospital at Westmead

Westmead, New South Wales, Australia, 2145

Actively Recruiting

16

Westmead Hospital

Westmead, New South Wales, Australia, 2145

Actively Recruiting

17

Wollongong Hospital

Wollongong, New South Wales, Australia, 2500

Actively Recruiting

18

Royal Darwin Hospital

Tiwi, Northern Territory, Australia, 0811

Actively Recruiting

19

Sunshine Coast University Hospital

Birtinya, Queensland, Australia, 4575

Actively Recruiting

20

Cairns Hospital

Cairns, Queensland, Australia, 4870

Actively Recruiting

21

Royal Brisbane and Women's Hospital

Herston, Queensland, Australia, 4029

Actively Recruiting

22

Ipswich Hospital

Ipswich, Queensland, Australia, 4305

Actively Recruiting

23

Logan Hospital

Meadowbrook, Queensland, Australia, 4131

Not Yet Recruiting

24

Redcliffe Hospital

Redcliffe, Queensland, Australia, 4020

Actively Recruiting

25

Robina Hospital

Robina, Queensland, Australia, 4226

Actively Recruiting

26

Queensland Children's Hospital

South Brisbane, Queensland, Australia, 4101

Actively Recruiting

27

Gold Coast University Hospital

Southport, Queensland, Australia, 4215

Actively Recruiting

28

Princess Alexandra Hospital

Woolloongabba, Queensland, Australia, 4102

Not Yet Recruiting

29

Lyell McEwin Hospital

Adelaide, South Australia, Australia, 5112

Actively Recruiting

30

Flinders Medical Centre

Bedford Park, South Australia, Australia, 5042

Actively Recruiting

31

Women and Children's Hospital

North Adelaide, South Australia, Australia, 5006

Not Yet Recruiting

32

Women's and Children's Hospital

North Adelaide, South Australia, Australia, 5006

Not Yet Recruiting

33

Royal Hobart Hospital

Hobart, Tasmania, Australia, 7000

Not Yet Recruiting

34

Launceston Hospital

Launceston, Tasmania, Australia, 7250

Actively Recruiting

35

Grampians Health

Ballarat, Victoria, Australia, 3350

Actively Recruiting

36

Bendigo Health

Bendigo, Victoria, Australia, 3550

Actively Recruiting

37

Box Hill Hospital

Box Hill, Victoria, Australia, 3128

Actively Recruiting

38

Monash Children's Hospital

Clayton, Victoria, Australia, 3168

Not Yet Recruiting

39

Monash Health - Monash Medical Centre & Jesse McPherson Private Hospital

Clayton, Victoria, Australia, 3168

Actively Recruiting

40

Western Health - Footscray, Joan Kirner & Sunshine Hospitals

Footscray, Victoria, Australia, 3011

Actively Recruiting

41

Frankston Hospital

Frankston, Victoria, Australia, 3199

Not Yet Recruiting

42

Barwon Health - University Hospital Geelong

Geelong, Victoria, Australia, 3220

Actively Recruiting

43

Austin Hospital

Heidelberg, Victoria, Australia, 3084

Actively Recruiting

44

Alfred Hospital

Melbourne, Victoria, Australia, 3004

Actively Recruiting

45

Royal Melbourne Hospital

Parkville, Victoria, Australia, 3050

Actively Recruiting

46

Royal Children's Hospital Melbourne

Parkville, Victoria, Australia, 3052

Actively Recruiting

47

Goulburn Valley Health

Shepparton, Victoria, Australia, 3630

Completed

48

La Trobe Regional Hospital

Traralgon, Victoria, Australia, 3844

Not Yet Recruiting

49

Fiona Stanley Hospital

Murdoch, Western Australia, Australia, 6150

Actively Recruiting

50

Perth Children's Hospital

Nedlands, Western Australia, Australia, 6009

Actively Recruiting

51

Royal Perth Hospital

Perth, Western Australia, Australia, 6000

Actively Recruiting

52

Armadale Hospital

Perth, Western Australia, Australia, 6112

Actively Recruiting

53

Peter Lougheed Centre

Calgary, Alberta, Canada, T1Y 6J4

Actively Recruiting

54

Foothills Medical Center

Calgary, Alberta, Canada, T2N4Z6

Actively Recruiting

55

Rockyview Hospital

Calgary, Alberta, Canada, T2V 1P9

Actively Recruiting

56

South Health Campus

Calgary, Alberta, Canada, T3M 1M4

Actively Recruiting

57

University of Alberta Hospital

Edmonton, Alberta, Canada, T6G2B7

Actively Recruiting

58

Richmond Hospital

Richmond, British Columbia, Canada, V6X1A2

Actively Recruiting

59

Fraser Health Authority - Surrey Memorial Hospital

Surrey, British Columbia, Canada

Actively Recruiting

60

Vancouver General Hospital

Vancouver, British Columbia, Canada, V5Z1M9

Actively Recruiting

61

St. Boniface Hospital

Winnipeg, Manitoba, Canada, R2H 2A6

Actively Recruiting

62

Health Sciences Centre Winnipeg

Winnipeg, Manitoba, Canada, R3A1R9

Actively Recruiting

63

Grace Hospital

Winnipeg, Manitoba, Canada, R3J 3M7

Actively Recruiting

64

Eastern Health - Health Sciences Centre (Memorial University)

St. John's, Newfoundland and Labrador, Canada, A1B3V6

Actively Recruiting

65

Eastern Regional Health Authority - St. Clare's Mercy Hospital

St. John's, Newfoundland and Labrador, Canada

Actively Recruiting

66

Toronto East Health Network - Michael Garron Hospital

East York, Ontario, Canada, M4C3E7

Actively Recruiting

67

University Health Network - Toronto General Hospital

East York, Ontario, Canada, M5G2C4

Completed

68

Hamilton Health Sciences - Hamilton General Hospital

Hamilton, Ontario, Canada, L8P1A2

Actively Recruiting

69

Hamilton Health Sciences - Juravinski Hospital

Hamilton, Ontario, Canada

Actively Recruiting

70

Kingston Health Sciences Centre - Kingston General Hospital

Kingston, Ontario, Canada, K7L2V7

Actively Recruiting

71

London Health Sciences Centre - University Hospital, LHSC

London, Ontario, Canada

Completed

72

Niagara Health - Niagara Falls Site

Niagara Falls, Ontario, Canada

Actively Recruiting

73

The Ottawa Hospital - Civic Campus

Ottawa, Ontario, Canada, K1H8L6

Actively Recruiting

74

The Ottawa Hospital - General Campus

Ottawa, Ontario, Canada

Actively Recruiting

75

Sault Area Hospital

Sault Ste. Marie, Ontario, Canada, P6B 0A8

Completed

76

Niagara Health - St. Catharines Site

St. Catharines, Ontario, Canada, L2S 0A9

Actively Recruiting

77

Unity Health - St Michael's Hospital

Toronto, Ontario, Canada, M1L 1W1

Actively Recruiting

78

Sunnybrook Health Sciences Centre

Toronto, Ontario, Canada, M4N3M5

Actively Recruiting

79

Sinai Heath System - Mount Sinai Hospital

Toronto, Ontario, Canada, M5G1X5

Actively Recruiting

80

Unity Health Toronto - St Joseph's Health Centre

Toronto, Ontario, Canada

Actively Recruiting

81

University Health Network - Toronto Western Hospital

Toronto, Ontario, Canada

Completed

82

CISSS - Hôpital Cité-de-la-Santé Hospital

Laval, Quebec, Canada

Actively Recruiting

83

Jewish General Hospital

Montreal, Quebec, Canada, H3T1E2

Actively Recruiting

84

McGill University Health Centre - Montral General Hospital

Montreal, Quebec, Canada, H4A3J1

Actively Recruiting

85

McGill University Health Centre - Montreal Children's Hospital

Montreal, Quebec, Canada

Not Yet Recruiting

86

McGill University Health Centre - Royal Victoria Hospital

Montreal, Quebec, Canada

Actively Recruiting

87

Hôpital Régional de Saint Jérôme

Saint-Jérôme, Quebec, Canada, J7Z5T3

Actively Recruiting

88

University of Sherbrooke Health Centre - Hospital Fleurimont

Sherbrooke, Quebec, Canada, J1H 5H3

Actively Recruiting

89

University of Sherbrooke Health Centre - Hotel Dieu

Sherbrooke, Quebec, Canada

Actively Recruiting

90

CHU de Rennes - Hôpital Pontchaillou

Rennes, France

Actively Recruiting

91

Charité University Hospital Berlin

Berlin, Germany

Actively Recruiting

92

University Hospital Carl Gustav Carus Dresden

Dresden, Germany

Actively Recruiting

93

University Medical Centre Freiburg

Freiburg im Breisgau, Germany

Actively Recruiting

94

Otto-von-Guericke-university Magdeburg

Magdeburg, Germany

Actively Recruiting

95

Rambam Health Care Campus

Haifa, Israel, 310960

Actively Recruiting

96

Beilinson Hospital

Petah Tikva, Israel, 49100

Actively Recruiting

97

Schneider Hospital

Petah Tikva, Israel

Actively Recruiting

98

Sheba Medical Centre

Ramat Gan, Israel, 49100

Actively Recruiting

99

Science Tokyo University Hospital

Ichikawa, Chiba, Japan, 272-0827

Actively Recruiting

100

Jeroen Bosch Hospital

's-Hertogenbosch, Netherlands

Actively Recruiting

101

Rijnstate Hospital

Arnhem, Netherlands

Active, Not Recruiting

102

Treant Ziekenhuis

Emmen, Netherlands

Actively Recruiting

103

UMC Groningen

Groningen, Netherlands

Active, Not Recruiting

104

Maastricht UMC+

Maastricht, Netherlands

Actively Recruiting

105

Antonius Ziekenhuis

Nieuwegein, Netherlands

Actively Recruiting

106

Radboud University Medical Center

Nijmegen, Netherlands

Actively Recruiting

107

Ikazia Ziekenhuis

Rotterdam, Netherlands

Actively Recruiting

108

University Medical Center Utrecht

Utrecht, Netherlands

Actively Recruiting

109

Auckland City Hospital

Grafton, Auckland, New Zealand, 1023

Actively Recruiting

110

Middlemore Hospital

Otahuhu, Auckland, New Zealand, 1640

Actively Recruiting

111

North Shore Hospital

Takapuna, Auckland, New Zealand, 0620

Actively Recruiting

112

Christchurch Hospital

Christchurch, Canterbury, New Zealand, 8011

Not Yet Recruiting

113

Hutt Valley Hospital

Boulcott, Lower Hutt, New Zealand, 5010

Actively Recruiting

114

Wellington Hospital

Newtown, Wellington Region, New Zealand, 6021

Actively Recruiting

115

Starship Hospital

Auckland, New Zealand, 1023

Actively Recruiting

116

KidzFirst

Auckland, New Zealand, 2025

Actively Recruiting

117

Waikato Hospital

Hamilton, New Zealand, 3240

Actively Recruiting

118

Tauranga Hospital

Tauranga, New Zealand, 3112

Actively Recruiting

119

Whangarei Hospital

Whangarei, New Zealand, 0148

Not Yet Recruiting

120

National University Hospital

Singapore, Singapore, 119228

Actively Recruiting

121

Singapore General Hospital

Singapore, Singapore, 168753

Actively Recruiting

122

Tan Tock Seng Hospital

Singapore, Singapore, 308433

Actively Recruiting

123

Charlotte Maxeke Johannesburg Academic Hospital

Johannesburg, South Africa

Not Yet Recruiting

124

Helen Joseph Hospital

Johannesburg, South Africa

Active, Not Recruiting

125

Rahima Moosa Mother and Child Hospital

Johannesburg, South Africa

Not Yet Recruiting

126

Helsingborg Hospital

Helsingborg, Sweden

Actively Recruiting

127

SUS Malmö

Malmö, Sweden

Actively Recruiting

128

NHS Grampian

Aberdeen, United Kingdom

Not Yet Recruiting

129

University Hospitals Birmingham

Birmingham, United Kingdom

Actively Recruiting

130

Brighton and Sussex University Hospitals

Brighton, United Kingdom

Actively Recruiting

131

North Bristol

Bristol, United Kingdom

Actively Recruiting

132

University Hospitals Bristol and Weston

Bristol, United Kingdom

Actively Recruiting

133

Cambridge University Hospitals

Cambridge, United Kingdom

Not Yet Recruiting

134

Cardiff and Vale University

Cardiff, United Kingdom

Actively Recruiting

135

Royal Cornwall Hospitals

Cornwall, United Kingdom

Not Yet Recruiting

136

Royal Devon University Healthcare

Devon, United Kingdom

Not Yet Recruiting

137

NHS Tayside

Dundee, United Kingdom

Not Yet Recruiting

138

Lothian Western General

Edinburgh, United Kingdom

Actively Recruiting

139

Greater Glasgow and Clyde

Glasgow, United Kingdom

Not Yet Recruiting

140

NHS Golden Jubilee

Glasgow, United Kingdom

Not Yet Recruiting

141

Hull University Teaching Hospitals

Hull, United Kingdom

Actively Recruiting

142

Leeds Teaching Hospitals

Leeds, United Kingdom

Actively Recruiting

143

Liverpool University Hospital

Liverpool, United Kingdom

Actively Recruiting

144

Barts Health

London, United Kingdom

Actively Recruiting

145

Great Ormond Street

London, United Kingdom

Not Yet Recruiting

146

Guys and St Thomas'

London, United Kingdom

Actively Recruiting

147

Imperial College Healthcare

London, United Kingdom

Actively Recruiting

148

Kings College Hospital

London, United Kingdom

Not Yet Recruiting

149

Royal Free London

London, United Kingdom

Actively Recruiting

150

University College London Hospitals

London, United Kingdom

Actively Recruiting

151

Whittington Health

London, United Kingdom

Actively Recruiting

152

Manchester University Hospitals

Manchester, United Kingdom

Actively Recruiting

153

Newcastle Upon Tyne Hospitals

Newcastle upon Tyne, United Kingdom

Actively Recruiting

154

Nottingham University Hospitals

Nottingham, United Kingdom

Not Yet Recruiting

155

Oxford University Hospitals

Oxford, United Kingdom

Actively Recruiting

156

Sheffield Teaching Hospitals

Sheffield, United Kingdom

Not Yet Recruiting

157

South Tees Hospitals

South Tees, United Kingdom

Actively Recruiting

158

University Hospital Southampton

Southampton, United Kingdom

Actively Recruiting

159

NHS Forth Valley

Stirling, United Kingdom

Not Yet Recruiting

160

University Hospitals of North Midlands

Stoke, United Kingdom

Not Yet Recruiting

161

Swansea Bay University Health Board

Swansea, United Kingdom

Actively Recruiting

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Research Team

L

Lauren Barina

CONTACT

S

Susan Goulding

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

FACTORIAL

Primary Purpose

TREATMENT

Number of Arms

12

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Staphylococcus Aureus Network Adaptive Platform Trial | DecenTrialz