Vancomycin Versus Daptomycin for the Treatment of Methicillin Resistant Staphylococcus Aureus (MRSA) Bacteremia
NCT01975662 · Status: TERMINATED · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 14
Last updated 2016-04-14
Summary
The aim of this study is to compare the efficacy of daptomycin treatment versus vancomycin treatment in the treatment of methicillin resistant staphylococcus aureus (MRSA) bloodstream infections (BSI) due to isolates with high vancomycin minimum inhibitory concentrations (MIC) (i.e. \> or equal to 1.5 ug/ml) in terms of reducing all-cause mortality.
Our secondary aim is to compare clinical failure rates of daptomycin treatment versus vancomycin treatment and to compare time to microbiological clearance in patients treated with daptomycin versus those treated with vancomycin.
Our primary hypothesis is that Daptomycin treatment is superior to vancomycin treatment in reducing mortality from BSIs due to MRSA with high vancomycin MIC from 25% to 10%.
Conditions
- Bacteremia Due to Staphylococcus Aureus
Interventions
- DRUG
-
Daptomycin
Duration of treatment will be determined based on the type of bacteremia. Patients with uncomplicated bacteremia will receive a minimum of 14 days antibiotics and those with complicated bacteremia or infective endocarditis will receive a minimum of 28 to 42 days antibiotics from the date that microbiological clearance is achieved.
- DRUG
-
Duration of treatment will be determined based on the type of bacteremia. Patients with uncomplicated bacteremia will receive a minimum of 14 days antibiotics and those with complicated bacteremia or infective endocarditis will receive a minimum of 28 to 42 days antibiotics from the date that microbiological clearance is achieved.
Sponsors & Collaborators
-
Singapore Clinical Research Institute
collaborator OTHER -
Singapore General Hospital
lead OTHER
Principal Investigators
-
Thuan Tong Tan, MBBS, PhD · Singapore General Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 21 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2014-01-31
- Primary Completion
- 2015-12-31
- Completion
- 2015-12-31
Countries
- Singapore
Study Locations
More Related Trials
-
Phase 2 Safety and Efficacy Study of Daptomycin in Complicated Skin and Skin Structure Infections
NCT00426933 ·Status: COMPLETED ·Phase: PHASE2
-
Cotrimoxazole Versus Vancomycin for Invasive Methicillin-resistant Staphylococcus Aureus Infections
NCT00427076 ·Status: COMPLETED ·Phase: PHASE3
-
Vancomycin vs. Vancomycin Plus Gentamycin in Treatment of MRSA Infection
NCT00304811 ·Status: COMPLETED ·Phase: PHASE4
-
Daptomycin for the Treatment of Severe Necrotizing Soft-Tissue Infections
NCT00261807 ·Status: COMPLETED ·Phase: NA
-
Evaluation of Vancomycin Treatment of Infections Due to Staphylococcus Aureus
NCT00862862 ·Status: TERMINATED
-
Application of Daptomycin in MRSA Infected Diabetic Foot in Comparison to Vancomycin Treatment
NCT01199783 ·Status: TERMINATED ·Phase: PHASE3
-
Vancomycin Dosage Adjustment for MRSA Infections
NCT03412500 ·Status: UNKNOWN ·Phase: PHASE4
-
Safety & Efficacy of Daptomycin Versus Standard of Care (SOC) in 1 - 17 Year Olds With Staphylococcus Aureus Bacteremia (MK-3009-005)
NCT01728376 ·Status: COMPLETED ·Phase: PHASE4
-
Pharmacokinetics/ Pharmacodynamics (PK/PD) Study of Vancomycin
NCT02443064 ·Status: UNKNOWN ·Phase: PHASE4
-
Randomized-controlled Trial (RCT) on Combination Antibiotic for Infections Caused by Gram-negative Bacteria
NCT02134106 ·Status: WITHDRAWN ·Phase: PHASE2/PHASE3
-
Subcutaneous Daptomycin in Healthy Volunteers (DAPTOSC)
NCT04434300 ·Status: COMPLETED ·Phase: PHASE1
-
Daptomycin as Adjunctive Therapy for Staphylococcus Aureus Bacteremia
NCT02972983 ·Status: COMPLETED ·Phase: PHASE4
-
Daptomycin for the Treatment of Infections Due to Gram-Positive Bacteria
NCT00055198 ·Status: TERMINATED ·Phase: PHASE3
-
Vancomycin Dosing for Serious MRSA Infections: A Non-inferiority Randomized Trial of Trough Level Versus AUC/MIC
NCT04793152 ·Status: RECRUITING ·Phase: NA
-
Combination Antibiotic Therapy for Methicillin Resistant Staphylococcus Aureus Infection
NCT02365493 ·Status: TERMINATED ·Phase: PHASE3
-
Efficacy and Safety of Daptomycin Versus Vancomycin or Teicoplanin for Treatment of Complicated Skin and Soft Tissue Infections
NCT00430937 ·Status: TERMINATED ·Phase: PHASE3
-
Comparison of Nephrotoxicity and Hospital Costs in Patients With Methicillin-Resistant Staphylococcus Aureus Bacteremia Who Received Vancomycin Versus Teicoplanin Therapy
NCT01352936 ·Status: UNKNOWN
-
Daptomycin in the Treatment of Catheter-Related Staphylococcus Aureus
NCT00507247 ·Status: COMPLETED ·Phase: PHASE2
-
Safety and Efficacy Study of Daptomycin Compared to Active Comparator in Pediatric Participants With Acute Hematogenous Osteomyelitis (AHO) (MK-3009-006)
NCT01922011 ·Status: COMPLETED ·Phase: PHASE3
-
Outpatient Treatment of Gram Positive Wound Infections in the Diabetic Foot: A Pharmaco-economic Comparison of Daptomycin vs. Vancomycin Based Regimens
NCT01133600 ·Status: TERMINATED ·Phase: PHASE4
-
Daptomycin or Vancomycin in Treating Bacteria in the Blood in Patients With Neutropenia Caused By Chemotherapy
NCT00296049 ·Status: WITHDRAWN ·Phase: NA
-
Study of Single Dose Daptomycin in Pediatric Patients With Gram-positive Infection for Which They Are Receiving Standard Antibiotics
NCT00136292 ·Status: COMPLETED ·Phase: PHASE1
-
Comparison of Two Dosage Adjustment Strategies of Vancomycin in Children
NCT02694458 ·Status: COMPLETED ·Phase: NA
-
Study to Compare Efficacy and Safety of Daptomycin in Elderly Patients With Complicated Skin and Soft Tissue Infections
NCT01184872 ·Status: COMPLETED ·Phase: PHASE3
-
Vancomycin Or Trimethoprim/Sulfamethoxazole for Methicillin-resistant Staphylococcus Aureus Osteomyelitis
NCT00324922 ·Status: COMPLETED ·Phase: PHASE3