For illustrative purposes only. Not an actual patient.
For illustrative purposes only. Not an actual patient.
TEFLARO ABSSSI Study Designs1,4 | |
Type of trial: | Two identical, randomized, multicenter, multinational, double-blind, noninferiority trials |
Study population: | 1396 adults with clinically documented complicated skin and skin structure infection |
Comparative agents: | TEFLARO – 600 mg administered IV over 1 hour every 12 hours for 5-14 days; vancomycin plus aztreonam – 1 g vancomycin administered IV over 1 hour followed by 1 g aztreonam administered IV over 1 hour every 12 hours for 5-14 days |
Treatment duration: | Treatment duration was 5 to 14 days. A switch to oral therapy was not allowed |
TEFLARO Study Populations | |
Day 3 Population* (Clinical response demonstrated 48-72 hours after starting therapy) |
The analysis evaluated patients with lesion size
≥75 cm2 and having one of the following infection
types:
|
Test of Cure (TOC) Populations† | |
MITT Modified Intent-to-treat | All randomized subjects who received any amount of study drug. |
CE Clinically Evaluable | Patients in the MITT population who demonstrated sufficient adherence to the protocol. Sufficient adherence is defined as patients who met the minimal clinical disease criteria for cSSSI and all evaluability criteria, including subjects who received at least the prespecified minimal amount of the intended dose and duration of study drug therapy, for which sufficient information regarding the cSSSI site is available to determine the subject’s outcome, and for which there were no confounding factors that interfered with the assessment of that outcome. |
ME Microbiologically Evaluable | This population consists of a subset of subjects from the CE population who had at least one bacterial pathogen identified from a blood culture or culture of an adequate microbiological sample obtained from the cSSSI site at baseline and who had susceptibility testing performed on at least one of the isolated baseline pathogens. |
TEFLARO ABSSSI Study Designs1,4 |
Type of trial:
Two identical, randomized, 1396 adults with clinically documented complicated skin and skin structure infection Comparative agents:TEFLARO – 600 mg administered IV over 1 hour every 12 hours for 5-14 days; vancomycin plus aztreonam – 1 g vancomycin administered IV over 1 hour followed by 1 g aztreonam administered IV over 1 hour every 12 hours for 5-14 days Treatment duration:Treatment duration was 5 to 14 days. A switch to oral therapy was not allowed |
TEFLARO Study Populations Day 3 Population* (Clinical response demonstrated 48-72 hours after starting therapy) The analysis evaluated patients with lesion size ≥75 cm2 and having one of the following infection types:
MITT Modified Intent-to-treat All randomized subjects who received any amount of study drug. CE Clinically Evaluable Patients in the MITT population who demonstrated sufficient adherence to the protocol. Sufficient adherence is defined as patients who met the minimal clinical disease criteria for cSSSI and all evaluability criteria, including subjects who received at least the prespecified minimal amount of the intended dose and duration of study drug therapy, for which sufficient information regarding the cSSSI site is available to determine the subject’s outcome, and for which there were no confounding factors that interfered with the assessment of that outcome. ME Microbiologically Evaluable This population consists of a subset of subjects from the CE population who had at least one bacterial pathogen identified from a blood culture or culture of an adequate microbiological sample obtained from the cSSSI site at baseline and who had susceptibility testing performed on at least one of the isolated baseline pathogens. |
To evaluate the treatment effect of ceftaroline, an analysis was conducted in 797 patients with ABSSSI (such as deep/extensive cellulitis or a wound infection [surgical or traumatic]) for whom the treatment effect of antibacterials may be supported by historical evidence. This analysis evaluated responder rates based on achieving both cessation of lesion spread and absence of fever on Trial Day 3.
The protocol-specified analyses included clinical cure rates at the TOC (8 to 15 days after the end of therapy) in the coprimary CE and MITT populations and clinical cure rates at TOC by pathogen in the ME population.
TEFLARO ABSSSI studies: Selected patient demographics and baseline characteristics (integrated MITT)5 | ||
Characteristic |
TEFLARO (n=693) |
Vancomycin plus aztreonam (n=685) |
Age, median years (range) | 48.0 (18-93) | 48.0 (18-96) |
Male sex, no. (%) | 444 (64.1) | 419 (61.2) |
BMI | ||
Median (range) | 26.9 (14.1-74.1) | 27.4 (16.6-66.5) |
>30, no. (%) | 222 (32.0) | 227 (33.1) |
Duration of therapy, mean days ± SD | 8.3±3.2 | 8.4±3.3 |
Comorbid conditions, no. (%) | ||
Diabetes mellitus | 122 (17.6) | 120 (17.5) |
Peripheral vascular disease | 93 (13.4) | 93 (13.6) |
Injection drug use | 46 (6.6) | 59 (8.6) |
Site of primary infection, no. (%) | ||
Lower limb | 338 (48.8) | 339 (49.5) |
Head/neck | 45 (6.5) | 33 (4.8) |
Other | 310 (44.7) | 313 (45.7) |
Prior antimicrobial therapy, no. (%) | 276 (39.8) | 260 (38.0) |
Infection measurements | ||
Length, median cm (range) | 15.00 (0.4-65.0) | 15.00 (0.2-99.0) |
Width, median cm (range) | 10.00 (0.5-55.0) | 10.00 (0.2-61.3) |
Surgical procedures on primary infection site ≤48 hours after enrollment,* no. (%) | ||
≥1 procedure | 97 (14.0) | 108 (15.8) |
Incision and drainage | 46 (6.6) | 51 (7.4) |
Debridement | 31 (4.5) | 29 (4.2) |
TEFLARO ABSSSI studies: Selected patient demographics and baseline characteristics (integrated MITT)5 |
|
TEFLARO (n=693) |
Vancomycin plus aztreonam (n=685) |
Characteristic | |
Age, median years (range) | |
48.0 (18-93) | 48.0 (18-96) |
Male sex, no. (%) | |
444 (64.1) | 419 (61.2) |
BMI | |
Median (range) | |
26.9 (14.1-74.1) |
27.4 (16.6-66.5) |
>30, no. (%) | |
222 (32.0) | 227 (33.1) |
Duration of therapy, mean days days ± SD | |
8.3±3.2 | 8.4±3.3 |
Comorbid conditions, no. (%) | |
Diabetes mellitus | |
122 (17.6) | 120 (17.5) |
Peripheral vascular disease | |
93 (13.4) | 93 (13.6) |
Injection drug use | |
46 (6.6) | 59 (8.6) |
Site of primary infection, no. (%) |
|
Lower limb | |
338 (48.8) | 339 (49.5) |
Head/neck | |
45 (6.5) | 33 (4.8) |
Other | |
310 (44.7) | 313 (45.7) |
Prior antimicrobial therapy, no. (%) |
|
276 (39.8) | 260 (38.0) |
Infection measurements | |
Length, median cm (range) | |
15.00 (0.4-65.0) |
15.00 (0.2-99.0) |
Width, median cm (range) | |
10.00 (0.5-55.0) |
10.00 (0.2-61.3) |
Surgical procedures on primary infection site ≤48 hours after enrollment,* no. (%) | |
≥1 procedure | |
97 (14.0) | 108 (15.8) |
Incision and drainage | |
46 (6.6) | 51 (7.4) |
Debridement | |
31 (4.5) | 29 (4.2) |
BMI=body mass index (calculated as the weight in kilograms divided by the square of height in meters); SD=standard deviation.
Includes patients with surgical procedures performed <24 hours before first dose or randomization and <48 hours after first dose.
Adapted from Corey GR et al. Clin Infect Dis. 2010. Reproduced with permission of the Infectious Diseases Society of America.
S. aureus bacteremia: |
In the two ABSSSI studies, 20 of the 693 patients in the TEFLARO group had baseline S. aureus bacteremia (9 MRSA and 11 MSSA).1 |
These hypothetical case studies present examples of types of patients who may benefit from TEFLARO.
Please also see full Prescribing Information.
Please also see full Prescribing Information.