Ceftobiprole versus daptomycin in Staphylococcus aureus bacteremia: a novel protocol for a double-blind, Phase III trial

Future Microbiol. 2020 Jan;15(1):35-48. doi: 10.2217/fmb-2019-0332. Epub 2020 Jan 10.

Abstract

Although Staphylococcus aureus is a common cause of bacteremia, treatment options are limited. The need for new therapies is particularly urgent for methicillin-resistant S. aureus bacteremia (SAB). Ceftobiprole is an advanced-generation, broad-spectrum cephalosporin with activity against both methicillin-susceptible and -resistant S. aureus. This is a Phase III, randomized, double-blind, active-controlled, parallel-group, multicenter, two-part study to establish the efficacy and safety of ceftobiprole compared with daptomycin in the treatment of SAB, including infective endocarditis. Anticipated enrollment is 390 hospitalized adult patients, aged ≥18 years, with confirmed or suspected complicated SAB. The primary end point is overall success rate. Target completion of the study is in the second half of 2021. Clinicaltrials.gov identifier: NCT03138733.

Keywords: Phase III; Staphylococcus aureus; bacteremia; ceftobiprole; daptomycin; double-blind; infective endocarditis; noninferiority; protocol; randomized.

Publication types

  • Clinical Trial Protocol
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adult
  • Bacteremia / drug therapy*
  • Bacteremia / microbiology
  • Bacteremia / mortality
  • Cephalosporins / therapeutic use*
  • Clinical Trials as Topic
  • Daptomycin / therapeutic use*
  • Double-Blind Method
  • Drug Resistance, Multiple, Bacterial
  • Female
  • Hospitalization
  • Humans
  • Male
  • Methicillin-Resistant Staphylococcus aureus / drug effects
  • Multicenter Studies as Topic
  • Randomized Controlled Trials as Topic
  • Staphylococcal Infections / drug therapy*
  • Staphylococcal Infections / microbiology
  • Staphylococcal Infections / mortality
  • Staphylococcus aureus / drug effects*
  • Treatment Failure
  • Treatment Outcome
  • Young Adult

Substances

  • Cephalosporins
  • ceftobiprole
  • Daptomycin

Associated data

  • ClinicalTrials.gov/NCT03138733