This is a research study designed to look at the efficacy and safety of daptomycin given at a dose of 6 mg/kg or 8 mg/kg in subjects being treated for prosthetic hip or knee infections caused by Staphylococci. These types of bacteria are among the most common types of bacteria causing infections of prosthetic joints.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
75
Any Creatine Phosphokinase (CPK) Elevation > 500 Units Per Liter (U/L)
Number of subjects with CPK \>500 U/L between Day 3 and 7 days following the last dose of study medication (Day 7P) as measured by the central laboratory.
Time frame: From the 3rd day of therapy to 1 week post last dose (approximately week 7)
Safety - Notable Laboratory Abnormalities
Summary of Notable Laboratory Abnormalities - description of the proportion of subjects within each treatment group that had clinical laboratory values outside the reference range.
Time frame: From the 1st day of therapy to maximum of 23 weeks post last dose (up to maximum of week 30)
Overall Clinical Outcome
The sponsor determined overall clinical outcome based on blinded review of clinical, microbiological, and radiological response of the subject including, but not limited to, clinical signs and symptoms of PJI, microbiological assessments, radiographic findings, and surgical procedures performed. Subjects were a success if both clinical and microbiological responses were success. A subject who failed to respond clinically or microbiologically was a failure. If microbiological response was non-evaluable and/or clinical evaluation at TOC was not performed, the subject was non-evaluable.
Time frame: Approximately 6 weeks post last dose (approximately week 12)
Microbiological Response
Sponsor's assessment of subject-level microbiological response at the test-of-cure visit for the modified Intent-to-Treat (mITT) population.
Time frame: Approximately 6 weeks post last dose (approximately week 12)
Pharmacokinetic Parameter: Maximum Plasma Concentration (Cmax)
The pharmacokinetic (PK) parameters of daptomycin at steady state for the 6 mg/kg and 8 mg/kg dose groups. On treatment day 4, PK samples for daptomycin levels were to be obtained prior to start of daptomycin infusion (0 hr) and at 0.5 hr (end of infusion), 1-1.5 hr, 3-5 hr, 8-12 hr, and 24 hr after the start of daptomycin infusion.
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6 mg/kg; used only at UK sites
1-2 gram
1-2 gram
1-2 mg
UAMS College of Medicine
Little Rock, Arkansas, United States
South Denver Infectious Disease Associates, PC
Englewood, Colorado, United States
Kane and Davis Associates
Washington D.C., District of Columbia, United States
Infectious Disease Association of Tampa Bay
Tampa, Florida, United States
Idaho Falls Infectious Diseases, PLLC
Idaho Falls, Idaho, United States
Rush St. Luke's Medical Center
Chicago, Illinois, United States
Southern Illinois University School of Medicine
Springfield, Illinois, United States
Mayo Clinic
Rochester, Minnesota, United States
Sierra Infectious Disease
Reno, Nevada, United States
Dartmouth-Hitchcock Medical center
Lebanon, New Hampshire, United States
...and 16 more locations
Time frame: Day 4 (steady state)
Pharmacokinetic Parameter: Area Under the Concentration-time Curve During a Dosing Interval at Steady State (AUCss)
The pharmacokinetic (PK) parameters of daptomycin at steady state for the 6 mg/kg and 8 mg/kg dose groups. On treatment day 4, PK samples for daptomycin levels were to be obtained prior to start of daptomycin infusion (0 hr) and at 0.5 hr (end of infusion), 1-1.5 hr, 3-5 hr, 8-12 hr, and 24 hr after the start of daptomycin infusion.
Time frame: Day 4 (steady state)