Dalbavancin Therapy for Infective Endocarditis

Trial statusNot yet recruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorStefan Hagel

About this trial

This study compares two treatment strategies for antibiotic therapy in endocarditis. The aim of the study is to determine which treatment is more effective overall and better tolerated by patients.

The first strategy is standard therapy: treatment with proven antibiotics, which are usually administered initially as an intravenous infusion in the hospital and can be switched to oral therapy with tablets later on for suitable patients.

The second strategy is the study treatment with dalbavancin: This is a long-acting antibiotic. It is administered as a single infusion; for longer treatment durations, a second infusion may be necessary 14 days later.

Eligibility criteria

Qualifiers

≥ 18 years

written informed consent

Confirmed left-sided infective endocarditis (mitral and/or aortic valve) involving native (NV) or prosthetic (PV) valves caused by Gram-positive cocci (staphylococci, streptococci, or enterococci) that are susceptible to dalbavancin.

Disqualifiers

Hemodynamic instability requiring vasopressor therapy within the last 72 hours prior to randomization

Body temperature ≥38.0°C within the 72 hours prior to randomization

Evidence of pathogen growth in a blood culture within the 72 hours prior to randomization

Presence of a cardiac abscess at the time of randomization

Trial design

Treatments tested in this trial

  • Dalbavancin administration
  • Standard of Care (Investigator Choice)

Treatment groups

184 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Stefan Hagel

Lead sponsor

Jena University Hospital

Sponsor institution