Dalbavancin Versus Standard Antibiotic Therapy for Catheter-related Bloodstream Infections Due to Staphylococcus Aureus

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorAssistance Publique - Hôpitaux de Paris

About this trial

The primary objective of the study is to demonstrate, among patients with non-complicated CR-BSIs due to S. aureus, that a single-dose of intravenous (IV) dalbavancin 1500 mg is non-inferior to standard documented antibiotic therapy for 14 days according to national guidelines at DAY 30 (Long follow up visit).

As the secondary objectives, the study aims to evaluate according to treatment group:

1. Cure rate at DAY 14 and DAY 90 (EOS); 2. Mortality rate within 90 days of follow-up; 3. Time to negativation of blood cultures; 4. Patient's quality of life; 5. Hospitalization length of stay; 6. Cost-utility analyses; 7. Occurrence of any adverse event (AE and SAE), until Day 90 (EOS).

Eligibility criteria

Qualifiers

Patients aged at least 18 years;

Blood cultures positive for S. aureus, obtained within 72 hours before randomization (the date considered is the date of the sampling, not the results);

One positive blood culture AND Local signs of infection at the catheter site; OR

at least one positive blood culture obtained from the catheter and the peripheral vein; AND

Disqualifiers

Polymicrobial infection;

Dalbavancin resistant strain;

More than 72 hours of active antibiotic treatment targeting S. aureus (in-vitro susceptibility) administered prior to randomization;

Patient with known valvulopathy, previous history of endocarditis, or suspicion of infective endocarditis by physician in charge;

Trial design

Treatments tested in this trial

  • Dalbavancin administration
  • Standard antibiotic therapy

Treatment groups

406 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Assistance Publique - Hôpitaux de Paris

Lead sponsor

Centre Hospitalier de Perigueux

Collaborator

Advanz Pharma

Collaborator

Nantes University Hospital

Collaborator

Centre National de Référence des staphylocoques

Collaborator