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CompletedNCT00062647ASSUREUpdated Jan 16, 2019Results posted

Telavancin for Treatment of Uncomplicated Staphylococcus Aureus Bacteremia

A Phase 2 interventional study of Telavancin and Vancomycin, nafcillin, oxacillin, or cloxacillin in Gram-Positive Bacterial Infections, sponsored by Cumberland Pharmaceuticals. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-01-16.

Sponsored by Cumberland Pharmaceuticals · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to determine whether telavancin (TD-6424, ARBELIC) can be safety administered to patients with bloodstream infections and whether telavancin is effective in treating these infections.

02

Conditions studied

  • Gram-Positive Bacterial Infections
03

In context

Gram-Positive Bacterial Infections

49 studies on the registry are indexed under Gram-Positive Bacterial Infections; 5 are open to participants now.

This study's enrollment of 60 is below the median of 86 across 35 interventional studies indexed under Gram-Positive Bacterial Infections.

Browse Gram-Positive Bacterial Infections studies →

Lead sponsor

Cumberland Pharmaceuticals is the lead sponsor of 49 studies on the registry; 1 is open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 5 (100%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

- Documented S. aureus bacteremia

Exclusion criteria

Exclusion Criteria

- Patients who had received or would have received more than 72 hours of potentially effective systemic antistaphylococcal therapy within 7 days prior to randomization. The following agents were considered potentially effective antistaphylococcal therapy: antistaphylococcal penicillins (including nafcillin, oxacillin, or cloxacillin), cephalosporins, fluoroquinolones, glycopeptides (including vancomycin and teicoplanin) and linezolid

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
60 participants (actual)

Study arms

  • Experimental
    Telavancin

    Drug: Telavancin

  • Active comparator
    Vancomycin, nafcillin, oxacillin, or cloxacillin

    Vancomycin 1 Gram/12 hours or nafcillin, oxacillin, or cloxacillin 2 Gram/6 hours (IV) intravenously

    Drug: Vancomycin, nafcillin, oxacillin, or cloxacillin

Interventions

  • Telavancin 10mg/kg/day IV every 24 hrs for up to 14 days

    Also known as: TD-6424, VIBATIV

  • DrugVancomycin, nafcillin, oxacillin, or cloxacillin

    Vancomycin 1 Gram every 12 hr IV (intravenously) OR nafcillin, oxacillin, or cloxacillin 2 Grams every 6 hr IV (intravenously) for up to 14 days.

06

What researchers measure

Primary outcomes

  1. Clinical Response (Cure, Failure, or Indeterminate) as Determined by the Investigator Based the Presence or Absence of Clinical Signs and Symptoms Associated With Bacteremia, Metastatic Complications, or Positive Culture at the Test of Cure Evaluation

    Outcomes in this exploratory study were compared for noninferiority though no specific margin was justified. The 95% CI for the difference was -35.5 to 31.9; further statistical evaluation is not warranted owing to the small sample size.

    Time frame: 12 weeks after start of treatment

07

Results

Posted Mar 22, 2011

Participant flow

Enrollment period: 14 Aug 2003 to 02 Aug 2006

Participant flow — Overall Study
MilestoneTelavancinStandard Therapy
Started3030
Completed1417
Not completed1613
Withdrew: Death22
Withdrew: Adverse event11
Withdrew: Withdrawal by subject21
Withdrew: Protocol violation10
Withdrew: Lost to follow-up12
Withdrew: Failed continuation criteria42
Withdrew: Other44
Withdrew: Never received study treatment11

Outcome measures

PrimaryClinical Response (Cure, Failure, or Indeterminate) as Determined by the Investigator Based the Presence or Absence of Clinical Signs and Symptoms Associated With Bacteremia, Metastatic Complications, or Positive Culture at the Test of Cure Evaluation

Outcomes in this exploratory study were compared for noninferiority though no specific margin was justified. The 95% CI for the difference was -35.5 to 31.9; further statistical evaluation is not warranted owing to the small sample size.

Time frame:
12 weeks after start of treatment
Reported as:
Number · participants
Clinical Response (Cure, Failure, or Indeterminate) as Determined by the Investigator Based the Presence or Absence of Clinical Signs and Symptoms Associated With Bacteremia, Metastatic Complications, or Positive Culture at the Test of Cure Evaluation
participantsTelavancinStandard Therapy
Cured78
Failure11
Statistical analysis
  • Telavancin vs Standard Therapy · the difference in the 2 eradication rate · Risk difference (rd): 1 · 95% CI -35.5 to 31.9Statistical testing was limited to interval estimation (95% CI) of the difference in the 2 eradication rates using the method of Agresti and Caffo.

Adverse events

Collected over From receipt of first dose through last follow-up assessment (up to Day 98).. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Telavancin—11/29 (37.9%)26/29 (89.7%)
Standard Therapy—6/29 (20.7%)21/29 (72.4%)
Most frequent serious events
Showing 10 of 26
Most frequent serious events
EventTelavancinStandard Therapy
Abdominal PainGastrointestinal disorders0/291/29
NauseaGastrointestinal disorders0/291/29
VomitingGastrointestinal disorders0/291/29
Adverse Drug ReactionGeneral disorders1/290/29
DeathGeneral disorders1/290/29
Multi-organ FailureGeneral disorders1/291/29
Neuroleptic Malignant SyndromeGeneral disorders0/291/29
PyrexiaGeneral disorders1/290/29
HypersensitivityImmune system disorders0/291/29
EndocarditisInfections and infestations0/291/29
Most frequent other events
Showing 10 of 22
Most frequent other events
EventTelavancinStandard Therapy
AnemiaBlood and lymphatic system disorders3/292/29
PyrexiaGeneral disorders3/292/29
HypokalemiaMetabolism and nutrition disorders3/291/29
DysgeusiaNervous system disorders3/290/29
HeadacheNervous system disorders3/293/29
Deep Vein ThrombosisVascular disorders3/291/29
EosinophiliaBlood and lymphatic system disorders0/292/29
DiarrhoeaGastrointestinal disorders0/292/29
NauseaGastrointestinal disorders1/292/29
VomitingGastrointestinal disorders1/292/29

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)TelavancinStandard TherapyTotal
<=18 years000
Between 18 and 65 years181836
>=65 years111122
Age, Continuous
Age, Continuous(years)TelavancinStandard TherapyTotal
Mean60 ± 1960 ± 17.960 ± 17.9
Sex: Female, Male
Sex: Female, Male(Participants)TelavancinStandard TherapyTotal
Female111425
Male181533
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)TelavancinStandard TherapyTotal
Hispanic or Latino7714
Not Hispanic or Latino222244
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)TelavancinStandard TherapyTotal
American Indian or Alaska Native112
Asian246
Native Hawaiian or Other Pacific Islander000
Black or African American9312
White172138
More than one race000
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)TelavancinStandard TherapyTotal
Argentina325
Singapore134
Spain235
United States222143
Hong Kong101
08

Study locations

1 site
  • Wellstar Infectious Disease
    Marietta, Georgia 30060, United States
09

References and documents

Publications

  • Stryjewski ME, Lentnek A, O'Riordan W, Pullman J, Tambyah PA, Miro JM, Fowler VG Jr, Barriere SL, Kitt MM, Corey GR. A randomized Phase 2 trial of telavancin versus standard therapy in patients with uncomplicated Staphylococcus aureus bacteremia: the ASSURE study. BMC Infect Dis. 2014 May 23;14:289. doi: 10.1186/1471-2334-14-289. PubMed 24884578 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 16, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00062647
First posted
Jun 12, 2003
Start date
Aug 2003
Primary completion
Aug 2006
Completion
Aug 2006
Results posted
Mar 22, 2011
Last update
Jan 16, 2019

Study contacts

G. Ralph Corey, MD
principal investigator · Duke University

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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