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CompletedNCT00852540Updated Mar 27, 2017Results posted

Retapamulin Versus Linezolid in the Treatment of SITL and Impetigo Due to MRSA

A Phase 3 interventional study of Retpamulin Ointment, 1% and Linezolid in Skin Infections, Bacterial, sponsored by Stiefel, a GSK Company. Completed at 53 sites in United States. Open to participants aged 2 Months and older. Per ClinicalTrials.gov, last updated 2017-03-27.

Sponsored by Stiefel, a GSK Company · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
410
Allocation
Randomized
Ages
2 Months and older
Sex
All
01

Study summary

The purpose of this study is to provide further evidence of the clinical and bacteriological efficacy of retapamulin in the treatment of subjects with SITL or impetigo due to MRSA. Subjects aged 2 months and older will be treated with either topical retapamulin for 5 days or oral linezolid for 10 days. The primary endpoint is the clinical response at follow-up (7-9 days after the end of therapy) in subjects who have a MRSA infection at baseline. The primary population is the per-protocol MRSA population. It is anticipated that approximately 500 subjects may be enrolled in order to obtain approximately 105 subjects who have a baseline MRSA infection.

Read the detailed description

This is a prospective, randomized, double-blind, double dummy, multicenter, comparative study in subjects 2 months of age and older with SITL (including secondarily-infected lacerations, sutured wounds and abrasions) or impetigo (bullous and non-bullous) due to MRSA. A laceration or sutured wound cannot exceed 10 cm in length with surrounding erythema not extending more than 2 cm from the edge of the lesion. Abrasions cannot exceed 100 cm2 in total area, or up to a maximum of 2% total body surface area for subjects \<18 years of age, with surrounding erythema not extending more than 2 cm from the edge of the abrasion. Subjects with impetigo can have up to 10 lesions and the infected lesion(s) must not be more than 100 cm2 in area (or up to a maximum of 2% total body surface area for subjects \<18 years of age), must not require surgical intervention and must be able to be appropriately treated with a topical antibiotic.

There are five study visits occurring over a 17-19 day period. At the baseline visit (Visit 1, day 1), subjects will be randomized to receive retapamulin (plus oral placebo) or linezolid (plus placebo ointment) in a 2:1 ratio. Retapamulin is applied twice daily for 5 days, and linezolid is dosed, depending on subject age, either twice or three times daily for 10 days. The on-therapy, end of therapy and follow-up visits are staggered due to the difference in duration of the treatment regimens. Subjects will be monitored and clinically evaluated at all postbaseline visits.

Randomization will be center-based and stratified by age (\<5 years, ≥5 to \<12 years, ≥12 years), performed using an appropriate Interactive Voice Response System (IVRS), an automated telephone system. The block size will remain confidential. Subjects are considered to have completed the study if they meet all inclusion/exclusion criteria, are considered compliant with study medication, and attend all study visits as defined by the protocol.

02

Conditions studied

  • Skin Infections, Bacterial

Keywords

  • impetigo
  • methicillin-resistant Staphylococcus aureus
  • linezolid
  • secondarily-infected traumatic lesion
  • uncomplicated skin infection
  • retapamulin
03

In context

Cellulitis

147 studies on the registry are indexed under Cellulitis; 14 are open to participants now.

This study's enrollment of 410 is above the median of 157 across 118 interventional studies indexed under Cellulitis.

Browse Cellulitis studies →

Lead sponsor

Stiefel, a GSK Company is the lead sponsor of 55 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
2 Months and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • 2 months of age or older
  • diagnosis of secondarily-infected traumatic lesion (SITL) or impetigo (bullous or non-bullous)
  • negative urine pregnancy test (females of childbearing potential)
  • total skin infection rating scale (SIRS) score of at least 8, which must include a pus/exudate score of at least 3
  • subject or parent/legal guardian willing and able to comply with protocol
  • written informed, dated consent, and written assent (if applicable)

Exclusion criteria

Exclusion Criteria:

  • previous hypersensitivity to pleuromutilins or oxazolidinones
  • phenylketonuria or known hypersensitivity to aspartame
  • secondarily-infected animal/human bite, or puncture wound
  • abscess
  • chronic ulcerative lesion
  • underlying skin disease (eg, eczematous dermatitis) with secondary infection
  • systemic signs and symptoms of infection
  • skin infection not appropriate for treatment by a topical antibiotic (eg, extensive cellulitis, furunculosis)
  • subject requires surgical intervention for infection prior to study or likely will during the study
  • receipt of systemic antibacterial or steroid, or application of any topical therapeutic agent directly to wound within 24 hours of entry into the study
  • subject currently receiving adrenergic agents
  • subject currently receiving serotonergic agents
  • history of pseudomembranous colitis
  • known, pre-existing myelosuppression, history of myelosuppression with linezolid use, or receiving a medication that produces bone marrow suppression
  • history of siezures
  • history of severe renal failure and undergoing dialysis
  • serious underlying disease that could be imminently life-threatening
  • pregnant, breast feeding or planning a pregnancy, or not using accepted method of contraception (females of childbearing potential or \<1 year post-menopausal)
  • use of another investigational drug within 30 days prior to entry into this study
  • previously enrolled in this study
  • fructose intolerance, glucose-galactose malabsorption or sucrase-isomaltase insufficiency (for subjects \<12 years of age receiving linezolid suspension)
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
410 participants (actual)

Study arms

  • Experimental
    Retapamulin

    Drug: Retpamulin Ointment, 1%

  • Active comparator
    Linezolid

    Drug: Linezolid

Interventions

  • DrugRetpamulin Ointment, 1%

    Topical retapamulin (SB-275833) ointment, 1% (w/w), and placebo ointment, will be provided as approximately 10 grams of an off-white smooth ointment in collapsible aluminum tubes with reverse-taper puncture-tip caps. Retapamulin or placebo ointment will be applied twice daily for 5 days.

  • DrugLinezolid

    Adult and adolescent (=\>12 years of age) subjects will receive one 600mg linezolid tablet (overencapsulated), or one placebo capsule, twice daily for 10 days. Pediatric subjects aged 5-11 years will receive 10mg/kg body weight of a 100mg/5mL oral linezolid suspension, or placebo suspension, twice daily for 10 days. Pediatric subjects \<5 years of age will receive 10mg/kg of a 100mg/5mL oral linezolid suspension, or placebo suspension, three times daily for 10 days.

06

What researchers measure

Primary outcomes

  1. Number of Participants Achieving Clinical Response at Follow-up Who Had Methicillin-resistant Staphlococcus Aureus (MRSA) as a Baseline Pathogen

    Follow-up is defined as 7-9 days post-therapy: Day 12-14 for retapamulin; Day 17-19 for linezolid. Clinical success at follow-up was defined as the resolution of clinically meaningful signs and symptoms of infection recorded at baseline, including a pus/exudate skin infection rating scale (SIRS) score of "0." The SIRS is used by the investigator to evaluate infected lesions. Scores on the SIRS range from 0 (absent) to 6 (severe).

    Time frame: 7-9 days post-therapy; Day 12-14 for retapamulin and Day 17-19 for linezolid

Secondary outcomes

  1. Number of Participants Achieving Microbiological Response (MR) at Follow-up (FU) Who Had MRSA as a Baseline Pathogen (BP)

    MR was defined as microbiological success if, (1) for participants (par.) whose clinical outcome at end of therapy (EOT) was "clinical success (CS)/improvement," the BP was eradicated/presumed to be eradicated at EOT, or the BP was present at EOT and absent at FU, or the BP was eradicated/presumed to be eradicated at EOT, or the BP was present at EOT and par. was a "CS" such that no culture was obtained due to lack of culturable material secondary to adequate clinical response; or (2) a pathogen not previously identified at baseline was isolated at FU in a par. identified at FU as a "CS."

    Time frame: 7-9 days post-therapy; Day 12-14 for retapamulin and Day 17-19 for linezolid

  2. Number of Participants With Clinical Response at Follow-up

    Follow-up is defined as 7-9 days post-therapy: Day 12-14 for retapamulin; Day 17-19 for linezolid. Clinical success at follow-up was defined as the resolution of clinically meaningful signs and symptoms of infection recorded at baseline, including a pus/exudate skin infection rating scale (SIRS) score of "0." The SIRS is used by the investigator to evaluate infected lesions. Scores on the SIRS range from 0 (absent) to 6 (severe).

    Time frame: 7-9 days post-therapy; Day 12-14 for retapamulin and Day 17-19 for linezolid

  3. Number of Participants Who Achieved Microbiological Response (MR) at Follow-up (FU) Who Had a Baseline Pathogen (BP)

    MR was defined as microbiological success if, (1) for participants (par.) whose clinical outcome at end of therapy (EOT) was "clinical success (CS)/improvement," the BP was eradicated/presumed to be eradicated at EOT, or the BP was present at EOT and absent at FU, or the BP was eradicated/presumed to be eradicated at EOT, or the BP was present at EOT and par. was a "CS" such that no culture was obtained due to lack of culturable material secondary to adequate clinical response; or (2) a pathogen not previously identified at baseline was isolated at FU in a par. identified at FU as a "CS."

    Time frame: 7-9 days post-therapy; Day 12-14 for retapamulin and Day 17-19 for linezolid

  4. Number of Participants With the Indicated Clinical Outcome at the End of Therapy Who Had MRSA as a Baseline Pathogen

    Clinical improvement is defined as improvement of signs/symptoms of infection recorded at baseline (BL) to such an extent that no further antimicrobial therapy is necessary. Clinical failure (CF) is defined as insufficient improvement/deterioration of signs/symptoms of the infection recorded at BL, such that additional antibiotic therapy is required. Unable to determine (UTD) is defined as refusal to consent to a clinical examination, lost to follow-up. Participants who are "CF"/"Unable to Determine" at end of therapy are considered such at follow-up as well.

    Time frame: 2-4 days post-therapy; Day 7-9 for retapamulin and Day 12-14 for linezolid

  5. Number of Participants With the Indicated Microbiological Outcome at the End of Therapy Who Had MRSA as a Baseline (BL) Pathogen

    Eradication is the elimination of BL pathogens. Presumed eradication and presumed improvement are clinical outcomes of success or improvement, respectively, such that no culture was obtained due to lack of culturable material, secondary to adequate clinical response, and is documented in the electronic Case Report Form. Persistence is defined as BL pathogens still being present. Presumed persistence is defined as a participant that is a clinical failure with no obtained culture. "Unable to determine" was used if no determination of BL pathogen microbiological response could be made.

    Time frame: 2-4 days post-therapy; Day 7-9 for retapamulin and Day 12-14 for linezolid

  6. Number of Participants With the Indicated Clinical Outcome at the End of Therapy

    Clinical improvement is defined as improvement of signs/symptoms of infection recorded at baseline (BL) to such an extent that no further antimicrobial therapy is necessary. Clinical failure (CF) is defined as insufficient improvement/deterioration of signs/symptoms of the infection recorded at BL, such that additional antibiotic therapy is required. Unable to determine (UTD) is defined as refusal to consent to a clinical examination, lost to follow-up. Participants who are "CF"/"Unable to Determine" at end of therapy are considered such at follow-up as well.

    Time frame: 2-4 days post-therapy; Day 7-9 for retapamulin and Day 12-14 for linezolid

  7. Number of Baseline Pathogens With the Indicated Microbiological Outcome at the End of Therapy

    Eradication is the elimination of BL pathogens. Presumed eradication and presumed improvement are clinical outcomes of success or improvement, respectively, such that no culture was obtained due to lack of culturable material, secondary to adequate clinical response, and is documented in the electronic Case Report Form. Persistence is defined as BL pathogens still being present. Presumed persistence is defined as a participant that is a clinical failure with no obtained culture. "Unable to determine" was used if no determination of BL pathogen microbiological response could be made.

    Time frame: 2-4 days post-therapy; Day 7-9 for retapamulin and Day 12-14 for linezolid

  8. Number of Participants With Therapeutic Response at Follow-up

    Therapeutic response is defined as the combined clinical and microbiological response. Therapeutic response iss a measure of the overall efficacy response, and a therapeutic success refers to participants who had been deemed both a "clinical success" and a "microbiological success." All other combinations (other than "clinical success" + "microbiological success") were deemed failures for therapeutic response.

    Time frame: 7-9 days post-therapy; Day 12-14 for retapamulin and Day 17-19 for linezolid

  9. Mean Scores on the Skin Infection Rating Scale at Visits 1, 2, 3, 4, and 5

    The investigator evaluated skin infections by grading the infected lesion for exudate (a fluid that leaks out of blood vessels into surrounding tissue)/pus, crusting, erythema (redness of the skin)/ inflammation (E/I), tissue warmth, tissue edema (swelling), itching, and pain, according to the Skin Infection Rating Scale. All parameters were graded on a scale of 0 (absent) to 6 (severe). The total score is calculated by summing the individual scores from the 7 parameters; the total score ranges from 0 to 42.

    Time frame: Visits 1 (Day 1), 2 (Day 3-4), 3 (Day 7-9), 4 (Day 12-14), and 5 (Day 17-19)

  10. Mean Wound Size at Visits 1, 2, 3, 4, and 5

    Lesion sized was measured in centimeters squared at Visits 1, 2, 3, 4, and 5.

    Time frame: Visits 1 (Day 1), 2 (Day 3-4), 3 (Day 7-9), 4 (Day 12-14), and 5 (Day 17-19)

07

Results

Posted Aug 26, 2011

Participant flow

Participant flow — Overall Study
MilestoneRetapamulin Ointment, 1% (Weight/Weight) Plus Oral PlaceboLinezolid Plus Placebo Ointment
Started270140
Completed234122
Not completed3618
Withdrew: Adverse event103
Withdrew: Lack of efficacy153
Withdrew: Protocol violation12
Withdrew: Lost to follow-up23
Withdrew: Investigator discretion23
Withdrew: Withdrawal by subject31
Withdrew: Did not receive study drug33

Outcome measures

PrimaryNumber of Participants Achieving Clinical Response at Follow-up Who Had Methicillin-resistant Staphlococcus Aureus (MRSA) as a Baseline Pathogen

Follow-up is defined as 7-9 days post-therapy: Day 12-14 for retapamulin; Day 17-19 for linezolid. Clinical success at follow-up was defined as the resolution of clinically meaningful signs and symptoms of infection recorded at baseline, including a pus/exudate skin infection rating scale (SIRS) score of "0." The SIRS is used by the investigator to evaluate infected lesions. Scores on the SIRS range from 0 (absent) to 6 (severe).

Time frame:
7-9 days post-therapy; Day 12-14 for retapamulin and Day 17-19 for linezolid
Reported as:
Number · participants
Number of Participants Achieving Clinical Response at Follow-up Who Had Methicillin-resistant Staphlococcus Aureus (MRSA) as a Baseline Pathogen
participantsRetapamulin Ointment, 1% (Weight/Weight) Plus Oral PlaceboLinezolid Plus Placebo Ointment
Number of Participants Achieving Clinical Response at Follow-up Who Had Methicillin-resistant Staphlococcus Aureus (MRSA) as a Baseline Pathogen4132
Statistical analysis
  • Retapamulin Ointment, 1% (Weight/Weight) Plus Oral Placebo · Percentage of participants: 56.9 · 95% CI 45.5 to 68.4The estimated value is the percentage of participants achieving clinical response. Confidence intervals are not adjusted for multiplicity.
  • Linezolid Plus Placebo Ointment · Percentage of participants: 84.2 · 95% CI 72.6 to 95.8The estimated value is the percentage of participants achieving clinical response. Confidence intervals are not adjusted for multiplicity.
SecondaryNumber of Participants Achieving Microbiological Response (MR) at Follow-up (FU) Who Had MRSA as a Baseline Pathogen (BP)

MR was defined as microbiological success if, (1) for participants (par.) whose clinical outcome at end of therapy (EOT) was "clinical success (CS)/improvement," the BP was eradicated/presumed to be eradicated at EOT, or the BP was present at EOT and absent at FU, or the BP was eradicated/presumed to be eradicated at EOT, or the BP was present at EOT and par. was a "CS" such that no culture was obtained due to lack of culturable material secondary to adequate clinical response; or (2) a pathogen not previously identified at baseline was isolated at FU in a par. identified at FU as a "CS."

Time frame:
7-9 days post-therapy; Day 12-14 for retapamulin and Day 17-19 for linezolid
Reported as:
Number · participants
Number of Participants Achieving Microbiological Response (MR) at Follow-up (FU) Who Had MRSA as a Baseline Pathogen (BP)
participantsRetapamulin Ointment, 1% (Weight/Weight) Plus Oral PlaceboLinezolid Plus Placebo Ointment
Number of Participants Achieving Microbiological Response (MR) at Follow-up (FU) Who Had MRSA as a Baseline Pathogen (BP)4132
SecondaryNumber of Participants With Clinical Response at Follow-up

Follow-up is defined as 7-9 days post-therapy: Day 12-14 for retapamulin; Day 17-19 for linezolid. Clinical success at follow-up was defined as the resolution of clinically meaningful signs and symptoms of infection recorded at baseline, including a pus/exudate skin infection rating scale (SIRS) score of "0." The SIRS is used by the investigator to evaluate infected lesions. Scores on the SIRS range from 0 (absent) to 6 (severe).

Time frame:
7-9 days post-therapy; Day 12-14 for retapamulin and Day 17-19 for linezolid
Reported as:
Number · participants
Number of Participants With Clinical Response at Follow-up
participantsRetapamulin Ointment, 1% (Weight/Weight) Plus Oral PlaceboLinezolid Plus Placebo Ointment
Number of Participants With Clinical Response at Follow-up161112
SecondaryNumber of Participants Who Achieved Microbiological Response (MR) at Follow-up (FU) Who Had a Baseline Pathogen (BP)

MR was defined as microbiological success if, (1) for participants (par.) whose clinical outcome at end of therapy (EOT) was "clinical success (CS)/improvement," the BP was eradicated/presumed to be eradicated at EOT, or the BP was present at EOT and absent at FU, or the BP was eradicated/presumed to be eradicated at EOT, or the BP was present at EOT and par. was a "CS" such that no culture was obtained due to lack of culturable material secondary to adequate clinical response; or (2) a pathogen not previously identified at baseline was isolated at FU in a par. identified at FU as a "CS."

Time frame:
7-9 days post-therapy; Day 12-14 for retapamulin and Day 17-19 for linezolid
Reported as:
Number · participants
Number of Participants Who Achieved Microbiological Response (MR) at Follow-up (FU) Who Had a Baseline Pathogen (BP)
participantsRetapamulin Ointment, 1% (Weight/Weight) Plus Oral PlaceboLinezolid Plus Placebo Ointment
Number of Participants Who Achieved Microbiological Response (MR) at Follow-up (FU) Who Had a Baseline Pathogen (BP)10065
SecondaryNumber of Participants With the Indicated Clinical Outcome at the End of Therapy Who Had MRSA as a Baseline Pathogen

Clinical improvement is defined as improvement of signs/symptoms of infection recorded at baseline (BL) to such an extent that no further antimicrobial therapy is necessary. Clinical failure (CF) is defined as insufficient improvement/deterioration of signs/symptoms of the infection recorded at BL, such that additional antibiotic therapy is required. Unable to determine (UTD) is defined as refusal to consent to a clinical examination, lost to follow-up. Participants who are "CF"/"Unable to Determine" at end of therapy are considered such at follow-up as well.

Time frame:
2-4 days post-therapy; Day 7-9 for retapamulin and Day 12-14 for linezolid
Reported as:
Number · participants
Number of Participants With the Indicated Clinical Outcome at the End of Therapy Who Had MRSA as a Baseline Pathogen
participantsRetapamulin Ointment, 1% (Weight/Weight) Plus Oral PlaceboLinezolid Plus Placebo Ointment
Clinical success2028
Clinical improvement429
Clinical failure81
Unable to determine20
SecondaryNumber of Participants With the Indicated Microbiological Outcome at the End of Therapy Who Had MRSA as a Baseline (BL) Pathogen

Eradication is the elimination of BL pathogens. Presumed eradication and presumed improvement are clinical outcomes of success or improvement, respectively, such that no culture was obtained due to lack of culturable material, secondary to adequate clinical response, and is documented in the electronic Case Report Form. Persistence is defined as BL pathogens still being present. Presumed persistence is defined as a participant that is a clinical failure with no obtained culture. "Unable to determine" was used if no determination of BL pathogen microbiological response could be made.

Time frame:
2-4 days post-therapy; Day 7-9 for retapamulin and Day 12-14 for linezolid
Reported as:
Number · participants
Number of Participants With the Indicated Microbiological Outcome at the End of Therapy Who Had MRSA as a Baseline (BL) Pathogen
participantsRetapamulin Ointment, 1% (Weight/Weight) Plus Oral PlaceboLinezolid Plus Placebo Ointment
Eradication10
Presumed eradication2028
Presumed improvement429
Persistence41
Presumed persistence40
Unable to determine10
SecondaryNumber of Participants With the Indicated Clinical Outcome at the End of Therapy

Clinical improvement is defined as improvement of signs/symptoms of infection recorded at baseline (BL) to such an extent that no further antimicrobial therapy is necessary. Clinical failure (CF) is defined as insufficient improvement/deterioration of signs/symptoms of the infection recorded at BL, such that additional antibiotic therapy is required. Unable to determine (UTD) is defined as refusal to consent to a clinical examination, lost to follow-up. Participants who are "CF"/"Unable to Determine" at end of therapy are considered such at follow-up as well.

Time frame:
2-4 days post-therapy; Day 7-9 for retapamulin and Day 12-14 for linezolid
Reported as:
Number · participants
Number of Participants With the Indicated Clinical Outcome at the End of Therapy
participantsRetapamulin Ointment, 1% (Weight/Weight) Plus Oral PlaceboLinezolid Plus Placebo Ointment
Clinical success9296
Clinical improvement15534
Clinical failure164
Unable to determine52
SecondaryNumber of Baseline Pathogens With the Indicated Microbiological Outcome at the End of Therapy

Eradication is the elimination of BL pathogens. Presumed eradication and presumed improvement are clinical outcomes of success or improvement, respectively, such that no culture was obtained due to lack of culturable material, secondary to adequate clinical response, and is documented in the electronic Case Report Form. Persistence is defined as BL pathogens still being present. Presumed persistence is defined as a participant that is a clinical failure with no obtained culture. "Unable to determine" was used if no determination of BL pathogen microbiological response could be made.

Time frame:
2-4 days post-therapy; Day 7-9 for retapamulin and Day 12-14 for linezolid
Reported as:
Number · pathogens
Number of Baseline Pathogens With the Indicated Microbiological Outcome at the End of Therapy
pathogensRetapamulin Ointment, 1% (Weight/Weight) Plus Oral PlaceboLinezolid Plus Placebo Ointment
Eradication21
Presumed eradication6370
Presumed improvement12021
Persistence71
Presumed persistence91
Unable to determine10
SecondaryNumber of Participants With Therapeutic Response at Follow-up

Therapeutic response is defined as the combined clinical and microbiological response. Therapeutic response iss a measure of the overall efficacy response, and a therapeutic success refers to participants who had been deemed both a "clinical success" and a "microbiological success." All other combinations (other than "clinical success" + "microbiological success") were deemed failures for therapeutic response.

Time frame:
7-9 days post-therapy; Day 12-14 for retapamulin and Day 17-19 for linezolid
Reported as:
Number · participants
Number of Participants With Therapeutic Response at Follow-up
participantsRetapamulin Ointment, 1% (Weight/Weight) Plus Oral PlaceboLinezolid Plus Placebo Ointment
Number of Participants With Therapeutic Response at Follow-up10065
SecondaryMean Scores on the Skin Infection Rating Scale at Visits 1, 2, 3, 4, and 5

The investigator evaluated skin infections by grading the infected lesion for exudate (a fluid that leaks out of blood vessels into surrounding tissue)/pus, crusting, erythema (redness of the skin)/ inflammation (E/I), tissue warmth, tissue edema (swelling), itching, and pain, according to the Skin Infection Rating Scale. All parameters were graded on a scale of 0 (absent) to 6 (severe). The total score is calculated by summing the individual scores from the 7 parameters; the total score ranges from 0 to 42.

Time frame:
Visits 1 (Day 1), 2 (Day 3-4), 3 (Day 7-9), 4 (Day 12-14), and 5 (Day 17-19)
Reported as:
Mean · scores on a scale
Mean Scores on the Skin Infection Rating Scale at Visits 1, 2, 3, 4, and 5
scores on a scaleRetapamulin Ointment, 1% (Weight/Weight) Plus Oral PlaceboLinezolid Plus Placebo Ointment
Pus/exudate, Visit 1, n=268, 1363.6 ± 0.823.6 ± 0.8
Pus/exudate, Visit 2, n=265, 1351.7 ± 1.371.4 ± 1.25
Pus/exudate, Visit 3, n=255, 1300.6 ± 1.050.4 ± 0.74
Pus/exudate, Visit 4, n=237, 1250.2 ± 0.590.1 ± 0.34
Pus/exudate, Visit 5, n=238, 1220.1 ± 0.390.0 ± 0.29
Crusting, Visit 1, n=268, 1362.2 ± 1.482.1 ± 1.49
Crusting, Visit 2, n=265, 1351.3 ± 1.211.2 ± 1.15
Crusting, Visit 3, n=255, 1300.9 ± 1.080.8 ± 0.91
Crusting, Visit 4, n=237, 1250.6 ± 0.950.5 ± 0.83
Crusting, Visit 5, n=238, 1220.3 ± 0.590.3 ± 0.73
E/I, Visit 1, n=268, 1363.4 ± 1.093.4 ± 1.08
E/I, Visit 2, n=265, 1352.2 ± 1.192.2 ± 1.26
E/I, Visit 3, n=255, 1301.1 ± 1.151.0 ± 0.93
E/I, Visit 4, n=237, 1250.5 ± 0.690.5 ± 0.73
E/I, Visit 5, n=238, 1220.2 ± 0.540.2 ± 0.54
Tissue warmth, Visit 1, n=268, 1362.8 ± 1.332.6 ± 1.29
Tissue warmth, Visit 2, n=265, 1351.4 ± 1.221.3 ± 1.22
Tissue warmth, Visit 3, n=255, 1300.6 ± 0.970.4 ± 0.69
Tissue warmth, Visit 4, n=237, 1250.1 ± 0.410.1 ± 0.34
Tissue warmth, Visit 5, n=238, 1220.1 ± 0.380.0 ± 0.20
Tissue edema, Visit 1, n=268, 1362.8 ± 1.242.7 ± 1.30
Tissue edema, Visit 2, n=265, 1351.6 ± 1.231.5 ± 1.19
Tissue edema, Visit 3, n=255, 1300.7 ± 1.020.7 ± 0.86
Tissue edema, Visit 4, n=237, 1250.3 ± 0.600.2 ± 0.55
Tissue edema, Visit 5, n=238, 1220.1 ± 0.350.1 ± 0.36
Itching, Visit 1, n=268, 1361.6 ± 1.511.8 ± 1.51
Itching, Visit 2, n=265, 1351.0 ± 1.270.9 ± 1.11
Itching, Visit 3, n=255, 1300.7 ± 1.240.6 ± 1.08
Itching, Visit 4, n=237, 1250.3 ± 0.790.4 ± 0.76
Itching, Visit 5, n=238, 1220.1 ± 0.420.2 ± 0.66
Pain, Visit 1, n=268, 1363.2 ± 1.573.0 ± 1.65
Pain, Visit 2, n=265, 1351.5 ± 1.561.2 ± 1.39
Pain, Visit 3, n=255, 1300.6 ± 1.140.4 ± 0.96
Pain, Visit 4, n=237, 1250.2 ± 0.600.1 ± 0.56
Pain, Visit 5, n=238, 1220.1 ± 0.390.1 ± 0.45
Total score, Visit 1, n=268, 13619.5 ± 5.6919.2 ± 5.56
Total score, Visit 2, n=265, 13510.7 ± 6.789.7 ± 6.32
Total score, Visit 3, n=255, 1305.2 ± 5.834.1 ± 4.16
Total score, Visit 4, n=237, 1253.6 ± 6.132.5 ± 4.13
Total score, Visit 5, n=238, 1222.5 ± 6.141.6 ± 3.92
SecondaryMean Wound Size at Visits 1, 2, 3, 4, and 5

Lesion sized was measured in centimeters squared at Visits 1, 2, 3, 4, and 5.

Time frame:
Visits 1 (Day 1), 2 (Day 3-4), 3 (Day 7-9), 4 (Day 12-14), and 5 (Day 17-19)
Reported as:
Mean · centimeters squared (cm^2)
Mean Wound Size at Visits 1, 2, 3, 4, and 5
centimeters squared (cm^2)Retapamulin Ointment, 1% (Weight/Weight) Plus Oral PlaceboLinezolid Plus Placebo Ointment
Visit 1, n=268, 1367.942 ± 13.31245.620 ± 9.6215
Visit 2, n=265, 1354.963 ± 8.54924.115 ± 9.4305
Visit 3, n=255, 1303.270 ± 10.86631.776 ± 6.7537
Visit 4, n=237, 1251.556 ± 5.22010.812 ± 3.4217
Visit 5, n=237, 1220.741 ± 3.59770.588 ± 3.3623

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Retapamulin Ointment, 1% (Weight/Weight) Plus Oral Placebo—3/267 (1.1%)13/267 (4.9%)
Linezolid Plus Placebo Ointment—3/137 (2.2%)22/137 (16.1%)
Most frequent serious events
Most frequent serious events
EventRetapamulin Ointment, 1% (Weight/Weight) Plus Oral PlaceboLinezolid Plus Placebo Ointment
CellulitisInfections and infestations2/2671/137
HypoglycaemiaMetabolism and nutrition disorders0/2671/137
HyponatraemiaMetabolism and nutrition disorders0/2671/137
Hip fractureInjury, poisoning and procedural complications0/2671/137
Staphylococcal infectionInfections and infestations1/2670/137
Most frequent other events
Most frequent other events
EventRetapamulin Ointment, 1% (Weight/Weight) Plus Oral PlaceboLinezolid Plus Placebo Ointment
DiarrheaGastrointestinal disorders8/26716/137
NauseaGastrointestinal disorders6/26710/137

Baseline characteristics

Age, Continuous
Age, Continuous(Years)Retapamulin Ointment, 1% (Weight/Weight) Plus Oral PlaceboLinezolid Plus Placebo OintmentTotal
Mean34.6 ± 21.3733.8 ± 22.3834.3 ± 21.69
Sex: Female, Male
Sex: Female, Male(Participants)Retapamulin Ointment, 1% (Weight/Weight) Plus Oral PlaceboLinezolid Plus Placebo OintmentTotal
Female10849157
Male15988247
Race/Ethnicity, Customized
Race/Ethnicity, Customized(participants)Retapamulin Ointment, 1% (Weight/Weight) Plus Oral PlaceboLinezolid Plus Placebo OintmentTotal
African American/African Heritage161026
American Indian or Alaska Native505
Central/South Asian Heritage112
East Asian Heritage011
Japanese Heritage527
South East Asian Heritage303
Native Hawaiian or other Pacific Islander516
Arabic/North African Heritage033
White/Caucasian/European222118340
White - Mixed Race10111
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Study locations

53 sites
  • GSK Investigational Site
    Anniston, Alabama 36207, United States
  • GSK Investigational Site
    Birmingham, Alabama 35235, United States
  • GSK Investigational Site
    Bentonville, Arkansas 72172, United States
  • GSK Investigational Site
    Jonesboro, Arkansas 72401, United States
  • GSK Investigational Site
    Paragould, Arkansas 72450, United States
  • GSK Investigational Site
    Bakerfield, California 93301, United States
  • GSK Investigational Site
    Bell Gardens, California 90201, United States
  • GSK Investigational Site
    Huntington Beach, California 92647, United States
  • GSK Investigational Site
    Long Beach, California 90813, United States
  • GSK Investigational Site
    Roseville, California 95661, United States
  • GSK Investigational Site
    Sacramento, California 92585, United States
  • GSK Investigational Site
    Colorado Springs, Colorado 80909, United States
  • GSK Investigational Site
    Washington, District of Columbia 20037, United States
  • GSK Investigational Site
    Atlantis, Florida 33462, United States
  • GSK Investigational Site
    Bay Pines, Florida 33744, United States
  • GSK Investigational Site
    Fort Lauderdale, Florida 33308, United States
  • GSK Investigational Site
    Ft. Lauderdale, Florida 33306, United States
  • GSK Investigational Site
    Miami, Florida 33144, United States
  • GSK Investigational Site
    Pensacola, Florida 32504, United States
  • GSK Investigational Site
    St. Petersburg, Florida 33710, United States
  • GSK Investigational Site
    Vero Beach, Florida 32960, United States
  • GSK Investigational Site
    West Palm Beach, Florida 33401, United States
  • GSK Investigational Site
    Columbus, Georgia 31904, United States
  • GSK Investigational Site
    Macon, Georgia 31217, United States
  • GSK Investigational Site
    Savannah, Georgia 31406, United States
  • GSK Investigational Site
    Honolulu, Hawaii 96813, United States
  • GSK Investigational Site
    Honolulu, Hawaii 96814, United States
  • GSK Investigational Site
    South Bend, Indiana 46601, United States
  • GSK Investigational Site
    Overland Park, Kansas 66215, United States
  • GSK Investigational Site
    Louisville, Kentucky 40217, United States
  • GSK Investigational Site
    New Orleans, Louisiana 70112, United States
  • GSK Investigational Site
    Grand Blanc, Michigan 48439, United States
  • GSK Investigational Site
    Jackson, Mississippi 39216-4505, United States
  • GSK Investigational Site
    Butte, Montana 59701, United States
  • GSK Investigational Site
    Omaha, Nebraska 68114, United States
  • GSK Investigational Site
    Omaha, Nebraska 68131, United States
  • GSK Investigational Site
    Brooklyn, New York 11203, United States
  • GSK Investigational Site
    Carlisle, Ohio 45005, United States
  • GSK Investigational Site
    Tulsa, Oklahoma 74127, United States
  • GSK Investigational Site
    Corvallis, Oregon 97330, United States
  • GSK Investigational Site
    Gresham, Oregon 97030, United States
  • GSK Investigational Site
    Portland, Oregon 97210, United States
  • GSK Investigational Site
    Hazleton, Pennsylvania 18201, United States
  • GSK Investigational Site
    Pittsburgh, Pennsylvania 15212, United States
  • GSK Investigational Site
    Austin, Texas 78734, United States
  • GSK Investigational Site
    Dallas, Texas 75204, United States
  • GSK Investigational Site
    Dallas, Texas 75390-9113, United States
  • GSK Investigational Site
    Duncanville, Texas 75116, United States
  • GSK Investigational Site
    Fort Worth, Texas 76107, United States
  • GSK Investigational Site
    Houston, Texas 77030, United States
  • GSK Investigational Site
    Layton, Utah 84041, United States
  • GSK Investigational Site
    Charlottesville, Virginia 22902, United States
  • GSK Investigational Site
    Seattle, Washington 98101, United States
09

References and documents

Publications

  • Tanus T, Scangarella-Oman NE, Dalessandro M, Li G, Breton JJ, Tomayko JF. A randomized, double-blind, comparative study to assess the safety and efficacy of topical retapamulin ointment 1% versus oral linezolid in the treatment of secondarily infected traumatic lesions and impetigo due to methicillin-resistant Staphylococcus aureus. Adv Skin Wound Care. 2014 Dec;27(12):548-59. doi: 10.1097/01.ASW.0000456631.20389.ae. PubMed 25396674 ↗

Individual participant data

Plan to share: Yes — Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 27, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00852540
Lead sponsor
Stiefel, a GSK Company
Collaborators
GlaxoSmithKline
Responsible party
Sponsor
First posted
Feb 27, 2009
Start date
Apr 2009
Primary completion
Jul 2010
Completion
Sep 2010
Results posted
Aug 26, 2011
Last update
Mar 27, 2017

Study contacts

GSK Clinical Trials
study director · GlaxoSmithKline

Oversight

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

Not currently enrolling

This study is completed, as verified in Feb 2017. You cannot join it, but the record below documents what was studied.

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