ClinicalTrials.gg
CompletedNCT03480191AddaMAPUpdated Oct 1, 2024

Adjunction of Daptomycin for the Treatment of Pneumococcal Meningitis

A Phase 2 interventional study of Daptomycin in Pneumococcal Meningitis, sponsored by Centre Hospitalier Universitaire Dijon. Completed at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-10-01.

Sponsored by Centre Hospitalier Universitaire Dijon · Phase 2, Interventional, and Treatment

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Phase
Phase 2
Study type
Interventional
Enrollment
112
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Pneumococcal meningitis is an infection of the membrane that covers the brain. It is a serious infection which is currently treated with a combination of corticosteroids (dexamethasone) and 3rd generation cephalosporins. Nevertheless, complications associated with meningitis are relatively frequent and severe. Recent animal studies have shown that another antibiotic, daptomycin, can reduce the mortality and long-term effects of pneumococcal meningitis. Daptomycin is widely used worldwide in humans for other diseases, with few side effects.

This study aims to evaluate the effect of daptomycin on the proliferation of the bacterial infection, and therefore on inflammation. Daptomycin will be added to the currently recommended treatment with the same dosage used for other diseases.

Roughly 130 patients with suspected pneumococcal meningitis admitted to the emergency departments of hospitals throughout France will be asked to participate in this study.

The participation period will last approximately 3 months.

02

Conditions studied

  • Pneumococcal Meningitis
03

In context

Lead sponsor

Centre Hospitalier Universitaire Dijon is the lead sponsor of 499 studies on the registry; 103 are open to participants now.

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

  • Persons aged over 18 years
  • With Suspected pneumococcal meningitis :

    • clinical presentation evocative of pneumococcal meningitis : acute onset of ,meningeal signs, history of cranial trauma or fistula, knowledge of alteration of humoral immunity,, asplenia, alcoholism with/or
    • clearly purulent CSF with/ or,
    • presence of diplococcus on the Gram stain of CSF or positive pneumococcal antigen in the CSF, or polymorphonuclear cells in CSF > 100
  • Written consent or inclusion in an emergency
  • Affiliation to a social security system

Exclusion criteria

Exclusion Criteria:

  • to cephalosporin
  • Immediate and severe to β-lactam antimicrobial
  • Contraindication to dexamethasone
  • Contraindication to daptomycin
  • Previous exposition to daptomycin (within one year)
  • Women who are able to procreate without effective and pregnant or breastfeeding women
  • Patients under ward of court
  • Refusal at any time after acceptation of the study from the patient or her/his legal representative.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
112 participants (actual)

Study arms

  • Experimental
    Patients

    Drug: Daptomycin

Interventions

  • Daptomycin will be given by intravenous infusion and administered over a 30 minutes infusion, daily, for 8 days and at the dosis of 10mg/kg/day.

06

What researchers measure

Primary outcomes

  1. Disability-free survival, assessed with the modified Rankin Scale (mRS)

    Time frame: At Day 30

Secondary outcomes

  1. Overall mortality

    Time frame: At Day 30 and Day 90

  2. Disability level assessed with the mRS in surviving patients

    Time frame: At Day 30 and Day 90

  3. Disability level assessed with the Glascow Coma Scale and the Glasgow Outcome Scale in the overall efficacy population

    Time frame: At Day 30 and Day 90

  4. Disability level assessed with mini-mental score in surviving patients

    Time frame: At Day 30 and Day 90

  5. Hearing loss assessed with the Hearing Handicap Inventory test

    Time frame: At Day 30 and Day 90

  6. Hearing loss assessed with audiometry

    Time frame: At Day 30

  7. Hearing loss assessed with the Hearing-it test

    Time frame: At Day 30

  8. Quality of life assessed with the 12-Item Short Form Health Survey (SF-12)

    Scores range from 0 to 100, with higher scores indicating better physical and mental health functioning

    Time frame: At Day 30 and Day 90

  9. Quality of life assessed with WHO QOL BREF

    Time frame: At Day 30 and Day 90

  10. Number of days without hospitalisation (including ICU)

    Time frame: At Day 30 and Day 90

  11. Number of days without antimicrobial therapy

    Time frame: At Day 30

  12. Frequency and type of side effects related to daptomycine

    Time frame: Within 30 days after daptomycin start

07

Study locations

1 site
  • CHU Dijon Bourgogne
    Dijon, 21000, France
08

References and documents

Publications

  • Wall EC, Chan JM, Gil E, Heyderman RS. Acute bacterial meningitis. Curr Opin Neurol. 2021 Jun 1;34(3):386-395. doi: 10.1097/WCO.0000000000000934. PubMed 33767093 ↗

Individual participant data

Plan to share: Yes — the study team is available to collaborate with other research teams on reasonable request to access study data

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jun 2018 to primary completion in May 2024, 71 months.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 21, 2018
First posted
Mar 29, 2018
StartActual
Jun 7, 2018
Primary completionActual
May 11, 2024
CompletionActual
Aug 21, 2024
Last update
Oct 1, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 1, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03480191
Responsible party
Sponsor
First posted
Mar 29, 2018
Start date
Jun 7, 2018
Primary completion
May 11, 2024
Completion
Aug 21, 2024
Last update
Oct 1, 2024

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2024. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Daptomycin

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