Title

Phase 3 Study to Evaluate Safety and Efficacy of Iclaprim Versus Vancomycin for ABSSSI: REVIVE-1
A Phase 3, Randomized, Double-blind, Multicenter Study to Evaluate the Safety and Efficacy of Intravenous Iclaprim Versus Vancomycin in the Treatment of ABSSSI: REVIVE-1
  • Phase

    Phase 3
  • Study Type

    Interventional
  • Study Participants

    600
This is a multicenter, randomized, double-blind study of the efficacy and safety of iclaprim compared to vancomycin for the treatment of skin and skin structure infections.
This is a multicenter, randomized, double-blind study of the efficacy and safety of iclaprim compared to vancomycin. Patients will receive either iclaprim or vancomycin for 5 to 14 days. Patients will be evaluated daily up to early time point (ETP), then every 48 to 72 hours through the end of treatment. Patients will also be evaluated at the test of cure (TOC) visit (7 to 14 days post-EOT), and will have a Late Follow-Up (LFU) visit (28 to 32 days post-first dose).
Study Started
Nov 01
2015
Primary Completion
Jan 30
2017
Study Completion
Jan 30
2017
Results Posted
Jun 19
2018
Last Update
Jun 19
2018

Drug iclaprim

Experimental treatment

  • Other names: MTF-100

Drug vancomycin

Active comparator

  • Other names: Vancocin

iclaprim Experimental

iclaprim 80 mg intravenous every 12 hours

vancomycin Active Comparator

vancomycin 15 mg/kg intravenous every 12, 24 or 48 hours based on creatinine clearance

Criteria

Inclusion Criteria:

written informed consent;
≥18 years of age;
a bacterial infection of the skin with a lesion size area of at least 75 cm2;
a major cutaneous abscess, cellulitis/erysipelas, and/or wound infections;
the presence of purulent or seropurulent drainage or at least three signs and symptoms of infection (discharge, erythema, swelling, warmth, or pain).

Exclusion Criteria:

severely impaired arterial blood supply such that amputation of the infected anatomical site is likely;
infected diabetic foot ulcers;
infected decubitus ulcers;
necrotizing fasciitis or gangrene;
uncomplicated skin or skin structure infection;
infections associated with a prosthetic device;
suspected or confirmed osteomyelitis;
conditions requiring systemic anti-microbial treatment, prophylaxis, or suppression therapy.

Summary

Iclaprim

Vancomycin

All Events

Event Type Organ System Event Term Iclaprim Vancomycin

≥20% Reduction in Lesion Size at 48 to 72 Hours Compared to Baseline in All Randomized Patients.

≥20% reduction in lesion size at 48 to 72 hours (Early Time Point [ETP]) compared to baseline in all randomized patients (ITT).

Iclaprim

80.9
percentage of participants

Vancomycin

81.0
percentage of participants

Resolution or Near Resolution of Lesion at Test of Cure Visit

Resolution or near resolution of lesion at Test of Cure (TOC) visit

Iclaprim

248.0
participants

Vancomycin

262.0
participants

Total

598
Participants

Age, Continuous

47.8
years (Mean)
Standard Deviation: 14.1

Age, Categorical

Ethnicity (NIH/OMB)

Race (NIH/OMB)

Region of Enrollment

Sex: Female, Male

Overall Study

Iclaprim

Vancomycin