Table 2.
Summary of Study Designs for Key Studies in Support of Acute Bacterial Skin and Skin Structure Infections Indication
| RX-3341-201 (Study 201) | RX-3341-202 (Study 202) | RX-3341-302 (Study 302) | RX-3341-303 (Study 303) | ||
|---|---|---|---|---|---|
| Phase; year completed | Phase II; 2008 | Phase II; 2011 | Phase III; 2014 | Phase III; 2016 | |
| Population | Adults with cSSSI (pre-2010 definition) | Adults with ABSSSI (required lesion size ≥75 cm2) and at least 1 systemic sign of infection | Adults with ABSSSI (required lesion size ≥75 cm2) and at least 2 systemic signs of infection | Adults with ABSSSI (required lesion size ≥75 cm2) and at least 2 systemic signs of infection | |
| Comparator (N) | Tigecycline (50) | Linezolid (77) and vancomycin (98; optional aztreonam) | Vancomycin and aztreonam (329) | Vancomycin and aztreonam (427) | |
| Delafloxacin dose/route (N) | 300 mg IV Q12 h (49), 450 mg IV Q12 h (51) | 300 mg IV Q12 h (81) | 300 mg IV Q12 h (331) | 300 mg IV Q12 h for 6 doses with switch to 450 mg oral Q12 h (423) | |
| Duration of therapy | 5–14 d | 5–14 d | 5–14 d | 5–14 d | |
| Time points | OR | NA | 48–72 h | 48–72 h | 48–72 h |
| EOT | NA | NA | Assessment collected | Assessment collected | |
| FU | NA | Day 14 | Day 14 | Day 14 | |
| LFU | NA | Day 21–28 | Day 21–28 | Day 21–28 | |
| TOC | 14–21 days post– last dose | NA | NA | NA | |
| Stratification factors and enrollment limits at randomization | Infection type | Infection type and prior antibiotics enrollment limited to: prior antibiotics − 30%, abscesses − 30% |
Infection type enrollment limited to: prior antibiotics − 25%, abscesses − 25%, wounds − 35% |
Infection type and BMI (< or ≥ 30 kg/m2). Enrollment limited to: prior antibiotics − 25%, abscesses − 25%, wounds − 30%, BMI ≥ 30 kg/m2− ≤ 50% |
|
| Primary endpoint | Investigator outcome (traditional definition, with complete or near resolution of signs and symptoms as cure) | Investigator assessment of cure only (similar to the Phase III studies, cure was classified as a success and all other responses were classified as failures [ie, improved, failure, and indeterminate]). | Objective response at 48–72 h (at least 20% reduction in lesion size, with no non-study medicines, major procedures, or death) | Objective response at 48–72 h (at least 20% reduction in lesion size, with no non-study medicines, major procedures, or death) | |
| Key clinical efficacy secondary endpoint | NA | Clinical success cessation: cessation of lesion spread at 48–72 h, with resolution or absence of fever. Both must be sustained through 72 h. Clinical success reduction: reduction of lesion size (reported in 10% increments) at other time points, including 48–72 h. | Investigator assessment of response of signs and symptoms of infection at the FU and LFU visits. Cure was the primary analysis. | Investigator assessment of response of signs and symptoms of infection at the FU and LFU visits. Cure was the primary analysis. |
Abbreviations: ABSSSI, acute bacterial skin and skin structure infections; BMI, body mass index; EOT, end of treatment; FU, follow-up; IV, intravenous; LFU, late follow-up; NA, not available; OR, objective response; TOC, test of cure.