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. 2020 Jan 10;15(1):35–48. doi: 10.2217/fmb-2019-0332

Table 3. . Study end points.

Primary end point (overall success) criteria Secondary end points
Overall success is defined as all of the following: • All-cause mortality at day 70 (±5 days) in the mITT population
• Microbiological eradication at day 70 (±5 days) in the mITT population
• Overall success rate at day 70 (±5 days) in the CE population
• Development of new metastatic foci or other complications of SAB after day 7 in the mITT population
• Time to S. aureus bloodstream clearance in the mITT and CE populations
• Safety and tolerability in the safety population, in terms of the incidence, type and severity of adverse events, and relationship to study medication, and changes in laboratory tests; and
• Pharmacokinetics of ceftobiprole in the PK population
• Patient alive at day 70 (±5 days) postrandomization
• No new metastatic foci or complications of the SAB infection
• Resolution or improvement of SAB-related clinical signs and symptoms
• Two negative blood cultures for Staphylococcus aureus, with no subsequent positive blood culture for S. aureus
  - ≥1 negative blood culture must be recorded while on active study treatment
  - Cultures must be confirmed by ≥1 subsequent negative blood culture for S. aureus at day 70 (±5 days) or between 7 days after the EOT visit and day 70 (±5 days)
Treatment failure is defined as any of the following:
• Premature discontinuation of study treatment due to lack of efficacy (as judged by the CEC committee), or for adverse events representing disease progression or relapse
• Development of new metastatic or other complications related to SAB between day 8 and PTE visit
• SAB relapse or reinfection, based on evidence from a blood culture positive for S. aureus between EOT and PTE visits
• Receipt of systemic nonstudy antibacterial treatments for SAB, other than those permitted under the protocol
• Treatment of infections, other than SAB, with systemic nonstudy antibacterial treatment that is potentially effective against S. aureus and is considered by the CEC committee to have a relevant impact on the primary end point
• Death for any reason
• Indeterminate outcome (e.g., due to missing data, patients lost to follow-up or failure to meet the criteria for success or failure)
• Requirement for longer systemic antibacterial treatment for SAB than is allowed by the protocol

Foci identified from day 8 onwards are considered to be new foci.

CE: Clinically evaluable; CEC: Clinical events classification; EOT: End-of-treatment; mITT: Modified intent-to-treat; PK: Pharmacokinetic; PTE: Post-treatment evaluation.

SAB: S. aureus bacteremia.