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. 2021 Mar 22;17:223–232. doi: 10.2147/TCRM.S271445

Table 3.

Major Findings and Indications from Randomized Controlled Trials and Other Studies Reviewed

Studies Type of Study Number of Patients Included Indications Comparative Drugs Adverse Effects (AE)
Boucher et al12
  • DISCOVER 1

  • DISCOVER 2

Randomised, double-blind, international, and multicentre clinical trials
phase 3
Dalbavancin (D):
659
Vancomycin-Linezolid (V-L):
653
(both trial)
Treatment of acute bacterial skin and skin-structure infection* Dalbavancin: 1 g intravenously (IV) on day (d) 1, 500 mg IV on d 8
Vancomycin-Linezolid: vancomycin 1 g (or 15 mg per kilogram) IV every 12 hours for at least 3 days. Option to switch to oral
linezolid 600 mg every 12 hours, to complete 10 to 14 days of therapy
Total events (P=0.05)
Dalbavancin: 32.8%
Vancomycine-Linezolid: 37.9%
Most common AE:
Nausea: D) 2.5% V-L) 2.9% P= 0.62
Diarrhea: D) 0.8% V-L) 2.5% P=0.02
Pruritus: D) 0.6% V-L) 2.3% P=0.,01
  • VER001-828

Randomised, double-blind trial
phase 3
Dalbavancin:
347
Cefazolin (C):
186
Uncomplicated skin and skin structure infection Dalbavancin: 1 g IV D 1 ± 500mg IV D 8
Cefazolin: 500mg IV every 8h/cephalexin 500mg PO QID x 7 or 14 days
Available only aggregate safety analyses of all seven phase 2 and 3 studies26**
  • VER001-1628

Randomised, double-blind trial
phase 3
Dalbavancin:
107
Vancomycin:
49
Complicated skin and skin structure infection Dalbavancin: 1 g IV D 1 ± 500mg IV D 8
Vancomycin 1000mg IV q12h/switch based upon in vitro data x 7 or 14 days
Available only aggregate safety analyses of all seven phase 2 and 3 studies26**
  • VER001-927

Randomised, double-blind trial
phase 3
Dalbavancin:
571
Linezolid (L):
283
Complicated skin and skin structure infection Dalbavancin: 1 g IV d 1 + 500 mg IV d 8
Linezolid: 600 mg intravenously or intravenously/orally every 12 h for 14 days
Total events
D) 25.4% L) 32.2%
Most common AEs:
Nausea: D) 3.2% L) 5.3%
Diarrhea: D) 2.5% L) 5.7%
Elevated blood LDH: D) 1.9% L) 1.8%
Headache: D) 1.9% L) 1.8%
Elevated GGT: D) 1.9% L) 1.4%
Vomiting: D) 1.9% L) 1.1%
Rash: D) 1.8% L) 1.8%
  • VER001-4

Randomized, open-label
phase 2
Dalbavancin: 40
D1: 7 D2: 33
Vancomycin: 34
Catheter-related bloodstream Infections Dalbavancin: D1) 650mg, then 65mg daily for 7–14 days D2) 1000mg Day 1 ±500mg Day 8
Vancomycin: 1000mg IV q12h for 7–14 days
Available only aggregate safety analyses of all seven phase 2 and 3 studies26**
  • VER001-5

Randomized (1:1:1), open-label Dalbavancin: 41
D1:21 D2: 20
Standard of care: 21
Skin and Skin Structure Infection (SSSI) (mixed: uncomplicated and complicated) Dalbavancin: D1) 1100mg x 1 D2) 1000mg Day1 ±500mg Day 8
Standard of care
Available only aggregate safety analyses of all seven phase 2 and 3 studies26**
Bouza et al15 Retrospective study
(real-life)
Dalbavancin: 69 PJI: 29%
ABSSSI:21.7% osteomyelitis: 17.4%
catheter related
Bacteraemia: 11.6%
Dalbavancin: 1500 mg IV, or 1000 mg + 500 mg IV Rash 2 (2.9%)
Tachycardia 2 (2.9%)
Impaired renal function 2 (2.9%)
Nausea 1 (1.4%)
Rectal bleeding 1 (1.4%)
Candidiasis 1 (1.4%)
Arrieta-Loitegui et al33 Retrospective study Dalbavancin: 102 Skin and soft tissue
Infections: 30.4%
Catheter-related Bacteraemia: 15.7%
Endocarditis: 13.7%
Bacteraemia with
Suspected endocarditis: 10.8%
PJI: 10.8%
Osteomyelitis:10.8%
Bacteraemia: 4.9%
Septic arthritis:1.9%
Febrile syndrome: 1%
Dalbavancin: 1500 mg IV from 1 to 6 times every 7/15 days
Dalbavancin: 500 mg IV from 1 to 5 times every 7 days
Total AEs: 4 (3.99%)
Rash: 1
Nausea and vomiting: 1
Infusion reaction: 1
Hypersensitivity: 1
Wunsch et al49 Multicentre, retrospective study Dalbavancin: 101 PJI: 31% osteomyelitis: 29% endocarditis: 25% ABSSSI: 12% Dalbavancin regimen:
- 1500 mg IV once: 23.8%
- 1500 mg day (d)1 + d8: 13.9%
- 1500 mg d1 + d8 and in week 8: 3%
- 1000 mg d1 followed by 500 mg weekly: 42.6%
- 1000 mg every 14 d: 3%
- other regimens: 13.9%
Total AEs: 3
dyspnea and arterial hypertension: 1
severe fatigue: 1 (after 11w treatment)
vertigo: 1 (long term therapy)
Durante-Mangoni et al5 Retrospective study Dalbavancin: 30 ABSSSI: 8 osteomyelitis: 4
PJI: 12
catheter-related bloodstream infections: 4
infectious endocarditis: 2
Dalbavancin 1 g IV d1 + 500 mg Day 8 Total AEs: 3 cases (all moderate)
evanescent rash (infusion), dizziness: 1 malaise, pruritus and chills: 1 dyspnea and hypotension: 1

Notes: *Skin-structure infection required the presence of cellulitis, a major abscess, or a wound infection, each associated with at least 75 cm2 of erythema. **Phase 2 studies: VER001-4, VER001-5; Phase 3 studies: VER001-8, VER001-9, VER001-16, DISCOVER 1, DISCOVER 2.

Abbreviations: ABSSSI, acute bacterial skin and skin-structure infection; PJI, prosthetic joint infection; LDH, lactate dehydrogenase level; GGT, g-glutamyltransferase.