Table 3.
Endpoints in ASTARTÉ
| Endpoint | Description | Time of evaluation |
| Primary endpoint | ||
| Clinical success | Proportion of patients with all of the following: (1) clinical cure at TOC (see below); (2) alive at day 28; (3) no need to stop the study drug because of adverse event, failure or intercurrent infection; (4) no need to prolong treatment after 14 days and (5) no recurrence of the infection at day 28 | Test of cure (7–10 days after end of treatment) |
| Secondary endpoints | ||
| Clinical cure | Proportion of patients showing resolution of the new signs/symptoms related to the infection | Test of cure (7–10 days after end of treatment) |
| Mortality | Proportion of dead patients | Day 28 |
| Length of hospital stay | Average time from randomisation to hospital discharge | Hospital discharge |
| Adverse events | Proportion of patients with any adverse event from first dose of study drug; also of severe adverse events (standard definition) | Day 28 |
| Development of resistence | Proportion of patients with new isolation of the causative micro-organism in follow-up cultures showing resistant to temocillin or meropenem | Day 28 |
| Recurrence | Proportion of patients with development of signs/symptoms of the infection caused by the same micro-organism after clinical response has been reached | Day 28 |
| Reinfection | Proportion of patients with occurrence of a new infection caused by a different micro-organism | Day 28 |
| Change in SOFA score (descriptive endpoint) | Average change in SOFA score | All follow-up visits |
| Temocillin serum concentrations (descriptive endpoint; only one site) | Distribution of temocillin serum concentration | See text |
| Temocillin MIC according to mechanisms of resistance (descriptive endpoint) | Distribution of temocillin MIC according to the mechanisms of resistance to cephalosporins | See text |
MIC, minimum inhibitory concentrations; SOFA, Sequential Organ Failure Assessment; TOC, test of cure.