E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Secondarily-infected traumatic lesions (SITL),
excluding those with abscesses. |
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E.1.1.1 | Medical condition in easily understood language |
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E.1.1.2 | Therapeutic area | Body processes [G] - Microbiological Phenomena [G06] |
MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The primary objective of this study was to demonstrate that topical retapamulin was clinically superior to placebo in the treatment of subjects with SITL. |
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E.2.2 | Secondary objectives of the trial |
The secondary objectives of this study were to evaluate the safety and bacteriological efficacy of retapamulin versus placebo in the treatment of SITL. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
- subject is aged 2 months or older
- subject has secondarily-infected traumatic lesion (laceration, sutured wound or abrasion)
- negative urine pregnancy test
- subject has total skin infection rating scale score of at least 8, including pus/exudate score of at least 3
- subject and/or parent/legal guardian is willing and able to comply with protocol
- subject or parent/legal guardian has given written informed consent or assent as applicable
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E.4 | Principal exclusion criteria |
- previous hypersensitivity to pleuromutilin
- secondarily-infected animal/human bite or puncture wound
- subject has an abscess
- chronic ulcerative lesion
- underlying skin disease
- systemic signs and symptoms of infection
- infection not appropriately treated with topical antibiotic
- infection requires surgical intervention prior to or during study
- subject received systemic antibacterial or steroid, or topical therapeutic agent within 24 hours of entry into study
- serious underlying disease
- subject pregnant, breast feeding or planning a pregnancy, or unacceptable method of contraception
- other investigational drug within 30 days of study entry
- subject previously enrolled in this study |
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E.5 End points |
E.5.1 | Primary end point(s) |
Clinical response at follow-up (Day 12-14)in the intent-to-treat clinical population. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Time Frame: 12-14 days after baseline |
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E.5.2 | Secondary end point(s) |
•Microbiological response at follow-up (Day 12-14)
Time Frame: 12-14 days after baseline
•Microbiological outcome at end of therapy (Day 7-9)
Time Frame: 7-9 days after baseline
•Therapeutic response at follow-up (Day 12-14)
Time Frame: 12-14 days after baseline
•Clinical outcome at end of therapy (Day 7-9)
Time Frame: 7-9 days after baseline
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
•Microbiological response at follow-up (Day 12-14)
Time Frame: 12-14 days after baseline
•Microbiological outcome at end of therapy (Day 7-9)
Time Frame: 7-9 days after baseline
•Therapeutic response at follow-up (Day 12-14)
Time Frame: 12-14 days after baseline
•Clinical outcome at end of therapy (Day 7-9)
Time Frame: 7-9 days after baseline
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
Will this trial be conducted at a single site globally?
| No |
E.8.4 | Will this trial be conducted at multiple sites globally? | Yes |
E.8.6 Trial involving sites outside the EEA |
E.8.6.2 | Trial being conducted completely outside of the EEA | Yes |
E.8.6.3 | Specify the countries outside of the EEA in which trial sites are planned |
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E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.2 | In all countries concerned by the trial days | 14 |