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Last Updated: January 4, 2025

CLINICAL TRIALS PROFILE FOR DAPTOMYCIN IN 0.9% SODIUM CHLORIDE


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505(b)(2) Clinical Trials for DAPTOMYCIN IN 0.9% SODIUM CHLORIDE

This table shows clinical trials for potential 505(b)(2) applications. See the next table for all clinical trials
Trial Type Trial ID Title Status Sponsor Phase Start Date Summary
New Dosage NCT00663403 ↗ Pharmacokinetics of Daptomycin in Critically Ill Patients Receiving Continuous Venovenous Hemodialysis (CVVHD) Completed Cubist Pharmaceuticals LLC Phase 4 2007-02-01 Daptomycin is an antibiotic that is affective against many strains of antibiotic resistant microorganisms. This antibiotic would be appropriate for use in the intensive care unit (ICU) considering the severity of illness and high risk for infection within this hospital environment. While in the ICU, patients may develop acute renal failure. Approximately 75% of ICU patients who develop acute renal failure will require some form of renal replacement therapy until their kidneys recover. Continuous hemodialysis is becoming one of the most common forms of dialysis in the ICU as it is a gentle type of dialysis provided over longer periods of time. The current data demonstrating the ability of continuous hemodialysis to remove daptomycin from the body is derived from in-vitro trials. The purpose of this trial is to determine the extent of daptomycin removal from critically ill patients receiving continuous hemodialysis. Findings from this trial will be used to develop new dosing recommendations for daptomycin in continuous hemodialysis.
New Dosage NCT00663403 ↗ Pharmacokinetics of Daptomycin in Critically Ill Patients Receiving Continuous Venovenous Hemodialysis (CVVHD) Completed University of Michigan Phase 4 2007-02-01 Daptomycin is an antibiotic that is affective against many strains of antibiotic resistant microorganisms. This antibiotic would be appropriate for use in the intensive care unit (ICU) considering the severity of illness and high risk for infection within this hospital environment. While in the ICU, patients may develop acute renal failure. Approximately 75% of ICU patients who develop acute renal failure will require some form of renal replacement therapy until their kidneys recover. Continuous hemodialysis is becoming one of the most common forms of dialysis in the ICU as it is a gentle type of dialysis provided over longer periods of time. The current data demonstrating the ability of continuous hemodialysis to remove daptomycin from the body is derived from in-vitro trials. The purpose of this trial is to determine the extent of daptomycin removal from critically ill patients receiving continuous hemodialysis. Findings from this trial will be used to develop new dosing recommendations for daptomycin in continuous hemodialysis.
New Dosage NCT01734694 ↗ Safety and Efficacy of Strategy to Prevent Drug-Induced Nephrotoxicity in High-Risk Patients Terminated Henry Ford Health System Phase 4 2011-10-01 For more than fifty years, vancomycin has been cited as a nephrotoxic agent. Reports of vancomycin induced kidney injury (a.k.a vancomycin induced nephrotoxicity or VIN), have waxed and waned throughout the years for various reasons. Recently, VIN has reemerged as a clinical concern. This may be due to various reasons, including new dosing recommendations as well as an increased prevalence of risk factors associated with vancomycin induced nephrotoxicity. This study aims to evaluate a strategy which attempts to reduce kidney damage from vancomycin use.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for DAPTOMYCIN IN 0.9% SODIUM CHLORIDE

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00055198 ↗ Daptomycin for the Treatment of Infections Due to Gram-Positive Bacteria Terminated Cubist Pharmaceuticals LLC Phase 3 2002-12-19 The purpose of this study is to provide daptomycin, an antibiotic, to patients who are failing conventional therapy, or who cannot take approved antibiotics for one reason or another.
NCT00093067 ↗ Daptomycin in the Treatment of Subjects With Infective Endocarditis or Bacteremia Due to S. Aureus Completed Cubist Pharmaceuticals LLC Phase 3 2002-03-01 The purpose of this study is to compare the safety and efficacy of daptomycin, an antibiotic, to standard therapy in subjects who have infective endocarditis or bacteremia due to Staphylococcus aureus (S. aureus).
NCT00102947 ↗ Daptomycin in the Treatment of Patients With Renal Insufficiency and Complicated Skin and Skin Structure Infections Terminated Cubist Pharmaceuticals LLC Phase 4 2005-01-01 This is a Phase 4, randomized, open-label, multicenter, comparative study designed to further evaluate the pharmacokinetics of intravenous (i.v.) daptomycin and the safety and efficacy of daptomycin relative to comparator in the treatment of complicated skin and skin structure infections in patients with renal impairment.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for DAPTOMYCIN IN 0.9% SODIUM CHLORIDE

Condition Name

Condition Name for DAPTOMYCIN IN 0.9% SODIUM CHLORIDE
Intervention Trials
Bacteremia 10
Osteomyelitis 4
Soft Tissue Infections 4
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Condition MeSH

Condition MeSH for DAPTOMYCIN IN 0.9% SODIUM CHLORIDE
Intervention Trials
Infections 31
Infection 29
Communicable Diseases 29
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Clinical Trial Locations for DAPTOMYCIN IN 0.9% SODIUM CHLORIDE

Trials by Country

Trials by Country for DAPTOMYCIN IN 0.9% SODIUM CHLORIDE
Location Trials
United States 172
Australia 15
China 11
Canada 11
Japan 10
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Trials by US State

Trials by US State for DAPTOMYCIN IN 0.9% SODIUM CHLORIDE
Location Trials
Texas 13
North Carolina 13
California 13
Ohio 11
Michigan 9
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Clinical Trial Progress for DAPTOMYCIN IN 0.9% SODIUM CHLORIDE

Clinical Trial Phase

Clinical Trial Phase for DAPTOMYCIN IN 0.9% SODIUM CHLORIDE
Clinical Trial Phase Trials
Phase 4 32
Phase 3 19
Phase 2/Phase 3 1
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Clinical Trial Status

Clinical Trial Status for DAPTOMYCIN IN 0.9% SODIUM CHLORIDE
Clinical Trial Phase Trials
Completed 43
Terminated 27
Unknown status 8
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Clinical Trial Sponsors for DAPTOMYCIN IN 0.9% SODIUM CHLORIDE

Sponsor Name

Sponsor Name for DAPTOMYCIN IN 0.9% SODIUM CHLORIDE
Sponsor Trials
Cubist Pharmaceuticals LLC 35
Duke University 3
University of Zurich 3
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Sponsor Type

Sponsor Type for DAPTOMYCIN IN 0.9% SODIUM CHLORIDE
Sponsor Trials
Other 87
Industry 53
NIH 3
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DAPTOMYCIN IN 0.9% SODIUM CHLORIDE Market Analysis and Financial Projection

Daptomycin in 0.9% Sodium Chloride: Clinical Trials, Market Analysis, and Projections

Introduction to Daptomycin

Daptomycin is a groundbreaking antibiotic belonging to the class of cyclic lipopeptides, known for its efficacy against a broad range of gram-positive pathogens, including those resistant to methicillin, vancomycin, and other commonly used antibiotics[1][5].

Clinical Trials Overview

Complicated Skin and Skin-Structure Infections

Daptomycin has been extensively tested in clinical trials for the treatment of complicated skin and skin-structure infections. In two randomized, international trials involving 1092 patients, daptomycin was compared to conventional antibiotics such as penicillinase-resistant penicillins and vancomycin. The results showed clinical success rates of 83.4% for daptomycin-treated patients and 84.2% for the comparator group, indicating comparable efficacy[1].

Bacteremia and Endocarditis

Daptomycin has also been evaluated for its effectiveness in treating bacteremia and right-sided endocarditis caused by Staphylococcus aureus, including methicillin-resistant strains. A phase 2 trial using a dosage of 6 mg/kg given in two divided doses per day showed promising results for patients with Staphylococcus aureus bacteremia[5].

Pediatric Population

In the pediatric population, daptomycin was assessed in a Phase IV, partially blinded, multicentre study (DAP-PEDBAC-11-02) involving patients aged 1 to 17 years. The study compared the safety and efficacy of intravenous daptomycin to standard of care (SOC) antibiotics in treating Staphylococcal aureus bacteremia (SAB). The results indicated a well-characterized safety profile for daptomycin in pediatric patients, comparable to that observed in adults[4].

Safety and Efficacy

Clinical Success Rates

The clinical trials have consistently shown high clinical success rates for daptomycin. For complicated skin and skin-structure infections, the success rate was 83.4%, which is comparable to the 84.2% success rate of the comparator group[1].

Duration of Therapy

Among patients successfully treated with intravenous daptomycin, 63% required only 4-7 days of therapy, compared to 33% of comparator-treated patients. This suggests that daptomycin can often achieve clinical success with a shorter treatment duration[1].

Resistance Development

While daptomycin is highly effective, resistance development has been identified but is considered rare. The mechanisms of resistance involve diverse factors, including single nucleotide polymorphisms in the multi-peptide resistance factor gene (mprF)[4].

Market Analysis

Market Size and Growth

The daptomycin market was valued at USD 3.2 billion in 2023 and is projected to grow to USD 4.3 billion by 2032. This growth is driven by the increasing incidence of infections caused by gram-positive pathogens, particularly those resistant to other antibiotics[3].

Market Segmentation

The market is segmented by indication (complicated skin structure infections, bacteremia), age group (pediatric and adult), and strength (350mg and 500mg). The global market is further divided into regions such as North America, Europe, Asia-Pacific, and the rest of the world[3].

Pharmaceutical Development and Stability

Finished Medicinal Product

Daptomycin is available as a sterile powder for solution for injection/infusion, containing 350 mg or 500 mg of daptomycin per vial. It is intended for reconstitution with 0.9% sodium chloride solution for intravenous administration[2].

Stability Studies

Stability studies have shown that daptomycin solutions are stable under tested conditions and should be stored protected from light. The results justify the proposed retest period when stored at the recommended conditions in the proposed container[2].

Key Takeaways

  • Efficacy: Daptomycin has demonstrated high clinical success rates in treating complicated skin and skin-structure infections and bacteremia, including cases caused by methicillin-resistant Staphylococcus aureus.
  • Safety: The drug has a well-characterized safety profile, including in pediatric patients.
  • Market Growth: The daptomycin market is expected to grow significantly due to the increasing need for effective treatments against gram-positive pathogens.
  • Stability: Daptomycin solutions are stable when stored under recommended conditions.

FAQs

What is daptomycin used for?

Daptomycin is used for the treatment of complicated skin and skin-structure infections, bacteremia, and right-sided endocarditis caused by gram-positive pathogens, including those resistant to other antibiotics.

How is daptomycin administered?

Daptomycin is administered intravenously, typically at a dose of 4 mg/kg every 24 hours for 7-14 days, and is reconstituted with 0.9% sodium chloride solution.

Is daptomycin effective in pediatric patients?

Yes, clinical studies have shown that daptomycin has a comparable safety profile in pediatric patients aged 1 to 17 years as in adults.

What are the common side effects of daptomycin?

Common side effects include muscle pain, headache, and gastrointestinal disturbances, although the overall safety profile is favorable.

How does daptomycin compare to other antibiotics?

Daptomycin has shown comparable or superior efficacy to conventional antibiotics in treating infections caused by gram-positive pathogens, including methicillin-resistant strains.

Sources

  1. Clinical Infectious Diseases: "Safety and Efficacy of Daptomycin for the Treatment of Complicated Skin and Skin-Structure Infections" - https://academic.oup.com/cid/article-abstract/38/12/1673/303768
  2. EMA: "Assessment report - Daptomycin Hospira" - https://www.ema.europa.eu/en/documents/assessment-report/daptomycin-hospira-epar-public-assessment-report_en.pdf
  3. Market Research Future: "Daptomycin Market Size, Share, Indication, Strength, Global Forecast till 2032" - https://www.marketresearchfuture.com/reports/daptomycin-market-10081
  4. TGA: "Australian public assessment for Daptomycin" - https://www.tga.gov.au/sites/default/files/auspar-daptomycin-191120.docx
  5. Clinical Infectious Diseases: "Daptomycin: From the Mountain to the Clinic, with Essential Help from Dr. Francis Tally" - https://academic.oup.com/cid/article-abstract/50/Supplement_1/S10/364812

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