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Telavancin

Phase 3

Bacterial Pneumonia | Small molecule | Infectious Disease |Cumberland Pharmaceuticals Inc.|Last Updated: Jan 16, 2019

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials2
Total Enrollment1,532

FDA Designations

No designations recorded

Clinical trial landscape

Telavancin · 8 trials · 11 indications

Phase 3 4Phase 2 3Phase 1 1
NCT00107952Comparison of Telavancin and Vancomycin for Hospital-acquired Pneumonia Due to Methicillin-resistant Staphylococcus AureusBacterial Pneumonia
COMPLETED761 Analytics
NCT00107978Comparison of Telavancin and Vancomycin for Complicated Skin and Skin Structure Infections With a Focus on Methicillin-resistant Staphylococcus AureusStaphylococcal Skin Infection
COMPLETED1,035 Analytics
NCT00091819Comparison of Telavancin and Vancomycin for Complicated Skin and Skin Structure Infections With a Focus on Methicillin-resistant Staphylococcus AureusStaphylococcal Skin Infection
COMPLETED862 Analytics
NCT00124020Comparison of Telavancin and Vancomycin for Hospital-acquired Pneumonia Due to Methicillin-resistant Staphylococcus AureusBacterial Pneumonia
COMPLETED771 Analytics
PHASE3COMPLETED
Comparison of Telavancin and Vancomycin for Hospital-acquired Pneumonia Due to Methicillin-resistant Staphylococcus Aureus
Bacterial PneumoniaUnlock trial analytics
PHASE3COMPLETED
Comparison of Telavancin and Vancomycin for Complicated Skin and Skin Structure Infections With a Focus on Methicillin-resistant Staphylococcus Aureus
Staphylococcal Skin InfectionUnlock trial analytics
PHASE3COMPLETED
Comparison of Telavancin and Vancomycin for Complicated Skin and Skin Structure Infections With a Focus on Methicillin-resistant Staphylococcus Aureus
Staphylococcal Skin InfectionUnlock trial analytics
PHASE3COMPLETED
Comparison of Telavancin and Vancomycin for Hospital-acquired Pneumonia Due to Methicillin-resistant Staphylococcus Aureus
Bacterial PneumoniaUnlock trial analytics

Study Endpoints

Primary Endpoints

Clinical Response
7 - 14 days following end of antibiotic treatment

Clinical Response: Categorical (Cured, Failed or Indeterminate) * Failure is at least one of the following: Persistence or progression of signs and symptoms of pneumonia that still require antibiotic therapy; Termination of study med due to "lack of efficacy"; Death on or after Day 3 attributable to primary infection * Cure: Signs and symptoms of pneumonia improved to the point that no further antibiotics for pneumonia were required, and baseline radiographic findings improved or did not progress. * Indeterminate: Inability to determine outcome

Clinical Response Which is Measured at Test of Cure (TOC) in the Clinically Evaluable (CE) Population
7 to 14 days following completion of antibiotic treatment

* Cure: Resolution of clinically significant signs, symptoms associated with the skin infection present at study admission or improvement to the extent that the infectious process had been controlled and no further therapy with study medication was necessary. * Failure: Inadequate response to study therapy or the need for significant surgical management (e.g. more than just routine debridement) of the infection site following antibiotic therapy and prior to Test-of-Cure (TOC) visit * Indeterminate: Inability to determine outcome.

Clinical Response (Cure, Failure, or Indeterminate) as Determined by the Investigator Based the Presence or Absence of Clinical Signs and Symptoms Associated With Bacteremia, Metastatic Complications, or Positive Culture at the Test of Cure Evaluation
12 weeks after start of treatment

Outcomes in this exploratory study were compared for noninferiority though no specific margin was justified. The 95% CI for the difference was -35.5 to 31.9; further statistical evaluation is not warranted owing to the small sample size.

Concentration of telavancin as estimated by antibiotic potency bioassay
Days 1-4
Concentration of telavancin as determined by standard Liquid Chromatography Tandem Mass Spectrometer (LC/MS/MS)
Days 1-4

Secondary Endpoints

Pharmacokinetic variables through analysis of blood samples
Days 1-4
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
TelavancinEXPERIMENTAL -
VancomycinACTIVE_COMPARATOR -
Standard of care for cSSSIACTIVE_COMPARATORcSSSI - comlicated skin and skin structure infections
Vancomycin, nafcillin, oxacillin, or cloxacillinACTIVE_COMPARATORVancomycin 1 Gram/12 hours or nafcillin, oxacillin, or cloxacillin 2 Gram/6 hours (IV) intravenously
Normal renal functionEXPERIMENTALSubjects with normal renal function
Severe renal impairmentEXPERIMENTALSubjects with severe renal impairment
End stage renal diseaseEXPERIMENTALSubjects with end stage renal disease

Interventions

NameTypeDescription
TelavancinDRUGTelavancin 10 mg/kg/day IV for up to 21 days.
VancomycinDRUGVancomycin 1 Gm IV q 12 hrs for up to 21 days
vancomycin or antistaphylococcal penicillinDRUGVancomycin 1 Gram IV (intravenously) every 12 hrs or nafcillin 2 Grams, oxacillin 2 Grams, or (in South Africa) cloxacillin 0.5 - 1 Gram, IV (intravenously) every 6 hrs for up to 14 days.
Vancomycin, nafcillin, oxacillin, or cloxacillinDRUGVancomycin 1 Gram every 12 hr IV (intravenously) OR nafcillin, oxacillin, or cloxacillin 2 Grams every 6 hr IV (intravenously) for up to 14 days.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Clinical signs and symptoms consistent with pneumonia acquired after at least 48 hours of continuous stay in an inpatient acute or chronic care facility or acquired within 7 days after being discharged from a hospitalization of greater than or equal to 3 days duration. Exclus...

Countries:United StatesIsrael
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Frequently asked questions about Telavancin

What is Telavancin used for?

Telavancin is an investigational small molecule antibiotic in Phase 3 development for complicated skin and skin structure infections caused by Gram-positive bacteria, including methicillin-resistant Staphylococcus aureus. It is also being studied for use in kidney diseases and bacterial pneumonia. Telavancin is being developed by Cumberland Pharmaceuticals Inc. (CPIX).

What does Telavancin target?

Telavancin is a lipoglycopeptide antibiotic that targets Gram-positive bacteria by inhibiting cell wall synthesis and disrupting the bacterial cell membrane. It is being studied for its activity against methicillin-resistant Staphylococcus aureus and other Gram-positive pathogens. The drug is in Phase 3 clinical development for complicated skin infections.

Who makes Telavancin?

Telavancin is being developed by Cumberland Pharmaceuticals Inc., a biopharmaceutical company listed on the NASDAQ under the ticker symbol CPIX. The company is conducting clinical trials to evaluate the drug for the treatment of Gram-positive bacterial infections, including complicated skin and skin structure infections.

What phase is Telavancin in?

Telavancin is in Phase 3 clinical development for the treatment of complicated skin and skin structure infections. It is an investigational drug and has not been approved by the FDA. Clinical trials have been completed, including two Phase 3 studies comparing telavancin to vancomycin in patients with methicillin-resistant Staphylococcus aureus infections.

What clinical trials is Telavancin in?

Telavancin has completed several clinical trials, including NCT00091819 and NCT00107978, both Phase 3 studies comparing telavancin to vancomycin for complicated skin and skin structure infections. A Phase 2 trial, NCT00062647, evaluated telavancin for uncomplicated Staphylococcus aureus bacteremia. A Phase 1 study, NCT01238796, assessed the effect of renal function on telavancin's biological activity.

Is Telavancin the same as Vibativ?

Telavancin is the same drug as Vibativ, which is a brand name for telavancin. Vibativ is the marketed name for telavancin, and both names refer to the same antibiotic agent. Cumberland Pharmaceuticals Inc. is the developer of telavancin, and the drug is being studied for Gram-positive bacterial infections.