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Trial · NCT00729937

Strategies Using Off-Patent Antibiotics for Methicillin Resistant S. Aureus "STOP MRSA"

NCT00729937, Phase 2, Phase 3, Completed, National Institute of Allergy and Infectious Diseases (NIAID); results first posted 2014-05-28

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Strategies Using Off-Patent Antibiotics for Methicillin Resistant S. Aureus "STOP MRSA". Trials, record NCT00729937. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00729937

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Strategies Using Off-Patent Antibiotics for Methicillin Resistant S. Aureus "STOP MRSA"
NCT number
NCT00729937
Status
Completed
Phases
Phase 2, Phase 3
Enrollment
2,265 participants, actual
Lead sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Conditions
Staphylococcal Infection
Interventions
Cephalexin, Clindamycin, Placebo, Trimethoprim-sulfamethoxazole
First posted
2008-08-08
Last updated
2015-02-18
Results first posted
2014-05-28

Source ClinicalTrials.gov

Registered outcomes31

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Participants With Clinical Cure as of the Test-of-Cure (TOC) Visit in the Per Protocol PopulationDays 14-21
Clinical cure at TOC was defined as no failure on any previous visit up through the TOC, absence of fever, and resolution or minimal presence of all the following signs and symptoms from baseline based on clinician assessment of erythema, swelling, and tenderness. A participant would have been a clinical failure at the On Therapy (OTV) visit with presence of fever attributable to the infection being studied, increase in erythema by 25% or more, or worsening of both swelling and tenderness based on clinical assessment. A participant would have been a clinical failure at the End of Therapy (EOT) visit with presence of fever attributable to the infection being studied, increase or no improvement in erythema, or no improvement in either swelling or tenderness based on clinical assessment.
SecondaryNumber of Participants With Clinical Cure as of the TOC Visit in the Intent to Treat PopulationDays 14-21
Clinical cure at TOC was defined as no failure on any previous visit up through the TOC, absence of fever, and resolution or minimal presence of all the following signs and symptoms from baseline based on clinician assessment of erythema, swelling, and tenderness. A participant would have been a clinical failure at the On Therapy (OTV) visit with presence of fever attributable to the infection being studied, increase in erythema by 25% or more, or worsening of both swelling and tenderness based on clinical assessment. A participant would have been a clinical failure at the End of Therapy (EOT) visit with presence of fever attributable to the infection being studied, increase or no improvement in erythema, or no improvement in either swelling or tenderness based on clinical assessment.
SecondaryNumber of Participants With Reduction in Erythema Dimensions by 5% Intervals at the On-therapy Visit in the Per Protocol PopulationDay 1 to Day 3-4
The area of erythema was measured in square centimeters at baseline and at the on-therapy visit. For each subject, the change in area was calculated as the area at on-therapy subtracted from the area at baseline. The change in area was then divided by the original area to determine the proportional change. Participants were then categorized by reductions in 5% intervals, with participants whose erythema did not change or increased categorized as no reduction.
SecondaryNumber of Participants With Reduction in Erythema Dimensions by 5% Intervals at the On-therapy Visit in the Intent to Treat PopulationDay 1 to Day 3-4
The area of erythema was measured in square centimeters at baseline and at the on-therapy visit. For each subject, the change in area was calculated as the area at on-therapy subtracted from the area at baseline. The change in area was then divided by the original area to determine the proportional change. Participants were then categorized by reductions in 5% intervals, with participants whose erythema did not change or increased categorized as no reduction.
SecondaryNumber of Participants With Reduction in Erythema Dimensions by 5% Intervals at the End-of-therapy Visit in the Per Protocol PopulationDay 1 to Day 8-10
The area of erythema was measured in square centimeters at baseline and at the end-of-therapy visit. For each subject, the change in area was calculated as the area at end-of-therapy subtracted from the area at baseline. The change in area was then divided by the original area to determine the proportional change. Participants were then categorized by reductions in 5% intervals, with participants whose erythema did not change or increased categorized as no reduction.
SecondaryNumber of Participants With Reduction in Erythema Dimensions by 5% Intervals at the End-of-therapy Visit in the Intent to Treat PopulationDay 1 to Day 8-10
The area of erythema was measured in square centimeters at baseline and at the end-of-therapy visit. For each subject, the change in area was calculated as the area at end-of-therapy subtracted from the area at baseline. The change in area was then divided by the original area to determine the proportional change. Participants were then categorized by reductions in 5% intervals, with participants whose erythema did not change or increased categorized as no reduction.
SecondaryNumber of Participants With Reduction in Erythema Dimensions by 5% Intervals at the TOC Visit in the Per Protocol PopulationDay 1 to Day 14-21
The area of erythema was measured in square centimeters at baseline and at the TOC visit. For each subject, the change in area was calculated as the area at TOC subtracted from the area at baseline. The change in area was then divided by the original area to determine the proportional change. Participants were then categorized by reductions in 5% intervals, with participants whose erythema did not change or increased categorized as no reduction.
SecondaryNumber of Participants With Reduction in Erythema Dimensions by 5% Intervals at the TOC Visit in the Intent to Treat PopulationDay 1 to Day 14-21
The area of erythema was measured in square centimeters at baseline and at the TOC visit. For each subject, the change in area was calculated as the area at TOC subtracted from the area at baseline. The change in area was then divided by the original area to determine the proportional change. Participants were then categorized by reductions in 5% intervals, with participants whose erythema did not change or increased categorized as no reduction.
SecondaryNumber of Participants by Composite Clinical Outcome at the TOC Visit in the Per Protocol PopulationDay 14-21
Participants were categorized as composite clinical cure if they had resolution of all symptoms/signs of infection, or improvement to such an extent that no additional antibiotic therapy and/or surgical procedures were necessary. Participants were categorized as composite clinical failure if they had lack of resolution of all signs and symptoms of infection to such an extent that further antibiotic therapy and/or surgical procedures were necessary.
SecondaryNumber of Participants With Each Microbiological Outcome at the TOC Visit in the Per Protocol PopulationDay 14-21
Participants were categorized for the microbiological outcome with Presumed eradication if they were not deemed a clinical failure through TOC. Those who were deemed a clinical failure through the TOC were classified as one of the following: Persistence=persistent growth of a pre-therapy pathogen; New infection=growth of a new pathogen and eradication of initial pathogen; Super-infection=growth of a new pathogen in addition to persistent growth of pre-therapy pathogen; Unclassified=no specimen for culture or growth of a pathogen in subsequent culture specimen of cellulitis participants, or for whom initial culture specimens were negative or were not obtained for infected wound and abscess participants; or Indeterminate=not meeting any one of the above microbiologic outcome criteria.

Outcomes31

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
SECONDARYNumber of Participants With Clinical Cure as of the TOC Visit in the Intent to Treat PopulationDays 14-21All subjects who took at least one dose of study medication were included in the intent to treat population.participantsNUMBER
PRIMARYNumber of Participants With Clinical Cure as of the Test-of-Cure (TOC) Visit in the Per Protocol PopulationDays 14-21
The analysis population is the per protocol population. All participants who met enrollment criteria, had none of the exclusion criteria, completed at least 75% of the first 5 days of antimicrobial therapy, and had physical follow-up at the Test of Cure (TOC) visit were included in the per protocol population.
participantsNUMBER
SECONDARYNumber of Participants With Reduction in Erythema Dimensions by 5% Intervals at the On-therapy Visit in the Per Protocol PopulationDay 1 to Day 3-4
The analysis population is the per protocol population. All participants who met enrollment criteria, had none of the exclusion criteria, completed at least 75% of the first 5 days of antimicrobial therapy, and had physical follow-up at the Test of Cure (TOC) visit were included in the per protocol population.
participantsNUMBER
SECONDARYNumber of Participants With Reduction in Erythema Dimensions by 5% Intervals at the On-therapy Visit in the Intent to Treat PopulationDay 1 to Day 3-4All subjects who took at least one dose of study medication were included in the intent to treat population.participantsNUMBER
SECONDARYNumber of Participants With Reduction in Erythema Dimensions by 5% Intervals at the End-of-therapy Visit in the Per Protocol PopulationDay 1 to Day 8-10
The analysis population is the per protocol population. All participants who met enrollment criteria, had none of the exclusion criteria, completed at least 75% of the first 5 days of antimicrobial therapy, and had physical follow-up at the Test of Cure (TOC) visit were included in the per protocol population.
participantsNUMBER
SECONDARYNumber of Participants With Reduction in Erythema Dimensions by 5% Intervals at the End-of-therapy Visit in the Intent to Treat PopulationDay 1 to Day 8-10All subjects who took at least one dose of study medication were included in the intent to treat population.participantsNUMBER
SECONDARYNumber of Participants With Reduction in Erythema Dimensions by 5% Intervals at the TOC Visit in the Per Protocol PopulationDay 1 to Day 14-21
The analysis population is the per protocol population. All participants who met enrollment criteria, had none of the exclusion criteria, completed at least 75% of the first 5 days of antimicrobial therapy, and had physical follow-up at the Test of Cure (TOC) visit were included in the per protocol population.
participantsNUMBER
SECONDARYNumber of Participants With Reduction in Erythema Dimensions by 5% Intervals at the TOC Visit in the Intent to Treat PopulationDay 1 to Day 14-21All subjects who took at least one dose of study medication were included in the intent to treat population.participantsNUMBER
SECONDARYNumber of Participants by Composite Clinical Outcome at the TOC Visit in the Per Protocol PopulationDay 14-21
The analysis population is the per protocol population. All participants who met enrollment criteria, had none of the exclusion criteria, completed at least 75% of the first 5 days of antimicrobial therapy, and had physical follow-up at the Test of Cure (TOC) visit were included in the per protocol population.
participantsNUMBER
SECONDARYNumber of Participants With Each Microbiological Outcome at the TOC Visit in the Per Protocol PopulationDay 14-21
The analysis population is the per protocol population. All participants who met enrollment criteria, had none of the exclusion criteria, completed at least 75% of the first 5 days of antimicrobial therapy, and had physical follow-up at the Test of Cure (TOC) visit were included in the per protocol population.
participantsNUMBER

Results by group1,200

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Participants With Clinical Cure as of the TOC Visit in the Intent to Treat PopulationAbscess, PlaceboClinical Cure454participants
Number of Participants With Clinical Cure as of the TOC Visit in the Intent to Treat PopulationAbscess, TMP/SMXClinical Cure507participants
Number of Participants With Clinical Cure as of the TOC Visit in the Intent to Treat PopulationInfected Wound, TMP/SMXClinical Cure197participants
Number of Participants With Clinical Cure as of the TOC Visit in the Intent to Treat PopulationInfected Wound, ClindamycinClinical Cure198participants
Number of Participants With Clinical Cure as of the TOC Visit in the Intent to Treat PopulationCellulitis, Cephalexin and TMP/SMXClinical Cure189participants
Number of Participants With Clinical Cure as of the TOC Visit in the Intent to Treat PopulationCellulitis, CephalexinClinical Cure171participants
Number of Participants With Clinical Cure as of the TOC Visit in the Intent to Treat PopulationAbscess, PlaceboClinical Failure163participants
Number of Participants With Clinical Cure as of the TOC Visit in the Intent to Treat PopulationAbscess, TMP/SMXClinical Failure123participants
Number of Participants With Clinical Cure as of the TOC Visit in the Intent to Treat PopulationInfected Wound, TMP/SMXClinical Failure53participants
Number of Participants With Clinical Cure as of the TOC Visit in the Intent to Treat PopulationInfected Wound, ClindamycinClinical Failure51participants

Participant flow18

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDAbscess, Placebo629
Overall StudySTARTEDAbscess, TMP/SMX636
Overall StudySTARTEDInfected Wound, TMP/SMX251
Overall StudySTARTEDInfected Wound, Clindamycin249
Overall StudySTARTEDCellulitis, Cephalexin and TMP/SMX249
Overall StudySTARTEDCellulitis, Cephalexin251
Overall StudyCOMPLETEDAbscess, Placebo555
Overall StudyCOMPLETEDAbscess, TMP/SMX548
Overall StudyCOMPLETEDInfected Wound, TMP/SMX222
Overall StudyCOMPLETEDInfected Wound, Clindamycin215

Adverse events372

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAbdominal pain upperGastrointestinal disordersAbscess, Placebo2661727
otherAbdominal pain upperGastrointestinal disordersAbscess, TMP/SMX3863040
otherAbdominal pain upperGastrointestinal disordersInfected Wound, TMP/SMX1725017
otherAbdominal pain upperGastrointestinal disordersInfected Wound, Clindamycin1524920
otherAbdominal pain upperGastrointestinal disordersCellulitis, Cephalexin and TMP/SMX1924820
otherAbdominal pain upperGastrointestinal disordersCellulitis, Cephalexin1124811
otherAbscessInfections and infestationsAbscess, Placebo130617152
otherAbscessInfections and infestationsAbscess, TMP/SMX88630100
otherAbscessInfections and infestationsInfected Wound, TMP/SMX2025026
otherAbscessInfections and infestationsInfected Wound, Clindamycin1224913

Adverse event totals18

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityAbscess, Placebo
Total, all-cause mortalityAbscess, TMP/SMX
Total, all-cause mortalityInfected Wound, TMP/SMX
Total, all-cause mortalityInfected Wound, Clindamycin
Total, all-cause mortalityCellulitis, Cephalexin and TMP/SMX
Total, all-cause mortalityCellulitis, Cephalexin
Total, other adverse eventsAbscess, Placebo331617
Total, other adverse eventsAbscess, TMP/SMX345630
Total, other adverse eventsInfected Wound, TMP/SMX138250
Total, other adverse eventsInfected Wound, Clindamycin127249

Papers5

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
26962903DERIVEDPubMed
27025829DERIVEDPubMed
28535235DERIVEDPubMed
28987525DERIVEDPubMed
30926187DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00729937

GET https://conductscience.org/api/trials/v1/NCT00729937/registered?page=2