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Trial · NCT01597505

Study of CB-183,315 in Participants With Clostridium Difficile Associated Diarrhea (MK-4261-005)

NCT01597505, Phase 3, Completed, Cubist Pharmaceuticals LLC, a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA); results first posted 2018-02-28

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study of CB-183,315 in Participants With Clostridium Difficile Associated Diarrhea (MK-4261-005). Trials, record NCT01597505. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01597505

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Trial

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

Title
Study of CB-183,315 in Participants With Clostridium Difficile Associated Diarrhea (MK-4261-005)
NCT number
NCT01597505
Status
Completed
Phases
Phase 3
Enrollment
606 participants, actual
Lead sponsor
Cubist Pharmaceuticals LLC, a subsidiary of Merck & Co., Inc. (Rahway, New Jersey USA)
Conditions
Clostridium Difficile Infection
Interventions
Surotomycin, Vancomycin, Placebo
First posted
2012-05-14
Last updated
2019-07-23
Other registries' IDs
eudract:2012-000252-34
Results first posted
2018-02-28

Source ClinicalTrials.gov

Registered outcomes14

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

ListOutcomeTime frameDescription
PrimaryAdjusted Percentage of Participants With a Clinical Outcome of Cure at the End of Treatment (EOT)Up to 13 days
A clinical outcome of cure at EOT was determined by resolution of diarrhea, defined as ≤ 2 loose stools per 24-hour period for at least 2 consecutive days and the lack of need for additional antibiotics to treat the current CDAD episode after completion of the study treatment period. Participants requiring a collection device were considered to have resolution of diarrhea when the volume of stool (over a 24-hour period) was decreased by 75% as compared to baseline or the participant was no longer passing liquid stool. The estimated adjusted percentage was a weighted average across all strata, constructed using Mehrotra-Railkar continuity-corrected minimum risk (MRc) stratum weights.
PrimaryPercentage of Participants With at Least One Adverse Event (AE)Up to Day 50
An AE is any untoward medical occurrence in a participant administered a pharmaceutical product that does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not related to the medicinal product. AEs may be new events or may be pre-existing conditions that have become aggravated or have worsened in severity or frequency; or may be clinically significant changes from baseline in physical examination, laboratory tests, or other diagnostic investigation (e.g. laboratory results, x-ray findings).
PrimaryPercentage of Participants With at Least One Serious Adverse Event (SAE)Up to Day 50
A SAE is any adverse experience occurring at any dose that results in any of the following outcomes: death; a life-threatening experience, referring to a situation in which the participant was at risk of death at the time of the event, requires in-patient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability or incapacity; is a congenital anomaly or birth defect; or is considered to be an important medical event.
PrimaryPercentage of Participants Who Discontinued Treatment Due to an AEUp to Day 13
An AE is any untoward medical occurrence in a participant administered a pharmaceutical product that does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not related to the medicinal product. AEs may be new events or may be pre-existing conditions that have become aggravated or have worsened in severity or frequency; or may be clinically significant changes from baseline in physical examination, laboratory tests, or other diagnostic investigation (e.g. laboratory results, x-ray findings).
SecondaryNumber of Participants With Clinical Response Over TimeUp to Day 41
Clinical response over time as measured by those without treatment failure, recurrence, death, or lost to follow-up, measured as the number of participants without failure events (survivors) through the end of therapy (reported for Day 14) and from end of therapy to Day 40 (reported for Day 41).
SecondaryAdjusted Percentage of Participants With Sustained Clinical Response at the End of StudyUp to Day 50
Sustained clinical response at the end of study was achieved by participants who had a clinical outcome of cure at the end of treatment (Days 40-50) and did not experience a recurrence of CDAD, did not die, were not lost to follow-up, and did not have end of study visit prior to Day 40. The estimated adjusted percentage was a weighted average across all strata, constructed using MRc stratum weights.
SecondaryAdjusted Percentage of Participants With Sustained Clinical Response at Day 24Day 24
Sustained clinical response at Day 24 was defined as participants who had a clinical outcome of cure at Day 24, who did not experience a recurrence of CDAD, did not die, were not lost to follow-up. Only the first failure event was counted per participant. The estimated adjusted percentage was a weighted average across all strata, constructed using MRc stratum weights.
SecondaryAdjusted Percentage of Participants With Recurrence of CDAD at End of StudyUp to Day 50
Participants with recurrences were defined as those who were cured at the end of therapy and had a recurrence or were lost to follow-up, died or had a Day 40 -50 contact prior to Day 40. The estimated adjusted percentage was a weighted average across all strata, constructed using MRc stratum weights.
SecondaryTime to Resolution of DiarrheaUp to Day 13Time to resolution of diarrhea with =\< 2 unformed bowel movements (UBM) per 24-hour period was calculated as the date/time of last UBM minus the date/time of the first dose of study drug.
SecondaryTime to Reappearance of Diarrhea From End of Treatment to the End of StudyUp to Day 50
Time to reappearance of diarrhea with \>= 3 UBM per 24-hour period was calculated as the last date/time of study drug dose to the date/time of first reappearance of 3 or more UBMs among participants who were cured at end of treatment.

Outcomes14

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYAdjusted Percentage of Participants With a Clinical Outcome of Cure at the End of Treatment (EOT)Up to 13 days
The population analyzed is the Microbiological Modified Intent-To-Treat (mMITT) population consisting of all randomized participants who had a confirmed diagnosis of CDAD regardless of whether they received any amount of study drug, based on the treatment to which they were randomized.
Percentage of participantsNUMBER
SECONDARYNumber of Participants With Clinical Response Over TimeUp to Day 41
The mMITT population consisting of all randomized participants who had a confirmed diagnosis of CDAD regardless of whether they received any amount of study drug, based on the treatment to which they were randomized
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYAdjusted Percentage of Participants With Sustained Clinical Response at the End of StudyUp to Day 50
The mMITT population consisting of all randomized participants who had a confirmed diagnosis of CDAD regardless of whether they received any amount of study drug, based on the treatment to which they were randomized.
Percentage of participantsNUMBER
PRIMARYPercentage of Participants With at Least One Adverse Event (AE)Up to Day 50All randomized participants who received any amount of study drugPercentage of participantsNUMBER
PRIMARYPercentage of Participants With at Least One Serious Adverse Event (SAE)Up to Day 50All randomized participants who received any amount of study drugPercentage of participantsNUMBER
PRIMARYPercentage of Participants Who Discontinued Treatment Due to an AEUp to Day 13All randomized participants who received any amount of study drugPercentage of participantsNUMBER
SECONDARYAdjusted Percentage of Participants With Sustained Clinical Response at Day 24Day 24
The mMITT population consisting of all randomized participants who had a confirmed diagnosis of CDAD regardless of whether they received any amount of study drug, based on the treatment to which they were randomized.
Percentage of participantsNUMBER
SECONDARYAdjusted Percentage of Participants With Recurrence of CDAD at End of StudyUp to Day 50
The mMITT population consisting of all randomized participants who had a confirmed diagnosis of CDAD regardless of whether they received any amount of study drug, based on the treatment to which they were randomized.
Percentage of participantsNUMBER
SECONDARYTime to Resolution of DiarrheaUp to Day 13
The mMITT population consisting of all randomized participants who had a confirmed diagnosis of CDAD regardless of whether they received any amount of study drug, based on the treatment to which they were randomized
DaysMEDIAN
SECONDARYTime to Reappearance of Diarrhea From End of Treatment to the End of StudyUp to Day 50
The mMITT population consisting of all randomized participants who had a confirmed diagnosis of CDAD regardless of whether they received any amount of study drug, based on the treatment to which they were randomized; and were cured at end of treatment.
DaysMEDIAN

Results by group30

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

OutcomeGroupCategoryValueSpreadUnits
Adjusted Percentage of Participants With a Clinical Outcome of Cure at the End of Treatment (EOT)Surotomycin79.095% Confidence Interval 73.9 to 83.2Percentage of participants
Adjusted Percentage of Participants With a Clinical Outcome of Cure at the End of Treatment (EOT)Vancomycin83.695% Confidence Interval 78.8 to 87.4Percentage of participants
Number of Participants With Clinical Response Over TimeSurotomycinDay 14227Participants
Number of Participants With Clinical Response Over TimeVancomycinDay 14231Participants
Number of Participants With Clinical Response Over TimeSurotomycinDay 41147Participants
Number of Participants With Clinical Response Over TimeVancomycinDay 41151Participants
Adjusted Percentage of Participants With Sustained Clinical Response at the End of StudySurotomycin60.695% Confidence Interval 55.0 to 66.0Percentage of participants
Adjusted Percentage of Participants With Sustained Clinical Response at the End of StudyVancomycin61.495% Confidence Interval 55.9 to 66.8Percentage of participants
Percentage of Participants With at Least One Adverse Event (AE)Surotomycin48.5Percentage of participants
Percentage of Participants With at Least One Adverse Event (AE)Vancomycin55.2Percentage of participants

Participant flow8

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDSurotomycin308
Overall StudySTARTEDVancomycin298
Overall StudyTreatedSurotomycin305
Overall StudyTreatedVancomycin286
Overall StudyCOMPLETEDSurotomycin264
Overall StudyCOMPLETEDVancomycin265
Overall StudyNOT COMPLETEDSurotomycin44
Overall StudyNOT COMPLETEDVancomycin33

Adverse events172

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAbdominal painGastrointestinal disordersSurotomycin1630520
otherAbdominal painGastrointestinal disordersVancomycin62866
otherNauseaGastrointestinal disordersSurotomycin2030523
otherNauseaGastrointestinal disordersVancomycin2128621
otherHeadacheNervous system disordersSurotomycin1230513
otherHeadacheNervous system disordersVancomycin1828621
seriousAnaemiaBlood and lymphatic system disordersSurotomycin33053
seriousAnaemiaBlood and lymphatic system disordersVancomycin02860
seriousFebrile neutropeniaBlood and lymphatic system disordersSurotomycin03050
seriousFebrile neutropeniaBlood and lymphatic system disordersVancomycin12861

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalitySurotomycin18305
Total, all-cause mortalityVancomycin9286
Total, other adverse eventsSurotomycin38305
Total, other adverse eventsVancomycin38286
Total, serious adverse eventsSurotomycin44305
Total, serious adverse eventsVancomycin37286

Papers2

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
28480267RESULTPubMed
32747931DERIVEDPubMed

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 comparisons2

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

ComparisonSource
Surotomycin vs Vancomycin: deaths from any causeTrial comparisons
Surotomycin vs Vancomycin: serious adverse eventsTrial comparisons

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/NCT01597505

GET https://conductscience.org/api/trials/v1/NCT01597505/results?page=2