The Staphylococcus aureus Network Adaptive Platform Trial Protocol: New Tools for an Old Foe

Steven Y.C. Tong, Jocelyn Mora, Asha C. Bowen, Matthew P. Cheng, Nick Daneman, Anna L. Goodman, George S. Heriot, Todd C. Lee, Roger J. Lewis, David C. Lye, Robert K. Mahar, Julie Marsh, Anna McGlothlin, Zoe McQuilten, Susan C. Morpeth, David L. Paterson, David J. Price, Jason A. Roberts, J. Owen Robinson, Sebastiaan J. van HalGenevieve Walls, Steve A. Webb, Lyn Whiteway, Dafna Yahav, Joshua S. Davis, for the Staphylococcus aureus Network Adaptive Platform (SNAP) Study Group

Research output: Contribution to journalArticleOtherpeer-review

36 Citations (Scopus)

Abstract

Staphylococcus aureus bloodstream (SAB) infection is a common and severe infectious disease, with a 90-day mortality of 15%-30%. Despite this, <3000 people have been randomized into clinical trials of treatments for SAB infection. The limited evidence base partly results from clinical trials for SAB infections being difficult to complete at scale using traditional clinical trial methods. Here we provide the rationale and framework for an adaptive platform trial applied to SAB infections. We detail the design features of the Staphylococcus aureus Network Adaptive Platform (SNAP) trial that will enable multiple questions to be answered as efficiently as possible. The SNAP trial commenced enrolling patients across multiple countries in 2022 with an estimated target sample size of 7000 participants. This approach may serve as an exemplar to increase efficiency of clinical trials for other infectious disease syndromes.

Original languageEnglish
Pages (from-to)2027-2034
Number of pages8
JournalClinical Infectious Diseases
Volume75
Issue number11
DOIs
Publication statusPublished - 30 Nov 2022

Keywords

  • Staphylococcus aureus
  • adaptive platform
  • bacteremia
  • bloodstream infection
  • randomized controlled trial

Cite this