Xydalba Utilization Registry in Germany

OBJECTIVES

The objectives of this registry are as follows:

* To determine the following characteristics in patients who received intravenous Xydalba administration:

* Patient characteristics.
* Disease characteristics.
* Pathogen characteristics.
* To characterize the usage of Xydalba.
* To characterize the patient's residence and, in hospitalized patients, the lengths of hospital and intensive care unit (ICU) stays, and the destination upon hospital discharge.
* To assess the response of Xydalba treatment, based on clinician determination.
* To characterize the major healthcare resource utilization (HRU) of patients treated with Xydalba.

REGISTRY DESIGN This is a multicenter, prospective and retrospective registry of adult patients treated with Xydalba in Germany.

All Adverse events (AEs) (serious and non-serious; special situations; related and not-related, collected prospectively or retrospectively) will be recorded in the eCRF. Treatment related AEs and SAEs will be reported to the healthcare authorities, as requested by local regulations and according to current Guideline on good pharmacovigilance practices (GVP) Module VI - Collection, management and submission of reports of suspected adverse reactions to medicinal products (Rev 2).

TEST PRODUCT (S), DOSE, AND MODE OF ADMINISTRATION Xydalba (dalbavancin) as prescribed by the physician according to clinical practice.

RATIONALE This prospective and retrospective registry is designed to capture information about the clinical use of Xydalba, its safety and effectiveness, characteristics of the patient, disease, pathogen, clinical course, treatment course, and hospitalization. This registry will capture the data in real world setting on patients who received Xydalba.

• Xydalba (Drug), also known as Dalbavancin: Information will be recorded about Xydalba administration (e.g. dose(s), number of infusions, length of infusions, dates or schedule of administration, sites of administration \[e.g. hospital, ICU\]), and reason for discontinuation, including response to treatment to assess whether the patient was clinically improving when Xydalba was discontinued

Primary outcomes

• Prevalence of ABSSSI and other primary diagnoses among patients who received Xydalba (dalbavancin) as treatment for this primary diagnosis [Day of first dose]

Secondary outcomes

• Clinical response [at 30 days after first dose]: Clinical response by cured, improved, failure, non-evaluable, worsening or other (non-clinically evaluable)
• Clinical response by diagnosis [at 30 days after first dose]: Clinical response by diagnosis (ABSSSI, Gram-positive bacteremia, other associated diagnosis)
• Time from Xydalba treatment onset to clinical response [up to 30 days after first dose]
• Adverse Events, Adverse Drug Reactions and Special Situations [up to 30 days after first dose]

Other outcomes

• Xydalba Treatment dose(s) [up to 30 days after first dose]: Dose(s) of Xydalba in mg per infusion
• Number of Xydalba Infusions [up to 30 days after first dose]: number of Infusions given
• Length of Xydalba Infusions [up to 30 days after first dose]: length of Infusions in minutes
• Days of Xydalba treatment [up to 30 days after first dose]: number of Days of treatment
• Percentage of monotherapy vs. concurrent therapy [up to 30 days after first dose]: % of cases for which Xydalba is given as monotherapy and % of cases for which Xydalba is given as concurrent therapy
• Percentage first-line vs. subsequent-line monotherapy [up to 30 days after first dose]: % of cases for which Xydalba is given as first-line and % of cases for which Xydalba is given as subsequent-line
• Prior Antibiotic Therapies [from the time of the primary specified infectious disease diagnosis until Xydalba treatment (estimated to be within 3 months of Xydalba treatment)]: Descriptive summary of other antibiotic therapies received
• Reason for discontinuation [up to 30 days after first dose]: descriptive listing of type of reasons

Sex: All, ages: 18 Years to any

Inclusion Criteria A patient must meet all of the following criteria to be eligible for participation in the study.

1. Male and female patient, ≥18 years of age at the time of receipt of Xydalba.
2. The patient received at least one infusion of Xydalba.
3. Patient signed the consent form

Exclusion Criteria A patient who meets the following criterion is not eligible for participation in the study.

1\. The patient was enrolled in a clinical trial in which treatment for Xydalba is managed through a protocol.

• Ventola CL. The antibiotic resistance crisis: part 1: causes and threats. P T. 2015 Apr;40(4):277-83. PMID 25859123
• Garau J, Ostermann H, Medina J, Avila M, McBride K, Blasi F; REACH study group. Current management of patients hospitalized with complicated skin and soft tissue infections across Europe (2010-2011): assessment of clinical practice patterns and real-life effectiveness of antibiotics from the REACH study. Clin Microbiol Infect. 2013 Sep;19(9):E377-85. doi: 10.1111/1469-0691.12235. Epub 2013 May 10. PMID 23663184
• Morbidité et mortalité des infections à bactéries multi-résistantes aux antibiotiques en France en 2012. Étude Burden BMR, rapport - Juin 2015. Saint-Maurice : Institut de veille sanitaire ; 2015. 21p. Disponible à partir de l'URL : http://www.invs.sante.fr
• Rolain JM, Abat C, Jimeno MT, Fournier PE, Raoult D. Do we need new antibiotics? Clin Microbiol Infect. 2016 May;22(5):408-15. doi: 10.1016/j.cmi.2016.03.012. Epub 2016 Mar 26. PMID 27021418
• EMA Assessment Report 2015. http://www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Public_assessment_report/human/002840/WC500183871.pdf
• Smith JR, Roberts KD, Rybak MJ. Dalbavancin: A Novel Lipoglycopeptide Antibiotic with Extended Activity Against Gram-Positive Infections. Infect Dis Ther. 2015 Sep;4(3):245-58. doi: 10.1007/s40121-015-0077-7. Epub 2015 Sep 4. PMID 26341488
• Xydalba approval history. Drugs.com. http://www.drugs.com/history/Xydalba.html. Accessed February 3, 2016
• Boucher HW, Wilcox M, Talbot GH, Puttagunta S, Das AF, Dunne MW. Once-weekly dalbavancin versus daily conventional therapy for skin infection. N Engl J Med. 2014 Jun 5;370(23):2169-79. doi: 10.1056/NEJMoa1310480. PMID 24897082
• Guideline on good pharmacovigilance practices (GVP) Module VI - Collection, management and submission of reports of suspected adverse reactions to medicinal products

• Kiran Bhirangi, MBBS FRCS I, Study director, Correvio International Sarl