Evidence map›Paper›PMID 35717634›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2022

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 and 16 more

Erratum issued 4 registry-linked trialsOpen access · hybridAbstract readClinical Trial Protocol
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 4 registered trials, which are not on this map. Cited by 54 papers.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed
8.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04886284 phase2recruitingnot on this mapstarted 2024, after this paper: background citation

Combination Cefazolin With Ertapenem for Methicillin-susceptible Staphylococcus Aureus Bacteremia (CERT)

TypeinterventionalSponsorTodd C. Lee MD MPH FIDSARan2024 to 2027Enrolled60ConditionsStaphylococcus Aureus Bacteremia, Staphylococcus Aureus Septicemia, Staphylococcal Sepsis, Staphylococcus Aureus EndocarditisArmsErtapenem, Placebo
NCT05137119 phase4recruitingnot on this map

Staphylococcus Aureus Network Adaptive Platform Trial

TypeinterventionalSponsorUniversity of MelbourneRan2022 to 2028Enrolled8,000ConditionsStaphylococcus Aureus BacteremiaArmsCefazolin, Penicillin, Clindamycin, Vancomycin, Effectiveness of early switch to oral antibiotics
NCT06650488 phase4recruitingnot on this mapstarted 2026, after this paper: background citation

Clopidogrel vs. Aspirin for Cardiovascular Risk Reduction in Patients With S. Aureus Bacteremia

TypeinterventionalSponsorTodd C. Lee MD MPH FIDSARan2026 to 2030Enrolled300ConditionsStaphylococcus Aureus Endocarditis, Staphylococcus Aureus Septicemia, Staphylococcus Aureus Bloodstream InfectionArmsClopidogrel, Aspirin
NCT06650501 phase4recruitingnot on this mapstarted 2026, after this paper: background citation

Dabigatran vs. Oral Anti-Xa Inhibitors in S. Aureus Bacteremia

TypeinterventionalSponsorMcGill University Health Centre/Research Institute of the McGill University Health CentreRan2026 to 2030Enrolled300ConditionsStaphylococcus Aureus Endocarditis, Staphylococcus Aureus Septicemia, Staphylococcus Aureus Bacteremia, Staphylococcus Aureus Bloodstream InfectionArmsDabigatran, Apixaban, edoxaban, Rivaroxaban
3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 90 citations in OpenAlex.

  1. Cefazolin for Methicillin-SusceptibleThe New England journal of medicine · 2026
    Trial
  2. Trial
  3. Review
  4. Review
  5. Review
  6. Article
  7. Host-driven remodelling of theMicrobiology (Reading, England) · 2026
    Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. The Hospitalization Cost of Pediatric Staphylococcus aureus Bacteremia.Journal of the Pediatric Infectious Diseases Society · 2026
    Article
  14. Making Sense of Hierarchical Composite End Points in Randomized Clinical Trials-A Primer for Infectious Diseases Clinicians and Researchers.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Review
  15. Article
  16. Article
  17. Article
  18. Expression ofmBio · 2025
    Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

26 authors at 18 institutions in 7 countries.

Steven Y C TongDepartment of Infectious Diseases University of Melbourne, Peter Doherty Institute for Infection and Immunity, Melbourne, Australia.
Jocelyn MoraDepartment of Infectious Diseases University of Melbourne, Peter Doherty Institute for Infection and Immunity, Melbourne, Australia.
Asha C BowenDepartment of Infectious Diseases, Perth Children's Hospital, Perth, Australia.
Matthew P ChengDivisions of Infectious Diseases and Medical Microbiology, McGill University Health Centre, Montreal, Canada.
Nick DanemanDivision of Infectious Diseases, Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada.
Anna L GoodmanMedical Research Council Clinical Trials Unit, University College London, London, United Kingdom.
George S HeriotDepartment of Infectious Diseases University of Melbourne, Peter Doherty Institute for Infection and Immunity, Melbourne, Australia.
Todd C LeeClinical Practice Assessment Unit and Division of Infectious Diseases, McGill University, Montreal, Canada.
Roger J LewisBerry Consultants, LLC, Austin, Texas, USA.
David C LyeNational Centre for Infectious Diseases, Singapore.
Robert K MaharCentre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Parkville, Australia.
Julie MarshTelethon Kids Institute, Perth Children's Hospital, Perth, Australia.
Anna McGlothlinBerry Consultants, LLC, Austin, Texas, USA.
Zoe McQuiltenDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia.
Susan C MorpethDepartment of Infectious Diseases, Middlemore Hospital, Auckland, New Zealand.
David L PatersonUniversity of Queensland Centre for Clinical Research, Royal Brisbane and Women's Hospital Campus, Brisbane, Australia.
David J PriceDepartment of Infectious Diseases University of Melbourne, Peter Doherty Institute for Infection and Immunity, Melbourne, Australia.
Jason A RobertsUniversity of Queensland Centre for Clinical Research, Faculty of Medicine, University of Queensland, Brisbane, Australia.
J Owen RobinsonDepartment of Infectious Diseases, Royal Perth Hospital, Perth, Australia.
Sebastiaan J van HalDepartment of Microbiology and Infectious Diseases Royal Prince Alfred Hospital, Sydney, Australia.
Genevieve WallsDepartment of Infectious Diseases, Middlemore Hospital, Auckland, New Zealand.
Steve A WebbAustralian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Australia.
Lyn WhitewayFreelance Health Consumer Advocate, Adealide, South Australia, Australia.
Dafna YahavInfectious Diseases Unit, Rabin Medical Center, Beilinson Hospital, Petah-Tikva, Israel.
Joshua S DavisSchool of Medicine and Public Health and Hunter Medical Research Institute, University of Newcastle, Newcastle, Australia.
Staphylococcus aureus Network Adaptive Platform (SNAP) Study Group
The University of Melbourne · AUThe University of Queensland · AUMiddlemore Hospital · NZThe Kids Research Institute Australia · AUMcGill University Health Centre · CASunnybrook Health Science Centre · CARabin Medical Center · ILAustralian and New Zealand Intensive Care Society · AUBerry & Associates (United States) · USThe University of Sydney · AUMcGill University · CAMonash Health · AUSt Thomas' Hospital · GBTan Tock Seng Hospital · SGUniversity of California, Los Angeles · USHarbor–UCLA Medical Center · USHunter Medical Research Institute · AUMurdoch University · AU

Funding

Medical Research Council MC_UU_00004/05
6 · The paper itself

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.

Indexed as

BacteremiaStaphylococcal InfectionsAdaptive Clinical Trials as TopicAnti-Bacterial AgentsHumansStaphylococcus aureusAnti-Bacterial Agentsadaptive platformbacteremiabloodstream infectionrandomized controlled trialStaphylococcus aureus

Identifiers

PMID35717634
PMCPMC9710697
OpenAlexW4283121599

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.