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DOOR framework shows similar outcomes in skin infection trials

  • By

  • Matthew Solan

  • August 24, 2026

  • 7 min

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  • 1

    Omadacycline and linezolid showed similar outcomes in a patient-centered analysis of 1,347 participants with acute bacterial skin infections.

  • 2

    The DOOR framework ranked outcomes based on survival and three undesirable events, allowing evaluation of treatment benefits and harms together.

  • 3

    About 80% of patients in both trials achieved the most desirable DOOR outcome, surviving without any prespecified undesirable events.

  • 4

    The probability of a more desirable outcome with omadacycline was 50.6% in OASIS-1 and 52.1% in OASIS-2, indicating no significant treatment differences.

  • 5

    The authors recommended future trials to incorporate DOOR and specific health-related quality-of-life instruments for better outcome distinction.

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