RECRUITING

Real-World Efficacy and Safety Analysis of Omadacycline for the Treatment of Diabetic Foot Infections and Acute Osteomyelitis

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

This will be a prospective, open-label, two-center study to assess the safety of omadacycline use in the treatment of hospitalized subjects with moderate to severe DFI with or without Acute osteomyelitis (AOM) who are at a high risk for development of CDI, AKI, and/or resistant pathogens compared to retrospective controls. Prospective enrollment will be continued until the sample size is achieved up to one year from start date (October 2020). Secondary to slower than anticipated enrollment due to the COVID-19 pandemic and initial exclusion of AOM, following protocol amendment, patient enrollment will be continued until the sample size is achieved up to 18 months from amendment approval (anticipate April 2022 - October 2023). A historical matched case cohort (standard of care) at the two hospitals based on ICD10 codes associated with DFI \[E11.(621, 622), E10.(621, 622); L97.(509, 521, 522, 523, 524, 529)\], including subjects with AOM \[M86.(08-09, 10, 16-19, 8X0, 8X7-8X9, 9) will be utilized for comparison.

Official Title

Real-World Efficacy and Safety Analysis of Omadacycline for the Treatment of Diabetic Foot Infections and Acute Osteomyelitis

Quick Facts

Study Start:2020-11-05
Study Completion:2025-08-18
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT04714411

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. * Female and male subjects will be eligible for inclusion if hospitalized, 18 years or older, diagnosed with type 1 or 2 diabetes, and have DFI with the additional clinical criteria as specified below:
  2. * Acute infection or worsening without systemic antimicrobials within the previous 14 days
  3. * At least one full or partial thickness-infected ulcer at or below the ankle AND
  4. * Purulent drainage OR
  5. * Two of the following:
  6. * Erythema
  7. * Local edema
  8. * Fluctuance
  9. * Induration
  10. * Increased local warmth
  11. * Fever
  12. * No systemic antimicrobials with current hospital admission for more than 48 hours prior to enrollment
  13. * Inclusion will be based on
  14. * Empiric coverage based on organisms suspected to be caused by susceptible bacteria, if no culture identifies a specific organism; or
  15. * Confirmed susceptibility to omadacycline against any organism identified. Any subject in which a pathogen resistant to omadacycline is identified will be excluded from the study and antibiotics will be changed based on physician discretion.
  16. * First episodes of AOM at qualifying site of infection will be eligible for inclusion with any of the following criteria confirming the diagnosis:
  17. * Imaging (X-ray or MRI) confirmation of acute osteomyelitis
  18. * Pathology (bone biopsy/culture)
  19. * Not currently enrolled in any other clinical trial
  20. * Provides informed consent
  21. * Likely to be compliant with all study-related procedures and visits
  1. * Age less than 18 years
  2. * Pregnant women
  3. * Chronic osteomyelitis
  4. * Osteomyelitis of the same site previously treated with antibiotics
  5. * Documented presence of osteomyelitis more than 2 weeks prior to index admission
  6. * Necrotic or dead bone identified by pathology
  7. * Unclear chronicity of infection (if unable to determine acute osteomyelitis)
  8. * Has any gangrenous ulcers or necrotizing fasciitis
  9. * Has a pathogen known to be resistant to omadacycline
  10. * Administration of additional systemic antibiotics in combination with omadacycline, not including topical routes or oral vancomycin/fidaxomicin given their local activity within the GI tract
  11. * Contraindication or hypersensitivity to omadacycline/tetracyclines
  12. * Unwilling or unable to participate in study-related procedures or visits

Contacts and Locations

Study Contact

Crystee Cooper, DHEd
CONTACT
214-947-1281
ClinicalResearch@mhd.com
Bethany Brauer, MPH
CONTACT
214-947-1281
ClinicalResearch@mhd.com

Principal Investigator

Matthew Crotty, PharmD
PRINCIPAL_INVESTIGATOR
Methodist Health System

Study Locations (Sites)

Methodist Dallas Medical Center
Dallas, Texas, 75203
United States
Methodist Charlton Medical Center
Dallas, Texas, 75237
United States

Collaborators and Investigators

Sponsor: Methodist Health System

  • Matthew Crotty, PharmD, PRINCIPAL_INVESTIGATOR, Methodist Health System

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2020-11-05
Study Completion Date2025-08-18

Study Record Updates

Study Start Date2020-11-05
Study Completion Date2025-08-18

Terms related to this study

Additional Relevant MeSH Terms

  • Diabetic Foot Infection