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临床试验/NCT02123628
NCT02123628已完成4 期

Six- Versus Twelve-Week Therapy for Non-Surgically-Treated Diabetic Foot Osteomyelitis: A Multicenter Open-Label Controlled Randomized Study

Tourcoing Hospital1 个研究点 分布在 1 个国家目标入组 40 人开始时间: 2007年6月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
4 期
状态
已完成
发起方
入组人数
40
试验地点
1
主要终点
Primary outcome measure was the proportion of patients of each group with remission of diabetic foot osteomyelitis at the end of follow-up.

研究概览

简要总结

The purpose of the study is to compare the efficacy and tolerance of 6- versus 12-week antibiotic therapy in patients with diabetic foot osteomyelitis treated medically.

详细描述

The aim of this randomized multicenter clinical study is to compare the efficacy and tolerance of 6 versus 12-week antibiotic treatment in patients with diabetic foot osteomyelitis treated medically as no equivalent data are currenty available in the literature.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • diabetic patients treated non-surgically (i.e. without amputation or resection of the infected bone) for an osteomyelitis of the foot complicating a neuropathic foot without ischemia of the foot defined as the absence of any pedal pulse. Patients aged of 18 years or more were included if they had type 2 diabetes and osteomyelitis of the foot (i.e.below the ankle).

排除标准

  • Patients with gangrene or who require bone resection or amputation when osteomyelitis of the foot was diagnosed

研究组 & 干预措施

antibiotic therapy

Active Comparator

patients are treated with a 6 week-duration of antibiotic therapy :

  • Rifampin IP and PO twice daily, 10mg/kg /12H
  • Levofloxacin IV and PO 500-750mg once daily
  • Doxycycline PO 200mg once daily
  • Trimethoprim- sulfamethoxazole IV and PO 800/160mg thrice daily
  • Fusidic acid PO 500mg twice daily
  • Linezolid IV and PO 600mg twice daily
  • Ciprofloxacin IV and PO 750to 1000mg/12h
  • Cefotaxime IV 100mg/kg in three IV infusions daily
  • Ceftriaxone IV,intramuscularly or subcutaneously 2g once daily
  • Cefepime IV ou intra-muscularly 2g /8-12h

干预措施: duration of the antibiotic therapy (Drug)

12 week-duration of antibiotic therapy

Active Comparator

patients are treated with a 12 week-duration of antibiotic therapy :

  • Rifampin IP and PO twice daily, 10mg/kg /12H
  • Levofloxacin IV and PO 500-750mg once daily
  • Doxycycline PO 200mg once daily
  • Trimethoprim- sulfamethoxazole IV and PO 800/160mg thrice daily
  • Fusidic acid PO 500mg twice daily
  • Linezolid IV and PO 600mg twice daily
  • Ciprofloxacin IV and PO 750to 1000mg/12h
  • Cefotaxime IV 100mg/kg in three IV infusions daily
  • Ceftriaxone IV,intramuscularly or subcutaneously 2g once daily
  • Cefepime IV ou intra-muscularly 2g /8-12h

干预措施: duration of the antibiotic therapy (Drug)

结局指标

主要结局

Primary outcome measure was the proportion of patients of each group with remission of diabetic foot osteomyelitis at the end of follow-up.

时间窗: one year

Remission was defined as the absence of any sign of infection at the initial or a contiguous site, evaluated at least one year after the end of antibiotic treatment (ie at the end of follow-up), with neither a new infectious episode nor the need for orthopedic surgery of the foot at either of these sites during the treatment and follow-up period.

次要结局

  • tolerance to treatment in each group of patients(6 or 12 weeks)

研究者

发起方
Tourcoing Hospital
申办方类型
Other
责任方
Sponsor

研究点 (1)

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