Efficacy and safety of different antimicrobial DURATions for the treatment of Infections associated with Osteosynthesis Material implanted after long bone fractures (DURATIOM). Phase 3 pragmatic multicenter open labelled randomized trial.

2023-508442-18-00 Protocol DURATIOM Therapeutic confirmatory (Phase III) Ongoing, recruiting

Start 14 Apr 2024 · Status Ongoing, recruiting · 1 EU/EEA countries · 27 sites · Protocol DURATIOM

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruiting
Participants planned 364
Countries 1
Sites 27

Patients with an infection of the osteosynthesis material implanted after a long bone fracture, who are treated by surgical debridement with retention of the implant plus targeted antimicrobial therapy or by surgical debridement with removal of the material. These patients have the osteosynthesis material implanted to stabilize and help heal the fracture and who meet the criteria for Infections associated with the osteosynthesis material. -arm without/with removal MO: 256/108pac (364pac)

To evaluate whether, after performing surgical treatment (debridement with implant retention or debridement with implant removal) in patients with IOM due to a large bone fracture, a short treatment is as effective as a longer treatment.

Key facts

Sponsor
Fundacion Publica Andaluza Para La Gestion De La Investigacion En Salud De Sevilla
Participant type
Pediatric, Patients
Age range
0-17 years, 18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Bacterial Infections and Mycoses [C01]
Trial duration
14 Apr 2024 → ongoing
Decision date (initial)
2024-04-10
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
Instituto de Salud Carlos III. Ministerio de ciencia e innovación.

External identifiers

EU CT number
2023-508442-18-00
EudraCT number
2021-003914-38
ClinicalTrials.gov
NCT05294796

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy

To evaluate whether, after performing surgical treatment (debridement with implant retention or debridement with implant removal) in patients with IOM due to a large bone fracture, a short treatment is as effective as a longer treatment.

Secondary objectives 6

  1. To evaluate the efficacy and safety of different antimicrobials used in IOM.
  2. To evaluate the development of antimicrobial resistance during antibiotic treatment.
  3. To evaluate the need for new surgeries during follow-up.
  4. To provide information about the functional prognosis and quality of life of the patient according to each of the treatment strategies.
  5. Evaluate the consumption of healthcare resources with each type of strategy.
  6. Evaluation of different reconstruction strategies (bone and soft tissue) carried out in order to recover lost functionality (degree of mobility and autonomy).

Conditions and MedDRA coding

Patients with an infection of the osteosynthesis material implanted after a long bone fracture, who are treated by surgical debridement with retention of the implant plus targeted antimicrobial therapy or by surgical debridement with removal of the material. These patients have the osteosynthesis material implanted to stabilize and help heal the fracture and who meet the criteria for Infections associated with the osteosynthesis material. -arm without/with removal MO: 256/108pac (364pac)

VersionLevelCodeTermSystem organ class
20.0 SOC 10021881 Infections and infestations 1

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 DURATIOM
Efficacy and safety of different antimicrobial DURATions for the treatment of infections associated with Osteosynthesis Material implanted after long bone fractures (DURATIOM). Phase 3 pragmatic multicenter open labelled randomized trial.
Randomised Controlled None Experimental arm: 1. when performing DAIR with implant retention:

short-term antibiotic treatment; 8 weeks in early IOM or 12 weeks in delayed IOM.

2. when implant removal is performed:

short-term antibiotic treatment; 2 weeks
Control arm: 1. when performing DAIR with implant retention:

long-term antibiotic treatment; 12 weeks in early IOM or antibiotic until fracture healing or implant removal in delayed IOM.

2. when implant removal is performed:

long-term antibiotic treatment; 4 weeks

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 2

  1. Inclusion criteria when performing DAIR (implant retention): the CI (9) are listed below: 1. Age greater than or equal to 14 years. 2. Stabilized fracture, even non-consolidated. 3. Controlled infection (absence of signs or symptoms of sepsis). 4. Early BM infection (that occurs in the first 2 weeks after implant surgery) or delayed BM infection (that occurs between 3 and 10 weeks after implant surgery). 5. Availability of antibiotics active against the isolated microorganism. 6. Absence of bone exposure. Patients who initially had bone exposure, but during debridement surgery, bone coverage was performed by any method (skin approximation, grafting, vacuum therapy) may be included in the criteria. 7. Patients who have signed the informed consent, in the case of minors, signature of the legal guardians and assent of the minor. 8. If there is a possibility of pregnancy or parenthood, agree to the use of a highly effective method of birth control during the treatment phase of the trial. 9. Infections of osteosynthesis material implanted after an osteotomy due to corrective surgery may be included.
  2. Inclusion criteria when implant removal is performed: the CI (9) are listed below: 1. Age greater than or equal to 14 years. 2. Controlled infection (absence of signs or symptoms of sepsis). 3. Early BM infection (that occurs in the first 3 weeks after implant surgery) or delayed BM infection (that occurs between 4 and 10 weeks after implant surgery). 4. Availability of antibiotics active against the isolated microorganism. 5. Absence of bone exposure. Patients who initially had bone exposure, but during the debridement and material removal surgery, bone coverage was performed by any method (skin approximation, graft, vacuum therapy), can be included in the criteria. 6. Patients who have signed the informed consent, in the case of minors, signature of the legal guardians and assent of the minor. 7. Patients may be included if DAIR was performed in the first surgery, but subsequently decided to remove the implant, as long as the rest of the inclusion criteria are met. 8. If there is a possibility of pregnancy or parenthood, agree to the use of a highly effective method of birth control during the treatment phase of the trial. 9. Infections of osteosynthesis material implanted after an osteotomy due to corrective surgery may be included.

Exclusion criteria 2

  1. Exclusion criteria when performing DAIR (implant retention): the CE (9) are listed below: 1. Late infections (those that occur more than 10 weeks after implant surgery). 2. Infections of osteosynthesis material in non-long bones. 3. Infections of the revision osteosynthesis material or that occur after previous surgeries. 4. Patients in whom it is unlikely to complete follow-up for at least 1 year after completing antibiotic treatment. 5. Pregnant or breastfeeding women. 6. Patients in whom there may be interactions with medications or contraindications described in the technical sheets of the investigational medications used in this trial. 7. Infections due to mycobacteria, fungi and parasites. 8. Patients in whom all the material is replaced during the debridement at the same surgical time. 9. Infections of external fixators.
  2. Exclusion criteria when performing DAIR with REMOVAL of the implant): the CE (10) are listed below: 1. Late infections (those that occur more than 10 weeks after implant surgery). 2. Infections of osteosynthesis material in non-long bones. 3. Infections of the revision osteosynthesis material or that occur after previous surgeries. 4. Inability to perform a good debridement, bone curettage, or resection in the presence of osteomyelitis. 5. Infections treated with removal of the implant but in which the reimplantation of a new osteosynthesis material is performed in the same surgical procedure. 6. Patients in whom it is unlikely to complete follow-up for at least 1 year after completing antibiotic treatment. 7. Pregnant or breastfeeding women. 8. Patients in whom there may be interactions with medications or contraindications described in the technical sheets of the investigational medications used in this trial. 9. Infections due to mycobacteria, fungi and parasites. 10. Infections of external fixators.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Due to clinical failure in OCD evaluation: - Non-disappearance or return to baseline of all initial clinical criteria. - Non-disappearance of symptoms and signs of infection. - Appearance of new infection symptoms. - Need to suspend antibiotic or add another due to lack of effectiveness. - In debridement is performed with retention: intraoperative and BM sonication cultures when removing BM when the fracture consolidates. - Use of the REBORNE fracture consolidation scale.

Secondary endpoints 4

  1. Clinical variable: -Efficacy of each group of antibiotics -Development of secondary infections -Recurrence rate (recurrences and reinfections) -Need for new surgeries (debridement, removal of material, coverage, amputation). -Evaluation of different reconstruction strategies (bone and soft tissue) carried out in order to recover lost functionality. -Functional status (defined as the recovery of the functionality of the extremity prior to the fracture) and quality of life.
  2. Microbiological variable: -Development of resistance during treatment. -C. difficile infection during or 30 days after treatment
  3. Adverse effects and complications: Occurrence of adverse events (frequency and severity), including death (ie, all-cause mortality).
  4. Consumption of health resources: The consumption of health resources will be evaluated for each treatment group: days of antibiotic treatment, hospital stay, readmissions, number of surgeries performed.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 20

Ceftazidime

SUB07422MIG · Substance

Active substance
Ceftazidime
Pharmaceutical form
POWDER AND SOLVENT FOR SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS USE
Max daily dose
1 g gram(s)
Max total dose
1 g gram(s)
Max treatment duration
1 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Ampicillin

SUB05487MIG · Substance

Active substance
Ampicillin
Pharmaceutical form
POWDER AND SOLVENT FOR SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS USE
Max daily dose
8 g gram(s)
Max total dose
8 g gram(s)
Max treatment duration
1 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Vancomycin

SUB05076MIG · Substance

Active substance
Vancomycin
Pharmaceutical form
POWDER FOR SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS USE
Max daily dose
500 mg milligram(s)
Max total dose
500 mg milligram(s)
Max treatment duration
1 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Teicoplanin

SUB04714MIG · Substance

Active substance
Teicoplanin
Pharmaceutical form
POWDER FOR SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRAVENOUS USE
Max daily dose
400 mg milligram(s)
Max total dose
400 mg milligram(s)
Max treatment duration
1 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Rifampicin

SUB10309MIG · Substance

Active substance
Rifampicin
Pharmaceutical form
CAPSULE
Route of administration
ORAL USE
Max daily dose
600 mg milligram(s)
Max total dose
600 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Ceftriaxone

SUB07431MIG · Substance

Active substance
Ceftriaxone
Pharmaceutical form
POWDER AND SOLVENT FOR SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS USE
Max daily dose
2 g gram(s)
Max total dose
2 g gram(s)
Max treatment duration
1 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Amoxicillin

SUB05481MIG · Substance

Active substance
Amoxicillin
Pharmaceutical form
TABLET
Route of administration
ORAL USE
Max daily dose
500 mg milligram(s)
Max total dose
500 mg milligram(s)
Max treatment duration
1 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Daptomycin

SUB06910MIG · Substance

Active substance
Daptomycin
Pharmaceutical form
POWDER FOR SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS USE
Max daily dose
4 mg/kg/h milligram(s)/kilogram/hour
Max total dose
4 mg/kg/h milligram(s)/kilogram/hour
Max treatment duration
1 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Cefepime

SUB07390MIG · Substance

Active substance
Cefepime
Pharmaceutical form
POWDER FOR SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS USE
Max daily dose
2 g gram(s)
Max total dose
2 g gram(s)
Max treatment duration
1 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Moxifloxacin

SUB09086MIG · Substance

Active substance
Moxifloxacin
Pharmaceutical form
TABLET
Route of administration
ORAL USE
Max daily dose
400 mg milligram(s)
Max total dose
400 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Ciprofloxacin

SUB07470MIG · Substance

Active substance
Ciprofloxacin
Pharmaceutical form
TABLET
Route of administration
ORAL USE
Max daily dose
500 mg milligram(s)
Max total dose
500 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Clindamycin

SUB06665MIG · Substance

Active substance
Clindamycin
Pharmaceutical form
CAPSULE
Route of administration
ORAL USE
Max daily dose
300 mg milligram(s)
Max total dose
300 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Linezolid

SUB08520MIG · Substance

Active substance
Linezolid
Pharmaceutical form
TABLET
Route of administration
ORAL USE
Max daily dose
600 mg milligram(s)
Max total dose
600 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Meropenem

SUB08778MIG · Substance

Active substance
Meropenem
Pharmaceutical form
POWDER FOR SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRAVENOUS USE
Max daily dose
500 mg milligram(s)
Max total dose
500 mg milligram(s)
Max treatment duration
1 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Cloxacillin

SUB06780MIG · Substance

Active substance
Cloxacillin
Pharmaceutical form
POWDER FOR SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRAVENOUS USE
Max daily dose
2 g gram(s)
Max total dose
2 g gram(s)
Max treatment duration
1 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Levofloxacin

SUB08471MIG · Substance

Active substance
Levofloxacin
Pharmaceutical form
TABLET
Route of administration
ORAL USE
Max daily dose
500 mg milligram(s)
Max total dose
500 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Septrin Forte 160 mg/800 mg Tablets

PRD1575869 · Product

Active substance
Sulfamethoxazole
Pharmaceutical form
TABLET
Route of administration
ORAL USE
Max daily dose
160 mg milligram(s)
Max total dose
160 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
J01EE01 — SULFAMETHOXAZOLE AND TRIMETHOPRIM
Marketing authorisation
MA955/00503
MA holder
ASPEN PHARMA TRADING LIMITED
MA country
Malta
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Cefazolin

SUB07379MIG · Substance

Active substance
Cefazolin
Pharmaceutical form
POWDER AND SOLVENT FOR SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS USE
Max daily dose
1500 mg milligram(s)
Max total dose
500 mg milligram(s)
Max treatment duration
1 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Amoxicillin Sodium

SUB00503MIG · Substance

Active substance
Amoxicillin Sodium
Pharmaceutical form
POWDER AND SOLVENT FOR SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS USE
Max daily dose
1500 mg milligram(s)
Max total dose
500 mg milligram(s)
Max treatment duration
1 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Amoxicillin Sodium

SUB00503MIG · Substance

Active substance
Amoxicillin Sodium
Pharmaceutical form
FILM COATED TABLET
Route of administration
ORAL USE
Max daily dose
875 mg milligram(s)
Max total dose
875 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Comparator 20

Meropenem

SUB08778MIG · Substance

Active substance
Meropenem
Pharmaceutical form
POWDER FOR SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRAVENOUS USE
Max daily dose
500 mg milligram(s)
Max total dose
500 mg milligram(s)
Max treatment duration
1 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Linezolid

SUB08520MIG · Substance

Active substance
Linezolid
Pharmaceutical form
TABLET
Route of administration
ORAL USE
Max daily dose
600 mg milligram(s)
Max total dose
600 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Moxifloxacin

SUB09086MIG · Substance

Active substance
Moxifloxacin
Pharmaceutical form
TABLET
Route of administration
ORAL USE
Max daily dose
400 mg milligram(s)
Max total dose
400 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Septrin Forte 160 mg/800 mg Tablets

PRD1576458 · Product

Active substance
Sulfamethoxazole
Pharmaceutical form
TABLET
Route of administration
ORAL USE
Max daily dose
160 mg milligram(s)
Max total dose
160 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
J01EE01 — SULFAMETHOXAZOLE AND TRIMETHOPRIM
Marketing authorisation
PA 1691/010/002
MA holder
ASPEN PHARMA TRADING LIMITED
MA country
Ireland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Amoxicillin Sodium

SUB00503MIG · Substance

Active substance
Amoxicillin Sodium
Pharmaceutical form
FILM COATED TABLET
Route of administration
ORAL USE
Max daily dose
875 mg milligram(s)
Max total dose
875 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Ceftazidime

SUB07422MIG · Substance

Active substance
Ceftazidime
Pharmaceutical form
POWDER AND SOLVENT FOR SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS USE
Max daily dose
1 g gram(s)
Max total dose
1 g gram(s)
Max treatment duration
1 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Levofloxacin

SUB08471MIG · Substance

Active substance
Levofloxacin
Pharmaceutical form
TABLET
Route of administration
ORAL USE
Max daily dose
500 mg milligram(s)
Max total dose
500 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Ciprofloxacin

SUB07470MIG · Substance

Active substance
Ciprofloxacin
Pharmaceutical form
TABLET
Route of administration
ORAL USE
Max daily dose
500 mg milligram(s)
Max total dose
500 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Ampicillin

SUB05487MIG · Substance

Active substance
Ampicillin
Pharmaceutical form
POWDER AND SOLVENT FOR SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS USE
Max daily dose
8 g gram(s)
Max total dose
8 g gram(s)
Max treatment duration
1 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Clindamycin

SUB06665MIG · Substance

Active substance
Clindamycin
Pharmaceutical form
CAPSULE
Route of administration
ORAL USE
Max daily dose
300 mg milligram(s)
Max total dose
300 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Vancomycin

SUB05076MIG · Substance

Active substance
Vancomycin
Pharmaceutical form
POWDER FOR SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS USE
Max daily dose
500 mg milligram(s)
Max total dose
500 mg milligram(s)
Max treatment duration
1 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Teicoplanin

SUB04714MIG · Substance

Active substance
Teicoplanin
Pharmaceutical form
POWDER FOR SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRAVENOUS USE
Max daily dose
400 mg milligram(s)
Max total dose
400 mg milligram(s)
Max treatment duration
1 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Cloxacillin

SUB06780MIG · Substance

Active substance
Cloxacillin
Pharmaceutical form
POWDER FOR SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRAVENOUS USE
Max daily dose
2 g gram(s)
Max total dose
2 g gram(s)
Max treatment duration
1 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Daptomycin

SUB06910MIG · Substance

Active substance
Daptomycin
Pharmaceutical form
POWDER FOR SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS USE
Max daily dose
4 mg/kg/h milligram(s)/kilogram/hour
Max total dose
4 mg/kg/h milligram(s)/kilogram/hour
Max treatment duration
1 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Cefepime

SUB07390MIG · Substance

Active substance
Cefepime
Pharmaceutical form
POWDER FOR SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS USE
Max daily dose
2 g gram(s)
Max total dose
2 g gram(s)
Max treatment duration
1 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Ceftriaxone

SUB07431MIG · Substance

Active substance
Ceftriaxone
Pharmaceutical form
POWDER FOR SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS USE
Max daily dose
2 g gram(s)
Max total dose
2 g gram(s)
Max treatment duration
1 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Amoxicillin

SUB05481MIG · Substance

Active substance
Amoxicillin
Pharmaceutical form
TABLET
Route of administration
ORAL USE
Max daily dose
500 mg milligram(s)
Max total dose
500 mg milligram(s)
Max treatment duration
1 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Rifampicin

SUB10309MIG · Substance

Active substance
Rifampicin
Pharmaceutical form
CAPSULE
Route of administration
ORAL USE
Max daily dose
600 mg milligram(s)
Max total dose
600 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Amoxicillin Sodium

SUB00503MIG · Substance

Active substance
Amoxicillin Sodium
Pharmaceutical form
POWDER AND SOLVENT FOR SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS USE
Max daily dose
1500 mg milligram(s)
Max total dose
500 mg milligram(s)
Max treatment duration
1 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Cefazolin

SUB07379MIG · Substance

Active substance
Cefazolin
Pharmaceutical form
POWDER AND SOLVENT FOR SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS USE
Max daily dose
1500 mg milligram(s)
Max total dose
500 mg milligram(s)
Max treatment duration
1 Week(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Fundacion Publica Andaluza Para La Gestion De La Investigacion En Salud De Sevilla

Sponsor organisation
Fundacion Publica Andaluza Para La Gestion De La Investigacion En Salud De Sevilla
Address
Avenida De Manuel Siurot S/n
City
Sevilla
Postcode
41013
Country
Spain

Scientific contact point

Organisation
Fundacion Publica Andaluza Para La Gestion De La Investigacion En Salud De Sevilla
Contact name
Unidad de Investigación Clínica y ensayos clínicos UICEC HUVR

Public contact point

Organisation
Fundacion Publica Andaluza Para La Gestion De La Investigacion En Salud De Sevilla
Contact name
Unidad de Investigación Clínica y ensayos clínicos UICEC HUVR

Locations

1 EU/EEA country · 27 investigational sites

By country

CountryMS statusPlanned subjectsSites
Spain Ongoing, recruiting 364 27
Rest of world 0

Investigational sites

Spain

27 sites · Ongoing, recruiting
Hospital El Bierzo
Servicio de Medicina Interna, Calle Medicos Sin Fronteras 7, Poligono Industrial El Bierzo, Ponferrada
Hospital Universitario De Puerto Real
Unidad de Gestión Clínica de Enfermedades Infecciosas, Microbiología y Medicina Preventiva., Carretera Nacional IV Km 665 S/n, 11510, Puerto Real
University Hospital Virgen Del Rocio S.L.
Unidad de Gestión Clínica de Enfermedades Infecciosas, Microbiología y Medicina Preventiva., Avenida De Manuel Siurot S/n, 41013, Sevilla
Hospital Universitario Marques De Valdecilla
Unidad de Gestión Clínica de Enfermedades Infecciosas, Microbiología y Medicina Preventiva., Avenida Valdecilla Sn, 39008, Santander
Hospital Universitario Fundacion Jimenez Diaz
Servicio de Medicina Interna, Avenida De Los Reyes Catolicos 2, 28040, Madrid
Hospital Universitario Lucus Augusti
Enfermedades Infecciosas, Rua Dr. Ulises Romero 1, 27003, Lugo
Hospital San Pedro
Enfermedades Infecciosas, Calle Piqueras 98, 26006, Logrono
University Clinical Hospital Virgen De La Arrixaca
Unidad de Gestión Clínica de Cirugía Ortopédica y Traumatología, Carretera De Cartagena Sn, El Palmar, Murcia
Hospital De La Santa Creu I Sant Pau
Unidad de Gestión Clínica de Enfermedades Infecciosas, Microbiología y Medicina Preventiva., Carrer De San Quinti 89, 08041, Barcelona
Hospital Universitario Virgen De La Macarena
Unidad de Gestión Clínica de Enfermedades Infecciosas, Microbiología y Medicina Preventiva., Avenida Del Doctor Fedriani 3, 41009, Sevilla
University Hospital Son Espases
Unidad de Gestión Clínica de Enfermedades Infecciosas, Microbiología y Medicina Preventiva., Carretera Valldemossa 79, 07120, Palma
Hospital De Jerez De La Frontera
Servicio de Cirugía Ortopédica y Traumatología, Carretera De La Ronda Circunvalacion S/n, 11408, Jerez De La Frontera
Bellvitge University Hospital
Unidad de Gestión Clínica de Enfermedades Infecciosas, Microbiología y Medicina Preventiva., Carrer De La Feixa Llarga Sn, 08907, L'hospitalet De Llobregat
Hospital Universitario Ramon Y Cajal
Unidad de Gestión Clínica de Enfermedades Infecciosas, Microbiología y Medicina Preventiva., Carretera Del Colmenar Viejo Km 9 100, Por El Pardo, Madrid
Hospital Universitario Regional De Malaga
Unidad de Gestión Clínica de Enfermedades Infecciosas, Microbiología y Medicina Preventiva., Avenida De Carlos De Haya Sn, 29010, Malaga
Hospital Clinico Universitario Lozano Blesa
Unidad de Gestión Clínica de Enfermedades Infecciosas, Microbiología y Medicina Preventiva., Avenida De San Juan Bosco 15, 50009, Zaragoza
Hospital Universitario Virgen De Las Nieves
Servicio de Medicina Interna, Avenida De Las Fuerzas Armadas 2, 18014, Granada
Hospital Universitario Virgen De Valme
Unidad de Gestión Clínica de Enfermedades Infecciosas, Microbiología y Medicina Preventiva., Avenida Bellavista S/n, 41014, Sevilla
Hospital Universitario De Cruces
Enfermedades Infecciosas, Cruces Plaza S/n, 48903, Barakaldo
Hospital Clinic De Barcelona
Unidad de Gestión Clínica de Enfermedades Infecciosas, Microbiología y Medicina Preventiva., Calle Villarroel 170, 08036, Barcelona
Hospital Germans Trias I Pujol
Enfermedades Infecciosas, Carretera Canyet 1a Planta, 08916, Badalona
Hospital Universitari Vall D Hebron
Unidad de Gestión Clínica de Enfermedades Infecciosas, Microbiología y Medicina Preventiva., Edificio Materno-Infantil, Passeig De La Vall D'hebron 119-129, Barcelona
Hospital Costa Del Sol
Unidad de Gestión Clínica de Enfermedades Infecciosas, Microbiología y Medicina Preventiva., Terreno Autovia Mediterraneo A-7 S/n, 29603, Marbella
Hospital Universitario Principe De Asturias
Servicio de Medicina Interna, Carretera Meco S/n, 28805, Alcala De Henares
Hospital Universitario 12 De Octubre
Unidad de Gestión Clínica de Enfermedades Infecciosas, Microbiología y Medicina Preventiva., Bloque D, Avenida De Cordoba Sn, Madrid
Hospital Del Mar
Unidad de Gestión Clínica de Enfermedades Infecciosas, Microbiología y Medicina Preventiva., Passeig Maritim De La Barceloneta 25-29, 08003, Barcelona
Parc Tauli Hospital Universitari
Enfermedades Infecciosas, Parc Del Tauli 1 Edifici Santa Fe Ala Izquierda Planta 2ª, 08208, Sabadell

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Spain 2024-04-14 2024-04-14

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 51 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol 2023-508442-18-00 3.0
Protocol (for publication) D1_Protocol 2023-508442-18-00_v4 4.0
Protocol (for publication) D1_Protocol 2023-508442-18-00_v4_cambios resaltados 4.0
Recruitment arrangements (for publication) K1_ Recruitment arrangements 1
Subject information and informed consent form (for publication) L1_SIS and ICF 14-18 yr 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF 14-18 yr 2023-508442-18-00_v2 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF 14-18 yr 2023-508442-18-00_v2_cambios sombreados 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF adults 3.0
Subject information and informed consent form (for publication) L1_SIS and ICF adults 2023-508442-18-00_v4 4.0
Subject information and informed consent form (for publication) L1_SIS and ICF adults 2023-508442-18-00_v4_cambios resaltados 4.0
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_ AmoxicilinaClavulanico IV 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_ AmoxicilinaClavulanico IV 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Amoxicilina oral 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Amoxicilina oral 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_AmoxicilinaClavulanico oral 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_AmoxicilinaClavulanico oral 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Ampicilina 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Ampicilina 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_cefazolina 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_cefazolina 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Cefepima 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Cefepima 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Ceftazidima 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Ceftazidima 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Ceftriaxona 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Ceftriaxona 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Ciprofloxacino 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Ciprofloxacino 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Clindamicina 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Clindamicina 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Cloxacilina 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Cloxacilina 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_daptomicina 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_daptomicina 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Levofloxacino 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Levofloxacino 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Linezolid 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Linezolid 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Meropenem 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Meropenem 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Moxifloxacino 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Moxifloxacino 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Rifampicina 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Rifampicina 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Sulfometoxazol y Trimetropima 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Sulfometoxazol y Trimetropima 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Teicoplanina 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Teicoplanina 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Vancomicina 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Vancomicina 1
Synopsis of the protocol (for publication) D1_Protocol synopsis ES 2023-508442-18-00 1

Application history

3 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-04-03 Spain Acceptable
2024-04-10
2024-04-10
2 SUBSTANTIAL MODIFICATION SM-1 2024-07-19 Spain Acceptable with conditions
2024-10-03
2024-10-03
3 SUBSTANTIAL MODIFICATION SM-2 2025-04-08 Spain Acceptable with conditions 2025-04-11