- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05867654
Efficacy of Oral vs IV Antibiotics in the Treatment of Orofacial Osteomyelitis
Oral Versus Intravenous Antibiotics for the Management of the Osteomyelitis of the Jaws: An Open-Label Non-Inferiority Single-Arm Clinical Trial
The goal of this clinical trial is compare the efficacy of oral and IV antibiotics in the treatment of orofacial osteomyelitis. The main question it aims to answer is: Are oral antibiotics as effective as IV antibiotics in the treatment of orofacial osteomyelitis.
Participants, once diagnosed with osteomyelitis, will be started on oral antibiotics for their treatment. Participants will follow up with oral and maxillofacial surgery clinic accordingly and their progression and compliance will be monitored.
Study Overview
Status
Conditions
Detailed Description
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Contact
- Name: Suzanne Barnes, DMD
- Phone Number: 8635296060
- Email: Suzanne.Barnes@louisville.edu
Study Contact Backup
- Name: Chad Davidson, DMD
- Phone Number: 6062722614
- Email: chad.davidson@louisville.edu
Study Locations
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Kentucky
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Louisville, Kentucky, United States, 40202
- University of Louisville Oral and Maxillofacial Surgery Clinic
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Contact:
- Chad Davidson, DMD
- Phone Number: 606-272-2614
- Email: chad.davidson@louisville.edu
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
The participant must meet each of the following inclusion criteria:
Clinical presentation of:
- localized pain OR
- localized erythema OR
- temperature >38.0ºC OR
- a discharging sinus or wound AND
- willing and able to give informed consent AND
- aged 18 years or above AND
- the patient has received 7 days or less of intravenous therapy after an appropriate surgical intervention regardless of pre-surgical antibiotics
- has a life expectancy > 1 year AND
has
- native osteomyelitis of the jaw (no hardware), either hematogenous or contiguous (odontogenic, trauma, etc) OR
- hardware or bone graft infection treated by debridement and retention, or by debridement and removal
The exclusion criteria would consist of:
- sepsis, septic shock, concomitant infection, or any need for prolonged hospitalization OR
- tissue diagnosis other than "dead bone" OR
- Staphylococcus aureus bacteremia on presentation or within a month OR
- bacterial endocarditis on presentation or within the last 6 months OR
- mild osteomyelitis not usually requiring prolonged IV antibiotics OR
- when only IV form is available for a given antibiotic OR
- the patient is unlikely to comply with trial OR
- evidence of mycobacterial, fungal, parasitic, or viral etiology OR
- participating in another clinical trial OR
- pregnant patients OR
- cognitively impaired patients or any situation in which informed consent cannot be obtained OR
- incarcerated patients OR
- patients with Chronic Nonbacterial Osteomyelitis (CNO) or Chronic Recurrent Multifocal Osteomyelitis (CRMO) OR
- history of radiation to the jaws OR
- history of bisphosphonate intake OR
- patient less than 18 years of age
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Osteomyelitis Treated with Oral Antibiotics
Patients that are receiving oral antibiotics for the treatment of their osteomyelitis. Based on the indication, patients will receive one the following medications orally for 6-8weeks: Amoxicillin-clavulanate 875mg/125mg q12hrs, clindamycin 300mg q6hrs, Levofloxacin 750mg QID, Penicillin 500mg q6hrs |
Oral antibiotic used based on indication
Other Names:
Oral antibiotic used based on indication
Other Names:
Oral antibiotic used based on indication
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Definite failure of antibiotic therapy in the treatment of orofacial osteomyelitis
Time Frame: 6-8 weeks
|
The primary outcome will be a definite failure of antibiotic therapy indicated by one or more of the following (only resolution or failure will be recorded as the outcome):
|
6-8 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Percentages of patients unable to complete treatment
Time Frame: 3-6 months
|
Total number of patients that are unable to complete the proposed treatment due to any reason.
|
3-6 months
|
Patient Quality of life during therapy
Time Frame: 3-6 months
|
Evaluate quality of life of patients receiving therapy.
Quality of life will be evaluated by the EQ-5D assessment.
Based on the results, the assessment is scored from 0-1. 1 represents the best possible health and 0 represents the worst possible health.
|
3-6 months
|
Treatment cost
Time Frame: 3-6 months
|
Assessment of total monetary accumulation (in dollars $) per patient based on all interactions including the following: a) length of inpatient hospital stay, b) frequency of outpatient visits, c) inpatient and outpatient treatment costs
|
3-6 months
|
Incidence of Clostridium difficile associated diarrhea
Time Frame: 3-6 months
|
Patients that develop the opportunistic infection clostridium difficile related to long term use of antibiotics for their treatment.
Infection will be confirmed by stool sample.
|
3-6 months
|
Adherence
Time Frame: 3-6 months
|
Adherence will be assessed by the Medication Event Monitoring Systems (MEMS) in participants.
The MEMS system sensor in the pill bottle top detects opening and closing and records these events with a date stamp which helps verify whether patients accessed their bottles according to the schedule.
|
3-6 months
|
Collaborators and Investigators
Sponsor
Collaborators
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Infections
- Musculoskeletal Diseases
- Bone Diseases
- Bone Diseases, Infectious
- Osteomyelitis
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Enzyme Inhibitors
- Antineoplastic Agents
- Topoisomerase II Inhibitors
- Topoisomerase Inhibitors
- Anti-Bacterial Agents
- Cytochrome P-450 Enzyme Inhibitors
- Protein Synthesis Inhibitors
- Cytochrome P-450 CYP1A2 Inhibitors
- beta-Lactamase Inhibitors
- Anti-Infective Agents, Urinary
- Clindamycin
- Clindamycin palmitate
- Clindamycin phosphate
- Amoxicillin
- Levofloxacin
- Clavulanic Acid
- Clavulanic Acids
- Amoxicillin-Potassium Clavulanate Combination
Other Study ID Numbers
- 22.0386
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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-
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