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TerminatedNCT01199783Updated Mar 18, 2024Results posted

Application of Daptomycin in MRSA Infected Diabetic Foot in Comparison to Vancomycin Treatment

A Phase 3 interventional study of Daptomycin and Vancomycin in Diabetic Foot, sponsored by Ruhr University of Bochum. Terminated at 1 site in Germany. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2024-03-18.

Sponsored by Ruhr University of Bochum · Phase 3, Interventional, and Treatment

Why this study was terminated
Patient number to be enrolled not reachable in prospected time frame, decision to stop the study prematurely was made.
Phase
Phase 3
Study type
Interventional
Enrollment
1
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

Objective of the study is to test whether Daptomycin (6 mg/kg bodyweight) is non-inferior in treatment of severe diabetic foot infections (MRSA) in comparison to antibiotic treatment with Vancomycin (effective blood-plasma concentration of 15 mg/l). In case of microbiologically confirmed gram-negative co-infection effective antibiotic treatment according to microbiologic analysis will be administered upon medical decision in both therapy groups. The study will be carried out as a randomized, open label study.

02

Conditions studied

  • Diabetic Foot

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Keywords

  • Diabetic Foot,MRSA,
  • Complicated skin and skin structure infections
  • Antimicrobial therapy
  • Daptomycin
03

In context

Diabetic Foot

1,054 studies on the registry are indexed under Diabetic Foot; 222 are open to participants now.

This study's enrollment of 1 is below the median of 60 across 826 interventional studies indexed under Diabetic Foot.

Browse Diabetic Foot studies →

Lead sponsor

Ruhr University of Bochum is the lead sponsor of 124 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Type 1 and Type 2 Diabetes mellitus
  • MRSA infected foot ulcus Wagner 1-2 without primary surgical intervention
  • Therapy duration will last at least more than 5 days
  • men and women age 18 - 80 years
  • Declaration of patient's consent
  • Ability and willingness to give written informed consent and to comply with the requirements of the study
  • Sexually active females, unless surgically sterile, must be willing to use 2 forms of contraception through the end of the study. Sexually active woman must, except if they were surgically sterilized, have to use for already 30 days before first dose of study medication an effective method of pregnancy prevention. Acceptable forms of contraception for female subjects include: oral, transdermal, injectable or implanted contraceptives, intrauterine device (IUD), female condom, diaphragm with spermicide, cervical cap, absolute waiver of sexual intercourse, use of a condom by the sexual partner, or sterile sexual partner. Male subjects with partners of child-bearing potential should use barrier contraception in addition to having their partners use another method of contraception.

Exclusion criteria

Exclusion Criteria:

  • Osteomyelitis according to international consensus guideline (3 of 5 criteria apply for diagnosis)
  • Presence of a severe nephropathy (creatinine clearance \< 30 ml/min)
  • Advanced diabetic retinopathy
  • Simultaneous participation in another study or participation in a study in the past 30 days
  • Non permissible concomitant medication e.g. therapy regimen using several antibiotics
  • Contraindication for antibiotics
  • Dialysis essential
  • Pregnancy (to be determined by pregnancy test) or unsafe contraception
  • Neutropenia
  • immunosuppression (oral immunosuppressives, Corticoids exaggerating 7.5 mg Prednisolon-equivalents)
  • Chronic liver disease (AST or ALT increased to 10fold, bilirubin increased to threefold compared to normal values)
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
1 participant (actual)

Study arms

  • Experimental
    Daptomycin

    Infusion of Daptomycin (6 mg/kg bodyweight) once daily

    Drug: Daptomycin

  • Active comparator
    Vancomycin

    Vancomycin once daily (effective blood-plasma concentration of 15 mg/l)

    Drug: Vancomycin

Interventions

  • DrugDaptomycin

    Infusion (6 mg/kg/bodyweight) once daily

    Also known as: Cubicin

  • DrugVancomycin

    vancomycin once daily (effective blood-plasma concentration of 15 mg/L)

06

What researchers measure

Primary outcomes

  1. Clinical Response of the Infection at Test-of-cure (TOC) at Day 14 Post Therapy

    Clinical response of the infection at test-of-cure (TOC) at day 14 post therapy by doctoral's decision For each of the patients included in the study the clinical outcome at TOC should be assessed using the following criteria: Cure: resolution of all clinical signs and symptoms of infection and a healing wound after ≥ 5 days of therapy Improvement: resolution of ≥ 2 - but not all- clinical signs and symptoms of infection after ≥ 5 days of therapy (only used at the end of therapy) Failure: persistence or progression of baseline clinical signs and symptoms of infections after ≥ 2 days of therapy Missing: patients received therapy for less than 2 days Indeterminate: circumstances preclude classification Duration of Treatment The duration of treatment will be evaluated as the number of inpatient and outpatient days the patient received antibiotic therapy, even if non-consecutive. Time to Clinical Improvement If according to the patient record

    Time frame: 14 days

Secondary outcomes

  1. Duration of Therapy

    Duration of therapy until infection was solved in days

    Time frame: 14 days

  2. Therapy Related Complications

    Number of therapy related complications

    Time frame: within time frame of 14 days

  3. Number of Successful Treatments at TOC

    * from the clinician point of view (clinical signs and symptoms) * from microbiological analysis

    Time frame: within time frame of 14 days

  4. Rate of Amputations Due to Infection

    Rate of amputations due to infection given as number of events per total events in the study in percent

    Time frame: within time frame of 14 days

07

Results

Posted Mar 18, 2024
Limitations and caveats
recruitment of patients turned out to be limiting in a way that in due time the study could not be performed - therefore the decision to stop the trial was made

Participant flow

Trial was prematurely stopped after inclusion of 1 patient who was randomized to the Daptomycin arm. During the trial it became obvious that the patient number to be enrolled is not reachable in prospected time frame, thus, the decision to stop the study prematurely was made.

Participant flow — Overall Study
MilestoneDaptomycinVancomycin
Started10
Completed10
Not completed00

Outcome measures

PrimaryClinical Response of the Infection at Test-of-cure (TOC) at Day 14 Post Therapy

Clinical response of the infection at test-of-cure (TOC) at day 14 post therapy by doctoral's decision For each of the patients included in the study the clinical outcome at TOC should be assessed using the following criteria: Cure: resolution of all clinical signs and symptoms of infection and a healing wound after ≥ 5 days of therapy Improvement: resolution of ≥ 2 - but not all- clinical signs and symptoms of infection after ≥ 5 days of therapy (only used at the end of therapy) Failure: persistence or progression of baseline clinical signs and symptoms of infections after ≥ 2 days of therapy Missing: patients received therapy for less than 2 days Indeterminate: circumstances preclude classification Duration of Treatment The duration of treatment will be evaluated as the number of inpatient and outpatient days the patient received antibiotic therapy, even if non-consecutive. Time to Clinical Improvement If according to the patient record

Time frame:
14 days
Reported as:
Count of participants · Participants
Clinical Response of the Infection at Test-of-cure (TOC) at Day 14 Post Therapy
ParticipantsDaptomycinVancomycin
Clinical Response of the Infection at Test-of-cure (TOC) at Day 14 Post Therapy1—
SecondaryDuration of Therapy

Duration of therapy until infection was solved in days

Time frame:
14 days
Reported as:
Number · days
Duration of Therapy
daysDaptomycinVancomycin
Duration of Therapy5—
SecondaryTherapy Related Complications

Number of therapy related complications

Time frame:
within time frame of 14 days
Reported as:
Number · number of events
Therapy Related Complications
number of eventsDaptomycinVancomycin
Therapy Related Complications0—
SecondaryNumber of Successful Treatments at TOC

* from the clinician point of view (clinical signs and symptoms) * from microbiological analysis

Time frame:
within time frame of 14 days
Reported as:
Count of participants · Participants
Number of Successful Treatments at TOC
ParticipantsDaptomycinVancomycin
Number of Successful Treatments at TOC1—
SecondaryRate of Amputations Due to Infection

Rate of amputations due to infection given as number of events per total events in the study in percent

Time frame:
within time frame of 14 days

No measurements were reported for this outcome.

Adverse events

Collected over 14 days. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Daptomycin0/1 (0%)0/1 (0%)0/1 (0%)
Vancomycin———

Baseline characteristics

as only one patient was randomized and study was terminated prematurely, no analysis was and will be performed

Age, Continuous
Age, Continuous(years)DaptomycinVancomycinTotal
Mean71 ± 0—71 ± 0
Sex: Female, Male
Sex: Female, Male(Participants)DaptomycinVancomycinTotal
Female0—0
Male1—1
Race (NIH/OMB)
Race (NIH/OMB)(Participants)DaptomycinVancomycinTotal
American Indian or Alaska Native0—0
Asian0—0
Native Hawaiian or Other Pacific Islander0—0
Black or African American0—0
White1—1
More than one race0—0
Unknown or Not Reported0—0
Region of Enrollment
Region of Enrollment(participants)DaptomycinVancomycinTotal
Germany1—1
08

Study locations

1 site
  • Herz- und Diabeteszentrum
    Bad Oeynhausen, 32545, Germany
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 18, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01199783
Lead sponsor
Ruhr University of Bochum
Responsible party
Diethelm Tschoepe (Prof. Dr. Dr., Ruhr University of Bochum) — Principal investigator
First posted
Sep 13, 2010
Start date
Jul 2011
Primary completion
Oct 2013
Completion
Dec 2013
Results posted
Mar 18, 2024
Last update
Mar 18, 2024

Study contacts

Diethelm Tschoepe, Prof Dr Dr
principal investigator · Herz- und Diabeteszentrum NRW

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Aug 2023. You cannot join it, but the record below documents what was studied.

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