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CompletedNCT06628115Cerament 2Updated Aug 19, 2026

Post Market Study of Cerament V/G in Pedal Osteomyelitis

An interventional study of cerament V or G in Osteomyelitis - Foot, sponsored by Mid and South Essex NHS Foundation Trust. Completed at 1 site in United Kingdom. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-19.

Sponsored by Mid and South Essex NHS Foundation Trust · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
25
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this clinical trial is to look at the outcomes of patients who have had bone infection of their feet treated with a licensed antibiotic paste. The main question it aims to answer is:

  • How does the bone infection heal in response to the antibiotic paste?

Participants will:

  • Undergo standard surgery to remove dead bone and drain any pus.
  • Antibiotic paste is injected directly into the middle of the bone at surgery. This is instead of receiving antibiotics directly into their bloodstream for 6 weeks.
  • Recieve one week of tablet antibiotics.
  • Visit clinic 1 month after surgery for a normal clinical appointment. After, a research team member will ask the participant a few questions. The participant will also have a foot x-ray, wound photograph and fill out a short questionnaire.
  • Visit clinic 6 months and 12 months following the surgery. A research team member will ask the participant a few questions. The participant will also have a foot x-ray, wound photograph and fill out a short questionnaire.
02

Conditions studied

  • Osteomyelitis - Foot

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Keywords

  • osteomyelitis
  • antimicrobial
  • bone void filler
  • cerament
03

In context

Osteomyelitis

105 studies on the registry are indexed under Osteomyelitis; 30 are open to participants now.

This study's enrollment of 25 is below the median of 74 across 60 interventional studies indexed under Osteomyelitis.

Browse Osteomyelitis studies →

Lead sponsor

Mid and South Essex NHS Foundation Trust is the lead sponsor of 34 studies on the registry; 10 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • 18 years +
  • Operated on for foot sepsis with limb salvage intent.
  • Positive bone from forefoot or midfoot or positive pus culture from exposed bone
  • Adequate vascularity (1+ palpable pedal pulse, biphasic or triphasic ankle waveforms, or successful revascularisation procedure same admission)
  • Compliant with offloading footwear and diabetic medication

Exclusion criteria

Exclusion Criteria:

  • Allergy or to gentamicin/vancomycin
  • \&amp \<1 year
  • Unable to make follow up appointments at study centre.
  • Patients with necrotizing infections
  • Gentamicin or vancomycin resistant organism
  • Untreated peripheral arterial disease in angiosome of wound.
  • Buerger's disease
  • Vasculitides
  • Systemic therapy
  • Pregnancy
  • Breastfeeding
  • Untreated thyrotoxicosis
  • Mysathenia gravis
  • Calcium metabolism disorder
  • Patients taking metformin with estimated (eGFR) \&gt; 30ml/min/1.72m2
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
25 participants (actual)

Study arms

  • Experimental
    Cerament

    Cerament V/G implantation to forefoot or mid foot.

    Device: cerament V or G

Interventions

  • Devicecerament V or G

    Cerament V or G implantation into forefoot or mid foot bone, and 7-10 days of oral antibiotics.

06

What researchers measure

Primary outcomes

  1. Freedom from clinical or radiological osteomyelitis in the same or adjacent bone (recorded as yes or no)

    Clinical osteomyelitis: positive bone biopsy in the setting of bone necrosis or purulent fluid containing pathogenic organisms emanating from exposed bone end. Radiological osteomyelitis: osteolysis or periosteal reaction on radiograph in affected or adjacent bone(s). This is checked at each follow up visit, at 1, 6 and 12 months post-implantation.

    Time frame: 12 months post-implantion

Secondary outcomes

  1. Surgical site infection requiring further course of antibiotics (recorded as yes or no)

    If there is infection at the surgical site, requiring a further course of antibiotics, this will be recorded.

    Time frame: 12 months post-implantion

  2. Major or minor amputation of study limb (recorded as yes or no with amputation details)

    If major or minor amputation of study limb occurs, this will be recorded.

    Time frame: 12 months post-implantion

  3. Serious adverse events related to Cerament V/G (number and type of event are recorded)

    A serious adverse event (SAE) refers to any expected or unexpected adverse event, related to ceramist, that results in any of the following outcomes: death, a life-threatening adverse event, requires inpatient hospitalisation (not required as part of the treatment) or prolongation of existing hospitalisation, a persistent or significant disability or incapacity, or cancer, or a congenital anomaly or birth defect.

    Time frame: 12 months post implantation

  4. Total treatment costs for osteomyelitis (total cost is calculated in GB pounds)

    Treatment costs will be collected through the use of a Client Service Research Inventory focussed on surgical, community and further treatment costs over a 12 month follow up. These will be recorded by the patient as they occur and checked at each visit and cross reference with hospital medical records.

    Time frame: 12 months post-implantation

  5. Wound healing (recorded as yes or no)

    Wound is considered healed at 100% epithelialisation. This is checked at each follow up visit, at 1, 6 and 12 months post-implantation.

    Time frame: 12 months post-implantation

  6. Wound area (measured in cm^2)

    Wound area is measured at each follow up visit, at 1,6 and 12 months post-implantation, using an app called Imito measure.

    Time frame: 12 months post-implantation

  7. Quality of life (measured using the EQ-5D questionnaire)

    Quality of life is measured using the EQ-5D questionnaire. It is conducted at each follow up visit, at 1, 6 and 12 months post-implantation.

    Time frame: 12 months post-implantation

07

Study locations

1 site
  • Mid and South Essex NHS Foundation Trust
    Basildon, Essex SS16 5NL, United Kingdom
08

References and documents

Publications

  • Venkateswaran V, Tiruveedhula M, Edwards J, Dindyal S, Mulcahy M, Thapar A. Antibiotic Eluting Bone Void Filler Versus Systemic Antibiotics For Pedal Osteomyelitis. J Foot Ankle Surg. 2025 Jan-Feb;64(1):30-35. doi: 10.1053/j.jfas.2024.08.010. Epub 2024 Aug 23. PubMed 39182821 ↗

Individual participant data

Plan to share: Yes — Anonymised outcome data for primary and secondary endpoints to 12 months will be made available for IPD meta-analysis.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report

Time frame: 01/11/2026 to 1/11/2036

Access criteria: Ankur Thapar

Data sharing details ↗ · www.aru.ac.uk

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 19, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06628115
Lead sponsor
Mid and South Essex NHS Foundation Trust
Collaborators
BONESUPPORT AB
Responsible party
Sponsor
First posted
Oct 4, 2024
Start date
Oct 1, 2024
Primary completion
Aug 1, 2026
Completion
Aug 1, 2026
Last update
Aug 19, 2026

Study contacts

Ankur Thapar
principal investigator · Mid and South Essex NHS Foundation Trust

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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