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Not yet recruitingNCT07426471DELA-PLATUpdated Feb 23, 2026

Delafloxacin Plasma and Tissue Concentration in Patients With Skin, Soft Tissue, and Bone and Joint Infections.

An observational study in Soft Tissue Infections, Mediastinitis and Osteomyelitis/Septic Arthritis, sponsored by IRCCS San Raffaele. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-02-23.

Sponsored by IRCCS San Raffaele · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
20
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this observational study is to measure how well the antibiotic delafloxacin penetrates into the blood and various body tissues in adult patients over 18 years old. Specifically, this study focuses on patients who are receiving the drug to treat bacterial infections and are undergoing surgery for post-sternotomy wound infections, mediastinitis, or infected prosthetic joints .

The main questions it aims to answer are:

  • What is the concentration of delafloxacin in the blood plasma?
  • What is the concentration of delafloxacin in different body tissues, including soft tissue, tissue around a prosthetic implant, joint fluid (synovial fluid), and bone ?
  • How does the concentration of the drug in the blood compare to its concentration in the tissues?
  • Do patient factors such as age, body weight, and kidney function affect the drug's levels in the body?

Participants will:

  • Continue to receive delafloxacin (300mg intravenously every 12 hours) as prescribed by their treating physician for their infection.
  • Allow researchers to draw 5 peripheral blood samples (about 10 mL total) at specific times (15 minutes, 1 hour, 3 hours, 5-7 hours, and 11 hours) after the end of a single delafloxacin infusion.
  • Allow researchers to collect small amounts of tissue and joint fluid for testing during their already planned surgical procedure.
02

Conditions studied

  • Soft Tissue Infections
  • Mediastinitis
  • Osteomyelitis/Septic Arthritis
  • Prosthetic Joint Infection
03

In context

Soft Tissue Infections

92 studies on the registry are indexed under Soft Tissue Infections; 14 are open to participants now.

This study's planned enrollment of 20 is below the median of 270 across 28 observational studies indexed under Soft Tissue Infections.

Browse Soft Tissue Infections studies →

Lead sponsor

IRCCS San Raffaele is the lead sponsor of 453 studies on the registry; 234 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
Sampling method
Non-probability sample

Study population

Patients admitted to the hospital receiving delafloxacin according to treating physician's choice and good clinical practice or available guidelines with bacterial skin and skin structure infection and with:

1) post-sternotomy wound infection and/or mediastinitis undergoing surgical debridement or

1) prosthetic joint infections undergoing surgical debridement or prosthetic joint removal (either one-stage, e.g. when the Infected prosthesis is removed and a new one is implanted in the same surgery, or two-stage, when the Infected prosthesis is removed, followed by a period of antibiotics, then a new prosthesis is implanted in a second surgery).

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

  • Participant is willing and able to give for participation in the study, and to be concurrently enrolled in the Institutional Infectious Disease Biobank (INDI-REBIO, NCT06418048)
  • >18 years-old
  • of > 80 mL/min/1,73m2
  • Receiving delafloxacin 300mg q12h IV according to treating physician's choice and good clinical practice or available guidelines with bacterial skin and skin structure infection and with

    1. post-sternotomy wound infection and/or mediastinitis undergoing surgical debridement
    2. prosthetic joint infections undergoing surgical debridement or prosthetic joint removal (either one-stage, e.g. when the Infected prosthesis is removed and a new one is implanted in the same surgery, or two-stage, when the Infected prosthesis is removed, followed by a period of antibiotics, then a new prosthesis is implanted in a second surgery).

Exclusion criteria

Exclusion criteria:

  • Patients who received other quinolones (oral or IV) in the week preceding the sample collection
  • Patients who decline or are unwilling to participate in serial blood draws at all five designated time points.
  • Pregnant or lactating women
Terms in these criteria, in plain language(2)

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.

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

Observational model
Cohort
Time perspective
Prospective
Enrollment
20 participants (estimated)
Target follow-up
1 Day
Patient registry
Yes

Groups and cohorts

  • Post-sternotomy wound infection and/or mediastinits

    Patients with post-sternotomy wound infection and/or mediastinits

    Drug: delafloxacin

  • Prosthetic joint infections

    Patients with prosthetic joint infections

    Drug: delafloxacin

Interventions

  • Delafloxacin administered as treating physicians' choice for skin and soft tissue infection

06

What researchers measure

Primary outcomes

  1. Delafloxacin concentration

    Plasma concentration of delafloxacin Concentration of delafloxacin in tissues: * soft tissue * periprosthetic tissue * synovial fluid * bone (cancellous and cortical)

    Time frame: Peripheral blood samples drawn at 15 minutes, 1 hour, 3 hours, 5-7 hours, 11 hours after the end of delafloxacin infusion (delafloxacin infusion lasts approximately 1 hour). Tissue samples obtained according to patient's surgical plan.

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 23, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07426471
Lead sponsor
IRCCS San Raffaele
Responsible party
Castagna Antonella (Professor, IRCCS San Raffaele) — Principal investigator
First posted
Feb 23, 2026
Start date
Apr 1, 2026 (estimated)
Primary completion
Dec 31, 2026 (estimated)
Completion
Jan 31, 2027 (estimated)
Last update
Feb 23, 2026

Study contacts

Marco Ripa, MD
Contact
ripa.marco@hsr.it
+390226433646
Elisabetta Carini
Contact
carini.elisabetta@hsr.it
+390226437939
Marco Ripa, MD
principal investigator · IRCCS San Raffaele Scientific Institute
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Feb 2026. You cannot join it, but the record below documents what was studied.

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