Status:

WITHDRAWN

Assessing the Efficacy of Anti-staphylococcal Phages in the Management of Infected Foot Ulcers in Diabetes

Lead Sponsor:

University Hospitals of Derby and Burton NHS Foundation Trust

Collaborating Sponsors:

Wellcome Trust

BioPhage Theraputics Limited

Conditions:

Diabetes

Diabetic Foot

Eligibility:

All Genders

18+ years

Phase:

PHASE1

PHASE2

Brief Summary

Work Package 1: Observational cohort pilot safety study Work Package 2: Randomised, double-blind, placebo controlled pilot study Work Package 3: Observer-blind pilot RCT

Detailed Description

Work Package 1 WP1 is a safety cohort pilot study targeting patients with DFU which are non-infected as determined by the IDSA criteria. 20 participants will be recruited from Diabetic Foot Clinic at...

Eligibility Criteria

Inclusion

  • Diabetes Mellitus according to WHO criteria
  • are aged 18 years or over
  • Additionally, patients must meet one of the following criteria to participate in the described Work Package:
  • Patients are only eligible for WP1 if they also have one or more DFUs (area 25mm2) below the malleoli without infection according to IDSA criteria that have been present for at least 4 weeks
  • Patients are only eligible for WP2 if they also have one or more DFUs (area 25mm2) below the malleoli with mild or moderate infection according to IDSA criteria that have been present for at least 4 weeks
  • Patients are only eligible for WP3 if they also have one or more DFUs (area 25mm2) below the malleoli with mild infection according to IDSA criteria that have been present for at least 4 weeks

Exclusion

  • We will exclude patients who meet ANY of the following criteria:
  • with mental incapacity to give informed consent,
  • who have other major co-morbidities, which in the opinion of the investigator would mean that the patient would not be able to complete the study
  • with significant peripheral arterial disease (PAD): ABPI (ankle brachial pressure index) \<0.7,
  • Who have osteomyelitis defined by agreed clinical criteria
  • who are receiving treatment with systemic glucocorticoids or other immunosuppressants,
  • who have received systemic or topical antibiotics in the preceding 14 days,
  • who are judged to require parenteral administration of antibiotics,
  • Who have been previously recruited to an earlier part of the project
  • who are women of childbearing age who are at risk of conception
  • History of antibiotic hypersensitivity

Key Trial Info

Start Date :

March 1 2019

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

September 1 2022

Estimated Enrollment :

Patients enrolled

Trial Details

Trial ID

NCT04289948

Start Date

March 1 2019

End Date

September 1 2022

Last Update

February 28 2020

Active Locations (1)

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1

University Hospitals Derby and Burton NHS Foundation Trust

Derby, Derbyshire, United Kingdom, DE22 3DT