Clinical trial Recruiting at 14 sites Phase 3 Interventional Ages 18 and up

Comparing new antibiotics for treating diabetic foot infections

Official title: A Phase 3, Multicenter, Randomized, Double-Blind Study to Evaluate the Safety and Efficacy of Contezolid Acefosamil and Contezolid Compared to Linezolid Administered Intravenously and Orally to Adults With Moderate or Severe Diabetic Foot Infections (DFI)

Run by MicuRx · NCT05369052 · Data updated 2026-11-12

This study is testing two new antibiotics to see if they can better treat moderate to severe foot infections in adults with diabetes compared to a standard antibiotic.

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment865 (estimated)
SponsorMicuRx
Industry-sponsored
Locations14 sites (Corona, California and 13 other locations)
StatusRecruiting
StartedMay 3, 2022
Main results expectedJune 30, 2027
Study endsJune 30, 2027
Registry record updatedOctober 13, 2026
Trial IDNCT05369052 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults with diabetes mellitus who have moderate or severe diabetic foot infections that meet specific clinical criteria.

Probably not a fit

Patients with diabetic foot infections caused by antibiotic-resistant bacteria or those with severe complications like osteomyelitis may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This Phase 3 clinical trial evaluates the safety and efficacy of contezolid acefosamil administered intravenously and contezolid taken orally, compared to linezolid given both intravenously and orally, in adults with moderate to severe diabetic foot infections. Approximately 865 participants will be enrolled, with the study focusing on infections caused by Gram-positive bacteria. The treatment duration will range from 14 to 28 days, and the study will be conducted across multiple centers to ensure diverse participant representation.

Why it matters

Potential benefit: If successful, this study could provide a more effective treatment option for patients suffering from diabetic foot infections.

How similar studies have gone: Other studies have shown promise in treating diabetic foot infections with similar antibiotic approaches, but this specific combination is being evaluated for the first time.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Have diabetes mellitus (type 1 or 2) per the American Diabetes Association criteria
* Have a foot infection that started at or below the malleolus and does not extend above the knee
* Foot infection that meets the IWGDF DFI criteria for classification 3 (moderate infection) or 4 (severe infection)
* Foot infection had acute onset or worsening of signs and symptoms within the past 14 days

Exclusion Criteria:

* Previous DFI known or suspected to be caused by Gram-positive pathogens that are resistant to oxazolidinone antibiotics
* DFI with presumptive evidence or suspicion of osteomyelitis
* Necrotizing fasciitis, crepitant cellulitis, wet gangrene, gas gangrene, ecthyma gangrenosum, septic arthritis, or severely impaired arterial supply to any portion of the affected foot which may need revascularization before the end of the study
* Evidence of significant hepatic, renal, hematologic, or immunologic disease
* Females who are pregnant or breastfeeding
* Prior receipt of any formulation of contezolid acefosamil or contezolid
* Inability to cooperate fully with the requirements of the study protocol, including the schedule of events, or likely to be noncompliant with any study requirements, or the Investigator determines that the subject should not participate in the study

Where it's running

  • New Hope Research Development
    Corona, California, United States
    Recruiting
  • ILD Research Center
    Vista, California, United States
    Recruiting
  • MHAT Sveti Nikolay Chudotvorets EOOD
    Lom, Bulgaria
    Recruiting
  • Multiprofile Hospital for Active Treatment - KANEV
    Rousse, Bulgaria
    Recruiting
  • Medical Institute Ministry of Interior Central Clinical Base
    Sofia, Bulgaria
    Recruiting
  • University Multidisciplinary Hospital for Active Treatment and Emergency Medicine 'N. I. Priogov´
    Sofia, Bulgaria
    Recruiting
Show 8 more locations
  • South-Estonian Hospital Ltd.
    Võru, Estonia
    Recruiting
  • LTD High Technology Hospital Med Center
    Batumi, Georgia
    Recruiting
  • JSC Vian - West Georgia Medical Center
    Kutaisi, Georgia
    Recruiting
  • GMV Care& Research - Maria Cecilia Hospital
    Cotignola, Italy
    Recruiting
  • Daugavpils Regional Hospital
    Daugavpils, Latvia
    Recruiting
  • Instytut Medycyny Wsi im. W. Chodzki
    Lublin, Poland
    Recruiting
  • PODEMA Sp. z o.o.
    Warsaw, Poland
    Recruiting
  • University Clinical Center Kragujevac
    Kragujevac, Serbia
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.