Using fosfomycin to treat severely infected patients
An International, Multicentre, Non-comparative, Non-interventional, Prospective Clinical Registry to Evaluate the Clinical Outcome and Safety of the Treatment of Severely Infected Patients with Fosfomycin I.v.
This study is testing if an intravenous antibiotic called fosfomycin can safely help people with serious infections like osteomyelitis and bacterial meningitis feel better.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 1000 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Infectopharm Arzneimittel GmbH Industry-sponsored |
| Locations | 50 sites (Hall in Tirol and 49 other locations) |
| Trial ID | NCT02979951 on ClinicalTrials.gov |
What this trial studies
This European, multicentric, prospective, non-interventional study aims to document and evaluate the efficacy and safety of intravenously administered fosfomycin in severely infected patients. It includes individuals suffering from various serious infections such as osteomyelitis, complicated urinary tract infections, and bacterial meningitis. The study will monitor patients receiving fosfomycin treatment according to national guidelines, focusing on real-world outcomes. Data will be collected to assess the effectiveness and safety of this treatment approach in a diverse patient population.
Who should consider this trial
Good fit: Ideal candidates for this study are adults aged 18 and older with severe bacterial infections who are being treated with fosfomycin.
Not a fit: Patients who may not benefit from this study include those with known hypersensitivity to fosfomycin, terminally ill patients, or those receiving palliative care.
Why it matters
Potential benefit: If successful, this study could provide valuable insights into the effectiveness of fosfomycin for treating severe bacterial infections, potentially improving patient outcomes.
How similar studies have performed: While this study is observational and builds on existing knowledge of fosfomycin, similar studies have shown promise in evaluating the efficacy of antibiotics in severe infections.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Male or female patients aged ≥ 18 years * Treatment with fosfomycin according to the (national) Summary of Product Characteristics (SmPC) of fosfomycin i.v. * Patients with osteomyelitis, complicated urinary tract infection, nosocomial lower respiratory tract infection, bacterial meningitis/central nervous system infection, bacteraemia/sepsis, skin and soft tissue infection, endocarditis or other infection, each as far as covered by the respective nationally relevant SmPC * Written informed consent of the participant (or person in charge in case of patients incapable of giving consent) Exclusion Criteria: * Previous documentation of the patient in the present study * Patients participating in an interventional clinical trial * Patients with known hypersensitivity to fosfomycin or any of the excipients * Terminally ill patients * Patients with "do not resuscitate order" * Palliative treatment approach * Failure of \> 3 of the following organ systems: respiratory system, nervous system, cardiovascular system, liver, coagulation, kidney * Manifest Human Immunodeficiency Virus (HIV) disease (Acquired Immunodeficiency Syndrome, AIDS) * Fosfomycin treatment as 4th line treatment or at later stage * Patients with involvement of fungi or mycobacteria in the targeted infection
Where this trial is running
Hall in Tirol and 49 other locations
- Landeskrankenhaus Hall - Tirol Kliniken — Hall in Tirol, Austria (Recruiting)
- A.ö. Bezirkskrankenhaus — Reutte, Austria (Recruiting)
- AKH Wien, Universitätsklinik für Innere Medizin 1 — Vienna, Austria (Recruiting)
- Klinikum Wels-Grieskirchen, Institut für Hygiene und Mikrobiologie — Wels, Austria (Recruiting)
- Universitätsmedizin Charité — Berlin, Germany (Completed)
- Vivantes Kliniken Neukölln — Berlin, Germany (Recruiting)
- Städtisches Klinikum Braunschweig — Braunschweig, Germany (Recruiting)
- Universitäts Düsseldorf; Klinik für Anästhesiologie — Düsseldorf, Germany (Completed)
- Universitätsklinikum Frankfurt — Frankfurt, Germany (Recruiting)
- Universität Hamburg-Eppendorf — Hamburg, Germany (Recruiting)
- Universitätsklinikum Jena; Zentrum für Infektionsmedizin — Jena, Germany (Recruiting)
- Universitätsklinikum Schleswig-Holstein — Kiel, Germany (Recruiting)
- Universitätsklinik Schleswig-Holstein — Lübeck, Germany (Recruiting)
- LMU München — München, Germany (Recruiting)
- Universitätsklinikum Münster — Münster, Germany (Recruiting)
- Klinikum Oldenburg — Oldenburg in Holstein, Germany (Recruiting)
- Universitätsklinik Regensburg; Klinik für Anästhesiologie — Regensburg, Germany (Recruiting)
- Kliniken Nordoberpfalz — Weiden, Germany (Completed)
- General Oncology Hospital of Kifissia "Agioi Anargiroi" — Kifissia, Athens, Greece (Recruiting)
- General Hospital of Athens "Evangelismos" — Athens, Greece (Recruiting)
- Sotiria Thoracic Diseases Hospital of Athens — Athens, Greece (Recruiting)
- University General Hospital "ATTIKON" — Athens, Greece (Recruiting)
- General Hospital of Attica "KAT" — Kifissia, Greece (Recruiting)
- General Hospital of Lamia — Lamia, Greece (Recruiting)
- RIO Univ. Hospital, Dept of Pathology, Division of Infectious Diseases — Pátrai, Greece (Recruiting)
- "AHEPA" University General Hospital of Thessaloniki — Thessaloniki, Greece (Recruiting)
- General Hospital of Thessaloniki "G. GENIMMATAS" — Thessaloniki, Greece (Recruiting)
- General Hospital of Thessaloniki "Hippokration" — Thessaloniki, Greece (Recruiting)
- General Hospital of Thessaloniki "G. Papanikolaou" — Thessaloniki, Greece (Recruiting)
- Clinical Malattie Infettive — Bari, Italy (Recruiting)
- Azienda Ospedaliera S.Croce e Carle — Cuneo, Italy (Recruiting)
- Ospedal Policlinico San Martino — Genova, Italy (Recruiting)
- Ospedale L. Sacco — Milan, Italy (Active_not_recruiting)
- Istituto Mediterraneo per i Trapianti Ismett IRCCS — Palermo, Italy (Recruiting)
- Policlinico Paolo Giaccone — Palermo, Italy (Recruiting)
- Policlinico Umberto I, Malattie Infettive — Rome, Italy (Recruiting)
- Lazzaro Spallanzani — Rome, Italy (Recruiting)
- Polocinico Tor Vergata — Rome, Italy (Recruiting)
- AOU Città della Salute e Scienza-Presidio Molinette — Torino, Italy (Recruiting)
- Ospedale S.M.della Misericordia — Udine, Italy (Recruiting)
- ASST-Sette Lagh Viale Borre — Varese, Italy (Recruiting)
- Royal Bolton Hospital — Bolton, United Kingdom (Active_not_recruiting)
- Hull & East Yorkshire Hospitals NHS Trust — Cottingham, United Kingdom (Recruiting)
- Ninewells Hospital — Dundee, United Kingdom (Recruiting)
- Queen Elisabeth University Hospital — Glasgow, United Kingdom (Recruiting)
- University of Glasgow/Royal Infirmary — Glasgow, United Kingdom (Recruiting)
- University Hospital Crosshouse — Kilmarnock, United Kingdom (Recruiting)
- Chelsea & Westminster Hospial — London, United Kingdom (Recruiting)
- Queen Elisabeth Hospital — London, United Kingdom (Recruiting)
- Univresity College Londen (UCL) Hospital — London, United Kingdom (Recruiting)
Study contacts
- Study coordinator: Thomas Borrmann, Dr.
- Email: Clinical.Trials@infectopharm.com
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.