Clinical trial Recruiting at 45 sites Observational Ages 18 and up

Using fosfomycin to treat severely infected patients

Official title: 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.

Run by Infectopharm Arzneimittel GmbH · NCT02979951 · Data updated 2026-11-12

This study is testing if an intravenous antibiotic called fosfomycin can safely help people with serious infections like osteomyelitis and bacterial meningitis feel better.

More Sepsis trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment1000 (estimated)
SponsorInfectopharm Arzneimittel GmbH
Industry-sponsored
Locations50 sites (Hall in Tirol and 49 other locations)
StatusRecruiting
StartedDecember 2016
Main results expectedDecember 2030
Study endsDecember 2030
Registry record updatedOctober 1, 2024
Trial IDNCT02979951 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates for this study are adults aged 18 and older with severe bacterial infections who are being treated with fosfomycin.

Probably 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.

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

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.

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 gone: 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.

Who can join: the full rules

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 it's running

  • 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
  • Vivantes Kliniken Neukölln
    Berlin, Germany
    Recruiting
  • Städtisches Klinikum Braunschweig
    Braunschweig, Germany
    Recruiting
Show 44 more locations
  • 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
  • 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
  • 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
  • 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
  • Universitätsmedizin Charité
    Berlin, Germany
    Completed
  • Universitäts Düsseldorf; Klinik für Anästhesiologie
    Düsseldorf, Germany
    Completed
  • Kliniken Nordoberpfalz
    Weiden, Germany
    Completed
  • Ospedale L. Sacco
    Milan, Italy
    Active not recruiting
  • Royal Bolton Hospital
    Bolton, United Kingdom
    Active not recruiting

Study contacts

Similar studies

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

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  • UllCORE BSI Test for Bloodstream Infections

    This study tests whether the UllCORE BSI Test can correctly detect bloodstream infection pathogens and resistance markers from whole blood in people with suspected infection or sepsis.

    Recruiting Deepull Diagnostics S.L. · Orange, California and 19 other locations · NCT07859852

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  • Single antibiotic versus two antibiotics for Pseudomonas bone infection

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  • Comparing intravenous and oral antibiotics for acute infections

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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.