Outcomes of Non-infected Diabetic Foot Ulcers With/Without Antibiotics (KADFUT)
Recruitment status was Not yet recruiting
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Purpose
The overall objective is to investigate whether antibiotics in the treatment of clinically clean neuropathic and ischaemic ulcers in diabetic foot patients could reduce the incidence of infection and therefore lead to improved outcomes This is a single centre study in which patients with either type 1 or 2 diabetes mellitus, who consecutively present to the Diabetic Foot Clinic [DFC] with clean neuropathic (NU) or ischaemic (IU) diabetic foot ulcer without clinical signs of infection will be invited to take part and will express their willingness to take part in the study by signing a consent form.
- All patients will be treated and followed up in the DFC at King's College Hospital. Patients will be randomised into two groups: an antibiotic group and a control group.
- The antibiotic group will receive standard treatment along with antibiotics.
- The control group will have standard treatment alone.
- Patients from both groups will be reviewed at weekly intervals for a period of 20 weeks.
- Patients will be removed from the study if they develop clinical signs of infection or if their ulcer heals prior to 20 weeks but will be followed up via routine practice for eventual outcomes
| Condition | Intervention | Phase |
|---|---|---|
|
Diabetes Foot Ulcers Infection |
Drug: antibiotics |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Single Group Assignment Masking: Single Blind (Caregiver) Primary Purpose: Treatment |
| Official Title: | A Prospective Single Blind Randomised Controlled Study to Compare the Outcomes of Patients With Diabetes and Clinically Non-infected Neuro-ischaemic and Neuropathic Foot Ulcers Treated With and Without Oral Antibiotics. |
- Time to healing of foot ulceration in each group [ Time Frame: 20 weeks ] [ Designated as safety issue: No ]
- • Percentage of patients who will develop clinical signs of infection over a follow up period of 20 weeks [ Time Frame: 20 weeks ] [ Designated as safety issue: No ]
- • Percentage of patients in each group that are healed at 20 weeks. [ Time Frame: 20 weeks ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 166 |
| Study Start Date: | August 2011 |
| Estimated Study Completion Date: | February 2012 |
| Estimated Primary Completion Date: | February 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Active Antibiotic Group
Patients in the antibiotic group will remain on antibiotics until their foot ulcer heals or up to 20 weeks
|
Drug: antibiotics
A variety of antibiotics may be used, according to microbiology results, for up to 20 weeks
|
| No Intervention: Non antibiotic group |
Show Detailed Description
Eligibility| Ages Eligible for Study: | 18 Years to 85 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
Patients will be eligible for study participation if he or she meets the following criteria
- Male or female age 18-85 years inclusive
- Have been diagnosed with Type 1 or Type 2 diabetes
- Must be able to speak and understand English and be able to provide meaningful written informed consent .
- If female, is nonpregnant (negative pregnancy tests at the baseline visit) and nonlactating.
If female, is either not of childbearing potential (defined as postmenopausal for ≥ 1 year or surgically sterile [bilateral tubal ligation, bilateral oophorectomy or hysterectomy]) or practising one of the following medically-acceptable methods of birth control and agrees to continue with the regimen throughout the duration of the study:
- Oral, implantable or injectable contraceptives for 3 consecutive months before the baseline visit.
- Total abstinence from sexual intercourse (≥ 1 complete menstrual cycle before the baseline visit).
- Intrauterine device
- Double barrier method (condoms, sponge, diaphragm or vaginal ring with spermicidal jellies or cream)
- Present with one or more diabetic foot ulcers on or below the malleoli with no clinical signs of infection (using the Infectious Disease Society of America/International Working Group on the Diabetic Foot Guidelines).
Exclusion Criteria:
- Female subjects who are pregnant or breast feeding
- Any known intolerance or allergy or reported adverse reaction to any antibiotics
- Known osteomyelitis
- Patients with foot ulcers with clinical signs of infection
- Ulceration caused primarily by a disease other than diabetes.
- Any other serious disease likely to compromise the outcome of the trial.
- Evidence of critical renal disease (creatinine >300µmol/L)
- Patients taking immunosuppressants or any other preparation which may interfere with healing.
- Participation in another clinical trial in the previous 28 days
Contacts and Locations| Contact: Maureen Bates, MSc | 0044 20 3299 3223 ext 4429 | mbates2@nhs.net |
| Principal Investigator: | Prof Mike E Edmonds, FRCP | king's College Hospital, London |
More Information
No publications provided
| Responsible Party: | Professor Mike Edmonds, King's College Hospital NHS Foundation Trust |
| ClinicalTrials.gov Identifier: | NCT01418456 History of Changes |
| Other Study ID Numbers: | KADFUT, 2010-022518-16 |
| Study First Received: | August 16, 2011 |
| Last Updated: | August 16, 2011 |
| Health Authority: | United Kingdom: Medicines and Healthcare Products Regulatory Agency |
Keywords provided by King's College Hospital NHS Trust:
|
diabetes antibiotics clean foot ulcers |
Additional relevant MeSH terms:
|
Foot Ulcer Foot Diseases Diabetes Mellitus Ulcer Glucose Metabolism Disorders Metabolic Diseases Endocrine System Diseases Pathologic Processes |
Skin Diseases Leg Ulcer Skin Ulcer Anti-Bacterial Agents Anti-Infective Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 22, 2013