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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT04936958
Other study ID # 405
Secondary ID
Status Recruiting
Phase
First received
Last updated
Start date May 1, 2023
Est. completion date May 1, 2025

Study information

Verified date May 2022
Source Hospices Civils de Lyon
Contact Tristan Ferry, Md,PhD
Phone 04 26 73 29 38
Email tristan.ferry@chu-lyon.fr
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

This is a retrospective study describing the management of osteomyelitis in a referece center, with success and failures.


Description:

Chronic osteomyelitis is a serious osteoarticular infection that most often occurs in the long bones (tibia, femur, humerus), responsible for significant morbidity with the risk of fracture and amputation. It is caused by the presence of bacteria in the bone marrow, sometimes responsible for an intraosseous abscess. Chronic osteomyelitis can have a hematogenous or more often exogenous origin, after trauma or surgery. Despite the progress made in both antibiotics and surgical treatment, the probability of failure of this treatment (infectious recurrence) is of the order of 20%, and has unfortunately remained stable for more than 20 years. An innovative treatment, Cerament-G (BONESUPPORT AB Laboratory, Sweden), a synthetic bone substitute composed of hydroxyapatite, calcium sulphate, and gentamicin (CE marking), fills the "dead space" which is formed during surgery, prevents this cavity filled with blood from becoming infected, and promotes the regeneration of the bone within this space, limiting the risk of fracture in the medium and long term. It also locally delivers very high doses of gentamicin for several weeks.


Recruitment information / eligibility

Status Recruiting
Enrollment 50
Est. completion date May 1, 2025
Est. primary completion date May 1, 2024
Accepts healthy volunteers
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Patients who presented with osteomyelitis between 2017 and 2021 Exclusion Criteria: - Patients who objected to participating in the study

Study Design


Related Conditions & MeSH terms


Intervention

Other:
patients having had an osteomyelitis since 2017
description of osteomyelitis and their management

Locations

Country Name City State
France Hospices Civils de Lyon Lyon

Sponsors (1)

Lead Sponsor Collaborator
Hospices Civils de Lyon

Country where clinical trial is conducted

France, 

Outcome

Type Measure Description Time frame Safety issue
Primary rate of osteomyelitis in BJI proportion of patients having had an osteomyelitis between 2017 and 2021
Primary site of osteomyelitis localisation between 2017 and 2021
Primary bone defect size dimension of the bone defect size between 2017 and 2021
Primary type of osteomyelitis hematogenous or after a trauma or after a surgery between 2017 and 2021
Primary rate of bacteria involved in osteomyelitis description of bacteria responsible for osteomyelitis between 2017 and 2021
Primary Description of patients comorbidities, age between 2017 and 2021
Primary Description of the follow up of the patients duration of the follow up of patients between 2017 and 2021
Primary description of patients : medical treatment description and duration of antibiotics between 2017 and 2021
Primary Description of patients : surgical treatment description of surgery performed between 2017 and 2021
Primary rate of patient treated with CERAMENT proportion of patients having had CERAMENT between 2017 and 2021
Primary rate of treatment failure treatment failure is defined by local clinical and/or microbiological relapse; and/or need for additional surgery; death of septic origin between 2017 and 2021
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