UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000054606
Receipt number R000061976
Scientific Title Observational study of medical treatment for acute osteomyelitis and pyogenic arthritis
Date of disclosure of the study information 2024/07/01
Last modified on 2024/12/06 11:37:05

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Basic information

Public title

Observational study of medical treatment for acute osteomyelitis and pyogenic arthritis

Acronym

Observational study of medical treatment for acute osteomyelitis and pyogenic arthritis

Scientific Title

Observational study of medical treatment for acute osteomyelitis and pyogenic arthritis

Scientific Title:Acronym

Observational study of medical treatment for acute osteomyelitis and pyogenic arthritis

Region

Japan


Condition

Condition

acute osteomyelitis, septic arthritis

Classification by specialty

Pediatrics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

In acute osteomyelitis and septic arthritis, comparing the group that underwent short-term intravenous therapy (including treatment initiation up to day 6) followed by oral therapy according to the ESPID guideline with the group that received the intravenous therapy for 7 days or more, demonstrate cure rates with frequency and confidence interval widths using retrospective and prospective observational studies.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The cure rate at 6 months from the start of treatment, meaning the absence of symptoms and signs of acute osteomyelitis and septic arthritis, and no requirement of additional antimicrobial therapy due to recurrence.

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

1 months-old <=

Age-upper limit

19 years-old >

Gender

Male and Female

Key inclusion criteria

1 Diagnosed with acute osteomyelitis or septic arthritis at a single site based on fever, local symptoms, and imaging findings, or diagnosed with both acute osteomyelitis and septic arthritis.
2 Aged over 1 month and under 19 years old.
3 Those who showed treatment responsiveness* to initial treatment within 5 days after treatment initiation**.
4 Cases with no positive blood culture beyond 2 days after treatment initiation**.
5 Microorganisms identified from blood, joint fluid, and pus, with susceptibility.
6 Able to take medication orally or through tube feeding, and the drug can be absorbed from the gastrointestinal tract.

*Treatment responsiveness: Determined when fever resolves and local redness, swelling, and pain improve compared to before treatment initiation.
**Treatment initiation: Day 1 is considered as the day of the second administration of initial antimicrobial therapy.

Key exclusion criteria

1 Those with causative microorganisms resistant to MRSA, PRSP, or other drug-resistant or acid-fast bacteria.
2 Those diagnosed as chronic osteomyelitis (with symptoms present for over 2 weeks before treatment initiation, etc.).
3 Those diagnosed with congenital or acquired immunodeficiency syndrome.
4 Cases of arthritis or osteomyelitis following trauma, surgery, or foreign body placement.
5 Cases of non-hematogenous arthritis or osteomyelitis due to direct extension from primary infectious foci.
6 Those who opted not to disclose information about this study and indicated refusal.
7 Others deemed unsuitable as subjects by the principal investigator.

Target sample size

200


Research contact person

Name of lead principal investigator

1st name Aki
Middle name
Last name Miyashita

Organization

Tokyo Metropolitan Children's Medical Center

Division name

Division of infectious disease

Zip code

183-8561

Address

2-8-29, Musashidai, Fuchu-shi, Tokyo

TEL

042-300-5111

Email

aki1002.miya1993@gmail.com


Public contact

Name of contact person

1st name Aki
Middle name
Last name Miyashita

Organization

Tokyo Metropolitan Children's medical center

Division name

Division of infectious disease

Zip code

183-8561

Address

2-8-29, Musashidai, Fuchu-shi, Tokyo

TEL

042-300-5111

Homepage URL


Email

aki1002.miya1993@gmail.com


Sponsor or person

Institute

Tokyo Metropolitan Chidren's Medical Center

Institute

Department

Personal name



Funding Source

Organization

none

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Tokyo Metropolitan Children's medical center

Address

2-8-29, Musashidai, Fuchu-shi, Tokyo

Tel

042-300-5111

Email

sn_erb@tmhp.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2024 Year 07 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2024 Year 04 Month 23 Day

Date of IRB

2024 Year 06 Month 06 Day

Anticipated trial start date

2024 Year 08 Month 09 Day

Last follow-up date

2028 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

none


Management information

Registered date

2024 Year 06 Month 07 Day

Last modified on

2024 Year 12 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000061976