Relapsing Clostridium difficile infection MedDRA version: 19.0 Level: PT Classification code 10009657 Term: Clostridium difficile colitis System Organ Class: 10021881 - Infections and infestations
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Relapse of Clostridium difficile infection with previous trial of vancomycin or fidaxomicin 2. Age 18 years or older Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 32 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 32
Exclusion criteria
Exclusion criteria: 1. Pregnancy or breastfeeding 2. Does not speak or understand the Danish language 3. Current antibiotic treatment other than metronidazole, vancomycin, fidaxomicin 4. fulminant colitis which contraindicates medical treatment 5. physician's evaluation that the patient cannot tolerate project inclusion
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): 2a. Negative Clostridium difficile test 7 days after finishing treatment 2b. Treatment effect at 26 weeks;Timepoint(s) of evaluation of this end point: 2a. 17 days 2b. 28 weeks | — |
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Compare 8-week cure rates from relapsing Clostridium difficile colitis following one of three treatments: 1) capsule vancomycin 125 mg 4 times daily 10 days + faecal microbiota transplantation 2) tablet fidamoxicin 200 mg twice daily 10 days 3) capsule vancomycin 125 mg 4 times daily 10 days;Secondary Objective: Within each treatment arm, describe need for rescue faecal microbiota transplantation, quality of life, cure at 26 weeks;Primary end point(s): 1a. Treatment effect, defined as both clinical effect (absence of abdominal pain and less than 3 bowel movements per day and a stool consistency of Bristol 5 or lower, corresponding to absence of diarhhoea) and microbiological effect (negative Clostridium difficile test) 8 weeks after finishing allocated treatment;Timepoint(s) of evaluation of this end point: 8 weeks after finishing allocated treatment (10 weeks after randomisation) | — |
Countries
Denmark
Contacts
Aarhus University Hospital