Technology That Permits Focal Dose of Antibiotics to be Delivered to Lower Limb(s) of Diabetic Patients

NCT ID: NCT02158442

Last Updated: 2016-09-30

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

15 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-10-31

Study Completion Date

2015-03-31

Brief Summary

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The use of the Percutaneous Isolated Limb Procedure (PILP) which enables the use of existing antibiotic therapies in a more targeted and concentrated fashion in patients with diabetes who have a significant lower limb infection and it is deemed that IV antibiotics are needed in order to salvage the limb or life.

Detailed Description

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During the PILP procedure, the circulation of the limb is isolated separately from the general circulatory system thereby enabling the delivery of antibiotics only to the limb. Limb isolation is achieved by creating an "artificial" circuit where catheters are inserted into the major artery and vein of the lower limb.

Conditions

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Diabetes Infection

Keywords

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Diabetes Lower limb infection Significant wound infections Intravenous antibiotics Timentin

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Treatment Group

The Treatment Group received intravenous Timentin prior to their PILP procedure.

Group Type EXPERIMENTAL

Percutaneous Isolated Limb Perfusion (PILP) delivery

Intervention Type PROCEDURE

The Percutaneous Isolated Limb Perfusion (PILP) delivery intervention procedure enables the use of existing antibiotic therapies in a more targeted and aggressive fashion; it addresses limitations associated with the use of conventional antibiotic drug delivery. As part of the procedure, the circulation of the limb is isolated separately from the general circulatory system enabling the delivery of antibiotic at high therapeutic doses that are not achievable when standard doses are administered intravenously.

Timentin

Intervention Type DRUG

The Control Group will receive standard dosings of intravenous Timentin plus other standard care.

Control Group

The Control Group received standard dosings of intravenous Timentin plus other standard care.

Group Type ACTIVE_COMPARATOR

Timentin

Intervention Type DRUG

The Control Group will receive standard dosings of intravenous Timentin plus other standard care.

Interventions

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Percutaneous Isolated Limb Perfusion (PILP) delivery

The Percutaneous Isolated Limb Perfusion (PILP) delivery intervention procedure enables the use of existing antibiotic therapies in a more targeted and aggressive fashion; it addresses limitations associated with the use of conventional antibiotic drug delivery. As part of the procedure, the circulation of the limb is isolated separately from the general circulatory system enabling the delivery of antibiotic at high therapeutic doses that are not achievable when standard doses are administered intravenously.

Intervention Type PROCEDURE

Timentin

The Control Group will receive standard dosings of intravenous Timentin plus other standard care.

Intervention Type DRUG

Other Intervention Names

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Ticarcillin and Clavulanate

Eligibility Criteria

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Inclusion Criteria

* M or F subjects 18 - 90 years old
* Subject has pre-existing diabetes diagnosis
* Subject has significant infection below the ankle of soft tissue and may include bone, and IV antibiotics are needed in order to salve limb or life
* Consequence of infected wound would require Std of Care share debridement
* Subject willing and able to provide written informed consent
* Subject willing and able to comply with requirements of study protocol including pre-defined follow-up evaluations

Exclusion Criteria

* Allergy to contrast media
* Known bleeding disorder including thrombocytopenia
* Recent AMI or elevated Troponin levels within last 30 days
* Penicillin sensitivity; Timentin sensitivity
* Female subjects known to be or suspected to be pregnant or lactating
* Subject unable to comply with instructions; especially to remain supine for duration of recirculation procedure
* Subjects who have participated in any other clinical trial or taken investigational drug within 30 days of study enrollment
* The PI determines the subject is not an appropriate subject for the study
* Known severe proximal femoral artery vascular disease precluding placement of perfusion catheters
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Osprey Medical, Inc

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Paul Wraight, Assoc. Prof.

Role: PRINCIPAL_INVESTIGATOR

Royal Melbourne Hospital, Head, Diabetic Foot Unit

Locations

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Royal Melbourne Hospital

Parkville, Victoria, Australia

Site Status

Countries

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Australia

Other Identifiers

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O-PILP-C01 - Part B

Identifier Type: -

Identifier Source: org_study_id