Intra-nodal Injection of Gentamicin for the Treatment of Suppurated Cat Scratch Disease's Lymphadenitis

NCT ID: NCT03132116

Last Updated: 2024-08-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-05-31

Study Completion Date

2025-12-31

Brief Summary

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To compare effect of intra-nodal injection of gentamicin versus placebo on the outcome at 28 days of suppurated cat scratch disease's (CSD) lymphadenitis treated by oral azithromycin.

Detailed Description

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Double blind controlled study versus placebo. Patients with suppurated CSD's lymphadenitis will receive immediately after the pus aspiration (performed for a diagnostic purpose) an intra-nodal injection of gentamicin or of placebo (NaCl 0,9%) and be treated with oral azithromycin for 5 days.

Conditions

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Cat-Scratch Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Gentamicin

intra-nodal injection of gentamicin

Group Type EXPERIMENTAL

gentamicin

Intervention Type DRUG

After inclusion in the study, patient will be randomized. According to randomization, patient will receive an intra-nodal injection of gentamicin .

As well, azithromycin will be prescribed for all patients for 5 days. Patients will be followed-up each week until week 4 (Day 28).

Placebo

intra-nodal injection of placebo

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type DRUG

After inclusion in the study, patient will be randomized. According to randomization, patient will receive an intra-nodal injection of placebo.

As well, azithromycin will be prescribed for all patients for 5 days. Patients will be followed-up each week until week 4 (Day 28).

Interventions

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gentamicin

After inclusion in the study, patient will be randomized. According to randomization, patient will receive an intra-nodal injection of gentamicin .

As well, azithromycin will be prescribed for all patients for 5 days. Patients will be followed-up each week until week 4 (Day 28).

Intervention Type DRUG

placebo

After inclusion in the study, patient will be randomized. According to randomization, patient will receive an intra-nodal injection of placebo.

As well, azithromycin will be prescribed for all patients for 5 days. Patients will be followed-up each week until week 4 (Day 28).

Intervention Type DRUG

Other Intervention Names

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NaCl

Eligibility Criteria

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Inclusion Criteria

* Informed consent
* Suppurated CSD's adenitis:

* Suppurated form of adenitis confirmed by echography
* Serology positive for Immunoglobulin G and/or Immunoglobulin M against B. henselae

Exclusion Criteria

* Suppurated adenitis non related to CSD
* Non-suppurated CSD's adenitis
* Suppurated CSD's adenitis already fistulized
* Suspected visceral B. henselae infection (neurologic or ophthalmic symptoms, hepato-splenic or valvular involvement confirmed by echography)
* Immunodepression (except diabetes)
* Pregnancy
* Contraindication to pus aspiration from lymphadenitis (history of bleeding or patient taking curative anticoagulation therapy or platelet count \< 50.000/mm3)
* Contraindication to azithromycin (history of QT interval prolongation, history of liver toxicity of hypersensitivity to macrolides or treatment with ergotamine, dihydroergotamine, bepridil, cisapride, pimozide, mizolastine or colchicine) or to aminoglycosides (myasthenia, history of hypersensitivity to aminoglycosides).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Toulouse

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Guillaume MARTIN-BLONDEL, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University Hospital of Toulouse, Infectious & Tropical Diseases department

Locations

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Albi Hospital

Albi, , France

Site Status RECRUITING

Amiens-Picardie Hospital

Amiens, , France

Site Status RECRUITING

Angers Hospital

Angers, , France

Site Status RECRUITING

Auch Hospital

Auch, , France

Site Status RECRUITING

Bordeaux University Hospital

Bordeaux, , France

Site Status RECRUITING

Cahors Hospital

Cahors, , France

Site Status RECRUITING

Castres Hospital

Castres, , France

Site Status RECRUITING

Vendée Hospital

La Roche-sur-Yon, , France

Site Status RECRUITING

Limoges University Hospital

Limoges, , France

Site Status RECRUITING

Hospices Civils Lyon

Lyon, , France

Site Status RECRUITING

Montauban Hospital

Montauban, , France

Site Status RECRUITING

Montpellier University Hospital

Montpellier, , France

Site Status RECRUITING

Nîmes University Hospital

Nîmes, , France

Site Status RECRUITING

Pau Hospital

Pau, , France

Site Status RECRUITING

Perpignan Hospital

Perpignan, , France

Site Status RECRUITING

Rennes Hospital

Rennes, , France

Site Status RECRUITING

Rodez Hospital

Rodez, , France

Site Status RECRUITING

Saint-Brieuc Hospital

Saint-Brieuc, , France

Site Status RECRUITING

Saint-Nazaire Hospital

Saint-Nazaire, , France

Site Status RECRUITING

Tarbes Hospital

Tarbes, , France

Site Status RECRUITING

Microbiology Laboratory

Toulouse, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Guillaume MARTIN-BLONDEL, MD, PhD

Role: CONTACT

+33 (0) 5 61 77 96 99

Alexa DEBARD, MD

Role: CONTACT

+33 (0) 5 61 77 95 86

Facility Contacts

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Marie-Anne LAFFONT, MD

Role: primary

Jean-Luc SCHMIT, MD

Role: primary

Vincent DUBEE, MD

Role: primary

Sophie ARISTA, MD

Role: primary

Michel DUPON, MD

Role: primary

Stéphane SIRE, MD

Role: primary

Florence-Sarah KHATIBI, MD

Role: primary

Thomas GUIMARD, MD

Role: primary

Pierre WEINBRECK, MD

Role: primary

Florence ADER, MD

Role: primary

Marc DELAVAISSIERE, MD

Role: primary

David MORQUIN, MD

Role: primary

Catherine LECHICHE, MD

Role: primary

Valérie GABORIEAU, MD

Role: primary

Léa COLOMBAIN, MD

Role: primary

Matthieu REVEST, MD

Role: primary

Bruno GUERIN, MD

Role: primary

Rodolphe BUZELE, MD

Role: primary

Julia BROCHARD, MD

Role: primary

Florian BUSATO, MD

Role: primary

Guillaume MARTIN-BLONDEL, MD

Role: primary

Other Identifiers

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15 7834 08

Identifier Type: -

Identifier Source: org_study_id

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