Trial Outcomes & Findings for COMBACTE-CDI Understanding the Burden of C. Difficile Infection (NCT NCT03503474)

NCT ID: NCT03503474

Last Updated: 2022-02-09

Results Overview

This outcome measure is to indicate the number of participants with a sample that returned a positive test result (=CDI cases) at the coordinating laboratory from the overall total number of participants. The number of CDI cases and negative controls are the number of participants with a sample that returned a positive or negative test result, respectively. Therefore the "CDI negative controls" arm did not return a positive test result. The proportion of participants that returned a positive test result compared to the total of participants (=number of participants in the "CDI cases" arm divided by the number of total participants in both arms) can be inferred from this outcome measure.

Recruitment status

COMPLETED

Target enrollment

3240 participants

Primary outcome timeframe

Samples were received between July and December 2018 (at time of diarrheal episode) and test performed during that timeframe to identify the number of CDI cases (positive test result) and the number of CDI negative controls (negative test result).

Results posted on

2022-02-09

Participant Flow

Anyone who has a diarrhoeal faecal sample submitted to the laboratories in the study for testing on the day of interest, regardless of test requested. The result of this observational study did not impact on patient treatment and management at the submitting laboratories.

Residual samples received during the study period were tested for Clostridioides difficile infection (CDI) at the coordinating laboratory. Informed consent is not required for the use of anonymised residual material. The number of CDI cases and negative controls are the number of participants with a sample that returned a positive or negative test result, respectively. Duplicate samples were excluded and therefore not completed. Test result was not reported back to the laboratories.

Participant milestones

Participant milestones
Measure
CDI Cases
No intervention: There is no intervention, this is observational only
CDI Negative Controls
No intervention: There is no intervention, this is observational only
Overall Study
STARTED
103
3050
Overall Study
COMPLETED
103
3050
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
CDI Cases
n=94 Participants
No intervention: There is no intervention, this is observational only
CDI Negative Controls
n=444 Participants
No intervention: There is no intervention, this is observational only
Total
n=538 Participants
Total of all reporting groups
Age, Customized
72 years
n=94 Participants
55 years
n=444 Participants
58 years
n=538 Participants
Sex: Female, Male
Female
51 Participants
n=94 Participants
203 Participants
n=444 Participants
254 Participants
n=538 Participants
Sex: Female, Male
Male
43 Participants
n=94 Participants
241 Participants
n=444 Participants
284 Participants
n=538 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United Kingdom
24 participants
n=94 Participants
137 participants
n=444 Participants
161 participants
n=538 Participants
Region of Enrollment
Belgium
0 participants
n=94 Participants
13 participants
n=444 Participants
13 participants
n=538 Participants
Region of Enrollment
France
3 participants
n=94 Participants
24 participants
n=444 Participants
27 participants
n=538 Participants
Region of Enrollment
Greece
1 participants
n=94 Participants
4 participants
n=444 Participants
5 participants
n=538 Participants
Region of Enrollment
Ireland
1 participants
n=94 Participants
3 participants
n=444 Participants
4 participants
n=538 Participants
Region of Enrollment
Italy
13 participants
n=94 Participants
43 participants
n=444 Participants
56 participants
n=538 Participants
Region of Enrollment
Netherlands
2 participants
n=94 Participants
9 participants
n=444 Participants
11 participants
n=538 Participants
Region of Enrollment
Poland
12 participants
n=94 Participants
38 participants
n=444 Participants
50 participants
n=538 Participants
Region of Enrollment
Romania
18 participants
n=94 Participants
57 participants
n=444 Participants
75 participants
n=538 Participants
Region of Enrollment
Slovakia
2 participants
n=94 Participants
8 participants
n=444 Participants
10 participants
n=538 Participants
Region of Enrollment
Spain
13 participants
n=94 Participants
93 participants
n=444 Participants
106 participants
n=538 Participants
Region of Enrollment
Sweden
5 participants
n=94 Participants
15 participants
n=444 Participants
20 participants
n=538 Participants
Healthcare settings Hospital at time of sample collection
76 Participants
n=94 Participants
301 Participants
n=444 Participants
377 Participants
n=538 Participants
Healthcare settings Community at time of sample collection
18 Participants
n=94 Participants
143 Participants
n=444 Participants
161 Participants
n=538 Participants
Exposure to at least one antibiotic in the preceding 12 weeks to the sample
57 Participants
n=80 Participants • Number of participants with data on this study-specific baseline measure as reported in the clinical report form (data obtained 6 months after sample collection)
174 Participants
n=354 Participants • Number of participants with data on this study-specific baseline measure as reported in the clinical report form (data obtained 6 months after sample collection)
231 Participants
n=434 Participants • Number of participants with data on this study-specific baseline measure as reported in the clinical report form (data obtained 6 months after sample collection)
Contact with healthcare facilities in the preceding 6 months to the sample
60 Participants
n=80 Participants • Number of participants with data on this study-specific baseline measure as reported in the clinical report form (data obtained 6 months after sample collection)
183 Participants
n=372 Participants • Number of participants with data on this study-specific baseline measure as reported in the clinical report form (data obtained 6 months after sample collection)
243 Participants
n=452 Participants • Number of participants with data on this study-specific baseline measure as reported in the clinical report form (data obtained 6 months after sample collection)
Two or more co-morbidities
56 Participants
n=86 Participants • Number of participants with data on this study-specific baseline measure as reported in the clinical report form (data obtained 6 months after sample collection)
138 Participants
n=390 Participants • Number of participants with data on this study-specific baseline measure as reported in the clinical report form (data obtained 6 months after sample collection)
194 Participants
n=476 Participants • Number of participants with data on this study-specific baseline measure as reported in the clinical report form (data obtained 6 months after sample collection)
White cell count per microliter
14800 10^9 cells/μL
STANDARD_DEVIATION 13600 • n=70 Participants • Number of participants with data on this study-specific baseline measure as reported in the clinical report form (data obtained 6 months after sample collection)
10300 10^9 cells/μL
STANDARD_DEVIATION 8000 • n=291 Participants • Number of participants with data on this study-specific baseline measure as reported in the clinical report form (data obtained 6 months after sample collection)
11200 10^9 cells/μL
STANDARD_DEVIATION 9500 • n=361 Participants • Number of participants with data on this study-specific baseline measure as reported in the clinical report form (data obtained 6 months after sample collection)
Number of days of diarrhoea before the sample
3 days
n=68 Participants • Number of participants with data on this study-specific baseline measure as reported in the clinical report form (data obtained 6 months after sample collection)
3 days
n=258 Participants • Number of participants with data on this study-specific baseline measure as reported in the clinical report form (data obtained 6 months after sample collection)
3 days
n=326 Participants • Number of participants with data on this study-specific baseline measure as reported in the clinical report form (data obtained 6 months after sample collection)
Number of recurrent (previous) CDI
6 Participants
n=82 Participants • Number of participants with data on this study-specific baseline measure as reported in the clinical report form (data obtained 6 months after sample collection)
0 Participants
n=444 Participants • Number of participants with data on this study-specific baseline measure as reported in the clinical report form (data obtained 6 months after sample collection)
6 Participants
n=526 Participants • Number of participants with data on this study-specific baseline measure as reported in the clinical report form (data obtained 6 months after sample collection)
Hospital admission within 30 days of sample
13 Participants
n=87 Participants • Number of participants with data on this study-specific baseline measure as reported in the clinical report form (data obtained 6 months after sample collection)
43 Participants
n=408 Participants • Number of participants with data on this study-specific baseline measure as reported in the clinical report form (data obtained 6 months after sample collection)
56 Participants
n=495 Participants • Number of participants with data on this study-specific baseline measure as reported in the clinical report form (data obtained 6 months after sample collection)
30 days mortality rate
14 Participants
n=88 Participants • Number of participants with data on this study-specific baseline measure as reported in the clinical report form (data obtained 6 months after sample collection)
24 Participants
n=401 Participants • Number of participants with data on this study-specific baseline measure as reported in the clinical report form (data obtained 6 months after sample collection)
38 Participants
n=489 Participants • Number of participants with data on this study-specific baseline measure as reported in the clinical report form (data obtained 6 months after sample collection)

PRIMARY outcome

Timeframe: Samples were received between July and December 2018 (at time of diarrheal episode) and test performed during that timeframe to identify the number of CDI cases (positive test result) and the number of CDI negative controls (negative test result).

Population: The number of CDI cases and negative controls are the number of participants with a sample that returned a positive or negative test result, respectively. Therefore the "CDI negative controls" arms did not return a positive test result.

This outcome measure is to indicate the number of participants with a sample that returned a positive test result (=CDI cases) at the coordinating laboratory from the overall total number of participants. The number of CDI cases and negative controls are the number of participants with a sample that returned a positive or negative test result, respectively. Therefore the "CDI negative controls" arm did not return a positive test result. The proportion of participants that returned a positive test result compared to the total of participants (=number of participants in the "CDI cases" arm divided by the number of total participants in both arms) can be inferred from this outcome measure.

Outcome measures

Outcome measures
Measure
CDI Cases
n=103 Participants
No intervention: There is no intervention, this is observational only
CDI Negative Controls
n=3050 Participants
No intervention: There is no intervention, this is observational only
The Number of Cases of CDI
103 Participants
0 Participants

Adverse Events

CDI Cases

Serious events: 0 serious events
Other events: 0 other events
Deaths: 14 deaths

CDI Negative Controls

Serious events: 0 serious events
Other events: 0 other events
Deaths: 24 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Professor Mark Wilcox

University of Leeds

Phone: +441133926818

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place