Safety and Efficacy Study of Contezolid Acefosamil and Contezolid Compared to Linezolid Administered Intravenously and Orally to Adults With Moderate or Severe Diabetic Foot Infections (DFI)

NCT ID: NCT05369052

Last Updated: 2025-09-10

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

865 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-05-03

Study Completion Date

2026-06-30

Brief Summary

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This is a Phase 3, multicenter, randomized, double-blind, safety and efficacy study of contezolid acefosamil (IV)/contezolid (PO) compared with linezolid (IV and PO) administered for a total of 14 to 28 days in adult subjects with moderate or severe DFI.

Detailed Description

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Approximately 865 subjects (519 contezolid acefosamil/contezolid: 346 linezolid) will be enrolled with moderate or severe DFI that are confirmed or suspected to be due to a Gram-positive bacterial pathogen (MITT analysis set).

Conditions

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Diabetic Foot Infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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contezolid acefosamil/contezolid

Group Type EXPERIMENTAL

contezolid acefosamil (IV)/contezolid (PO)

Intervention Type DRUG

Contezolid acefosamil (IV)/contezolid (PO) administered for a total of 14 to 28 days (28 to 56 doses)

linezolid

Group Type ACTIVE_COMPARATOR

Linezolid (IV and PO)

Intervention Type DRUG

Linezolid (IV and PO) administered for a total of 14 to 28 days (28 to 56 doses)

Interventions

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contezolid acefosamil (IV)/contezolid (PO)

Contezolid acefosamil (IV)/contezolid (PO) administered for a total of 14 to 28 days (28 to 56 doses)

Intervention Type DRUG

Linezolid (IV and PO)

Linezolid (IV and PO) administered for a total of 14 to 28 days (28 to 56 doses)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Have diabetes mellitus (type 1 or 2) per the American Diabetes Association criteria
* Have a foot infection that started at or below the malleolus and does not extend above the knee
* Foot infection that meets the IWGDF DFI criteria for classification 3 (moderate infection) or 4 (severe infection)
* Foot infection had acute onset or worsening of signs and symptoms within the past 14 days

Exclusion Criteria

* Previous DFI known or suspected to be caused by Gram-positive pathogens that are resistant to oxazolidinone antibiotics
* DFI with presumptive evidence or suspicion of osteomyelitis
* Necrotizing fasciitis, crepitant cellulitis, wet gangrene, gas gangrene, ecthyma gangrenosum, septic arthritis, or severely impaired arterial supply to any portion of the affected foot which may need revascularization before the end of the study
* Evidence of significant hepatic, renal, hematologic, or immunologic disease
* Females who are pregnant or breastfeeding
* Prior receipt of any formulation of contezolid acefosamil or contezolid
* Inability to cooperate fully with the requirements of the study protocol, including the schedule of events, or likely to be noncompliant with any study requirements, or the Investigator determines that the subject should not participate in the study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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MicuRx

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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New Hope Research Development

Corona, California, United States

Site Status RECRUITING

ILD Research Center

Vista, California, United States

Site Status RECRUITING

MHAT Sveti Nikolay Chudotvorets EOOD

Lom, , Bulgaria

Site Status RECRUITING

Multiprofile Hospital for Active Treatment - KANEV

Rousse, , Bulgaria

Site Status RECRUITING

Medical Institute Ministry of Interior Central Clinical Base

Sofia, , Bulgaria

Site Status RECRUITING

University Multidisciplinary Hospital for Active Treatment and Emergency Medicine 'N. I. Priogov´

Sofia, , Bulgaria

Site Status RECRUITING

South-Estonian Hospital Ltd.

Võru, , Estonia

Site Status RECRUITING

LTD High Technology Hospital Med Center

Batumi, , Georgia

Site Status RECRUITING

JSC Vian - West Georgia Medical Center

Kutaisi, , Georgia

Site Status RECRUITING

GMV Care& Research - Maria Cecilia Hospital

Cotignola, , Italy

Site Status RECRUITING

Daugavpils Regional Hospital

Daugavpils, , Latvia

Site Status RECRUITING

Instytut Medycyny Wsi im. W. Chodzki

Lublin, , Poland

Site Status RECRUITING

PODEMA Sp. z o.o.

Warsaw, , Poland

Site Status RECRUITING

University Clinical Center Kragujevac

Kragujevac, , Serbia

Site Status RECRUITING

Countries

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United States Bulgaria Estonia Georgia Italy Latvia Poland Serbia

Central Contacts

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Clinical coordinator

Role: CONTACT

510-782-2022

Other Identifiers

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MRXC-302

Identifier Type: -

Identifier Source: org_study_id

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