Efficacy of Oral vs IV Antibiotics in the Treatment of Orofacial Osteomyelitis
Oral Versus Intravenous Antibiotics for the Management of the Osteomyelitis of the Jaws: An Open-Label Non-Inferiority Single-Arm Clinical Trial
Sponsor study identifier
interventional
100
1 country
1
Study Start
July 31, 2024
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Primary Completion
November 2025
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Study Completion
December 2025
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The goal of this clinical trial is compare the efficacy of oral and IV antibiotics in the treatment of orofacial osteomyelitis. The main question it aims to answer is: Are oral antibiotics as effective as IV antibiotics in the treatment of orofacial osteomyelitis. Participants, once diagnosed with osteomyelitis, will be started on oral antibiotics for their treatment. Participants will follow up with oral and maxillofacial surgery clinic accordingly and their progression and compliance will be monitored.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
December 2025
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Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
January 20, 2023
Actual (reported)May 22, 2023
Actual (reported)July 31, 2024
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November 2025
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December 2025
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Definite failure of antibiotic therapy in the treatment of orofacial osteomyelitis
The primary outcome will be a definite failure of antibiotic therapy indicated by one or more of the following (only resolution or failure will be recorded as the outcome): 1. formation of a draining sinus tract arising from bone 2. superficial spreading erythema, treated as cellulitis 3. recurrence of frank pus 4. no resolution of clinical signs and symptoms 5. development of sepsis 6. need for second surgery within 3 months (and if the first surgery is deemed adequate) 7. recurrence of infection within 6 months
6-8 weeks
Percentages of patients unable to complete treatment
3-6 months
Patient Quality of life during therapy
3-6 months
Treatment cost
3-6 months
Incidence of Clostridium difficile associated diarrhea
3-6 months
Adherence
3-6 months
Patients that are receiving oral antibiotics for the treatment of their osteomyelitis. Based on the indication, patients will receive one the following medications orally for 6-8weeks: Amoxicillin-clavulanate 875mg/125mg q12hrs, clindamycin 300mg q6hrs, Levofloxacin 750mg QID, Penicillin 500mg q6hrs
Oral antibiotic used based on indication
Oral antibiotic used based on indication
University of Louisville Oral and Maxillofacial Surgery Clinic
Louisville, Kentucky, 40202, United States
First Submitted
January 20, 2023
First Posted
May 22, 2023
Study Start
July 31, 2024
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Primary Completion
November 2025
Pharmacodynamic of Ceftaroline and Levofloxacin Against Pathogens Associated With Community Acquired Bacterial Pneumonia
Oral antibiotic used based on indication
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Study Completion
December 2025
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Last Updated
July 17, 2024
Record last verified: 2024-07
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Source: ClinicalTrials.gov.
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