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Study identifier: NCT05699174 Synced from ClinicalTrials.gov · July 28, 2026
● Recruiting

PO vs IV Antibiotics for the Treatment of Infected Nonunion of Fractures After Fixation

Condition: Infections · Infected Wound · Nonunion of Fracture  ·  Sponsor: Major Extremity Trauma Research Consortium

PhasePhase 3
Planned participants250
Who can joinAll sexes, 18 Years to no upper limit
Healthy volunteersNo

About this study

This is a Phase III clinical randomized control trial to investigate differences between patient with an infected nonunion treated by PO vs. IV antibiotics. The study population will be 250 patients, 18 years or older, being treated for infected nonunion after internal fixation of a fracture with a segmental defect less than one centimeter. Patients will be randomly assigned to either the treatment (group 1) PO antibiotics for 6 weeks or the control group (group 2) IV antibiotics for 6 weeks. The primary hypothesis is that the effectiveness of oral antibiotic therapy is equivalent to traditional intravenous antibiotic therapy for the treatment of infected nonunion after fracture internal fixation, when such therapy is combined with appropriate surgical management. Clinical effectiveness will be measured as the primary outcome as the number of secondary re-admissions related to injury and secondary outcomes of treatment failure (re-infection, nonunion, antibiotic complications) within the first one year of follow-up, as defined by specified criteria and determined by a blinded data assessment panel. In addition, treatment compliance, the cost of treatment, the number of surgeries required, the type and incidence of complications, and the duration of hospitalization will be measured.

This description comes directly from the study's public registry record.

Talk to the study team

William Obremskey, MD  ·  615-260-2054  ·  william.obremskey@vumc.org

Karen Trochez  ·  karen.m.trochez@vumc.org

Always discuss trial participation with your own doctor first.

Locations (13)

Indiana UniversityIndianapolis, Indiana, United StatesRecruiting
University of Maryland , MD Department of OrthopaedicsBaltimore, Maryland, United StatesRecruiting
Sinai Hospital BaltimoreBaltimore, Maryland, United StatesNot Yet Recruiting
Hennepin HealthMinneapolis, Minnesota, United StatesRecruiting
Jamaica Hospital Medical CenterQueens, New York, United StatesNot Yet Recruiting
Atrium Health, Carolinas Medical CenterCharlotte, North Carolina, United StatesNot Yet Recruiting
Wake Forest University Baptist Medical CenterWinston-Salem, North Carolina, United StatesRecruiting
University of Okalahoma College of MedicineOklahoma City, Oklahoma, United StatesNot Yet Recruiting
Penn State University M.S. Hershey Medical CenterHershey, Pennsylvania, United StatesRecruiting
Vanderbilt Medical CenterNashville, Tennessee, United StatesRecruiting
University of Texas Health Science Center at HoustonHouston, Texas, United StatesNot Yet Recruiting
University of Washington Harborview Medical CenterSeattle, Washington, United StatesRecruiting

+ 1 more locations — full list on the registry record.

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Source record: clinicaltrials.gov/study/NCT05699174