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NCT03503474: COMBACTE-CDI

COMBACTE-CDI Understanding the Burden of C. Difficile Infection

Completed Results posted Last updated 9 February 2022
What this trial tests

trial testing No intervention in Clostridium Difficile Infection in 3,240 participants. Completed in 30 September 2019.

Timeline
11 June 2018
Primary endpoint
31 December 2018
30 September 2019

Quick facts

Lead sponsorUniversity of Leeds
StatusCompleted
Study typeOBSERVATIONAL
Enrollment3,240
Start date11 June 2018
Primary completion31 December 2018
Estimated completion30 September 2019
Sites1 location across United Kingdom

Drugs / interventions tested

Conditions studied

Sponsor

University of Leeds

Who can join

Eligibility, any sex, with Clostridium Difficile Infection. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

The Number of Cases of CDI Primary · 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).

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 divid

GroupValue95% CI
CDI Cases103
CDI Negative Controls0

Sponsor's own description

Clostridium difficile infection (CDI) is the most common cause of antibiotic associated diarrhoea in the western world. The infection causes significant diarrhoea, which in some cases can be serious and lead to secondary complications and even death. The infection is particularly an issue in elderly, frail patient, who are often already burdened with several other medical issues. Recent work has demonstrated that numerous cases are missed, either due to inadequate diagnostic tests or lack of clinical suspicion. The public-private partnership in COMBACTE-CDI will quantify the burden of CDI via a large, complex, multi-centre, multi-country study, and describe current management practices. An increased understanding of the CDI burden across Europe and better understanding of transmission of the organism will provide a basis for the further development of public health interventions and practices. Based on a previous successful study model (EUCLID), hospitals/laboratories of interest which carry out diagnostic testing of samples from both in-patients and community patients (including Long-Term Care Facilities patients) will be approached for inclusion in the study. Samples sent to the sites on the selected study date (regardless of test requested) will be tested at a central laboratory for CDI to look for missed cases of CDI. A follow up case/control study will collect data on outcomes and risk factors. Data will be used to construct transmission models and cost effective-ness models. Ultimately, a best practice model for CDI management will be developed.

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

  1. A point-prevalence study on community and inpatient <i>Clostridioides difficile</i> infections (CDI): results from Combatting Bacterial Resistance in Europe CDI (COMBACTE-CDI), July to November 2018.
    Viprey VF, Davis GL, Benson AD, Ewin D, et al · · 2022 · cited 36× · PMID 35775426 · DOI 10.2807/1560-7917.es.2022.27.26.2100704
  2. Distribution of <i>Clostridioides difficile</i> ribotypes and sequence types across humans, animals and food in 13 European countries.
    Rupnik M, Viprey V, Janezic S, Tkalec V, et al · · 2024 · cited 14× · PMID 39535868 · DOI 10.1080/22221751.2024.2427804
  3. Antimicrobial susceptibility in <i>Clostridioides difficile</i> varies according to European region and isolate source.
    Freeman J, Viprey V, Ewin D, Spittal W, et al · · 2024 · cited 4× · PMID 39045220 · DOI 10.1093/jacamr/dlae112

Verify or expand the search:

Other trials of No intervention

Trials testing the same drug.

Other recruiting trials for Clostridium Difficile Infection

Currently open trials in the same condition.

Other University of Leeds trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03503474.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing