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NCT06814899: FOSFOREAL LIFE

Use of Fosfomycin in the Treatment of Bacterial Infections

Recruiting now Last updated 7 February 2025
What this trial tests

trial testing Fosfomycin in Analyze the Medical Records of Patients Admitted At ASST Lecco from 01/04/2020 to 31/12/2023 Treated with Fosfomycin IV in 300 participants. Currently enrolling.

Timeline
1 April 2020
Primary endpoint
31 December 2024
31 January 2025

Quick facts

Lead sponsorAzienda Ospedaliera di Lecco
StatusRecruiting now
Study typeOBSERVATIONAL
Enrollment300
Start date1 April 2020
Primary completion31 December 2024
Estimated completion31 January 2025
Sites1 location across Italy

Drugs / interventions tested

Conditions studied

Sponsor

Azienda Ospedaliera di Lecco — full company profile →

Who can join

18 and older, any sex, with Analyze the Medical Records of Patients Admitted At ASST Lecco from 01/04/2020 to 31/12/2023 Treated with Fosfomycin IV. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Fosfomycin is an antibiotic discovered since 1969. Disodium fosfomycin, for intravenous use (C3H5Na2O4P) is a bactericidal antibiotic, available in Italy since 2019 (AIFA approval). It works by blocking the enzyme UDP-N-acetylglucosamine enolpyruvil transferase, inhibiting the synthesis of peptidoglycan. It binds poorly to plasma proteins and is distributed very well in various tissues such as: eyes, bones, skin and subcutaneous tissue, muscles, lungs, prostate, bile and inflamed meninges. It also has a strong anti-biofilm activity. Fosfomycin is active against Gram-positive bacteria (staphylococci, streptococci, enterococci, including MRSA and VRE) and Gram-negative bacteria (Enterobacterales, Haemophilus influenzae, Proteus mirabilis, Pseudomonas aeruginosa, including MDR strains) and against difficult-to-treat bacteria such as Serratia marcescens, Stenotrophomonas maltophilia, Bacteroides spp and intracellular bacteria such as Chlamydia and Mycoplasma. It has no activity against Acinetobacter spp, Peptococcus spp. and Peptostreptococcus spp, Burkholderia cepacia, and Mycobacterium tuberculosis. IV fosfomycin is approved for the treatment of osteomyelitis, complicated urinary tract infections, pneumonia including hospital-acquired and ventilator-associated pneumonia, complicated skin and soft tissue infections, bacterial meningitis, and complicated bacteremia. In this retrospective study, the investigators want to analyze the medical records of all patients admitted to the ASST of Lecco from 01/04/2020 to 31/12/2023 treated with fosfomycin IV in order to evaluate different clinical outcomes given the recent introduction at ASST Lecco

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Intravenous Fosfomycin for Gram-Negative and Gram-Positive Bacterial Infections: A Systematic Review of the Clinical Evidence.
    Falagas ME, Kontogiannis DS, Romanos LT, Ragias D, et al · · 2025 · PMID 41463696 · DOI 10.3390/antibiotics14121193

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Other trials of Fosfomycin

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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/NCT06814899.

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