[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"erysipelas\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:erysipelas":27},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,45],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":28,"overallStatus":33,"whyStopped":4,"lastUpdateSubmitDate":34,"lastUpdatePostDateStruct":35,"startDateStruct":38,"completionDateStruct":40,"leadSponsor":42,"locationsCount":4},"100600981","phase-4-comparing-short-to-standard-amoxicillin-course-for-erysipelas-100600981",false,"NCT07104552","Comparing Short to Standard Amoxicillin Course for Erysipelas","Comparing Short to Standard Amoxicillin Course for Erysipelas: a Non-inferiority Randomized Controlled Trial","SHAREII","Inclusion Criteria:\n\n* Patients ≥ 18 years\n* Affiliated to a social security scheme\n* Who have given written consent according to local regulatory requirements after the nature of the study has been explained to them, and prior to any protocol specific procedures being performed,\n* Clinical signs of lower limbs erysipelas ≤ 5 days defined as:\n\n  o Warmth, erythema, edema (induration of the skin and\u002For subcutaneous tissue) and\u002For pain (NRS≤8)\n* Shiver, feverish sensation or fever experienced by the patient ≤ 5 days or fever measured by the physician ≥ 38°C\n* Severity score ≥ 3 scored on three criteria: edema, erythema, pain with the following scales (0= none, 1=moderate, 2=severe)\n* Absence of erysipela ≤ 12 months\n* Absence of blisters\n* Absence of solid purpura (purple tablecloth not erasing at vitro-pressure)\n* Absence of cutaneous necrosis\n* Absence of crepitation (crepitation = perception identical to that of cutaneous emphysema\n\nExclusion Criteria:\n\n* Allergy to ß lactam, fructose intolerance\n* Weight \\\u003C 40 kg or \\> 105 kg\n* Use of oral antibiotic within 5 days (excluding one or two antibiotic intake ≤ 24 hours)\n* Erysipela\u002FCellulitis requiring hospitalization\n* Bilateral erysipela\n* Abscess\n* Lymphedema requiring permanent contention\n* Animal bite ≤ 7 days\n* HIV positive\n* Patient with comorbidity: known active hepatitis, chronic kidney failure or hepatocellular insufficiency\n* Patient unable to temporarily stop a long-term treatment as antibiotics or corticosteroids, or NSAIDs\n* Patient under immunosuppressive or oncologic treatments ≤ 6 months\n* Pregnant women or breastfeeding\n* Patient under guardianship or curatorship, legal protection or protection of justice\n* Participation in other Clinical Trial, interventional study, investigational study or performance study Any medical, mental, psychological or psychiatric condition considered by the investigator as compromising patient completion or understanding of the study","ALL","18 Years",{"count":20,"type":21},656,"ESTIMATED","INTERVENTIONAL",[24],"PHASE4","Erysipelas is an acute streptococcal skin infection, primarily affecting the lower limbs and easily diagnosed. In 2000, the French expert consensus conference validated oral amoxicillin at 3 to 4.5 gr per day for 10 to 20 days as a standard treatment, despite the lack of full market approval for erysipelas treatment. In practice, general practitioners (GPs) typically prescribe amoxicillin for around 10 days. In 2019, the Haute Autorité de Santé (HAS), one of the national French Health Authorities, recommended a 7-day antibiotic course for erysipelas, while no RCT was available. Reducing the length of antibiotic courses during acute infections is challenging but necessary to lower therapeutic costs, reduce the risk of bacterial resistance, and improve patient adherence to treatment.\n\nThis RCT aims to validate the use of a short course, specifically 5 days, of oral amoxicillin at 50 mg\u002Fkg to treat erysipelas, demonstrating its non-inferiority compared to the standard course. The primary objective is to show that a short course (5 days) of amoxicillin at 50 mg\u002Fkg is non-inferior to the usual course (10 days) in achieving complete erysipelas remission by day 12 ± 2. The primary end point will be confirmed by a central independent committee, blinded to the intervention received, using photos and clinical data.",[27],"Erysipelas",[29,30,31,32],"dermatology","Erysipela","amoxixillin","general practitioner","NOT_YET_RECRUITING","2025-08-07",{"date":36,"type":37},"2025-08-12","ACTUAL",{"date":39,"type":21},"2026-01-01",{"date":41,"type":21},"2029-02-01",{"name":43,"class":44},"Assistance Publique - Hôpitaux de Paris","OTHER",{"id":46,"slug":47,"hasResults":11,"nctId":48,"briefTitle":49,"officialTitle":50,"acronym":4,"eligibilityCriteria":51,"healthyVolunteers":11,"sex":17,"minAge":52,"maxAge":4,"enrollmentInfo":53,"targetDuration":4,"studyType":22,"phases":55,"briefSummary":57,"conditions":58,"keywords":4,"overallStatus":61,"whyStopped":4,"lastUpdateSubmitDate":62,"lastUpdatePostDateStruct":63,"startDateStruct":65,"completionDateStruct":67,"leadSponsor":69,"locationsCount":72},"100466989","hospital-at-home-for-elderly-acute-ill-patients-100466989","NCT05360914","Hospital at Home for Elderly Acute Ill Patients","Improving and Evaluation of a New Cross-sectoral Hospital at Home Model for Elderly Acute Ill Patients","Inclusion Criteria:\n\n* The patient should be aged 65 and over\n* Diagnosed with a stable acute medical conditions e.g. cystitis, erysipelas, pneumonia\n* The patient should be living in their own home or a nursing home before entering the study\n* The patient should be residing in one of the three municipalities (Viborg, Skive and Silkeborg)\n* The patient must have been seen by the GP or the pre-hospital service in the case of disease in question\n* The patient should speak and understand Danish.\n* The patient should give informed consent to participate in the study.\n\nExclusion Criteria:\n\n* The patient is unable to give written consent\n* The capacity of the municipal acut team care was fully utilised.","65 Years",{"count":54,"type":21},849,[56],"NA","Many elderly patients with uncomplicated treatment courses are admitted unnecessarily, which is a burden for the patient and society. Studies show that Hospital at Home (HaH) treatment is an alternative to hospitalization. The patient's risk of delirium, infection and loss of function is reduced when the patient avoids the hospital stay. HaH treatment is expected to be more cost-effective, improve patients' functional abilities and patients' satisfaction.\n\nThree municipalities, general practitioners, pre-hospital service and an emergency department (ED) in Central Denmark Region have organized the first HaH treatment model across disciplines and sectors. Specialists in the ED and the municipal acute teams provide HaH treatment for elderly acute ill patients. However, the model has not yet been evaluated.\n\nThe aim of this study is to optimize the HaH treatment model for elderly acute ill patients. The objective is to increase patient satisfaction and optimize the use of resources in healthcare by avoiding unnecessary hospitalizations that impair and prolong treatment.\n\nThis study is an open label randomized controlled trial (RCT) with a 1:2 allocation ratio of acute hospital admission versus HaH. During a pilot period, we tested and adapted the patient pathway of HaH to the practical reality, before we start the randomization for the RCT study. We will investigate the clinical effects and health economic consequences of HaH treatment compared with standard hospital treatment.",[59,27,60],"Cystitis","Pneumonia","RECRUITING","2024-08-06",{"date":64,"type":37},"2024-08-09",{"date":66,"type":37},"2022-06-01",{"date":68,"type":21},"2027-08",{"name":70,"class":71},"Defactum, Central Denmark Region","OTHER_GOV",3]