Preventing Infection in Open Tibia Fractures

This study is looking for the best way to prevent infections after severe open lower leg (tibia) fractures. Researchers are comparing a standard treatment to a new approach using an antibiotic depot. This depot is a mixture of calcium sulfate powder with vancomycin hydrochloride and tobramycin powder, placed inside the bone during surgery. The study aims to see if this antibiotic depot is better at preventing deep surgical site infections compared to the standard treatment. You might be able to join if you are 18 or older with a specific type of open tibia fracture requiring surgery, and you don't have allergies to the study medications or certain other health conditions. The study plans to enroll 497 participants.

Study design
This is a randomized clinical trial comparing two groups of participants, with a planned enrollment of 497 people.
What's involved
You would be followed for 12 months, with data collected at baseline, 6 weeks, 3 months, 6 months, and 12 months through interviews and medical records.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed for 12 months after treatment.

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NCT05766670

Intramedullary Calcium Sulfate Antibiotic Depot

Recruiting
PHASE3Ages 18+Interventional
Wake Forest University Health Sciences
~497 participants
Updated 2026-07-07 on ClinicalTrials.gov
What's tested:Vancomycin HydrochlorideGentamicinStandard Intramedullary Nail

At a glance

Recruiting sites
9 of 10 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Number of participants who develop deep surgical site infection (SSI)
Measured over Month 12
Open tíbia Fracture
Osteomyelitis Tibia
Tibial Fractures
10 sites across 8 states
North Carolina3
California1
Georgia1
Kentucky1
Louisiana1
Pennsylvania1
Tennessee1
Virginia1
  • Rachel B Seymour, PhD · PRINCIPAL_INVESTIGATOR · Wake Forest University Health Sciences
  • Jessica Rivera, MD · PRINCIPAL_INVESTIGATOR · Louisiana State University Health Science Center

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Eligibility criteria

Inclusion

Patients 18 years and older
Type II or III open tibia fracture requiring definitive fixation with intramedullary nail

Exclusion

Less than 18 years of age
Allergy to vancomycin or tobramycin
Hypercalcemia
Unable to speak English or Spanish
No email, phone, or other point of contact
Pregnant and lactating women
Prisoner
  • Number of participants who develop deep surgical site infection (SSI)Month 12

    Number of participants in each group who develop surgical site infection (SSI) as defined by the criteria establish by the Centers for Disease Control and Prevention (CDC). The CDC criteria define deep as occurring within 30 or 90 days after the procedure. However, we will continue to follow patients for 12 months and document any infections and other complications during this period.