Compression stockings may let patients skip Long-Term antibiotics for recurring skin infections
NCT ID NCT07549594
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests whether wearing compression stockings alone can prevent repeat episodes of erysipelas (a bacterial skin infection) as well as the usual approach of antibiotics plus stockings. About 200 adults who have had at least two infections in the same leg will be randomly assigned to one year of either compression therapy alone or compression plus daily oral penicillin. If compression alone works, it could spare patients from long-term antibiotic use and its side effects.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Phenoxymethylpenicillin (oral penicillin) and compression stockings
- What this could lead to
- If compression alone works as well as antibiotics plus compression, patients could avoid long-term antibiotics and their side effects.
- What could go wrong
- This is a Phase 4 trial with 200 participants, so results may not apply to everyone. Compression alone might not prevent infections as effectively as the combination.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 200 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Apr 2026
An estimate. Start dates often move.
- Expected to finish
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Apr 2030
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Male or female * ≥ 18 years of age * At least 2 episodes of recurrent erysipelas at the same leg within the previous 52 weeks, and no more than five episodes of erysipelas in the same areas of the lower limbs during the year before randomization * The last recurrent erysipelas have to be diagnosed within the previous 3 months * BMI \< 40 kg/m2 (no morbid obesity) * Able to apply the compression alone or with a helper (e.g., nurse, household member) * Affiliated with a social security regimen * Able to consent and written informed consent obtained from the participant * Able to understand the aims of the study and to comply with the requirements of the study * Able to participate and be followed up during the study period Exclusion Criteria: * Any causes of immunosuppression: known HIV+ infection, organ transplantation, bonemarrow transplantation, immunosuppressive regimens for any disease, malignancy or lymphoproliferative disorder * Receiving antibiotic treatment for erysipelas * Received antibiotic prophylaxis for recurrent erysipelas in the year before randomization \_ Received short- or long-term antibiotic therapy for a condition other than erysipelas * Already wore effective compression therapy (worn at least 5 days a week) in the 3 months before randomization * Contraindication to compression therapy (ie heart failure, arterial occlusive disease,including obliterative peripheral arterial disease with a systolic pressure index \< 0.6, advanced diabetic microangiopathy for compression \> 30 mmHg, phlegmasia cerulea dolens, and septic thrombosis) * History of known hypersensitivity to beta-lactamines or contraindications to Phenoxymethylpenicillin (Oracilline) or to any of the other components of the medicine as per its SmPC * Contraindications to the emollient cream in accordance with its SmPC * Diabetic foot and fractures * Woman of childbearing potential not using a highly effective method of contraception\*, or having a desire to conceive, during the whole trial duration. A β-HCG test will be performed in all woman of childbearing potential * Persons covered by articles L1121-5 to L1121-8 of the Code de Santé Publique (corresponding to all protected persons: pregnant women, parturients, nursing mothers, persons deprived of their liberty by judicial or administrative decision, minors, and persons subject to a legal protection measure: guardianship or trusteeship). * Participation in another interventional research with an investigational drug or medical device. * Mental state rendering the person giving consent incapable of understanding the trial; * Patient being the investigator, or any member of the team or relative of the investigator directly involved in the trial, including assistant doctors, pharmacists, nurses, trial coordinator.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
25 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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AMIENS
Amiens, France
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Bordeaux-D
Bordeaux, France
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Bordeaux-I
Bordeaux, France
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CRETEIL
Créteil, France
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DIJON
Dijon, France
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GRENOBLE
La Tronche, France
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LE MANS
Le Mans, France
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LYON
Lyon, France
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La Reunion
Saint-Pierre, France
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Lille Ghicl
Lille, France
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NANTES-D
Nantes, France
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NANTES-I
Nantes, France
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ORLEANS
Orléans, France
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POITIERS
Poitiers, France
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Paris Cognacq-Jay
Paris, France
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Paris La Pitie
Paris, France
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Paris St Louis-I
Paris, France
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Paris St-Antoine-I
Paris, France
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REIMS
Reims, France
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RENNES-D
Rennes, France
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ROUEN
Rouen, France
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St-Etienne
Saint-Etienne, France
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Strasbourg
Strasbourg, France
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TOURS-D
Chambray-lès-Tours, France
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TOURS-I
Tours, France