Could steroids save your joints after a severe infection?
NCT ID NCT07440238
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether adding a steroid (prednisone) to standard antibiotics can improve joint function in adults with septic arthritis, a serious joint infection. Two hundred participants will receive either prednisone or a placebo for 7 days. The main goal is to see if steroids reduce long-term joint damage and disability at 24 weeks.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- prednisone (a corticosteroid)
- What this could lead to
- If it works, this could mean fewer long-term joint problems after a serious joint infection.
- What could go wrong
- This is a small, early-phase trial. Corticosteroids may not improve outcomes and could increase infection risk.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- 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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Mar 2026
An estimate. Start dates often move.
- Expected to finish
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Sep 2026
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: * Age ≥ 18 years * Documented septic arthritis (microorganism identified intra-articularly by culture or PCR, or by turbid synovial fluid with positive Gram stain, or positive blood cultures) * Effective antibiotic therapy initiated within ≤ 3 days * Effective contraception for women of childbearing age during treatment period * Signed informed consent * Affiliation to the French national health insurance system * Ability to read, write, and understand French Exclusion Criteria: * Polyarticular septic arthritis (≥ 2 joints) * Septic arthritis of small joints (e.g., fingers: proximal interphalangeal joint (PIP), distal interphalangeal joints (DIP), MetaCarpoPhalangeal (MCP); toes: MTP) * Systemic sclerosis * Pyomyositis * Diabetic foot infection * Current corticosteroid therapy for another indication * Inability to take oral medication * Contraindication to corticosteroids * Associated endocarditis * Presence of prosthetic joint or osteosynthesis material in the affected joint * Septic shock * Severe soft tissue wound overlying the joint * Aplastic chemotherapy * Neutropenia (defined as neutrophils \< 500/mm³) * Mycobacterial infection * Fungal infection * Sickle cell disease * Current pregnancy * Breastfeeding women * Patients under legal protection (e.g., guardianship) * Participation in another interventional clinical trial * Uncontrolled diabetes * Unstable psychiatric disorders * Adults unable to provide informed consent * Contraindication to corticosteroid therapy
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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
1 site. 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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Hopital Robert Ballanger
Aulnay-sous-Bois, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- A quick test for septic arthritis in kids — could it save joints?
- Can a common antibiotic beat MRSA in kids? a trial puts TMP-SMX to the test
- Can a once-weekly antibiotic help people with opioid use disorder beat serious infections at home?
- Emergency room study aims to improve diagnosis of septic arthritis
- Scientists probe acid 'Pain Channels' in arthritic joints