Could a stronger antibiotic dose keep cellulitis patients out of hospital?
NCT ID NCT05852262
First seen Jun 27, 2026 · Last updated Aug 04, 2026 · Updated 2 times
Summary
This study tests whether a higher dose of the oral antibiotic cephalexin can better treat cellulitis, a common skin infection, in adults visiting the emergency room. About 446 participants will receive either a high or standard dose to see if it reduces the need for changing antibiotics or hospitalization. The goal is to improve treatment success and lower healthcare costs.
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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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454 people
The number who actually took part.
- Started
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Aug 2023
- Finished
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Apr 2026
- 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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Accepted
You do not need to have the condition being studied to take part.
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: Adults (age ≥18 years) diagnosed with non-purulent cellulitis and determined by the treating emergency physician to be eligible for outpatient oral antibiotics. Exclusion Criteria: 1. Age \<18 years; 2. Patient already taking oral antibiotics; 3. Treating physician decides IV antibiotics are required; 4. Abscess requiring an incision and drainage procedure; 5. Known prior skin or soft tissue infection secondary to methicillin-resistant Staphylococcus aureus (MRSA); 6. Cellulitis secondary to a human or animal bite wound; 7. Penetrating wound or water exposure resulting in cellulitis; 8. Surgical site infection; 9. Patient found at a follow up visit to have an alternative, non-infectious etiology (e.g., deep vein thrombosis); 10. bilateral symptoms (e.g., both legs involved); 11. Malignancy and currently being treated with chemotherapy; 12. Solid organ or bone marrow transplant recipient; 13. Renal impairment with an estimated glomerular filtration rate \<30 mL/min documented on the health record at any time within the past three months; 14. Allergy to cephalosporins or history of anaphylaxis to penicillin; 15. Inability to provide informed consent
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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.
Contacts and locations
Locations
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Enfant-Jésus Hospital
Québec, Quebec, Canada
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Health Sciences North
Greater Sudbury, Ontario, P3E 2H2, Canada
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Hôpital du Sacré-Cœur de Montréal
Montreal, Quebec, Canada
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Kingston Health Sciences Centre
Kingston, Ontario, Canada
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London Health Sciences Centre
London, Ontario, Canada
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Queen Elisabeth II Health Sciences Centre
Halifax, Nova Scotia, Canada
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Sinai Health System
Toronto, Ontario, Canada
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South Health Campus
Calgary, Alberta, Canada
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The Ottawa Hospital
Ottawa, Ontario, K1Y 4E9, Canada
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Thunder Bay Health Sciences Centre
Thunder Bay, Ontario, Canada
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Could a common painkiller speed up cellulitis recovery?
- Could a simple pill replace daily IV drips for skin infections?
- Stop the pills when symptoms vanish? landmark trial for Kids' infections
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