Shorter antibiotic course after heart surgery for IV drug users shows promise
NCT ID NCT05156437
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at whether people who had heart surgery for endocarditis (a serious heart infection) related to IV drug use could safely switch from IV antibiotics to oral pills after just two weeks. The goal was to see if this shorter hospital stay was safe and effective. The study was stopped early after enrolling only 5 participants, so no firm conclusions can be drawn.
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
-
Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
-
5 people
The number who actually took part.
- Started
-
Mar 2022
- Finished
-
Oct 2024
- Lead sponsor
-
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
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
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: * The age of the patient is ≥ 18. * The patient has undergone an urgent or emergent primary cardiac valvar operation as treatment for IVDA endocarditis, with blood cultures positive for Streptococcus, Enterococcus faecalis, Staphylococcus aureus, or coagulase-negative Staphylococci * The patient has received 2 weeks of postoperative inpatient IV antibiotic therapy with negative blood cultures and no residual active infection by imaging (i.e. computerized axial tomography, echocardiography) * The patient has the capacity to participate in a compliance tracking tool for medication administration (e.g. a centrally managed core site mobile Medisafe compliance https://www.medisafe.com/) as confirmed by both a physician and a care management team member Exclusion Criteria: * Inability to give informed consent * Residual infection requiring IV antibiotic therapy * Any persistent secondary noncardiac infection (e.g. infections of solid organs or joints) * Known poor compliance or deemed incapable to comply with the compliance tracking tool * Reduced absorption or inability to receive oral treatment due to a gastrointestinal disorder * Any infection involving a more virulent organisms, such as fungal infections or infections with Serratia or HACEK infections (Haemophilus, Aggregatibacter, Cardiobacterium, Eikenella, Kingella). * Cancer not otherwise in remission or in need of current or future oncologic therapy * Medically immunocompromised state * Reoperative valvar operation for IVDA endocarditis * History of habitual noncompliance * Pregnancy * Mental incapacity * Unable to perform local or institutional medical and psychiatric follow up * Unstable home environment * Inadequate access to mobile cell service (geographic/rurality)
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Endocarditis are added.
Genom att skicka in godkänner du våra Användarvillkor
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
-
WVU Heart and Vascular Institute
Morgantown, West Virginia, 26506, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can telemedicine bring IV antibiotics home?
- Can a tailored antibiotic regimen shorten endocarditis treatment without risk?
- Heart infection registry aims to unlock better treatments
- New scan may spot hidden heart infections
- New Blood-Clot monitor could cut transfusions in heart surgery
- New study aims to uncover the changing face of heart infections