Trial Outcomes & Findings for Vancomycin for C Difficile NAAT+/EIA- Hematology Oncology Patients (NCT NCT03030248)

NCT ID: NCT03030248

Last Updated: 2026-04-15

Results Overview

Changes in Clostridium difficile bacterial counts from stool as determined by quantitative polymerase chain reaction (PCR). Values obtained from initial sample (pre-treatment) were compared with values from the last sample obtained for each patient.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

9 participants

Primary outcome timeframe

First sample versus last stool sample collected, up to 90 days

Results posted on

2026-04-15

Participant Flow

Participant milestones

Participant milestones
Measure
Vancomycin Treated Group
This group will be given vancomycin oral capsules, 125 mg, every 6 hours, for 14 days. Vancomycin Oral Capsule: We have chosen oral vancomycin capsules as it is currently a standard of care for Clostridium difficile infections, is poorly absorbed by the intestines, and is easier to blind compared to oral vancomycin solution.
Placebo Group
This group will be given placebo oral capsules every 6 hours for 14 days. Placebo Oral Capsule: A capsule containing gelatin, polyethylene glycol, titanium dioxide, iron oxide, and FD\&C blue No. 2. Contains the inactive ingredients of the vancomycin oral capsule, as mixed by the Froedtert Health Research Pharmacy.
Overall Study
STARTED
5
4
Overall Study
COMPLETED
4
4
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Vancomycin for C Difficile NAAT+/EIA- Hematology Oncology Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Vancomycin Treated Group
n=5 Participants
This group will be given vancomycin oral capsules, 125 mg, every 6 hours, for 14 days. Vancomycin Oral Capsule: We have chosen oral vancomycin capsules as it is currently a standard of care for Clostridium difficile infections, is poorly absorbed by the intestines, and is easier to blind compared to oral vancomycin solution.
Placebo Group
n=4 Participants
This group will be given placebo oral capsules every 6 hours for 14 days. Placebo Oral Capsule: A capsule containing gelatin, polyethylene glycol, titanium dioxide, iron oxide, and FD\&C blue No. 2. Contains the inactive ingredients of the vancomycin oral capsule, as mixed by the Froedtert Health Research Pharmacy.
Total
n=9 Participants
Total of all reporting groups
Age, Categorical
Between 18 and 65 years
3 Participants
n=193 Participants
1 Participants
n=193 Participants
4 Participants
n=386 Participants
Age, Categorical
>=65 years
2 Participants
n=193 Participants
3 Participants
n=193 Participants
5 Participants
n=386 Participants
Sex: Female, Male
Female
1 Participants
n=193 Participants
2 Participants
n=193 Participants
3 Participants
n=386 Participants
Sex: Female, Male
Male
4 Participants
n=193 Participants
2 Participants
n=193 Participants
6 Participants
n=386 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=193 Participants
1 Participants
n=193 Participants
1 Participants
n=386 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
5 Participants
n=193 Participants
3 Participants
n=193 Participants
8 Participants
n=386 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=193 Participants
0 Participants
n=193 Participants
0 Participants
n=386 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=193 Participants
0 Participants
n=193 Participants
0 Participants
n=386 Participants
Race (NIH/OMB)
Asian
0 Participants
n=193 Participants
0 Participants
n=193 Participants
0 Participants
n=386 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=193 Participants
0 Participants
n=193 Participants
0 Participants
n=386 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=193 Participants
0 Participants
n=193 Participants
1 Participants
n=386 Participants
Race (NIH/OMB)
White
4 Participants
n=193 Participants
4 Participants
n=193 Participants
8 Participants
n=386 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=193 Participants
0 Participants
n=193 Participants
0 Participants
n=386 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=193 Participants
0 Participants
n=193 Participants
0 Participants
n=386 Participants
Region of Enrollment
United States
5 participants
n=193 Participants
4 participants
n=193 Participants
9 participants
n=386 Participants
Age, Categorical
<=18 years
0 Participants
n=193 Participants
0 Participants
n=193 Participants
0 Participants
n=386 Participants

PRIMARY outcome

Timeframe: First sample versus last stool sample collected, up to 90 days

Population: Only 4 participants in the vancomycin group were analyzed given that one failed to give stool samples. In the placebo group all first samples were available for all 4 participants; however, only 2 participants provided a follow up sample ("last sample").

Changes in Clostridium difficile bacterial counts from stool as determined by quantitative polymerase chain reaction (PCR). Values obtained from initial sample (pre-treatment) were compared with values from the last sample obtained for each patient.

Outcome measures

Outcome measures
Measure
Vancomycin Treated Group
n=4 Participants
This group will be given vancomycin oral capsules, 125 mg, every 6 hours, for 14 days. Vancomycin Oral Capsule: We have chosen oral vancomycin capsules as it is currently a standard of care for Clostridium difficile infections, is poorly absorbed by the intestines, and is easier to blind compared to oral vancomycin solution.
Placebo Group
n=4 Participants
This group will be given placebo oral capsules every 6 hours for 14 days. Placebo Oral Capsule: A capsule containing gelatin, polyethylene glycol, titanium dioxide, iron oxide, and FD\&C blue No. 2. Contains the inactive ingredients of the vancomycin oral capsule, as mixed by the Froedtert Health Research Pharmacy.
Changes in Clostridium Difficile Bacterial Loads in the Stool
Mean - first sample
62102500.00 CFUs
Standard Deviation 79994345.79
40000000.00 CFUs
Standard Deviation 80000000.00
Changes in Clostridium Difficile Bacterial Loads in the Stool
Mean - last sample
7752750.00 CFUs
Standard Deviation 15498167.53
185000.00 CFUs
Standard Deviation 261629.51

Adverse Events

Vancomycin Treated Group

Serious events: 2 serious events
Other events: 5 other events
Deaths: 0 deaths

Placebo Group

Serious events: 1 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Vancomycin Treated Group
n=5 participants at risk
This group will be given vancomycin oral capsules, 125 mg, every 6 hours, for 14 days. Vancomycin Oral Capsule: We have chosen oral vancomycin capsules as it is currently a standard of care for Clostridium difficile infections, is poorly absorbed by the intestines, and is easier to blind compared to oral vancomycin solution.
Placebo Group
n=4 participants at risk
This group will be given placebo oral capsules every 6 hours for 14 days. Placebo Oral Capsule: A capsule containing gelatin, polyethylene glycol, titanium dioxide, iron oxide, and FD\&C blue No. 2. Contains the inactive ingredients of the vancomycin oral capsule, as mixed by the Froedtert Health Research Pharmacy.
Infections and infestations
sepsis
20.0%
1/5 • Number of events 1 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
0.00%
0/4 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
Blood and lymphatic system disorders
Leukocytosis
20.0%
1/5 • Number of events 1 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
0.00%
0/4 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
Endocrine disorders
Hyperglycemia
0.00%
0/5 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
25.0%
1/4 • Number of events 1 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov

Other adverse events

Other adverse events
Measure
Vancomycin Treated Group
n=5 participants at risk
This group will be given vancomycin oral capsules, 125 mg, every 6 hours, for 14 days. Vancomycin Oral Capsule: We have chosen oral vancomycin capsules as it is currently a standard of care for Clostridium difficile infections, is poorly absorbed by the intestines, and is easier to blind compared to oral vancomycin solution.
Placebo Group
n=4 participants at risk
This group will be given placebo oral capsules every 6 hours for 14 days. Placebo Oral Capsule: A capsule containing gelatin, polyethylene glycol, titanium dioxide, iron oxide, and FD\&C blue No. 2. Contains the inactive ingredients of the vancomycin oral capsule, as mixed by the Froedtert Health Research Pharmacy.
Gastrointestinal disorders
abdominal pain
40.0%
2/5 • Number of events 2 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
50.0%
2/4 • Number of events 2 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
Hepatobiliary disorders
Changes in hepatic function
60.0%
3/5 • Number of events 4 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
50.0%
2/4 • Number of events 3 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
Blood and lymphatic system disorders
Anemia
20.0%
1/5 • Number of events 3 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
50.0%
2/4 • Number of events 5 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
Metabolism and nutrition disorders
Anorexia
40.0%
2/5 • Number of events 2 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
25.0%
1/4 • Number of events 2 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
Musculoskeletal and connective tissue disorders
Arthralgia
20.0%
1/5 • Number of events 1 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
0.00%
0/4 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
Musculoskeletal and connective tissue disorders
Back pain
20.0%
1/5 • Number of events 2 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
0.00%
0/4 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
Renal and urinary disorders
Creatinine increase
20.0%
1/5 • Number of events 2 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
25.0%
1/4 • Number of events 4 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
Gastrointestinal disorders
Diarrhea
0.00%
0/5 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
75.0%
3/4 • Number of events 3 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
Nervous system disorders
Dizziness
40.0%
2/5 • Number of events 2 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
25.0%
1/4 • Number of events 1 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
General disorders
Edema
40.0%
2/5 • Number of events 3 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
50.0%
2/4 • Number of events 3 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
Blood and lymphatic system disorders
Epistaxis
20.0%
1/5 • Number of events 2 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
25.0%
1/4 • Number of events 3 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
Infections and infestations
Fever
40.0%
2/5 • Number of events 2 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
25.0%
1/4 • Number of events 2 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
General disorders
Weakness
40.0%
2/5 • Number of events 3 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
0.00%
0/4 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
General disorders
Headache
20.0%
1/5 • Number of events 1 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
25.0%
1/4 • Number of events 1 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
Endocrine disorders
Hyperglycemia
60.0%
3/5 • Number of events 4 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
25.0%
1/4 • Number of events 2 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
Metabolism and nutrition disorders
Hypernatremia
0.00%
0/5 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
25.0%
1/4 • Number of events 2 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
Metabolism and nutrition disorders
Hyponatremia
60.0%
3/5 • Number of events 5 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
0.00%
0/4 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
Metabolism and nutrition disorders
Hypophosphatemia
60.0%
3/5 • Number of events 6 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
75.0%
3/4 • Number of events 4 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
Skin and subcutaneous tissue disorders
Mucositis
20.0%
1/5 • Number of events 2 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
25.0%
1/4 • Number of events 3 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
Blood and lymphatic system disorders
White count changes
20.0%
1/5 • Number of events 4 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
25.0%
1/4 • Number of events 10 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
Gastrointestinal disorders
Vomiting
20.0%
1/5 • Number of events 1 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
25.0%
1/4 • Number of events 4 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
General disorders
Weight loss
20.0%
1/5 • Number of events 1 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
25.0%
1/4 • Number of events 4 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
Cardiac disorders
Platelet count abnormalities
20.0%
1/5 • Number of events 1 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
50.0%
2/4 • Number of events 8 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
Cardiac disorders
Hypertension
60.0%
3/5 • Number of events 7 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov
0.00%
0/4 • The time frame spanned from enrollment to off treatment (up to 90 days) or withdrawal from study, whatever happened first.
Our definition mirrored clinicaltrials.gov

Additional Information

L. Silvia Munoz-Price, MD, PhD Enterprise Epidemiologist Professor of Medicine

Medical College of Wisconsin

Phone: 414-955-0483

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place