Vancomycin Taper to Prevent Recurrent Clostridioides Difficile
NCT07328971 · Status: RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 500
Last updated 2026-04-30
Summary
Indirect evidence from network meta-analyses of randomized controlled trials (RCTs) suggest that a pulse and taper (P-T) of vancomycin may be non-inferior to 10-days of fidaxomicin for the prevention of recurrent Clostridioides difficile infections (rCDI). The aim of this trial is:
1\) For first episodes and first recurrences of CDI, to test whether a vancomycin P-T is non-inferior to 10-days of fidaxomicin for the prevention of rCDI at 56 days
Conditions
- Clostridia Difficile Colitis
Interventions
- DRUG
-
Fidaxomicin
Fidaxomicin 200mg PO BID x 10 days
- DRUG
-
Vancomycin capsule
Vancomycin 125mg PO QID x2 weeks, then 125mg PO BID x2 weeks, then 125mg PO daily x2 weeks
Sponsors & Collaborators
-
McGill University Health Centre/Research Institute of the McGill University Health Centre
lead OTHER
Principal Investigators
-
Emily McDonald, MD MSc · McGill University Health Centre/Research Institute of the McGill University Health Centre
-
Todd Lee, MSc MPH · McGill University Health Centre/Research Institute of the McGill University Health Centre
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-04-24
- Primary Completion
- 2030-06-01
- Completion
- 2030-11-01
Countries
- Canada
Study Locations
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