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Diabetic Foot InfectionsPhase 2NCT00685698

Safety and Efficacy Study of TG-873870 (Nemonoxacin) in Diabetic Foot Infections

A Phase 2 study testing TG-873870 (Nemonoxacin) in people with Diabetic Foot Infections, run by TaiGen Biotechnology Co., Ltd. at 16 sites in 4 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Safety and Efficacy Study of TG-873870 (Nemonoxacin) in Diabetic Foot Infections Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Diabetic Foot Infections
What is being tested?
TG-873870 (Nemonoxacin)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
40 participants
Where
16 sitesin 4 countries
Study dates
Jun 2008to Jun 2009
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Body weight ≥ 40 kg
  • Previously known or newly diagnosed diabetes mellitus, including type 1 and type 2 (per the American Diabetes Association guidelines), which is controlled by proper lifestyle (diet, exercise) or treatment with either oral medications or insulin
  • Patients' HbA1c ≦ 12% at screening
  • Clinically defined diabetic foot infection of mild or moderate severity (PEDIS grade 2-3) as based on the guideline of the Infectious Diseases Society of America. It includes any inframalleolar infection of the soft-tissue, such as paronychia, cellulitis, myositis, abscesses, and tendonitis
  • Evidence of necrotic tissue, purulent collections or abscess that may require excision, incision or drainage (based on investigator's judgment, and a surgeon if needed)
  • Must be able to provide suitable tissue specimens (preferably obtained by biopsy or tissue curettage, or purulent fluid aspiration, rather than by swabbing) from the infected wound (after appropriate cleansing and debridement) for Gram-staining and bacterial cultures (aerobes and anaerobes)
  • A confirmed Gram-positive pathogen infection by Gram-stain. The criterion to determine patient's eligibility for study recruitment is a Gram-stained smear with at least 1 Gram-positive organism seen in at least two high power fields. A solely Gram-positive pathogen infection or a polymicrobial infection including Gram-positive and Gram-negative pathogens are acceptable within the framework of the study

Who cannot join

  • A co-morbid disease condition that could compromise evaluation or participation in this study, such as severe hepatic disease (e.g., active hepatitis, decompensated liver cirrhosis), renal failure (estimated creatinine clearance [CrCl] <30 ml/minute or need for hemodialysis or peritoneal dialysis), or active systemic malignancy (advanced or metastatic), unless enrollment is deemed appropriate at the discretion of the Investigator with prior consultation with the study Medical Monitor
  • History of prolonged QTc interval or a medical condition requiring the use of a concomitant medication that is associated with an increased QTc interval (e.g., class I or class III anti-arrhythmic agents)
  • Contact dermatitis over the infected skin area, infected third-degree burn wounds, necrotizing fascitis, extensive gangrene, pyoderma gangrenosum, deep vein thrombosis, shock, or any medical disorder that could either interfere with the evaluation of treatment or the response of the patient to therapy
  • Radiological evidence of bone or joints infection within 7 days prior to or at screening, i.e. potential osteomyelitis or septic arthritis
  • Clinically defined uninfected or severe infection (PEDIS grade 1 or 4) as based on the Infectious Diseases Society of America classification system
  • Any known severe immunosuppressive condition, such as an active hematological malignancy, HIV infection or active treatment with any immunosuppressive drug (including corticosteroids at a dose of >20 mg/day of prednisone, or its equivalent)
Show all 12Show fewer
  • Has received or will be receiving chemotherapy or oncolytics within six months prior to entering or during the study
  • History of current or active alcohol abuse (>3 drinks daily or binge drinking) or any illicit drug use
  • Known or suspected critical ischemia of the affected limb (based on investigators' clinical judgments and vascular assessment)
  • Wound that contains or is proximate to any prosthetic materials or devices that is/are not scheduled for removal
  • Patient with a foot infection that, in the investigator's judgment, is severe enough to require hospitalization or intravenous antibiotic therapy
  • Neutrophil count <1000 cells/mm3

Trial locations and contacts

16 sites in 4 countries.

16 sites in 4 countries

Taiwan7 sites
  • Chang Gung Memorial Hospital- Kaoshiung, Taiwan

    Kaohsiung City

  • Cheng Ching Hospital, Taichung, Taiwan

    Taichung

  • Chi-Mei Medical Center, Tainan, Taiwan

    Tainan

  • Cardinal Tien Hospital (CTH), Taiwan

    Taipei

  • Tri-Service General Hospital, Taipei, Taiwan

    Taipei

  • Wan Fang Hospital

    Taipei

  • Cheng-Gung Memorial Hospital - LinKou, Taiwan

    Taoyuan

Other trials in Taiwan

South Africa5 sites
  • Eastmed Academic Clinical Trial Center

    East Lynne, Gauteng

  • Jubilee Clinical Trial Center

    Hammanskraal, Gauteng

  • Mercantile Clinical Trial Center

    Korsten, Port Elizabeth

  • Montana Hospital

    Pretoria, Gauteng

  • Park Medical Center

    Witbank, Gauteng

Other trials in South Africa

United States3 sites
  • The Amputation Prevention Center at Broadlawns Medical Center

    Des Moines, Iowa, 50314

  • HealthCare Partners

    Montebello, California, 90640

  • HealthCare Partners

    Pasadena, California, 91105

Other trials in United States

Thailand1 site
  • Faculty of Medicine, Khon Kaen University

    Khon Kaen

Other trials in Thailand

About this study

Official title: An Open-Label, Single-Arm, Multi-Center Study of TG-873870 for Treating Patients With Diabetic Foot Infections of Mild to Moderate Severity Associated With Gram-Positive Pathogens

Safety and Efficacy Study of TG-873870 (Nemonoxacin) in Diabetic Foot Infections

Read the detailed description

This study will assess the safety and efficacy of TG-873870 (Nemonoxacin) in patients with Diabetic Foot Infections. Pharmacokinetic (PK) and pharmacodynamic (PD) assessment will be conducted in a subgroup of eight consenting patients.

Being tested
TG-873870 (Nemonoxacin)
Keywords
Diabetic Foot Infections, DFI, Nemonoxacin

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TG-873870 (Nemonoxacin)Drug

    Also called Taigexyn

    750 mg

Study groups in NCT00685698
Study groupRoleWhat they receive
NemonoxacinOtherNemonoxacin 750 mg,oral administration, single-arm, once daily 7±1 and 14±1 days.
Receives: Drug: TG-873870 (Nemonoxacin)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Clinical Success (in ITT Population)

    Clinical Success

    • Resolution is defined as total resolution of all pretreatment clinically significant signs and symptoms of infection and no development of any systemic evidence of infection.
    • Improvement is defined as resolution of more than two, but not all, pretreatment clinical signs and symptoms, or partial resolution of all clinical signs and symptoms relative to the baseline assessment, with no further need for antibiotic therapy, and no need for infection-related surgical interventions.

    Measured: Test of Cure Visit, 12±2 days after End of Treatment Visit/Early Termination

Secondary outcomes (18)
  1. Microbiological Success Rate

    Microbiological Success

    • Eradicated, defined as absence of the original pathogen(s) from a repeat culture of the original infection site performed at the TOC visit.
    • Presumed Eradicated, defined as meeting the definition for Clinical Success at the TOC visit, but tissue sample could be obtained for culture from the original infection site.
    • TOC=Test of Cure

    Measured: Test of Cure Visit, 12±2 days after End of Treatment Visit/Early Termination

  2. Clinical Success (in PP Population)

    Clinical Success

    • Resolution is defined as total resolution of all pretreatment clinically significant signs and symptoms of infection and no development of any systemic evidence of infection.
    • Improvement is defined as resolution of more than two, but not all, pretreatment clinical signs and symptoms, or partial resolution of all clinical signs and symptoms relative to the baseline assessment, with no further need for antibiotic therapy, and no need for infection-related surgical interventions.

    Measured: Test of Cure Visit, 12±2 days after End of Treatment Visit/Early Termination

  3. Clinical Success (at End of Treatment/Early Termination)

    Clinical Success

    • Resolution is defined as total resolution of all pretreatment clinically significant signs and symptoms of infection and no development of any systemic evidence of infection.
    • Improvement is defined as resolution of more than two, but not all, pretreatment clinical signs and symptoms, or partial resolution of all clinical signs and symptoms relative to the baseline assessment, with no further need for antibiotic therapy, and no need for infection-related surgical interventions.

    Measured: End of Treatment/Early Termination Visit; 7±1, 14±1, 21±1 or 28±1 days after Baseline (Day 1)

  4. Per-Pathogen Clinical Responses (at Test of Cure)

    Clinical responses were assessed on a per-pathogen basis for the most frequently isolated pathogens at baseline (i.e., present in four or more patients), including MRSA. Clinical Responses were assessed at Test of Cure visit within each of the ITT and PP populations. Insufficient numbers prevented reporting Clinical Success rates for Streptococcus pyogenes in the PP population.

    Measured: Test of Cure Visit, 12±2 days after End of Treatment Visit/Early Termination

  5. Per-Pathogen Clinical Response (at End of Treatment/Early Termination)

    Clinical responses were assessed on a per-pathogen basis for the most frequently isolated pathogens at baseline (i.e., present in four or more patients), including MRSA. Clinical Responses were assessed at at End of Treatment/Early Termination within each of the ITT and PP populations. Insufficient numbers prevented reporting Clinical Success rates for Streptococcus pyogenes in the PP population.

    Measured: End of Treatment/Early Termination Visit; 7±1, 14±1, 21±1 or 28±1 days after Baseline (Day 1)

  6. Per-Pathogen Microbiological Responses

    Microbiological responses were assessed on a per-pathogen basis for the most frequently isolated pathogens at baseline (i.e., present in four or more patients), including MRSA. Microbiological Responses were assessed at Test of Cure visit within each of the ITT and PP populations. Insufficient numbers prevented reporting Microbiological Success rates for Streptococcus pyogenes in the PP population.

    Measured: Test of Cure Visit, 12±2 days after End of Treatment Visit/Early Termination

  7. Total Wound Score (at Test of Cure in ITT Population)

    The Diabetic Foot Infection (DFI) Wound Scores will be used to evaluate the wound assessment at baseline and Test of Cure visits. The wound composite score was based on combining the general wound parameters (signs and symptoms of infection), and wound measurements (length, width, depth). Each wound parameter was assigned a score based on severity, with higher scores defining greater severity. For wound measurements and undermining, larger measurements received higher scores. The minimum and maximum score are 3 and 49, respectively.

    Measured: Visit 1 (Baseline); Test of Cure Visit, 12±2 days after End of Treatment Visit/Early Termination

  8. Total Wound Score (at Test of Cure in PP Population)

    The Diabetic Foot Infection (DFI) Wound Scores will be used to evaluate the wound assessment at baseline and Test of Cure visits. The wound composite score was based on combining the general wound parameters (signs and symptoms of infection), and wound measurements (length, width, depth). Each wound parameter was assigned a score based on severity, with higher scores defining greater severity. For wound measurements and undermining, larger measurements received higher scores. The minimum and maximum score are 3 and 49, respectively.

    Measured: Visit 1 (Baseline); Test of Cure Visit, 12±2 days after End of Treatment Visit/Early Termination

  9. Total Wound Score (at End of Treatment/ Early Termination in ITT Population)

    The Diabetic Foot Infection (DFI) Wound Scores will be used to evaluate the wound assessment at baseline and End of Treatment/ Early Termination visits. The wound composite score was based on combining the general wound parameters (signs and symptoms of infection), and wound measurements (length, width, depth). Each wound parameter was assigned a score based on severity, with higher scores defining greater severity. For wound measurements and undermining, larger measurements received higher scores. The minimum and maximum score are 3 and 49, respectively.

    Measured: Visit 1 (Baseline); End of Treatment/Early Termination Visit; 7±1, 14±1, 21±1 or 28±1 days after Baseline (Day 1)

  10. Total Wound Score (at End of Treatment/ Early Termination in PP Population)

    The Diabetic Foot Infection (DFI) Wound Scores will be used to evaluate the wound assessment at baseline and Test of Cure visits. The wound composite score was based on combining the general wound parameters (signs and symptoms of infection), and wound measurements (length, width, depth). Each wound parameter was assigned a score based on severity, with higher scores defining greater severity. For wound measurements and undermining, larger measurements received higher scores. The minimum and maximum score are 3 and 49, respectively.

    Measured: Visit 1 (Baseline); End of Treatment/Early Termination Visit; 7±1, 14±1, 21±1 or 28±1 days after Baseline (Day 1)

  11. Diabetic Foot Assessment (PEDIS) Shifts From Baseline at End of Treatment/Early Termination in ITT Population

    The number of patients within each of the PEDIS grading categories (uninfected, mild, moderate and severe) at baseline and End of Treatment/Early Termination.

    Measured: End of Treatment/Early Termination Visit; 7±1, 14±1, 21±1 or 28±1 days after Baseline (Day 1)

  12. Diabetic Foot Assessment (PEDIS) Shifts From Baseline at Test of Cure in ITT Population

    The number of patients within each of the PEDIS grading categories (uninfected, mild, moderate and severe) at baseline and Test of Cure.

    Measured: Test of Cure Visit, 12±2 days after End of Treatment Visit/Early Termination

  13. Diabetic Foot Assessment (PEDIS) Shifts From Baseline at End of Treatment/Early Termination in PP Population

    The number of patients within each of the PEDIS grading categories (uninfected, mild, moderate and severe) at baseline and End of Treatment/Early Termination.

    Measured: End of Treatment/Early Termination Visit; 7±1, 14±1, 21±1 or 28±1 days after Baseline (Day 1)

  14. Diabetic Foot Assessment (PEDIS) Shifts From Baseline at Test of Cure in PP Population

    The number of patients within each of the PEDIS grading categories (uninfected, mild, moderate and severe) at baseline and Test of Cure.

    Measured: Test of Cure Visit, 12±2 days after End of Treatment Visit/Early Termination

  15. Need for Surgery, Hospitalisation and Non-Study Antibiotic Therapy for Diabetic Foot Infection During Study (in ITT Population)

    Results in relation to the need for surgery, hospitalization, new and/or additional non-study antibiotic therapy for failure of initial oral therapy at End of Treatment/Early Termination.

    Measured: End of Treatment/Early Termination Visit; 7±1, 14±1, 21±1 or 28±1 days after Baseline (Day 1)

  16. Need for Surgery, Hospitalisation and Non-Study Antibiotic Therapy for Diabetic Foot Infection During Study (in ITT Population)

    Results in relation to the need for surgery, hospitalization, new and/or additional non-study antibiotic therapy for failure of initial oral therapy at Test of Cure.

    Measured: Test of Cure Visit, 12±2 days after End of Treatment Visit/Early Termination

  17. Need for Surgery, Hospitalisation and Non-Study Antibiotic Therapy for Diabetic Foot Infection During Study (in PP Population)

    Results in relation to the need for surgery, hospitalization, new and/or additional non-study antibiotic therapy for failure of initial oral therapy at End of Treatment/Early Termination.

    Measured: End of Treatment/Early Termination Visit; 7±1, 14±1, 21±1 or 28±1 days after Baseline (Day 1)

  18. Need for Surgery, Hospitalisation and Non-Study Antibiotic Therapy for Diabetic Foot Infection During Study (in PP Population)

    Results in relation to the need for surgery, hospitalization, new and/or additional non-study antibiotic therapy for failure of initial oral therapy at Test of Cure.

    Measured: Test of Cure Visit, 12±2 days after End of Treatment Visit/Early Termination

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 May 2008 (estimated)
  2. Study startJun 2008
  3. Primary completionApr 2009
  4. Study completionJun 2009

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
40 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00685698
Sponsor's protocol ID
TG-873870-04
Status last verified
Dec 2014
First submitted
22 May 2008
Last updated
1 Jul 2025
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing TG-873870 (Nemonoxacin) in people with Diabetic Foot Infections, run by TaiGen Biotechnology Co., Ltd. at 16 sites in 4 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 1 Jul 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 16 sites in Taiwan, South Africa, United States, Thailand. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 9 Jan 2015). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Clinical Success (in ITT Population) (time frame: Test of Cure Visit, 12±2 days after End of Treatment Visit/Early Termination). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Jul 2025.

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