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Recruiting Phase 4 NCT03765567

NCT03765567 Placement of Antibiotic Powder in Wounds During the Emergency Room

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Clinical Trial Summary
NCT ID NCT03765567
Status Recruiting
Phase Phase 4
Sponsor The University of Texas Health Science Center at San Antonio
Condition Open Fracture
Study Type INTERVENTIONAL
Enrollment 200 participants
Start Date 2020-10-05
Primary Completion 2026-07

Eligibility & Interventions

Sex All sexes
Min Age 18 Years
Max Age 89 Years
Study Type INTERVENTIONAL
Interventions
Vancomycin

Eligibility Fast-Check

Enter your details for a quick preliminary check. This does not replace medical advice.

What to Expect as a Participant

You will actively receive the study intervention — which may be a drug, biologic, device, or procedure.

Phase 4 studies follow an already-approved treatment in real-world conditions to monitor long-term safety and effectiveness.

This trial targets 200 participants in total. It began in 2020-10-05 with a primary completion date of 2026-07.

⚠ This information is for research awareness only. Always consult your physician before joining any clinical trial. Participation is voluntary and you may withdraw at any time.

Brief Summary

This is the first prospective controlled study to determine whether the topical application of vancomycin powder reduces infection-related complications when applied to open fracture injuries in the acute emergency department setting.

Eligibility Criteria

Inclusion Criteria: * Subject or Legal Authorized Representative (LAR) is willing and able to provide written informed consent. * Adult 18 years of age or older. * Open fracture of the humerus, radius, ulna, femur, tibia, and/or fibula. * 24 hours or less has elapsed from the estimated time of injury to study intervention. Exclusion Criteria: * Time from injury \> 24 hours. * Subjects who have received acute operative care (e.g., washout in the operating room or fixation) of the open fracture at an outside facility. * Subject or LAR speaks neither English nor Spanish. Note that subjects that are unable to participate in the consent process (e.g. intoxication, poly-trauma, will be enrolled into the observational arm where passive data collection will occur). * High-potency antibiotic powder or solution applied to the wound prior to enrollment. Simple ointment (i.e., bacitracin ointment) or antibiotic-impregnated dressings will be permitted. * Documented allergies or serious reactions to vancomycin. History of uncomplicated "red man syndrome" will not be considered a reason for exclusion. * Pregnant subjects. If the subject is a female of childbearing potential, and she states that she is likely to be pregnant, a pregnancy test will be performed; if negative, the subject will be eligible for enrollment. * Prisoners. * Participation in other clinical research involving investigational antimicrobial products within 30 days of randomization.

Contact & Investigator

Central Contact

Robert A De Lorenzo, MD

✉ DeLorenzo@uthscsa.edu

📞 210-567-0056

Principal Investigator

Robert A De Lorenzo, MD

PRINCIPAL INVESTIGATOR

University of Texas

Frequently Asked Questions

Who can join the NCT03765567 clinical trial?

This trial is open to participants of all sexes, aged 18 Years or older, up to 89 Years, studying Open Fracture. Full inclusion and exclusion criteria are listed in the Eligibility Criteria section. Always confirm your eligibility with the research team before applying.

What phase is the NCT03765567 trial and what does that mean for participants?

Phase 4 studies are conducted after a treatment has been approved. They monitor long-term safety and real-world effectiveness in a broader patient population.

Is NCT03765567 currently recruiting?

Yes, NCT03765567 is actively recruiting participants. Contact the research team at DeLorenzo@uthscsa.edu for enrollment information.

Where is the NCT03765567 trial being conducted?

This trial is being conducted at San Antonio, United States, San Antonio, United States.

Who is sponsoring the NCT03765567 clinical trial?

NCT03765567 is sponsored by The University of Texas Health Science Center at San Antonio. The principal investigator is Robert A De Lorenzo, MD at University of Texas. The trial plans to enroll 200 participants.

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ClinicalMetric — Independent clinical trial intelligence platform. Not affiliated with NIH, ClinicalTrials.gov, the U.S. FDA, or any pharmaceutical company, hospital, or clinical research organization. Trial data is sourced from ClinicalTrials.gov for informational purposes only and does not constitute medical advice. Do not make any treatment, enrollment, or health decisions based solely on information found here — always consult a qualified healthcare professional. Full Disclaimer  ·  Last Reviewed: September 2026  ·  Data Methodology