Outcome assessment in cellulitis clinical trials: is telephone follow up sufficient?

Clin Microbiol Infect. 2015 Jul;21(7):676.e5-7. doi: 10.1016/j.cmi.2015.03.008. Epub 2015 Apr 13.

Abstract

The US Food and Drug Administration has scrutinized clinical trial methodology in cellulitis, partly because the definition and timing of cure are debatable. We analysed the validity of telephone self-report as a proxy for in-person follow up in a cellulitis treatment trial comparing cephalexin alone with cephalexin-plus-trimethoprim/sulfamethoxazole. Our results demonstrate poor agreement between these two methods of outcome determination and have implications for future cellulitis clinical trial design and clinical management.

Keywords: Cellulitis; clinical trials; follow up; telephone; trial design.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Anti-Bacterial Agents / administration & dosage*
  • Cellulitis / drug therapy*
  • Cephalexin / administration & dosage*
  • Child
  • Child, Preschool
  • Clinical Trials as Topic*
  • Humans
  • Interviews as Topic*
  • Middle Aged
  • Treatment Outcome
  • Trimethoprim, Sulfamethoxazole Drug Combination / administration & dosage*
  • United States
  • Young Adult

Substances

  • Anti-Bacterial Agents
  • Trimethoprim, Sulfamethoxazole Drug Combination
  • Cephalexin