Corynebacterium Diphtheriae InfectionOEDIPENCT05798247
Cutaneous Diphtheria in France : Observational, Retrospective Study of Patient Characteristics
An observational study of Corynebacterium Diphtheriae Infection, run by Centre Hospitalier Intercommunal de Toulon La Seyne sur Mer at 42 sites in France.
Trial summary
Toxigenic cutaneous diphtheria is a notifiable disease that is re-emerging in the world and particularly in France. A better description of the epidemiological characteristics, as well as a refinement of the clinical characteristics of patients with cutaneous diphtheria, are essential to better understand this… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Corynebacterium Diphtheriae Infection
- What is being tested?
- Characteristics description
- How many people
- 63 participants
- Where
- 42 sitesFrance
- Study dates
- 3 Apr 2023to 10 Aug 2023
- Phase
- Observational
- Are there results?
- None posted in the registry
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
Study population: Study population corresponds to all metropolitan French patients suffering from cutaneous diphtheria for which microbiological data were registered between 2018 and 2022 by the National Reference Center for corynebacteria of the diphteriae complex.
Who may be able to join
- Culture or PCR positive skin samples for corynebacteria diphtheria, ulcerans, pseudotuberculosis, belfantii or rouxii
- Patient living in metropolitan France
Who cannot join
- Patient opposition
Trial locations and contacts
42 sites in 1 country.
42 sites in 1 country
France42 sites
CHU d'Amiens
Amiens, Somme, 80054
Centre Hospitalier d'Avignon
Avignon, Vaucluse, 84000
Hôpital Avicenne Bobigny (AP-HP)
Bobigny, Seine-Saint-Denis, 93000
CHU Bordeaux
Bordeaux, Gironde, 33000
Hôpital Ambroise Paré (AP-HP)
Boulogne-Billancourt, Hauts-de-Seine, 92100
Groupement Hospitalier Nord Dauphiné
Bourgoin, Isère, 38300
Centre Hospitalier de Briançon
Briançon, Hautes-Alpes, 05100
Centre Hospitalier de Brive
Brive-la-Gaillarde, Corrèze, 19100
Centre d'endocrinologie
Cabestany, Pyrénées Orientales, 66300
CHU de Caen
Caen, Calvados, 14000
Centre Hospitalier de Cahors
Cahors, Lot, 46005
Centre Hospitalier William Morey
Chalon-sur-Saône, Saône-et-Loire, 71321
CHRU de Tours
Chambray-lès-Tours, Indre-et-Loire, 37170
Centre Hospitalier Cholet
Cholet, Maine-et-Loire, 49300
Hôpital Louis Pasteur (HCC)
Colmar, Haut-Rhin, 68024
Centre Hospitalier Alpes-Leman CHAL
Contamine-sur-Arve, Haute-Savoie, 74130
Centre Hospitalier Sud Francilien
Corbeil-Essonnes, Essonne, 91100
Hôpital Henri Mondor (AP-HP)
Créteil, Val-de-Marne, 94000
CHU de Dijon
Dijon, Bourgogne-Franche-Comté, 21079
Centre Hospitalier Départemental de Vendée
La Roche-sur-Yon, Vendée, 85000
CHU de Lille
Lille, Nord, 59037
Centre Hospitalier de Lourdes
Lourdes, Hautes-Pyrénées, 65107
Hôpital Edouard Herriot (HCL)
Lyon, Rhône, 69003
Hôpital Croix rousse (HCL)
Lyon, Rhône, 69004
Centre Hospitalier de Mâcon
Mâcon, Saône-et-Loire, 71000
Institut Hospitalo-Universitaire de Marseille
Marseille, Bouches-du-Rhône, 13005
CHU de Montpellier
Montpellier, Hérault, 34295
CHU de Nantes
Nantes, Loire-Atlantique, 44000
Hôpital Américain de Paris
Neuilly-sur-Seine, Hauts-de-Seine, 92200
Centre Hospitalier Régional d'Orléans
Orléans, Loiret, 45067
Centre Hospitalier de Guingamp
Pabu, Côtes d'Armor, 22205
Hôpital Saint Joseph
Paris, 13008
Hôpital Saint Louis
Paris, 75010
Hôpital Saint Antoine
Paris, 75012
Hôpital La Pitié Salpêtrière
Paris, 75013
Groupement Hospitalier Diaconesses Croix Saint Simon
Paris, 75020
Centre Hospitalier de Saint-Lo
Saint-Lô, Manche, 50000
CHU de Saint-Etienne
Saint-Priest-en-Jarez, Pays de la Loire Region, 42270
HIA Sainte Anne
Toulon, VAR, 83000
CHU de Toulouse - Hôpital La Grave
Toulouse, 31300
Hôpital Nord Franche-Comté
Trévenans, Territoire De Belfort, 90400
Centre Hospitalier de Valenciennes
Valenciennes, Nord, 59300
About this study
Official title: Cutaneous Diphtheria in France : an Observational, Retrospective Study of Epidemiological, Clinical, Microbiological and Therapeutic Characteristics
Toxigenic cutaneous diphtheria is a notifiable disease that is re-emerging in the world and particularly in France. A better description of the epidemiological characteristics, as well as a refinement of the clinical characteristics of patients with cutaneous diphtheria, are essential to better understand this pathology, which has important public health issues and whose diagnosis absence can have catastrophic consequences for the patient and their contacts. Microbiological data (species identification, toxigenicity or not, resistance profile...) will be transmitted by the national reference center for corynebacteria of the diphtheriae complex and then caregivers who have managed the corresponding patients with cutaneous diphtheria will be contacted.
- Conditions
- Corynebacterium Diphtheriae Infection
- Being tested
- Characteristics description
- Keywords
- Cutaneous, Diphteria
- Medical subject headings
- Diphtheria
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Characteristics descriptionOther
Caregivers who follow the patients of the study group will be contacted to collect these patients clinical and epidemiological characteristics
| Study group | Role | What they receive |
|---|---|---|
| Patients with cutaneous diphteria | The study group consists of all the patients suffering from cutaneous diphtheria in metropolitan France and for which microbiological data were registered by the National Reference Center fo corynebacteria of the diphteriae complex between 2018 and 2022. Receives: Other: Characteristics description |
What is being measured
The primary outcome is the main question the study is designed to answer.
Patients epidemiological data description
Epidemiological data will be collected to describe the studied population (age, sex, place of birth, vaccination status...)
Measured: 3 months
Patients clinical data description
Clinical data will be collected to describe the studied population (history, description of lesions, disease evolution, complications...)
Measured: 3 months
Patients microbiological data description
Microbiological data will be collected to describe the studied population (species identification, toxigenicity, presence of a co-infection...)
Measured: 3 months
Patients therapeutic data description
Therapeutic data will be collected to describe the studied population (antibiotic therapy, duration of treatment, search for an eradication a posteriori...)
Measured: 3 months
Secondary outcomes (6)
Comparison of antibiotic therapy duration to national recommendations issued by the High Committee of Public Health
Duration of antibiotic therapy implemented by clinicians will be compared to national recommendations
Measured: 3 months
Comparison of immunization status monitoring to national recommendations issued by the High Committee of Public Health
Monitoring of immunization status or not will be collected
Measured: 3 months
Comparison of patient post infection vaccination status to national recommendations issued by the High Committee of Public Health
Post-infection vaccination or not will be collected
Measured: 3 months
Comparison of patient microbiological follow-up to national recommendations issued by the High Committee of Public Health
Microbiological follow-up with eradication research or not will be collected.
Measured: 3 months
Comparison of post-infection serological sampling to national recommendations issued by the High Committee of Public Health
Whether a post-infection serological sampling was performed or not will be collected.
Measured: 3 months
Comparison of patient isolation procedures to national recommendations issued by the High Committee of Public Health
Patient isolation or not will be collected.
Measured: 3 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Apr 2023
- Study start3 Apr 2023
- Primary completion10 Aug 2023
- Study completion10 Aug 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (10)Papers the sponsor has linked to this study.
- Other trials for Corynebacterium Diphtheriae InfectionStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Other
- Time perspective
- Retrospective
- Enrolment
- 63 participants (actual)
Sponsor and investigators
- Lead sponsor
- Centre Hospitalier Intercommunal de Toulon La Seyne sur Mer
- Sponsor type
- University, hospital or other
- Collaborators
- Centre d'Epidémiologie et de Santé Publique des Armées
- Responsible party
- Sponsor
- Investigators
- Fabien DUTASTA, MD, Study director, SSA
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05798247
- Sponsor's protocol ID
- 2022-CHITS-013
- Acronym
- OEDIPE
- Status last verified
- Jul 2025
- First submitted
- 21 Mar 2023
- Last updated
- 10 Jul 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Bernard KA, Pacheco AL, Burdz T, Wiebe D. Increase in detection of Corynebacterium diphtheriae in Canada: 2006-2019. Can Commun Dis Rep. 2019 Nov 7;45(11):296-301. doi: 10.14745/ccdr.v45i11a04. eCollection 2019 Nov 7.
PubMed 31755876Martini H, Soetens O, Litt D, Fry NK, Detemmerman L, Wybo I, Desombere I, Efstratiou A, Pierard D. Diphtheria in Belgium: 2010-2017. J Med Microbiol. 2019 Oct;68(10):1517-1525. doi: 10.1099/jmm.0.001039.
PubMed 31418673Jaton L, Kritikos A, Bodenmann P, Greub G, Merz L. [European migrant crisis and reemergence of infections in Switzerland]. Rev Med Suisse. 2016 Apr 13;12(514):749-53. French.
PubMed 27263151Morgado-Carrasco D, Riquelme-Mc Loughlin C, Fusta-Novell X, Fernandez-Pittol MJ, Bosch J, Mascaro JM Jr. Cutaneous Diphtheria Mimicking Pyoderma Gangrenosum. JAMA Dermatol. 2018 Feb 1;154(2):227-228. doi: 10.1001/jamadermatol.2017.4786. No abstract available.
PubMed 29282460Pandit N, Yeshwanth M. Cutaneous diphtheria in a child. Int J Dermatol. 1999 Apr;38(4):298-9. doi: 10.1046/j.1365-4362.1999.00658.x. No abstract available.
PubMed 10321948Wagner KS, White JM, Lucenko I, Mercer D, Crowcroft NS, Neal S, Efstratiou A; Diphtheria Surveillance Network. Diphtheria in the postepidemic period, Europe, 2000-2009. Emerg Infect Dis. 2012 Feb;18(2):217-25. doi: 10.3201/eid1802.110987.
PubMed 22304732Gower CM, Scobie A, Fry NK, Litt DJ, Cameron JC, Chand MA, Brown CS, Collins S, White JM, Ramsay ME, Amirthalingam G. The changing epidemiology of diphtheria in the United Kingdom, 2009 to 2017. Euro Surveill. 2020 Mar;25(11):1900462. doi: 10.2807/1560-7917.ES.2020.25.11.1900462.
PubMed 32209165Koopman JS, Campbell J. The role of cutaneous diphtheria infections in a diphtheria epidemic. J Infect Dis. 1975 Mar;131(3):239-44. doi: 10.1093/infdis/131.3.239.
PubMed 805182de Benoist AC, White JM, Efstratiou A, Kelly C, Mann G, Nazareth B, Irish CJ, Kumar D, Crowcroft NS. Imported cutaneous diphtheria, United Kingdom. Emerg Infect Dis. 2004 Mar;10(3):511-3. doi: 10.3201/eid1003.030524.
PubMed 15109425Chene L, Morand JJ, Badell E, Toubiana J, Janvier F, Marthinet H, Suppini JP, Valois A, Texier G, Brisse S, Dutasta F OEDIPE Study Group. Cutaneous diphtheria from 2018 to 2022: an observational, retrospective study of epidemiological, microbiological, clinical, and therapeutic characteristics in metropolitan France. Emerg Microbes Infect. 2024 Dec;13(1):2408324. doi: 10.1080/22221751.2024.2408324. Epub 2024 Sep 30.
PubMed 39324172
Study at a glance
From the registry record, last updated by the sponsor on 10 Jul 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Cutaneous Diphtheria in France : an Observational, Retrospective Study of Epidemiological, Clinical, Microbiological and Therapeutic Characteristics
- ClinicalTrials.gov ID
- NCT05798247
- Acronym / sponsor ID
- OEDIPE / 2022-CHITS-013
- Conditions
- Corynebacterium Diphtheriae Infection
- Keywords
- Cutaneous, Diphteria
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 63 participants (actual)
- Lead sponsor
- Centre Hospitalier Intercommunal de Toulon La Seyne sur MerUniversity, hospital or other
- Collaborators
- Centre d'Epidémiologie et de Santé Publique des Armées
- Study start
- 3 Apr 2023 (actual)
- Primary completion
- 10 Aug 2023 (actual)
- Study completion
- 10 Aug 2023 (actual)
- First posted
- 4 Apr 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Toxigenic cutaneous diphtheria is a notifiable disease that is re-emerging in the world and particularly in France. A better description of the epidemiological characteristics, as well as a refinement of the clinical characteristics of patients with cutaneous diphtheria, are essential to better understand this pathology, which has important public health issues and whose diagnosis absence can have catastrophic consequences for the patient and their contacts. Microbiological data (species identification, toxigenicity or not, resistance profile...) will be transmitted by the national reference center for corynebacteria of the diphtheriae complex and then caregivers who have managed the corresponding patients with cutaneous diphtheria will be contacted.
Study design
- Observational model
- Other
- Time perspective
- Retrospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Patients with cutaneous diphteria | – | Other: Characteristics descriptionThe study group consists of all the patients suffering from cutaneous diphtheria in metropolitan France and for which microbiological data were registered by the National Reference Center fo corynebacteria of the diphteriae complex between 2018 and 2022. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Study population corresponds to all metropolitan French patients suffering from cutaneous diphtheria for which microbiological data were registered between 2018 and 2022 by the National Reference Center for corynebacteria of the diphteriae complex.
Key inclusion criteria (2 listed)
- Culture or PCR positive skin samples for corynebacteria diphtheria, ulcerans, pseudotuberculosis, belfantii or rouxii
- Patient living in metropolitan France
Key exclusion criteria (1 listed)
- Patient opposition
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Characteristics descriptionCaregivers who follow the patients of the study group will be contacted to collect these patients clinical and epidemiological characteristics | Other | Patients with cutaneous diphteria |
Primary outcome
Patients epidemiological data description
Time frame: 3 months
Epidemiological data will be collected to describe the studied population (age, sex, place of birth, vaccination status...)
Patients clinical data description
Time frame: 3 months
Clinical data will be collected to describe the studied population (history, description of lesions, disease evolution, complications...)
Patients microbiological data description
Time frame: 3 months
Microbiological data will be collected to describe the studied population (species identification, toxigenicity, presence of a co-infection...)
Patients therapeutic data description
Time frame: 3 months
Therapeutic data will be collected to describe the studied population (antibiotic therapy, duration of treatment, search for an eradication a posteriori...)
6 secondary outcomes
Comparison of antibiotic therapy duration to national recommendations issued by the High Committee of Public Health
Time frame: 3 months
Comparison of immunization status monitoring to national recommendations issued by the High Committee of Public Health
Time frame: 3 months
Comparison of patient post infection vaccination status to national recommendations issued by the High Committee of Public Health
Time frame: 3 months
Comparison of patient microbiological follow-up to national recommendations issued by the High Committee of Public Health
Time frame: 3 months
Comparison of post-infection serological sampling to national recommendations issued by the High Committee of Public Health
Time frame: 3 months
Comparison of patient isolation procedures to national recommendations issued by the High Committee of Public Health
Time frame: 3 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Jul 2025.
- Background: PubMed 31755876Bernard KA, Pacheco AL, Burdz T, Wiebe D. Increase in detection of Corynebacterium diphtheriae in Canada: 2006-2019. Can Commun Dis Rep. 2019 Nov 7;45(11):296-301. doi: 10.14745/ccdr.v45i11a04. eCollection 2019 Nov 7.
- Background: PubMed 31418673Martini H, Soetens O, Litt D, Fry NK, Detemmerman L, Wybo I, Desombere I, Efstratiou A, Pierard D. Diphtheria in Belgium: 2010-2017. J Med Microbiol. 2019 Oct;68(10):1517-1525. doi: 10.1099/jmm.0.001039.
- Background: PubMed 27263151Jaton L, Kritikos A, Bodenmann P, Greub G, Merz L. [European migrant crisis and reemergence of infections in Switzerland]. Rev Med Suisse. 2016 Apr 13;12(514):749-53. French.
- Background: PubMed 29282460Morgado-Carrasco D, Riquelme-Mc Loughlin C, Fusta-Novell X, Fernandez-Pittol MJ, Bosch J, Mascaro JM Jr. Cutaneous Diphtheria Mimicking Pyoderma Gangrenosum. JAMA Dermatol. 2018 Feb 1;154(2):227-228. doi: 10.1001/jamadermatol.2017.4786. No abstract available.
- Background: PubMed 10321948Pandit N, Yeshwanth M. Cutaneous diphtheria in a child. Int J Dermatol. 1999 Apr;38(4):298-9. doi: 10.1046/j.1365-4362.1999.00658.x. No abstract available.
- Background: PubMed 22304732Wagner KS, White JM, Lucenko I, Mercer D, Crowcroft NS, Neal S, Efstratiou A; Diphtheria Surveillance Network. Diphtheria in the postepidemic period, Europe, 2000-2009. Emerg Infect Dis. 2012 Feb;18(2):217-25. doi: 10.3201/eid1802.110987.
- Background: PubMed 32209165Gower CM, Scobie A, Fry NK, Litt DJ, Cameron JC, Chand MA, Brown CS, Collins S, White JM, Ramsay ME, Amirthalingam G. The changing epidemiology of diphtheria in the United Kingdom, 2009 to 2017. Euro Surveill. 2020 Mar;25(11):1900462. doi: 10.2807/1560-7917.ES.2020.25.11.1900462.
- Background: PubMed 805182Koopman JS, Campbell J. The role of cutaneous diphtheria infections in a diphtheria epidemic. J Infect Dis. 1975 Mar;131(3):239-44. doi: 10.1093/infdis/131.3.239.
- Background: PubMed 15109425de Benoist AC, White JM, Efstratiou A, Kelly C, Mann G, Nazareth B, Irish CJ, Kumar D, Crowcroft NS. Imported cutaneous diphtheria, United Kingdom. Emerg Infect Dis. 2004 Mar;10(3):511-3. doi: 10.3201/eid1003.030524.
- Results publication: PubMed 39324172Chene L, Morand JJ, Badell E, Toubiana J, Janvier F, Marthinet H, Suppini JP, Valois A, Texier G, Brisse S, Dutasta F OEDIPE Study Group. Cutaneous diphtheria from 2018 to 2022: an observational, retrospective study of epidemiological, microbiological, clinical, and therapeutic characteristics in metropolitan France. Emerg Microbes Infect. 2024 Dec;13(1):2408324. doi: 10.1080/22221751.2024.2408324. Epub 2024 Sep 30.
- Related InfoLink provided by the sponsor.
- Related InfoLink provided by the sponsor.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Fabien DUTASTA, MD study director
SSA
42 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Corynebacterium Diphtheriae Infection, run by Centre Hospitalier Intercommunal de Toulon La Seyne sur Mer at 42 sites in France.
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 2 inclusion and 1 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 10 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 42 sites in France. 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.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Patients epidemiological data description (time frame: 3 months). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05798247, which also lists 10 linked publications.
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 10 Jul 2025.