
Recce Pharmaceuticals adds an active-control arm to its Phase 3 diabetic foot infection trial, comparing R327G topical gel against four physician-selected antibiotics in a 208-patient non-inferiority study.
Recce Pharmaceuticals has won ethics approval to add an active-control arm to its Australian Phase 3 trial of RECCE 327 topical gel for diabetic foot infections, a move that gives the ASX-listed biotech a head-to-head data set against existing antibiotics.
The amended study will enroll 208 patients and randomize them between R327G and one of four physician-selected antibiotics. The non-inferiority design lets Recce test whether its synthetic polymer gel performs as well as standard treatments for diabetic foot infections, a condition that currently draws on antibiotics chosen case-by-case based on pathogen type, susceptibility, allergy history, and MRSA risk.
An interim analysis is planned after 104 patients finish treatment or withdraw. That early read – roughly half the study population – gives Recce a formal statistical checkpoint before the full enrollment.
The Australian trial runs alongside Recce's existing Phase 3 DFI program in Indonesia. Both are part of a broader regulatory push across multiple markets. R327G is the topical version of RECCE 327, one of three synthetic polymer anti-infectives in the pipeline alongside RECCE 435 and RECCE 529.
Recce also introduced calibrated digital wound imaging in the updated protocol, adding objective measurements alongside the investigator's assessment of infection. That could reduce variability in endpoints, a common problem in wound-healing trials.
“This protocol amendment reflects the significant advancements being made in our Phase 3 clinical programs, with continued engagement from trial sites and clinicians,” chief executive officer James Graham said. “R327G has the potential to become the first standard of care used by physicians for the treatment of DFIs.”
Patients already enrolled under the original protocol continue dosing while Recce rolls out the amendment. The company expects the comparator arm to generate a data package that supports regulatory submissions and gives physicians a direct comparison between R327G and the antibiotics they currently use.
“We look forward to patient dosing continuing and generating data for R327G against standard of care antibiotics,” Mr Graham added.
Drafted by a large language model from the source reporting linked above, then screened by automated publishing checks. It is not read by a journalist before publication. Some articles cite our Alpha Score. Verify prices and figures against the original source. Educational coverage, not personalized advice.