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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT03563586
Other study ID # 56/14-3-2018
Secondary ID
Status Recruiting
Phase N/A
First received
Last updated
Start date April 1, 2018
Est. completion date June 1, 2021

Study information

Verified date September 2020
Source National and Kapodistrian University of Athens
Contact George Theodoropoulos
Phone +306945463593
Email georgetheocrs@live.com
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Investigation of the role of adding oral antibiotics to preoperative mechanical bowel preparation before colorectal surgery for cancer.


Description:

The aim of the study is to investigate whether the addition of oral antibiotics to Mechanical Bowel Preparation (MBP) prior to colorectal cancer surgical procedures reduce the superfical and deep surgical site (SSI) infectious complications. The study is prospective and is designed in a randomized single-blinded controlled fashion. It is taking place at one academic surgical unit of Athens Medical School, located at a tertiary referal institution. Patients scheduled to undergo an elective surgical resection for colon or rectal cancer will be allocated to either formal MBP the day before surgery or a combined MBP with administration of oral antibiotics. Exclusion criteria are the following: emergency surgery, obstructive or perforated cancer, patients intolerance to bowel preparation regimen and allergies to orally administered antibiotics.

Intervention arms: Patients will be randomised into two groups, concealed from the treating surgeon.

Group A:

Preoperative oral antibiotic therapy with rifaximin 400 mg plus metronidazole 500mg the day prior to surgery at 2:00, 3:00 and 10:00 pm, with MBP (2 vials sodium phospate 45ml at 1:00 and 7:00 pm)

Group B:

MBP (2 vials sodium phospate 45ml at 1:00 and 7:00 pm) alone Both groups will receive iv antibiotics (cefoxitin 2 gr plus metronidazole 500gr) perioperatively and discontinuation within 24 hours.

Outcome measures: The primary end point is surgical site infection (SSI), including (i) superficial wound infection, (ii) deep wound infection, and (iii) intrabdominal infection (contaminated fluid or pus collection) within 30 days of the procedure (decrease 3% in the rate) Secondary measures: Anastomotic leaks, other surgical and non-surgical compliactions, hospital length of stay, readmission rate, patients' preparation tolerance, preparation regimens side-effects, time to beginning of adjuvant treatment for colorectal cancer.

Sample Size: It is estimated that 105 patients per treatment arm are needed.


Recruitment information / eligibility

Status Recruiting
Enrollment 210
Est. completion date June 1, 2021
Est. primary completion date April 1, 2021
Accepts healthy volunteers No
Gender All
Age group 18 Years to 90 Years
Eligibility Inclusion Criteria:

- Scheduled colorectal cancer surgery

Exclusion Criteria:

- Emergency surgery

- Obstructive and perforated cancer

- Intolerance to bowel preparation regimen

- Allergies to orally administered antibiotics

Study Design


Intervention

Other:
Bowel Preparation plus antibiotics
Preoperative oral antibiotic therapy with rifaximin 400 mg plus metronidazole 500mg the day prior to surgery at 2:00, 3:00 and 10:00 pm, with mechanical bowel preparation (2 vials sodium phospate 45ml at 1:00 and 7:00 pm)
Bowel Preparation
Mechanical Bowel Preparation (2 vials sodium phospate 45ml at 1:00 and 7:00 pm) alone Both groups will receive iv antibiotics (cefoxitin 2 gr plus metronidazole 500gr) perioperatively and discontinuation within 24 hours

Locations

Country Name City State
Greece NKUAthens Athens

Sponsors (1)

Lead Sponsor Collaborator
National and Kapodistrian University of Athens

Country where clinical trial is conducted

Greece, 

Outcome

Type Measure Description Time frame Safety issue
Primary Surgical Site Infections Surgical Site Infections 30 days
Secondary Anastomotic leaks Anastomotic leaks 30 days
Secondary Other surgical and non-surgical compliactions Other surgical and non-surgical compliactions 30 days
Secondary Hospital length of stay Hospital length of stay 30 days
Secondary Readmission rate Readmission rate 30 days
Secondary Patients' preparation tolerance Patients' preparation tolerance 30 days
Secondary Preparation regimens side-effects Preparation regimens side-effects 30 days
Secondary Time to beginning of adjuvant treatment for colorectal cancer Time to beginning of adjuvant treatment for colorectal cancer 60 days
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