- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02237859
Vancomycin Prophylaxis in Recurrent Clostridium Difficile Infection
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
To determine whether prophylactic use of oral vancomycin reduces the incidence of recurrent Clostridium difficile infection (RCDI) in hospitalized patients admitted from their home or another health care facility (HCF) who are exposed to concurrent broad spectrum antibiotics.
This is a randomized research study, which means that the treatment you get will be chosen by chance, like flipping a coin. You will have a 50/50 chance of receiving one of the following:
- Group 1 (Treatment Group): single daily dose of vancomycin in liquid form (study medication).
- Group 2 (Placebo Group): single daily dose of placebo (a placebo will look just like the study medication, but contains no medication, only a substance like sterile water).
Depending on the group you are placed in (which is chosen by a computer), you will receive either a daily dose of the study medication or a daily dose of the placebo for a total of ten days. If you are discharged from the hospital prior to ten days, you will be given the study medication to complete outside of the hospital with written instructions.
A member of the Research staff will monitor you daily during the 10 days of treatment for any adverse reactions or any signs and symptoms of recurrent Clostridium difficile infection. If you are discharged prior to ten days, the monitoring will take place via telephone call daily until completion of the ten day treatment.
You will be contacted again by telephone at 1, 3, and 6 months after completion of the study medication to inquire about your general health and any changes in health status.
Other medical information from your records and charts may also be collected by us for purposes of review for this study.
Study Type
Enrollment (Anticipated)
Phase
- Phase 4
Contacts and Locations
Study Locations
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Michigan
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Grand Rapids, Michigan, United States, 49503
- Recruiting
- Spectrum Health Hospital
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Contact:
- Mary E Readwin, RN
- Phone Number: 616-486-2043
- Email: mary.readwin@spectrumhealth.org
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Principal Investigator:
- Andrew P Maternowski, MD
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- In patients >19 years of age
- History of C. difficile diarrhea within 16 weeks and treated with Flagyl or Vancomycin during last episode.
- Patients started on antibiotics during current admission for any other indication at any point of time during hospital course.
Exclusion Criteria:
- Current diagnosis of CDI
- First episode of CDI during this admission.
- Allergy to Vancomycin or other known intolerance
- Pregnant
h) Patient has received broad-spectrum antibiotics for more than 48 hours for this admission j) Incarceration
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Vancomycin
Vancomycin 125 mg PO QD vs Placebo
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Vancomycin Group: Study participants started on a broad-spectrum antibiotic will be initiated on Vancomycin 125 mg PO QD within 48 hrs of the 1st dose of primary broad-spectrum antibiotic and continued to complete a 10 day course regardless of the duration of primary antibiotic.
Dose of oral Vancomycin is 125 mg PO QD.
Vancomycin liquid will be dissolved in fruit juice which is standard practice at Spectrum Health Hospitals.
Both groups will continue in the study even if their broad spectrum antibiotic therapy is curtailed prior to 10 days.
Placebo Group: Will receive similar volume of fruit juice/placebo for 10 days.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
The incidence of recurrent Clostridium difficile infection
Time Frame: 2 years
|
2 years
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Andrew Maternowski, MD, Spectrum Health Hospitals
Study record dates
Study Major Dates
Study Start
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2013-303
- DDI.FY14.01 (Other Grant/Funding Number: Digestive Disease Institute)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Clostridium Difficile Infection
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Vedanta Biosciences, Inc.CompletedClostridium Difficile Infection | Clostridium Difficile Infection Recurrence | Clostridium Difficile | CDI | Clostridioides Difficile Infection | Clostridioides Difficile | Clostridioides Difficile Infection RecurrenceUnited States, Canada
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