- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02945722
Study of the Impact of a Targeted Decolonization of S. Aureus Persistent Carriers (CIBERSTAPH)
Study of the Impact of a Targeted Decolonization of S. Aureus Persistent Carriers on the Occurrence of S. Aureus Infections in Hemodialysis Patients
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Hemodialysis patients will be randomized in 2 arms: one arm where persistent carriers will be decolonized. Decolonization schedule associate the use of mupirocin nasal ointment 3 times a day and chlorhexidine bath once a day for 5 days. Screening of persistent carriers in this arm will be done every 3 months and a new decolonization will be proposed to patients found (again) persistent carriers. Determination of carriage status will be done using one nasal swab by following the algorithm previously described. Bacterial load will be determined by a quantitative S. aureus PCR (Polymerase Chain Reaction) : persistent carriers are the patient with a bacterial load > 103 CFU/mL (Colony Forming Unit) .
The other arm is HD patients in which decolonization is not performed including impersistent carriers.
All infections that occurred in enrolled patients will be counted in both groups
Study Type
Enrollment (Estimated)
Phase
- Phase 4
Contacts and Locations
Study Contact
- Name: Elisabeth Botelho-Nevers, MD PhD
- Phone Number: +33 (0)477829234
- Email: elisabeth.botelho-nevers@chu-st-etienne.fr
Study Contact Backup
- Name: Arnauld GARCIN, CRA
- Phone Number: +33 (0)477120286
- Email: arnauld.garcin@chu-st-etienne.fr
Study Locations
-
-
-
Annecy, France
- Recruiting
- CH d'Annecy-Genevois
-
Principal Investigator:
- Benoît FRANKO, MD
-
Sub-Investigator:
- Déborah CHAINTREUIL, MD
-
Annonay, France
- Not yet recruiting
- Ch Annonay
-
Principal Investigator:
- Carole DEPRELE, MD
-
Cannes, France
- Not yet recruiting
- Ch Cannes
-
Principal Investigator:
- Manuela DODOI, MD
-
La Tronche, France
- Not yet recruiting
- AGDUC
-
Principal Investigator:
- Nadège MINGAT, MD
-
Le Puy-en-Velay, France
- Recruiting
- Ch Emile Roux
-
Principal Investigator:
- Marc BOUILLER, MD
-
Sub-Investigator:
- Viorica BARBU, MD
-
Lyon, France
- Not yet recruiting
- CHU LYON
-
Principal Investigator:
- Laurent JUILLARD, MD
-
Lyon, France
- Terminated
- Aural
-
Lyon, France
- Recruiting
- CH St-Joseph St-Luc
-
Principal Investigator:
- Cécile CHAUVET, MD
-
Sub-Investigator:
- Amélie Belloi, MD
-
Montpellier, France
- Recruiting
- AIDER Santé
-
Principal Investigator:
- Nathalie RAYNAL, MD
-
Sub-Investigator:
- Cécile GUIRAUD, MD
-
Sub-Investigator:
- Cédric FORMET, MD
-
Sub-Investigator:
- Melody CUNY-MERLE, MD
-
Roanne, France
- Not yet recruiting
- CH Roanne
-
Principal Investigator:
- Emerson N'SEMBANI, MD
-
Saint Etienne, France
- Recruiting
- ARTIC42
-
Principal Investigator:
- Aida AFIANI, MD
-
Sub-Investigator:
- Linda AZZOUZ, MD
-
Sub-Investigator:
- Aline CHABROUX-SEFFERT, MD
-
Sub-Investigator:
- Jean-Christophe SZELAG, MD
-
Sub-Investigator:
- Abdelaziz ZIANE, MD
-
Sub-Investigator:
- Perrine JULLIEN, MD
-
Saint-etienne, France
- Recruiting
- CHU Saint-etienne
-
Principal Investigator:
- Elisabeth BOTHELO-NEVERS, MD PhD
-
Sub-Investigator:
- Amandine GAGNEUX-BRUNON, MD
-
Sub-Investigator:
- Fréderic LUCHT, MD PhD
-
Sub-Investigator:
- Philippe BERTHELOT, MD PhD
-
Sub-Investigator:
- Florence GRATTARD, MD
-
Sub-Investigator:
- Anne CARRICAJO, MD
-
Sub-Investigator:
- Christophe MARIAT, MD PhD
-
Sub-Investigator:
- Hesham MOHEY, MD
-
Sub-Investigator:
- Mariana DINIC, MD
-
Sub-Investigator:
- Vincent BISACCIA, MD PhD
-
Sub-Investigator:
- Eric ALAMARTINE, MD PhD
-
Sub-Investigator:
- Damien THIBAUDIN, MD
-
Sub-Investigator:
- Paul VERHOEVEN, MD
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Sainte-foy-les-Lyon, France
- Recruiting
- NephroCare
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Principal Investigator:
- Manolie MEHDI, MD
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Sub-Investigator:
- Christie LORRIAUX, MD
-
Valence, France
- Not yet recruiting
- Ch Valence
-
Sub-Investigator:
- Sabine MENDES, MD
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Sub-Investigator:
- Jacques SARTRE, MD
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Vienne, France
- Not yet recruiting
- CH de Vienne - Hôpital Lucien Hussel
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Principal Investigator:
- Patrick HALLONET, MD
-
Sub-Investigator:
- Léopold ADELAIDE, MD
-
Sub-Investigator:
- Marie BONJEAN, MD
-
Sub-Investigator:
- Anissa BOUAZIZ, MD
-
Villefranche-sur-Saône, France
- Recruiting
- Villefranche sur Saône: ATIRRA et Hôpital Nord Ouest
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Principal Investigator:
- Jacques HANNOUN, MD
-
Sub-Investigator:
- Cécile TEUMA, MD
-
Sub-Investigator:
- Gary DAVID, MD
-
Sub-Investigator:
- Romain BRICCA, MD
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Yssingeaux, France
- Recruiting
- CH Yssingeaux - Hôpital Local
-
Principal Investigator:
- Marc BOUILLER, MD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Adults (age ≥ 18 years-old)
- Patient under chronic hemodialysis
- Patent that accepted to participate in the study with a written consent form signed
Exclusion Criteria:
- Patients under peritoneal dialysis
- Patients with an active infection at the time of inclusion
- Patients previously treated by mupirocin and chlorhexidine for decolonization purpose
- Patients that received antimicrobials active on S. aureus during the month before the inclusion
- Patients with allergy to mupirocin or chlorhexidine
- Patients treated by hemodialysis transiently (non-terminal kidney failure)
- Pregnancy
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Decolonization
persistent carriers will be decolonized.
Decolonization schedule associate the use of mupirocin nasal ointment 3 times a day and chlorhexidine bath once a day for 5 days.
|
Decolonization schedule associate the use of mupirocin nasal ointment 3 times a day and chlorhexidine bath once a day for 5 days.
Screening of persistent carriers will be done every 3 months
|
Placebo Comparator: No decolonization
HD patients in which decolonization is not performed including impersistent carriers.
|
Screening of persistent carriers in this arm will be done every 3 months
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
S. aureus infection
Time Frame: 12 months
|
Number of S. Aureus define by Centers for Disease Control
|
12 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
endogenous S. aureus infections
Time Frame: 12 months
|
same strain of carriage and infection
|
12 months
|
Bacteremias S. aureus
Time Frame: 12 months
|
Impact of Bacteremias S. aureus
|
12 months
|
strain of S. aureus
Time Frame: 12 months
|
Percentage of resistants strains of S. aureus at mupirocin and chlorhexidine
|
12 months
|
persistents carriers of S. aureus
Time Frame: Months : 3, 6, 9, 12
|
Percentage of persistents carriers of S. aureus
|
Months : 3, 6, 9, 12
|
intermittents carriers of S. aureus
Time Frame: Months : 3, 6, 9, 12
|
Percentage of intermittents carriers of S. aureus
|
Months : 3, 6, 9, 12
|
non-carriers carriers of S. aureus
Time Frame: Months : 3, 6, 9, 12
|
Percentage of non-carriers carriers of S. aureus
|
Months : 3, 6, 9, 12
|
other bacterial infections
Time Frame: 12 months
|
Impact of other bacterial infections without S. aureus
|
12 months
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Elisabeth Botelho-Nevers, MD PhD, CHU Saint-etienne
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimated)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- 1608170
- 2016-004381-25 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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.
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