- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03386240
Antibacterial-coated Sutures at Time of Cesarean (ASTC)
September 15, 2023 updated by: The University of Texas Medical Branch, Galveston
Abdominal closure with antibacterial-coated sutures has been shown to reduce wound infections after a number of surgical procedures, but none of the previous trials included cesarean delivery.
Our objective is to determine whether use of antibacterial-coated sutures reduces surgical site infection (SSI) after cesarean delivery.
Study Overview
Status
Recruiting
Conditions
Detailed Description
A review of 18 studies demonstrated a significant benefit of antimicrobial coated sutures in reducing SSI (RCTs: OR 0.72; 95% CI 0.59-0.88;
observational studies: OR 0.58; 95% CI 0.40-0.83).
As there are no clinical trials focusing on cesarean delivery, and because the risk factors and pathogenesis for post-cesarean SSI may not mirror other procedures, further data is needed before generalizing the WHO recommendations to cesarean procedures.
Study Type
Interventional
Enrollment (Estimated)
3374
Phase
- Phase 4
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Benjamin Bush, M.D.
- Phone Number: (409)772-1011
- Email: babush@utmb.edu
Study Contact Backup
- Name: Megan Shepherd, M.D.
- Phone Number: 4045636251
- Email: mcshephe@utmb.edu
Study Locations
-
-
Texas
-
Galveston, Texas, United States, 77550
- Recruiting
- University of Texas Medical Branch in Galveston
-
Contact:
- Benjamin Bush, M.D.
- Phone Number: 409-772-1011
- Email: babush@utmb.edu
-
Contact:
- Megan Shepherd, M.D.
- Phone Number: (409)772-0982
- Email: mcshephe@utmb.edu
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 50 years (Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- 18-50 years of age.
- Women ≥ 24 weeks' viable gestation.
- To undergo cesarean delivery.
Exclusion Criteria:
- Patient unwilling or unable to provide consent.
- No prenatal care or a non-resident patient who is unlikely to be followed-up after delivery.
- Immunosuppressed patients: i.e., taking systemic immunosuppressant or steroids (e.g. transplant patients; not including steroids for lung maturity), HIV with CD4<200, or other.
- Decision to use other than suture closure (e.g. secondary wound closure, mesh closure).
- Skin infection.
- Coagulopathy.
- High likelihood of additional surgical procedure beyond cesarean (e.g. scheduled hysterectomy, bowel or adnexal surgery).
- Allergy to Triclosan.
- Incarcerated individuals.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Vicryl-plus, monocryl-plus, PDS-plus (Triclosan-coated Sutures
Use of Monocryl Plus, Vicryl Plus and PDS Plus Suture (Triclosan-coated sutures) will be used exclusively throughout the entire procedure.
|
The intervention consists of using Plus group (Triclosan-coated Sutures)
Other Names:
|
Placebo Comparator: Vicryl, monocryl, PDS (not coated with triclosan)
Use of Monocryl, Vicryl and PDS Suture (equivalent uncoated sutures) will be used exclusively throughout the whole procedure.
|
Consists of equivalent sutures (not coated with triclosan) during cesarean delivery.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Composite of endometritis and/or wound infection and/or other post-cesarean infections
Time Frame: occurring within 30 days of delivery
|
surgical site infection after cesarean
|
occurring within 30 days of delivery
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Benjamin Bush, M.D., University of Texas Medical Branch in Galveston
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
January 9, 2018
Primary Completion (Estimated)
January 30, 2024
Study Completion (Estimated)
January 30, 2024
Study Registration Dates
First Submitted
December 21, 2017
First Submitted That Met QC Criteria
December 28, 2017
First Posted (Actual)
December 29, 2017
Study Record Updates
Last Update Posted (Actual)
September 21, 2023
Last Update Submitted That Met QC Criteria
September 15, 2023
Last Verified
March 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Postoperative Complications
- Wounds and Injuries
- Disease Attributes
- Infections
- Communicable Diseases
- Surgical Wound
- Surgical Wound Infection
- Wound Infection
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents, Local
- Anti-Infective Agents
- Antimetabolites
- Hypolipidemic Agents
- Lipid Regulating Agents
- Fatty Acid Synthesis Inhibitors
- Triclosan
Other Study ID Numbers
- 17-0305
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
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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