Detail Article

Informations générales (source: ClinicalTrials.gov)

Numéro NCT

NCT02411331 Statut inconnu

Titre

Randomized, Multicenter, Double-blind, Vancomycin-controlled Study to Evaluate the Efficacy of Ethanol Lock Solution for the Curative Treatment of Implantable Venous Access Port Infection Due to Coagulase-negative Staphylococci (Etha-LOCK)

Type

Interventional

Pathologie

Maladies transmissibles
Infection
Infections à staphylocoques
Sepsie

Phase

N/A

Promoteur

University Hospital, Clermont-Ferrand (Voir sur ClinicalTrials)

Date de début

mars 2015

Date de fin

janvier 2017

Dernière mise à jour

29 juin 2024

Résumé

Implantable venous access port infections are mainly due to coagulase negative staphylococci and may be managed by antibiotic lock therapy with retention of the port. Most of the time a vancomycin lock is used. Experimental data show that vancomycin may be poorly effective in eradicating the staphylococcal biofilm in the port. Another disadvantage of Vancomycin-containing lock solution is the occurrence of resistant organisms and the risk of catheter occlusion. Ethanol-containing lock solution is highly effective in vitro and does not expose to the risk of emergence resistance.

Détail

Voir le détail Type of study: multi-center, randomized, double-blind, parallel-group, controlled clinical trial. Number of centers: 9 French centers in Auvergne and Rhône-Alpes regions Medical product Ethanol 40% + Enoxaparine 400UI/ml Versus Vancomycin 5 mg/ml + Héparine 2500UI/ml Patients Patients eligible for inclusion will be randomized to one of the two groups: - Experimental group: 90 patients will receive 10 injections of ethanol lock solution in implantable venous access port during the first 10 days of the study. - Control group: 90 patients will receive 10 injections of vancomycin lock solution in implantable venous access port during the first 10 days of the study. - For each group, in case of bacteraemia, the lock therapy is associated with a systemic antibiotic therapy using another venous line and optimized by a specialist in infectious diseases. Study Performance Patients will be assessed at baseline D0, 3 days (D3), 10 days (D10), 14 weeks (W14) after D0 as follows: Visit 1 (D0 - baseline): - Signature of an informed consent form. - Demographic and clinical characteristics (sex, age, disease associated with implantable venous access port, implantable venous access port infection data, bacteraemia data) Days 1 to 10 - Injection of ethanol or vancomycin lock solution in implantable venous access port - Ethanolemia 30 minutes after injection, on first day - Side effects evaluation Visit 2 (D3) and Visit 3 (D10) - Side effects evaluation - Blood culture - Bacteraemia data (antibiotic therapy modification) Phone contact each week from week 2 to week 13 End Visit (W14) - Side effects evaluation - Blood culture - Bacteraemia data (antibiotic therapy modification) Fermer le détail

Etablissements

Les établissements hors Île-de-France dont les données sont issues de ClinicalTrials.gov Origine et niveau de fiabilité des données
CHU Clermont-Ferrand - 63003 - Clermont-Ferrand - France	Patrick LACARIN	En recrutement		Contact (sur clinicalTrials)

Critères

Genre

Tous

Nombre d'inclusion

Critère d'inclusion

Inclusion Criteria:

- Man or woman from 18 years old

- With probable or definite implantable venous access port infection

- With or without bacteraemia

- Infection due to coagulase-negative staphylococci (except for lugdunensis
Staphylococci)

- Blood culture results available within 48 hours before inclusion

- With health insurance

Critère de non inclusion

- Pregnant or breastfeeding woman

- Allergy to ethanol

- Patient with prosthetic cardiac valve

- Necessity of venous access port withdrawal

- Prior infection on the same venous access port

- Patients under supervision or (legal) guardianship

NCT02411331 - Randomized, Multicenter, Double-blind, Vancomycin-controlled Study to Evaluate the Efficacy of Ethanol Lock Solution for the Curative Treatment of Implantable Venous Access Port Infection Due to Coagulase-negative Staphylococci (Etha-LOCK)

Informations générales
Etablissements
Critères
Accès à la fiche NCT

Retour en haut