Silver-Coated Endotracheal Tube to Reduce Ventilator Associated Pneumonia (VAP)

NCT ID: NCT00148642

Last Updated: 2017-01-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

2003 participants

Study Classification

INTERVENTIONAL

Study Start Date

2002-11-30

Study Completion Date

2006-03-31

Brief Summary

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The purpose of this study is to determine if the use of a silver-coated endotracheal tube (ETT) can reduce the incidence and/or delay the time of onset of VAP when compared to a non silver-coated ETT in patients who have been mechanically ventilated for \>= 24 hours.

Detailed Description

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Nosocomial pneumonia is the leading cause of death from hospital-acquired infections.Ventilator associated pneumonia (VAP) develops in a significant percentage of patients who have been ventilated for at least 48 hours, and is associated with high morbidity, mortality,and financial costs. Silver is a well-characterized antimicrobial agent, and is the active agent in multiple medical products used to reduce or control infection. Bard has developed a proprietary antimicrobial ETT, manufactured with a hydrophilic coating containing a fine dispersion of silver salts.

This study compare the incidence and time to onset of VAP in patients intubated for \>=24 hours with a proprietary silver-coated ETT versus those intubated for \>= 24 hours with a standard non-coated ETT.

Conditions

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Respiratory Failure

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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1

silver salts coated endotracheal tube

Group Type EXPERIMENTAL

silver salts coated endotracheal tube

Intervention Type DEVICE

intubation with silver coated tube

2

uncoated endotracheal tube

Group Type PLACEBO_COMPARATOR

uncoated endotracheal tube

Intervention Type DEVICE

intubation

Interventions

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silver salts coated endotracheal tube

intubation with silver coated tube

Intervention Type DEVICE

uncoated endotracheal tube

intubation

Intervention Type DEVICE

Other Intervention Names

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Agento

Eligibility Criteria

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Inclusion Criteria

* age \> 18 years
* expected to be intubated for at least 24 hours
* able to sign Informed Consent

Exclusion Criteria

* symptoms of bronchiectasis
* severe hemoptysis
* history of cystic fibrosis
* intubated \> 12 hours within previous 30 days
* pregnancy
* participating in a competing trial
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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C. R. Bard

INDUSTRY

Sponsor Role lead

Responsible Party

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CR Bard, Inc

Principal Investigators

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Marin H Kollef, MD

Role: PRINCIPAL_INVESTIGATOR

Barnes Jewish Hospital, St. Louis, MO

Locations

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University of California, San Diego

San Diego, California, United States

Site Status

West Suburban Hospital

Oak Park, Illinois, United States

Site Status

Mayo Clinic & Foundation

Rochester, Minnesota, United States

Site Status

St. John's Mercy Medical Center

St Louis, Missouri, United States

Site Status

Audie Murphy VA Medical Center & University Hospital

San Antonio, Texas, United States

Site Status

Countries

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United States

References

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Baughman RP, Spencer RE, Kleykamp BO, Rashkin MC, Douthit MM. Ventilator associated pneumonia: quality of nonbronchoscopic bronchoalveolar lavage sample affects diagnostic yield. Eur Respir J. 2000 Dec;16(6):1152-7. doi: 10.1034/j.1399-3003.2000.16f23.x.

Reference Type BACKGROUND
PMID: 11292122 (View on PubMed)

Restrepo MI, Anzueto A, Arroliga AC, Afessa B, Atkinson MJ, Ho NJ, Schinner R, Bracken RL, Kollef MH. Economic burden of ventilator-associated pneumonia based on total resource utilization. Infect Control Hosp Epidemiol. 2010 May;31(5):509-15. doi: 10.1086/651669.

Reference Type DERIVED
PMID: 20302428 (View on PubMed)

Kollef MH, Afessa B, Anzueto A, Veremakis C, Kerr KM, Margolis BD, Craven DE, Roberts PR, Arroliga AC, Hubmayr RD, Restrepo MI, Auger WR, Schinner R; NASCENT Investigation Group. Silver-coated endotracheal tubes and incidence of ventilator-associated pneumonia: the NASCENT randomized trial. JAMA. 2008 Aug 20;300(7):805-13. doi: 10.1001/jama.300.7.805.

Reference Type DERIVED
PMID: 18714060 (View on PubMed)

Other Identifiers

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5003A

Identifier Type: -

Identifier Source: org_study_id

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