Trial of Antibiotic Prophylaxis in Elective Laparoscopic Colorectal Surgery: Oral and Systemic Versus Systemic Antibiotics

NCT ID: NCT00508690

Last Updated: 2012-09-19

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

584 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-09-30

Study Completion Date

2011-12-31

Brief Summary

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The purpose of this study is to determine optimal prophylactic antibiotics administration method in elective laparoscopic colorectal surgery.

Detailed Description

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The use of antibiotic prophylaxis in patients who undergo elective colorectal surgery is now accepted universally. But the rout of administration should be systematic, oral, or both is controversial. Furthermore, although many trails have been performed, no trial limited to laparoscopic surgery is performed. We compare 2 approaches - oral and systemic versus systemic antibiotic prophylaxis - in limited to elective laparoscopic colorectal surgery.

Conditions

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Colorectal Neoplasms

Keywords

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Antibiotic Prophylaxis Colorectal Surgery Laparoscopy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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IV

Intravenous dose of 1g cefmetazole just before surgery and additional doses every 3hs during surgery

Group Type ACTIVE_COMPARATOR

cefmetazole

Intervention Type DRUG

Intravenous dose of 1g cefmetazole just before surgery and additional doses every 3hs during surgery

Oral/IV

2 doses of oral kanamycin(1g)/ metronidazole(750mg) administration on the day before surgery with intravenous dose of 1g cefmetazole just before surgery and additional doses every 3hs during surgery

Group Type ACTIVE_COMPARATOR

kanamycin/metronidazole

Intervention Type DRUG

2 doses of oral kanamycin(1g)/ metronidazole(750mg) administration on the day before surgery with intravenous dose of 1g cefmetazole just before surgery and additional doses every 3hs during surgery

Interventions

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cefmetazole

Intravenous dose of 1g cefmetazole just before surgery and additional doses every 3hs during surgery

Intervention Type DRUG

kanamycin/metronidazole

2 doses of oral kanamycin(1g)/ metronidazole(750mg) administration on the day before surgery with intravenous dose of 1g cefmetazole just before surgery and additional doses every 3hs during surgery

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Colorectal tumor(cancer, adenoma and suspected cases) with planned elective laparoscopic colorectal resection

Exclusion Criteria

* ECOG Performance Status \>=2
* Age\<20
* Any organ dysfunction
* Ileus
* Preoperative infectious disease
* Antibiotic administration before surgery
* Steroid administration before surgery
* Neo-adjuvant radiation and/or chemo therapy
* Severe diabetes mellitus
* Pregnancy/lactational woman
* Severe allergy
Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Japan Multinational Trial Organization

OTHER

Sponsor Role lead

Responsible Party

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Hiroaki Hata

member

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Hiroaki Hata, MD

Role: PRINCIPAL_INVESTIGATOR

National Hospital Organization Kyoto Medical Center

Locations

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Kyoto Univercity Hospital

Kyoto, Kyoto, Japan

Site Status

National Hospital Organization, Kyoto Medical Center

Kyoto, Kyoto, Japan

Site Status

Kyoto Katsura Hospital

Kyoto, Kyoto, Japan

Site Status

Tenriyorozu Hospital

Tenri, Nara, Japan

Site Status

Kitano Hospital

Osaka, Osaka, Japan

Site Status

Countries

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Japan

Related Links

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http://www.umin.ac.jp/ctr/index.htm

UMIN Clinical Trial Registry: Unique trial number UMIN000000776

Other Identifiers

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UMIN000000776

Identifier Type: -

Identifier Source: secondary_id

JMTO PREV07-01

Identifier Type: -

Identifier Source: org_study_id