Antimicrobial Catheter Securement Dressings for the Prevention of Cvc-related Bloodstream Infections in Cancer Patients

NCT ID: NCT01544686

Last Updated: 2015-12-09

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

NA

Total Enrollment

630 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-02-29

Study Completion Date

2015-10-31

Brief Summary

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In neutropenic cancer patients, catheter-related bloodstream infections may cause severe infections and even death. To assess the prophylactic effect of a chlorhexidine coated catheter securement dressing on the incidence of catheter-related bloodstream infections, this open, randomized trial is being carried out. CHG iv Tegaderm securement dressing will be randomized in a 1:1 fashion against Tegaderm Advanced iv securement dressing.

Detailed Description

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Conditions

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Bloodstream Infection

Keywords

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neutropenia cancer fever central venous catheter infection

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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3M™ Tegaderm CHG IV

Patients receive the 3M Tegaderm CHG IV securement dressing after placement of a central venous catheter.

Group Type ACTIVE_COMPARATOR

3M™ Tegaderm™ CHG IV and 3M™ Tegaderm™ Advanced IV

Intervention Type DEVICE

Patients receive the 3M™ Tegaderm CHG IV securement dressing or the 3M Tegaderm Advanced IV securement dressing after placement of a central venous catheter.

3M™ Tegaderm™ Advanced IV'

Patients receive the 3M Tegaderm Advanced IV securement dressing after placement of a central venous catheter.

Group Type PLACEBO_COMPARATOR

3M™ Tegaderm™ CHG IV and 3M™ Tegaderm™ Advanced IV

Intervention Type DEVICE

Patients receive the 3M™ Tegaderm CHG IV securement dressing or the 3M Tegaderm Advanced IV securement dressing after placement of a central venous catheter.

Interventions

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3M™ Tegaderm™ CHG IV and 3M™ Tegaderm™ Advanced IV

Patients receive the 3M™ Tegaderm CHG IV securement dressing or the 3M Tegaderm Advanced IV securement dressing after placement of a central venous catheter.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patients receiving a central venous catheter for chemotherapy of AML or ALL
* Patients receiving a central venous catheter for high-dose chemotherapy with consecutive autologous stem cell transplantation or any other condition with an expected duration of chemotherapy-associated neutropenia of at least 5 days and an expected duration of central venous catheter use of at least 10 days
* Age \>= 18 years

Exclusion Criteria

* Condition with an expected duration of chemotherapy-associated neutropenia of at less than 5 days and an expected duration of central venous catheter use of less than 10 days
* Use of a central venous catheter with antimicrobial coating other than chlorhexidine and/or silver-sulfadiazine
* Limited venous status, impeding acquisition of peripheral blood cultures in case of febrile neutropenia
* Patients previously enrolled in the study
* Tunneled central venous catheters
* Shaldon catheters
* CVC insertion via the V. femoralis
* Fever (T \> 37.8°C) related to a suspected or confirmed bacterial infection at randomization
* Known allergic/hypersensitivity reaction to any compounds of the treatment
* Legal incapacity or limited legal capacity
* Medical or psychological condition which in the opinion of the investigator would not permit the patient to complete the study or sign meaningful informed consent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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3M

INDUSTRY

Sponsor Role collaborator

University of Cologne

OTHER

Sponsor Role lead

Responsible Party

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Maria J.G.T. Vehreschild

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Maria JG Vehreschild, Dr. med.

Role: PRINCIPAL_INVESTIGATOR

University Hospital of Cologne

Locations

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Klinikum Schwabing

Munich, Bavaria, Germany

Site Status

Klinikum Neuperlach

Munich, Bavaria, Germany

Site Status

Universitätsklinikum Aachen

Aachen, North Rhine-Westphalia, Germany

Site Status

University Hospital Cologne

Cologne, North Rhine-Westphalia, Germany

Site Status

Universitätsmedizin Berlin - Charité

Berlin, State of Berlin, Germany

Site Status

Countries

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Germany

References

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Schalk E, Teschner D, Hentrich M, Boll B, Panse J, Schmidt-Hieber M, Vehreschild MJGT, Biehl LM. Central venous catheter-related bloodstream infections in patients with hematological malignancies: Comparison of data from a clinical registry and a randomized controlled trial. Infect Control Hosp Epidemiol. 2020 Feb;41(2):254-256. doi: 10.1017/ice.2019.335. No abstract available.

Reference Type DERIVED
PMID: 31818338 (View on PubMed)

Schalk E, Biehl LM, Farber J, Schluter D, Vehreschild MJGT, Fischer T. Determination of a Cutoff Time Point for Prophylactic Exchange of Central Venous Catheters for Prevention of Central Venous Catheter-Related Bloodstream Infections in Patients with Hematological Malignancies. Infect Control Hosp Epidemiol. 2017 Jul;38(7):888-889. doi: 10.1017/ice.2017.92. Epub 2017 May 18. No abstract available.

Reference Type DERIVED
PMID: 28514979 (View on PubMed)

Biehl LM, Huth A, Panse J, Kramer C, Hentrich M, Engelhardt M, Schafer-Eckart K, Kofla G, Kiehl M, Wendtner CM, Karthaus M, Ullmann AJ, Hellmich M, Christ H, Vehreschild MJ. A randomized trial on chlorhexidine dressings for the prevention of catheter-related bloodstream infections in neutropenic patients. Ann Oncol. 2016 Oct;27(10):1916-22. doi: 10.1093/annonc/mdw275. Epub 2016 Jul 25.

Reference Type DERIVED
PMID: 27456299 (View on PubMed)

Other Identifiers

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DRKS00003368

Identifier Type: -

Identifier Source: org_study_id