Trial Outcomes & Findings for Efficacy Study on Silver-coated ETT Cleaned With a Novel Device (NCT NCT02120001)

NCT ID: NCT02120001

Last Updated: 2017-05-19

Results Overview

Discarded ETTs will be collected after extubation and sent for quantitative and qualitative microbiological analysis after silver ion inactivation. Qualitative analysis was based on confocal microscopy, we described visually the distribution of microbial colonization. However, we did not report numerical value because the confounding factors (i.e., number and length of devices).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

40 participants

Primary outcome timeframe

At extubation (an expected average of 7 days)

Results posted on

2017-05-19

Participant Flow

Four patients were found ineligible.

Participant milestones

Participant milestones
Measure
ETT Cleaning Maneuver
Patients randomized to the treatment group will undergo an ETT cleaning maneuver with endOclear three times a day (every 8 hours) for the whole intubation period in addition to the standard of care.
Standard of Care
In the protocol no intervention is planned for the control group, which will therefore be treated with blind suctioning as per caregiver clinical decision.
Overall Study
STARTED
17
19
Overall Study
COMPLETED
17
19
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Efficacy Study on Silver-coated ETT Cleaned With a Novel Device

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
ETT Cleaning Maneuver
n=17 Participants
Patients randomized to the treatment group will undergo an ETT cleaning maneuver with endOclear three times a day (every 8 hours) for the whole intubation period in addition to the standard of care.
Standard of Care
n=19 Participants
In the protocol no intervention is planned for the control group, which will therefore be treated with blind suctioning as per caregiver clinical decision.
Total
n=36 Participants
Total of all reporting groups
Age, Continuous
65.6 years
STANDARD_DEVIATION 4.1 • n=5 Participants
61.2 years
STANDARD_DEVIATION 3.5 • n=7 Participants
63.2 years
STANDARD_DEVIATION 4.0 • n=5 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
10 Participants
n=7 Participants
14 Participants
n=5 Participants
Sex: Female, Male
Male
13 Participants
n=5 Participants
9 Participants
n=7 Participants
22 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Black/African American
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Race/Ethnicity, Customized
White
14 Participants
n=5 Participants
14 Participants
n=7 Participants
28 Participants
n=5 Participants
Race/Ethnicity, Customized
Unknown or Not Reported
1 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
Region of Enrollment
United States
17 participants
n=5 Participants
19 participants
n=7 Participants
36 participants
n=5 Participants

PRIMARY outcome

Timeframe: At extubation (an expected average of 7 days)

Discarded ETTs will be collected after extubation and sent for quantitative and qualitative microbiological analysis after silver ion inactivation. Qualitative analysis was based on confocal microscopy, we described visually the distribution of microbial colonization. However, we did not report numerical value because the confounding factors (i.e., number and length of devices).

Outcome measures

Outcome measures
Measure
ETT Cleaning Maneuver
n=17 Participants
Patients randomized to the treatment group will undergo an ETT cleaning maneuver with endOclear three times a day (every 8 hours) for the whole intubation period in addition to the standard of care.
Standard of Care
n=19 Participants
In the protocol no intervention is planned for the control group, which will therefore be treated with blind suctioning as per caregiver clinical decision.
Endotracheal Tube Colonization
0.9 Log colony form unit (CFU)/ mL
Standard Deviation 1.2
1.6 Log colony form unit (CFU)/ mL
Standard Deviation 1.2

SECONDARY outcome

Timeframe: At extubation (An expected average of 7 days)

Investigators will collect data about distal airways samples performed for clinical reasons during the study period and, in addition, investigators will collect a specimen from the distal airways immediately before extubation.

Outcome measures

Outcome measures
Measure
ETT Cleaning Maneuver
n=17 Participants
Patients randomized to the treatment group will undergo an ETT cleaning maneuver with endOclear three times a day (every 8 hours) for the whole intubation period in addition to the standard of care.
Standard of Care
n=19 Participants
In the protocol no intervention is planned for the control group, which will therefore be treated with blind suctioning as per caregiver clinical decision.
Microbiological Colonization of Distal Airways
4.2 Log colony form unit (CFU)/ mL
Standard Deviation 3.8
4.8 Log colony form unit (CFU)/ mL
Standard Deviation 4.0

Adverse Events

ETT Cleaning Maneuver

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Standard of Care

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Robert Kacmarek, Director Respiratory Care

Massachusetts General Hospital

Phone: (617) 726-2000

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place