Irrisept Versus Standard of Care in the Prevention of Surgical Site Infections

NCT ID: NCT02255487

Last Updated: 2022-05-24

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

627 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-02-18

Study Completion Date

2017-03-13

Brief Summary

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The purpose of this study was to compare the rate of surgical site infections in patients randomized to Irrisept versus SoC, who had an open abdominal laparotomy for abdominal trauma or acute surgical abdomen.

Detailed Description

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The trial was explained to potential subjects, the informed consent was completed and and eligibility was verified. After this, the subjects were randomized to Irrisept or SoC and an open abdominal laparotomy with primary closure due to (1) blunt or penetrating abdominal trauma or (2) acute surgical abdomen was performed. The follow-up visit was performed approximately 30 days later.

Conditions

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Surgical Site Infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The randomization methodology was controlled by the site.
Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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IrriSept System

IrriSept device used for surgical irrigation in subjects with abdominal trauma or acute surgical abdomen

Group Type EXPERIMENTAL

IrriSept System

Intervention Type DEVICE

The IrriSept system consists of two containers: Step1, a sterile bottle of 450 mL 0.05% Chlorhexidine Gluconate in 99.95% water and Step 2, a sterile bottle of 450 mL of sterile 0.9% Normal Saline. Step 1 and Step 2 are identical in shape and size, with a clear distinction in labeling between. Their unique design allows the solutions to be delivered under the ideal pressure as determined by the surgeon via manual compression for wound and surgical irrigation.

Subjects randomized to the IrriSept system will receive irrigation per the provided Instructions for use; those randomized to Standard of Care will receive routine care per discretion of the investigator and in accordance with the institution's guidelines, which may or may not include some other type of irrigation.

Standard of Care (SoC) only

Institution will provide routine Standard of Care (SoC) surgical preparation for subjects with abdominal trauma or acute surgical abdomen.

Group Type ACTIVE_COMPARATOR

No Intervention - Standard of Care (SoC) only

Intervention Type OTHER

Institution will provide routine Standard of Care (SoC) as surgical preparation for subjects with abdominal trauma or acute surgical abdomen.

Interventions

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IrriSept System

The IrriSept system consists of two containers: Step1, a sterile bottle of 450 mL 0.05% Chlorhexidine Gluconate in 99.95% water and Step 2, a sterile bottle of 450 mL of sterile 0.9% Normal Saline. Step 1 and Step 2 are identical in shape and size, with a clear distinction in labeling between. Their unique design allows the solutions to be delivered under the ideal pressure as determined by the surgeon via manual compression for wound and surgical irrigation.

Subjects randomized to the IrriSept system will receive irrigation per the provided Instructions for use; those randomized to Standard of Care will receive routine care per discretion of the investigator and in accordance with the institution's guidelines, which may or may not include some other type of irrigation.

Intervention Type DEVICE

No Intervention - Standard of Care (SoC) only

Institution will provide routine Standard of Care (SoC) as surgical preparation for subjects with abdominal trauma or acute surgical abdomen.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Is male or female, 18 years of age or older
2. Has provided written informed consent or has surrogate consent provided by a Legally Authorized Representative (LAR)
3. Has experienced abdominal trauma, blunt or penetrating, requiring open abdominal laparotomy with primary closure or
4. Has experienced acute surgical abdomen requiring open abdominal laparotomy with primary closure

Exclusion Criteria

1. Known allergy to Chlorhexidine Gluconate (CHG)
2. Estimated Abbreviated Injury Scale (AIS) score of six (6) at the time of surgery, for all trauma patients
3. American Society of Anesthesiologists Physical Status Classification (ASA) score of five (5) or greater (As ASA scoring is a subjective measure, if the PI finds the patient stable enough for study participation despite a score of 5, enrollment may continue.)
4. Female volunteers who are pregnant and/or breast feeding
5. Damage control laparotomy
6. Abdominal incision created prior to operating room (i.e. incision made in trauma bay to cross clamp the aorta)
7. Currently enrolled in an ongoing, interventional, randomized clinical trial
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Irrimax Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Donald Fry, MD

Role: STUDY_DIRECTOR

Michael Pine Associates

Locations

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The University of Arizona

Tucson, Arizona, United States

Site Status

The University of Southern California, USC Medical Center

Los Angeles, California, United States

Site Status

Denver Health and Hospital Authority

Denver, Colorado, United States

Site Status

The University of South Florida, Tampa General Hospital

Tampa, Florida, United States

Site Status

The University of Iowa

Iowa City, Iowa, United States

Site Status

The University of Kentucky Research Foundation

Lexington, Kentucky, United States

Site Status

The University of Maryland, Baltimore

Baltimore, Maryland, United States

Site Status

Baystate Medical Center

Springfield, Massachusetts, United States

Site Status

Saint Louis University

St Louis, Missouri, United States

Site Status

The University of Cincinnati Health

Cincinnati, Ohio, United States

Site Status

The MetroHealth System

Cleveland, Ohio, United States

Site Status

Regional One Health Research Institute

Memphis, Tennessee, United States

Site Status

The University of Texas Southwestern Medical Center

Dallas, Texas, United States

Site Status

The University of Texas Health Science Center at Houston

Houston, Texas, United States

Site Status

The University of Texas Health Science Center at San Antonio

San Antonio, Texas, United States

Site Status

The University of Washington, Harborview Medical Center

Seattle, Washington, United States

Site Status

The Medical College of Wisconsin

Milwaukee, Wisconsin, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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IRR-CT-901-2013-01

Identifier Type: -

Identifier Source: org_study_id

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