Trial Outcomes & Findings for Decolonization of the Oropharynx, an Important and Neglected Reservoir of S. Aureus Colonization (NCT NCT02589067)

NCT ID: NCT02589067

Last Updated: 2020-12-29

Results Overview

The primary endpoint is eradication of S. aureus oropharyngeal colonization at 7 days using an intention to treat (ITT) model. .

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

67 participants

Primary outcome timeframe

7 days

Results posted on

2020-12-29

Participant Flow

Participant milestones

Participant milestones
Measure
0.12% Chlorhexidine Gluconate Oral Rinse
Randomized to 15mL 0.12% Chlorhexidine Gluconate oral rinse, to be used twice daily for 60 seconds for 7 days. Chlorhexidine gluconate: Oral rinse of either 0.12% Chlorhexidine Gluconate oral rinse to test the safety/efficacy of 0.12% Chlorhexidine Gluconate oral rinse in decolonizing the oropharynx of children colonized with S. aureus.
Saline Placebo Oral Rinse
Randomized to 15mL saline placebo oral rinse, to be used twice daily for 60 seconds for 7 days. Saline Placebo: Placebo saline oral rinse to to test the safety/efficacy of 0.12% Chlorhexidine Gluconate oral rinse in decolonizing the oropharynx of children colonized with S. aureus.
Overall Study
STARTED
33
34
Overall Study
COMPLETED
28
28
Overall Study
NOT COMPLETED
5
6

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Decolonization of the Oropharynx, an Important and Neglected Reservoir of S. Aureus Colonization

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
0.12% Chlorhexidine Gluconate Oral Rinse
n=33 Participants
Randomized to 15mL 0.12% Chlorhexidine Gluconate oral rinse, to be used twice daily for 60 seconds for 7 days. Chlorhexidine gluconate: Oral rinse of either 0.12% Chlorhexidine Gluconate oral rinse to test the safety/efficacy of 0.12% Chlorhexidine Gluconate oral rinse in decolonizing the oropharynx of children colonized with S. aureus.
Saline Placebo Oral Rinse
n=34 Participants
Randomized to 15mL saline placebo oral rinse, to be used twice daily for 60 seconds for 7 days. Saline Placebo: Placebo saline oral rinse to to test the safety/efficacy of 0.12% Chlorhexidine Gluconate oral rinse in decolonizing the oropharynx of children colonized with S. aureus.
Total
n=67 Participants
Total of all reporting groups
Age, Categorical
<=18 years
33 Participants
n=5 Participants
34 Participants
n=7 Participants
67 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
11 years
STANDARD_DEVIATION 11.7 • n=5 Participants
12.4 years
STANDARD_DEVIATION 11.7 • n=7 Participants
11 years
STANDARD_DEVIATION 11.7 • n=5 Participants
Sex: Female, Male
Female
14 Participants
n=5 Participants
13 Participants
n=7 Participants
27 Participants
n=5 Participants
Sex: Female, Male
Male
19 Participants
n=5 Participants
21 Participants
n=7 Participants
40 Participants
n=5 Participants
Race/Ethnicity, Customized
White Hispanic
29 Participants
n=5 Participants
29 Participants
n=7 Participants
58 Participants
n=5 Participants
Race/Ethnicity, Customized
White Not Hispanic
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian/Pacific Islander
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Race/Ethnicity, Customized
Black/African American
3 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
Race/Ethnicity, Customized
other
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
United States
33 participants
n=5 Participants
34 participants
n=7 Participants
67 participants
n=5 Participants

PRIMARY outcome

Timeframe: 7 days

The primary endpoint is eradication of S. aureus oropharyngeal colonization at 7 days using an intention to treat (ITT) model. .

Outcome measures

Outcome measures
Measure
0.12% Chlorhexidine Gluconate Oral Rinse
n=33 Participants
Randomized to 15mL 0.12% Chlorhexidine Gluconate oral rinse, to be used twice daily for 60 seconds for 7 days. Chlorhexidine gluconate: Oral rinse of either 0.12% Chlorhexidine Gluconate oral rinse to test the safety/efficacy of 0.12% Chlorhexidine Gluconate oral rinse in decolonizing the oropharynx of children colonized with S. aureus.
Saline Placebo Oral Rinse
n=34 Participants
Randomized to 15mL saline placebo oral rinse, to be used twice daily for 60 seconds for 7 days. Saline Placebo: Placebo saline oral rinse to to test the safety/efficacy of 0.12% Chlorhexidine Gluconate oral rinse in decolonizing the oropharynx of children colonized with S. aureus.
Number of Participants With Eradiction of S. Aureus From the Oropharyngeal at 7 Days
18 Participants
7 Participants

SECONDARY outcome

Timeframe: 28 days

Secondary outcome is eradication of S. aureus oropharyngeal colonization at 28 days using an intention to treat (ITT) model.

Outcome measures

Outcome measures
Measure
0.12% Chlorhexidine Gluconate Oral Rinse
n=33 Participants
Randomized to 15mL 0.12% Chlorhexidine Gluconate oral rinse, to be used twice daily for 60 seconds for 7 days. Chlorhexidine gluconate: Oral rinse of either 0.12% Chlorhexidine Gluconate oral rinse to test the safety/efficacy of 0.12% Chlorhexidine Gluconate oral rinse in decolonizing the oropharynx of children colonized with S. aureus.
Saline Placebo Oral Rinse
n=34 Participants
Randomized to 15mL saline placebo oral rinse, to be used twice daily for 60 seconds for 7 days. Saline Placebo: Placebo saline oral rinse to to test the safety/efficacy of 0.12% Chlorhexidine Gluconate oral rinse in decolonizing the oropharynx of children colonized with S. aureus.
Number of Participants Eradication of S. Aureus Oropharyngeal Colonization at 28 Days
13 Participants
5 Participants

SECONDARY outcome

Timeframe: 28 days

We characterized isolates associated with breakthrough of oropharyngeal colonization. Here we show the breakthrough isolates of the same strain at 28 days.

Outcome measures

Outcome measures
Measure
0.12% Chlorhexidine Gluconate Oral Rinse
n=33 Participants
Randomized to 15mL 0.12% Chlorhexidine Gluconate oral rinse, to be used twice daily for 60 seconds for 7 days. Chlorhexidine gluconate: Oral rinse of either 0.12% Chlorhexidine Gluconate oral rinse to test the safety/efficacy of 0.12% Chlorhexidine Gluconate oral rinse in decolonizing the oropharynx of children colonized with S. aureus.
Saline Placebo Oral Rinse
n=34 Participants
Randomized to 15mL saline placebo oral rinse, to be used twice daily for 60 seconds for 7 days. Saline Placebo: Placebo saline oral rinse to to test the safety/efficacy of 0.12% Chlorhexidine Gluconate oral rinse in decolonizing the oropharynx of children colonized with S. aureus.
Number of Participants With Persistent Same Strain of S. Aureus Genetic Backgrounds at 28 Days
4 Participants
11 Participants

SECONDARY outcome

Timeframe: 28 days

We characterized isolates associated with breakthrough of oropharyngeal colonization. Here we show the breakthrough isolates of different strains at 28 days.

Outcome measures

Outcome measures
Measure
0.12% Chlorhexidine Gluconate Oral Rinse
n=33 Participants
Randomized to 15mL 0.12% Chlorhexidine Gluconate oral rinse, to be used twice daily for 60 seconds for 7 days. Chlorhexidine gluconate: Oral rinse of either 0.12% Chlorhexidine Gluconate oral rinse to test the safety/efficacy of 0.12% Chlorhexidine Gluconate oral rinse in decolonizing the oropharynx of children colonized with S. aureus.
Saline Placebo Oral Rinse
n=34 Participants
Randomized to 15mL saline placebo oral rinse, to be used twice daily for 60 seconds for 7 days. Saline Placebo: Placebo saline oral rinse to to test the safety/efficacy of 0.12% Chlorhexidine Gluconate oral rinse in decolonizing the oropharynx of children colonized with S. aureus.
Number of Participants With Persistent Different Strain of S. Aureus Genetic Backgrounds at 28 Days
4 Participants
7 Participants

Adverse Events

0.12% Chlorhexidine Gluconate Oral Rinse

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Saline Placebo Oral Rinse

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
0.12% Chlorhexidine Gluconate Oral Rinse
n=33 participants at risk
Randomized to 15mL 0.12% Chlorhexidine Gluconate oral rinse, to be used twice daily for 60 seconds for 7 days. Chlorhexidine gluconate: Oral rinse of either 0.12% Chlorhexidine Gluconate oral rinse to test the safety/efficacy of 0.12% Chlorhexidine Gluconate oral rinse in decolonizing the oropharynx of children colonized with S. aureus.
Saline Placebo Oral Rinse
n=34 participants at risk
Randomized to 15mL saline placebo oral rinse, to be used twice daily for 60 seconds for 7 days. Saline Placebo: Placebo saline oral rinse to to test the safety/efficacy of 0.12% Chlorhexidine Gluconate oral rinse in decolonizing the oropharynx of children colonized with S. aureus.
Gastrointestinal disorders
other
3.0%
1/33 • Number of events 1 • 2 years
2.9%
1/34 • Number of events 1 • 2 years

Additional Information

Dr. Loren G. Miller

The Lundquist Institute at Harbor-UCLA

Phone: 310-222-3775

Results disclosure agreements

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