Prophylactic Use of Antibiotics in Endoscopic Injection of Tissue Adhesive in Gastric Varices

NCT ID: NCT03045783

Last Updated: 2017-02-07

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

912 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-12-31

Study Completion Date

2019-07-31

Brief Summary

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The purpose of the study is to evaluate the efficacy and safety of prophylactic use of antibiotics in endoscopic injection of tissue adhesive in gastric varices.

Detailed Description

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Gastroesophageal variceal bleeding is the most common and life-threatening condition in patients with portal hypertension, which are susceptibility to bacterial infection. However, the prophylaxis use of antibiotics remained uncertain and lack of high level evidences.This study is a randomized controlled trial. The purpose of the study is to evaluate the efficacy and safety of prophylactic use of antibiotics in endoscopic injection of tissue adhesive in gastric varices.

Conditions

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Gastric Varices Cirrhosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Participants

Study Groups

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Prophylactic use of antibiotics group

Prophylactic use of antibiotics during endoscopic treatment, cefotiam 2.0g intravenous

Group Type EXPERIMENTAL

Cefotiam

Intervention Type DRUG

Prophylactic use of antibiotics group:Prophylactic use of antibiotics during endoscopic treatment, cefotiam 2.0g intravenous

On-demand group

Routine endoscopic examination and treatment. Antibiotics are not used during endoscopic treatment

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Cefotiam

Prophylactic use of antibiotics group:Prophylactic use of antibiotics during endoscopic treatment, cefotiam 2.0g intravenous

Intervention Type DRUG

Other Intervention Names

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HaiTiShu

Eligibility Criteria

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Inclusion Criteria

* 18 y.o. ≤age≤75 y.o.;
* Diagnosis of esophageal gastric varices by gastroscopy;
* Cirrhotic gastroesophageal variceal bleeding underwent endoscopic injection of tissue adhesive;

Exclusion Criteria

* age \<18 y.o. or age \> 75 y.o.;
* Never had the variceal bleeding episode before;
* Do not have endoscopic injection of tissue adhesive;
* The cefotiam contraindications: such as allergies, pregnancy etc;
* combined with other malignant tumor (not exclude patients with hepatocellular carcinoma who don't not need treatment at the moment);
* Known infection before endoscopic treatment (Fever, microbial cultures positive, et al.);
* Massive ascites or combined with other high risk factor that require prophylaxis use of antibiotics;
* Acute variceal bleeding within 5 days;
* Refuse to participate
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Lanzhou University Second Hospital

OTHER

Sponsor Role collaborator

Beijing Ditan Hospital

OTHER

Sponsor Role collaborator

Shandong Provincial Hospital

OTHER_GOV

Sponsor Role collaborator

Renmin Hospital of Wuhan University

OTHER

Sponsor Role collaborator

Xinhua Hospital, Shanghai Jiao Tong University School of Medicine

OTHER

Sponsor Role collaborator

The First Affiliated Hospital of Anhui Medical University

OTHER

Sponsor Role collaborator

Shanghai Zhongshan Hospital

OTHER

Sponsor Role lead

Responsible Party

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Shiyao Chen

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Shiyao CHEN, M.D.

Role: PRINCIPAL_INVESTIGATOR

Zhongshan Hospital, Fudan University, Shanghai

Locations

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180 Fenglin Road

Shanghai, Shanghai Municipality, China

Site Status

Countries

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China

Other Identifiers

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CSY-LCF2-2016

Identifier Type: -

Identifier Source: org_study_id

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