PRO-DIAG: Improved Diagnosis of Prosthetic Joint Infections

NCT ID: NCT03444571

Last Updated: 2018-02-23

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

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-02-16

Study Completion Date

2019-12-31

Brief Summary

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Implantation of joint prostheses is currently the second largest diagnosis-related group in the Danish health service, and in view of the demographic development and spread of lifestyle diseases, this type of intervention is expected to continue to increase.

Unfortunately, 5% of patients experience significant discomforts and complications. The second most frequent and serious complication is infection. While the established laboratory analyses (culture of tissue biopsies) are good at diagnosing acute infections, they are not satisfactory to diagnose a large group of patients especially with chronic infections. This can lead to prolonged diagnosing time and even to wrong diagnosis.

Several studies have shown that analyses of prosthetic parts and the use of molecular biological methods for detecting infecting microorganisms can significantly improve diagnostics accuracy.

The purpose of this project is primarily to demonstrate that analyses of bacterial specific DNA (16S rRNA genes) can confirm or rule out infection as fast (or faster) as cultivation methods. Rapid clarification can promote targeted treatment and in order to demonstrate this, the trial is conducted as a randomized study. .

Detailed Description

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Conditions

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Prosthesis-Related Infections

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Control

Group Type NO_INTERVENTION

No interventions assigned to this group

DNA based diagnosis

Group Type EXPERIMENTAL

revision surgery

Intervention Type PROCEDURE

If DNA based diagnosis detects infection, standard revision surgery will be conducted

Interventions

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revision surgery

If DNA based diagnosis detects infection, standard revision surgery will be conducted

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* revision of hip platelets (THA) or knee replacement (TKA) on indication of likely infection

Exclusion Criteria

* surgery within the last 4 months. The same applies to patients with short history of illness, pronounced acute symptoms and systemic response (reducing the likelihood of biofilm infection).
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Aalborg University Hospital

OTHER

Sponsor Role collaborator

Aalborg University

OTHER

Sponsor Role lead

Responsible Party

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Yijuan Xu

Post Doc

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Orthopedic surgery

Aalborg, Northern Jutland, Denmark

Site Status RECRUITING

Countries

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Denmark

Central Contacts

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Yijuan Xu, PhD

Role: CONTACT

004572201845

Facility Contacts

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Thomas Jakobsen, PhD

Role: primary

004597660000

Other Identifiers

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27751

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

PRO-DIAG

Identifier Type: -

Identifier Source: org_study_id

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