Trial Outcomes & Findings for Prospective, Randomized, Parallel-arm Clinical Trial of CleanCision or Alexis O in Elective Colorectal Surgery (NCT NCT03816995)

NCT ID: NCT03816995

Last Updated: 2025-08-06

Results Overview

To evaluate the 30 day post-operative SSI rate in patients undergoing elective colorectal surgical procedures after intraoperative usage of Alexis O wound protector vs. CleanCision continuous irrigation wound protector.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

702 participants

Primary outcome timeframe

30 days

Results posted on

2025-08-06

Participant Flow

Participant milestones

Participant milestones
Measure
Alexis O Wound Protector
Participants will undergo standard surgical procedure using the Alexis O wound protector. Alexis O Wound Protector: wound retraction
CleanCision Wound Protector
Participants will undergo standard surgical procedure using the CleanCision Wound Retraction and Protection System CleanCision Wound Retraction and Protection System: wound retraction and irrigation
Overall Study
STARTED
351
351
Overall Study
COMPLETED
327
318
Overall Study
NOT COMPLETED
24
33

Reasons for withdrawal

Reasons for withdrawal
Measure
Alexis O Wound Protector
Participants will undergo standard surgical procedure using the Alexis O wound protector. Alexis O Wound Protector: wound retraction
CleanCision Wound Protector
Participants will undergo standard surgical procedure using the CleanCision Wound Retraction and Protection System CleanCision Wound Retraction and Protection System: wound retraction and irrigation
Overall Study
Withdrawal by Subject
3
1
Overall Study
Cancelled Surgery
8
12
Overall Study
No wound protector used
11
17
Overall Study
Protocol Violation
2
3

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Alexis O Wound Protector
n=327 Participants
Participants will undergo standard surgical procedure using the Alexis O wound protector. Alexis O Wound Protector: wound retraction
CleanCision Wound Protector
n=318 Participants
Participants will undergo standard surgical procedure using the CleanCision Wound Retraction and Protection System CleanCision Wound Retraction and Protection System: wound retraction and irrigation
Total
n=645 Participants
Total of all reporting groups
Age, Continuous
58.1 years
STANDARD_DEVIATION 15.3 • n=327 Participants
57.2 years
STANDARD_DEVIATION 14.9 • n=318 Participants
57.7 years
STANDARD_DEVIATION 16.05 • n=645 Participants
Sex: Female, Male
Female
168 Participants
n=327 Participants
187 Participants
n=318 Participants
355 Participants
n=645 Participants
Sex: Female, Male
Male
159 Participants
n=327 Participants
131 Participants
n=318 Participants
290 Participants
n=645 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
327 participants
n=327 Participants
318 participants
n=318 Participants
645 participants
n=645 Participants

PRIMARY outcome

Timeframe: 30 days

To evaluate the 30 day post-operative SSI rate in patients undergoing elective colorectal surgical procedures after intraoperative usage of Alexis O wound protector vs. CleanCision continuous irrigation wound protector.

Outcome measures

Outcome measures
Measure
Alexis O Wound Protector
n=327 Participants
Participants will undergo standard surgical procedure using the Alexis O wound protector. Alexis O Wound Protector: wound retraction
CleanCision Wound Protector
n=318 Participants
Participants will undergo standard surgical procedure using the CleanCision Wound Retraction and Protection System CleanCision Wound Retraction and Protection System: wound retraction and irrigation
Surgical Site Infection (SSI) Rate
Post-op Superficial SSI
16 Participants
14 Participants
Surgical Site Infection (SSI) Rate
Post-op Deep SSI
6 Participants
1 Participants
Surgical Site Infection (SSI) Rate
Post-op Organ/Space SSI
6 Participants
3 Participants
Surgical Site Infection (SSI) Rate
Composite Infection (SSIs + Wound Disruption)
28 Participants
18 Participants

Adverse Events

Alexis O Wound Protector

Serious events: 0 serious events
Other events: 98 other events
Deaths: 1 deaths

CleanCision Wound Protector

Serious events: 0 serious events
Other events: 95 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Alexis O Wound Protector
n=327 participants at risk
Participants will undergo standard surgical procedure using the Alexis O wound protector. Alexis O Wound Protector: wound retraction
CleanCision Wound Protector
n=318 participants at risk
Participants will undergo standard surgical procedure using the CleanCision Wound Retraction and Protection System CleanCision Wound Retraction and Protection System: wound retraction and irrigation
Infections and infestations
Post-Op Sepsis
1.2%
4/327 • Number of events 4 • 30 days following surgery
0.63%
2/318 • Number of events 2 • 30 days following surgery
Infections and infestations
Post-Op Pneumonia
0.61%
2/327 • Number of events 2 • 30 days following surgery
1.3%
4/318 • Number of events 4 • 30 days following surgery
General disorders
Post-Op Unplanned Intubation
0.61%
2/327 • Number of events 2 • 30 days following surgery
0.00%
0/318 • 30 days following surgery
Vascular disorders
Post-Op Deep Vein Thrombosis
0.92%
3/327 • Number of events 3 • 30 days following surgery
0.63%
2/318 • Number of events 2 • 30 days following surgery
Vascular disorders
Post-Op Pulmonary Embolism
0.00%
0/327 • 30 days following surgery
0.31%
1/318 • Number of events 1 • 30 days following surgery
Renal and urinary disorders
Post-Op Acute Renal Failure
0.31%
1/327 • Number of events 1 • 30 days following surgery
1.9%
6/318 • Number of events 6 • 30 days following surgery
Gastrointestinal disorders
Post-Op Anastomotic Leak
0.31%
1/327 • Number of events 1 • 30 days following surgery
0.00%
0/318 • 30 days following surgery
Infections and infestations
Post-Op C.Diff
1.2%
4/327 • Number of events 4 • 30 days following surgery
0.94%
3/318 • Number of events 3 • 30 days following surgery
Gastrointestinal disorders
Post-Op Ileus
9.5%
31/327 • Number of events 31 • 30 days following surgery
8.2%
26/318 • Number of events 26 • 30 days following surgery
General disorders
Unplanned Reoperation
2.1%
7/327 • Number of events 7 • 30 days following surgery
2.2%
7/318 • Number of events 7 • 30 days following surgery
Social circumstances
Readmission
11.6%
38/327 • Number of events 38 • 30 days following surgery
11.3%
36/318 • Number of events 36 • 30 days following surgery
Renal and urinary disorders
Post-Op Urinary Tract Infection
1.5%
5/327 • Number of events 5 • 30 days following surgery
2.5%
8/318 • Number of events 8 • 30 days following surgery

Additional Information

Rita Brienza

The Cleveland Clinic

Phone: 216-399-9186

Results disclosure agreements

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