Trial Outcomes & Findings for Antibiotic Elution in Total Knee Arthroplasty (NCT NCT03928522)

NCT ID: NCT03928522

Last Updated: 2020-11-02

Results Overview

We wanted to measure the effect of elution level of vancomycin and tobramycin together

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

60 participants

Primary outcome timeframe

24 hours

Results posted on

2020-11-02

Participant Flow

Participant milestones

Participant milestones
Measure
Pre-mixed Tobramycin
patients will receive pre-mixed tobramycin cement pre-mixed tobramycin: this cement is already pre-mixed with tobramycin
Hand Mixed Tobramycin
patients will receive hand mixed tobramycin cement hand mixed tobramycin: hand mixed tobramycin into cement
Hand Mixed Vancomycin
patients will receive hand mixed vancomycin cement hand mixed vancomycin: hand mixed vancomycin powder into cement
Hand-mixed Vancomycin and Tobramycin
patients will receive hand mixed vancomycin and tobramycin hand mixed vancomycin: hand mixed vancomycin powder into cement hand mixed tobramycin: hand mixed tobramycin into cement
Intra-articular Vancomycin
Patients will receive powdered vancomycin antibiotic into a cementless total knee in wound prior to closure
Overall Study
STARTED
12
12
12
12
12
Overall Study
COMPLETED
12
12
12
12
12
Overall Study
NOT COMPLETED
0
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Pre-mixed Tobramycin
n=12 Participants
patients will receive pre-mixed tobramycin cement pre-mixed tobramycin: this cement is already pre-mixed with tobramycin
Hand Mixed Tobramycin
n=12 Participants
patients will receive hand mixed tobramycin cement hand mixed tobramycin: hand mixed tobramycin into cement
Hand Mixed Vancomycin
n=12 Participants
patients will receive hand mixed vancomycin cement hand mixed vancomycin: hand mixed vancomycin powder into cement
Hand-mixed Vancomycin and Tobramycin
n=12 Participants
patients will receive hand mixed vancomycin and tobramycin hand mixed vancomycin: hand mixed vancomycin powder into cement hand mixed tobramycin: hand mixed tobramycin into cement
Intr-articular Vancomycin
n=12 Participants
Patients will receive powdered vancomycin antibiotic into a cementless total knee in wound prior to closure
Total
n=60 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=12 Participants
0 Participants
n=12 Participants
0 Participants
n=12 Participants
0 Participants
n=12 Participants
0 Participants
n=12 Participants
0 Participants
n=60 Participants
Age, Categorical
Between 18 and 65 years
4 Participants
n=12 Participants
3 Participants
n=12 Participants
6 Participants
n=12 Participants
3 Participants
n=12 Participants
7 Participants
n=12 Participants
23 Participants
n=60 Participants
Age, Categorical
>=65 years
8 Participants
n=12 Participants
9 Participants
n=12 Participants
6 Participants
n=12 Participants
9 Participants
n=12 Participants
5 Participants
n=12 Participants
37 Participants
n=60 Participants
Sex: Female, Male
Female
8 Participants
n=12 Participants
4 Participants
n=12 Participants
6 Participants
n=12 Participants
6 Participants
n=12 Participants
7 Participants
n=12 Participants
31 Participants
n=60 Participants
Sex: Female, Male
Male
4 Participants
n=12 Participants
8 Participants
n=12 Participants
6 Participants
n=12 Participants
6 Participants
n=12 Participants
5 Participants
n=12 Participants
29 Participants
n=60 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
United States
12 participants
n=12 Participants
12 participants
n=12 Participants
12 participants
n=12 Participants
12 participants
n=12 Participants
12 participants
n=12 Participants
60 participants
n=60 Participants

PRIMARY outcome

Timeframe: 24 hours

We wanted to measure the effect of elution level of vancomycin and tobramycin together

Outcome measures

Outcome measures
Measure
Pre-mixed Tobramycin
n=12 Participants
patients will receive pre-mixed tobramycin cement pre-mixed tobramycin: this cement is already pre-mixed with tobramycin
Hand Mixed Tobramycin
n=12 Participants
patients will receive hand mixed tobramycin cement hand mixed tobramycin: hand mixed tobramycin into cement
Hand Mixed Vancomycin
n=12 Participants
patients will receive hand mixed vancomycin cement hand mixed vancomycin: hand mixed vancomycin powder into cement
Hand-mixed Vancomycin and Tobramycin
n=12 Participants
patients will receive hand mixed vancomycin and tobramycin hand mixed vancomycin: hand mixed vancomycin powder into cement hand mixed tobramycin: hand mixed tobramycin into cement
Intr-articular Vancomycin
n=12 Participants
Patients will receive powdered vancomycin antibiotic into a cementless total knee in wound prior to closure
Amount of Vancomycin and Tobramycin Eluted From Hand Mixed Cement With Both Antibiotics After Total Knee Arthroplasty
23.9 mg/mL
Interval 9.8 to 125.4
30.6 mg/mL
Interval 8.6 to 81.0
12.6 mg/mL
Interval 2.0 to 72.6
16.2 mg/mL
Interval 0.3 to 47.3
1315 mg/mL
Interval 429.0 to 2324.8

Adverse Events

Pre-mixed Tobramycin

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

Hand Mixed Tobramycin

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

Hand Mixed Vancomycin

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

Hand-mixed Vancomycin and Tobramycin

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

Intra-articular Vancomycin

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Venessa Riegler

Washington University

Phone: 314-362-1721

Results disclosure agreements

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