Trial Outcomes & Findings for Evaluation of the Antimicrobial Effectiveness of CHG/IPA (NCT NCT04035161)

NCT ID: NCT04035161

Last Updated: 2021-08-17

Results Overview

Bacterial log10/cm\^2 reductions for abdominal and groin sites post-product application (30 seconds and 6 hours) using the Investigational Product or Reference Standard.

Recruitment status

COMPLETED

Target enrollment

1935 participants

Primary outcome timeframe

30 seconds and 6 hours post-product application

Results posted on

2021-08-17

Participant Flow

Participants were only treated if screening day baseline bacterial counts met the inclusion criteria. Participants were treated with 2 out of 4 study products (Investigational Product, Reference Standard, Active control and Negative Control) 1 on the left side of the body (both groin and abdomen), 1 on the right side of the body (both groin and abdomen).

Participant milestones

Participant milestones
Measure
All Study Participants
Study Participants that were treated
Overall Study
STARTED
1121
Overall Study
Treated With Investigational Product
609
Overall Study
Treated With Reference Standard
419
Overall Study
Treated With Active Control
609
Overall Study
Treated With Negative Control
605
Overall Study
COMPLETED
1121
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Evaluation of the Antimicrobial Effectiveness of CHG/IPA

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Study Participants
n=1121 Participants
All Participants Who Completed Evaluations
Age, Continuous
54.5 years
STANDARD_DEVIATION 11.7 • n=5 Participants
Sex: Female, Male
Female
205 Participants
n=5 Participants
Sex: Female, Male
Male
916 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
1121 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
Race (NIH/OMB)
White
1120 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
Romania
1121 participants
n=5 Participants

PRIMARY outcome

Timeframe: 30 seconds and 6 hours post-product application

Population: This outcome includes test requirements outlined by Health Canada (HC) for an investigational product to demonstrate immediate and persistent antimicrobial activity against a reference standard, 60% v/v 1-Propanol. This outcome does not include negative and active control comparators. Analysis only includes participants with required treatment day baseline bacterial counts at each anatomical site at baseline and non-missing data at 30 seconds and 6 hours post-product application.

Bacterial log10/cm\^2 reductions for abdominal and groin sites post-product application (30 seconds and 6 hours) using the Investigational Product or Reference Standard.

Outcome measures

Outcome measures
Measure
Investigational Product
n=609 Participants
Single Swabstick impregnated with 1.75mL of 2%(w/v) chlorhexidine gluconate in 70%(v/v) isopropyl alcohol
Reference Standard
n=419 Participants
1.75 mL of 60% (v/v) 1-propanol applied with a single Swabstick
Negative Control
1.75mL 0.9% Normal saline applied with a single Swabstick
Antimicrobial log10 Reductions From Baseline for Investigational Product and Reference Standard at 30 Seconds and 6 Hours Post-product Application
Groin 6 hours
3.89 Log10 CFU/cm^2
Interval 3.73 to 4.04
4.08 Log10 CFU/cm^2
Interval 3.9 to 4.27
Antimicrobial log10 Reductions From Baseline for Investigational Product and Reference Standard at 30 Seconds and 6 Hours Post-product Application
Abdomen 30 Seconds
2.53 Log10 CFU/cm^2
Interval 2.39 to 2.67
2.70 Log10 CFU/cm^2
Interval 2.53 to 2.87
Antimicrobial log10 Reductions From Baseline for Investigational Product and Reference Standard at 30 Seconds and 6 Hours Post-product Application
Abdomen 6 hours
2.68 Log10 CFU/cm^2
Interval 2.54 to 2.82
2.73 Log10 CFU/cm^2
Interval 2.57 to 2.89
Antimicrobial log10 Reductions From Baseline for Investigational Product and Reference Standard at 30 Seconds and 6 Hours Post-product Application
Groin 30 Seconds
3.69 Log10 CFU/cm^2
Interval 3.53 to 3.84
4.07 Log10 CFU/cm^2
Interval 3.89 to 4.25

PRIMARY outcome

Timeframe: Baseline and 10 minutes post-product application

Population: This outcome includes FDA test requirements for an investigational product (IP) to demonstrate superior antimicrobial activity to a negative control and non-inferiority to an active control at the immediate time point of 10 minutes on the abdomen and groin. This outcome does not require a reference standard. Analysis only includes participants with required treatment day baseline bacterial counts at each anatomical site at baseline and non-missing data at 10 minutes post-product application.

Evaluation of antimicrobial activity will be based on log10 CFU/cm2 of resident microbes on skin before and after each product application on the abdomen and groin.

Outcome measures

Outcome measures
Measure
Investigational Product
n=609 Participants
Single Swabstick impregnated with 1.75mL of 2%(w/v) chlorhexidine gluconate in 70%(v/v) isopropyl alcohol
Reference Standard
n=609 Participants
1.75 mL of 60% (v/v) 1-propanol applied with a single Swabstick
Negative Control
n=605 Participants
1.75mL 0.9% Normal saline applied with a single Swabstick
Antimicrobial Activity (Efficacy): log10 CFU/cm2 of Resident Microbes on Skin at Baseline and 10 Minutes Post-product Application.
Abdomen Baseline
3.93 Log10 CFU/cm^2
Standard Deviation .61
3.88 Log10 CFU/cm^2
Standard Deviation .58
4.00 Log10 CFU/cm^2
Standard Deviation .62
Antimicrobial Activity (Efficacy): log10 CFU/cm2 of Resident Microbes on Skin at Baseline and 10 Minutes Post-product Application.
Groin Baseline
6.14 Log10 CFU/cm^2
Standard Deviation .47
6.16 Log10 CFU/cm^2
Standard Deviation .46
6.17 Log10 CFU/cm^2
Standard Deviation .48
Antimicrobial Activity (Efficacy): log10 CFU/cm2 of Resident Microbes on Skin at Baseline and 10 Minutes Post-product Application.
Groin 10 Minutes
2.46 Log10 CFU/cm^2
Standard Deviation 1.36
2.70 Log10 CFU/cm^2
Standard Deviation 1.32
4.84 Log10 CFU/cm^2
Standard Deviation .70
Antimicrobial Activity (Efficacy): log10 CFU/cm2 of Resident Microbes on Skin at Baseline and 10 Minutes Post-product Application.
Abdomen 10 Minutes
1.34 Log10 CFU/cm^2
Standard Deviation 1.13
1.31 Log10 CFU/cm^2
Standard Deviation 1.04
3.19 Log10 CFU/cm^2
Standard Deviation .80

PRIMARY outcome

Timeframe: 6 hours post-product application

Population: This outcome includes FDA test requirements to demonstrate persistence of the investigational product (IP) at 6 hours post-product application on the abdomen. This outcome does not require a reference standard. Analysis only includes participants with required treatment day baseline bacterial counts on the abdomen at baseline and non-missing data at 6 hours post-product application.

Number of participants with bacterial reduction greater than or equal to baseline (0).

Outcome measures

Outcome measures
Measure
Investigational Product
n=291 Participants
Single Swabstick impregnated with 1.75mL of 2%(w/v) chlorhexidine gluconate in 70%(v/v) isopropyl alcohol
Reference Standard
n=307 Participants
1.75 mL of 60% (v/v) 1-propanol applied with a single Swabstick
Negative Control
n=303 Participants
1.75mL 0.9% Normal saline applied with a single Swabstick
Responder Rate at 6 Hours Post-Product Application on the Abdomen.
286 Participants
305 Participants
265 Participants

PRIMARY outcome

Timeframe: 6 hours post-product application

Population: This outcome includes FDA test requirements to demonstrate persistence of the investigational product (IP) at 6 hours post-product application on the groin. This outcome does not require a reference standard. Analysis only includes participants with required treatment day baseline bacterial counts on the groin at baseline and non-missing data at 6 hours post-product application.

Number of participants with bacterial reduction greater than or equal to baseline (0).

Outcome measures

Outcome measures
Measure
Investigational Product
n=295 Participants
Single Swabstick impregnated with 1.75mL of 2%(w/v) chlorhexidine gluconate in 70%(v/v) isopropyl alcohol
Reference Standard
n=293 Participants
1.75 mL of 60% (v/v) 1-propanol applied with a single Swabstick
Negative Control
n=295 Participants
1.75mL 0.9% Normal saline applied with a single Swabstick
Responder Rate at 6 Hours Post-Product Application on the Groin.
295 Participants
293 Participants
291 Participants

SECONDARY outcome

Timeframe: Baseline and 30 seconds post-product application

Population: This outcome includes FDA test requirements for an investigational product (IP) to demonstrate superior antimicrobial activity to a negative control and non-inferiority to an active control at the immediate time point of 30 seconds on the abdomen and groin. This outcome does not require a reference standard. Analysis only includes participants with required treatment day baseline bacterial counts at each anatomical site at baseline and non-missing data at 30 seconds post-product application.

Evaluation of antimicrobial activity will be based on log10 CFU/cm2 of resident microbes on skin before and after each product application on the abdomen and groin.

Outcome measures

Outcome measures
Measure
Investigational Product
n=609 Participants
Single Swabstick impregnated with 1.75mL of 2%(w/v) chlorhexidine gluconate in 70%(v/v) isopropyl alcohol
Reference Standard
n=609 Participants
1.75 mL of 60% (v/v) 1-propanol applied with a single Swabstick
Negative Control
n=605 Participants
1.75mL 0.9% Normal saline applied with a single Swabstick
Antimicrobial Activity (Efficacy): log10 CFU/cm2 of Resident Microbes on Skin at Baseline and 30 Seconds Post-product Application.
Groin 30 seconds
2.46 Log10 CFU/cm^2
Standard Deviation 1.36
2.80 Log10 CFU/cm^2
Standard Deviation 1.34
5.20 Log10 CFU/cm^2
Standard Deviation .62
Antimicrobial Activity (Efficacy): log10 CFU/cm2 of Resident Microbes on Skin at Baseline and 30 Seconds Post-product Application.
Abdomen Baseline
3.93 Log10 CFU/cm^2
Standard Deviation .61
3.88 Log10 CFU/cm^2
Standard Deviation .58
4.00 Log10 CFU/cm^2
Standard Deviation .62
Antimicrobial Activity (Efficacy): log10 CFU/cm2 of Resident Microbes on Skin at Baseline and 30 Seconds Post-product Application.
Abdomen 30 seconds
1.40 Log10 CFU/cm^2
Standard Deviation 1.19
1.30 Log10 CFU/cm^2
Standard Deviation 1.06
3.43 Log10 CFU/cm^2
Standard Deviation .72
Antimicrobial Activity (Efficacy): log10 CFU/cm2 of Resident Microbes on Skin at Baseline and 30 Seconds Post-product Application.
Groin Baseline
6.14 Log10 CFU/cm^2
Standard Deviation .47
6.16 Log10 CFU/cm^2
Standard Deviation .46
6.17 Log10 CFU/cm^2
Standard Deviation .48

Adverse Events

Investigational Product

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

Reference Standard

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

Active Control

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

Negative Control

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

Erin Zook, PhD

Becton Dickinson

Phone: 224-358-5019

Results disclosure agreements

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