Prophylactic Antibiotics in Cystectomy With Diversion

NCT ID: NCT06190197

Last Updated: 2025-11-17

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

RECRUITING

Clinical Phase

EARLY_PHASE1

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-05-13

Study Completion Date

2027-10-15

Brief Summary

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Using a randomized 2 arm design, this study is being conducted to test for non-inferiority of no prophylactic antibiotic therapy versus the prophylactic oral antibiotic, nitrofurantoin, through comparison of rates of postoperative urinary tract infections within the 90-day postoperative period in patients with muscle invasive bladder cancer who undergo radical cystectomy with urinary diversion.

Detailed Description

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Conditions

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Muscle-Invasive Bladder Carcinoma Radical Cystectomy Ileal Conduit Neobladder Diversion

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized non-inferiority trial.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Control group

No prophylactic antibiotics post operatively. Participants will receive antibiotics only if needed post-operatively such as for infection

Group Type NO_INTERVENTION

No interventions assigned to this group

Treatment group

Prophylactic antibiotics postoperatively.

Group Type EXPERIMENTAL

Prophylactic antibiotics postoperatively.

Intervention Type DRUG

Prophylactic antibiotics postoperatively. All participants in this arm will receive nitrofurantoin 100 milligrams by mouth daily for either 10 or 21 days based on whether they had an ileal conduit or orthotopic neobladder, respectively, for the diversion. Participants will be instructed to swallow the capsule whole, preferably with food and at the same time each day. If a dose is forgotten, participants will be asked to take it when they remember and then take the next dose as usual. However, if they do not remember until the next dose, do not take extra capsules to make up the missed dose.

Interventions

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Prophylactic antibiotics postoperatively.

Prophylactic antibiotics postoperatively. All participants in this arm will receive nitrofurantoin 100 milligrams by mouth daily for either 10 or 21 days based on whether they had an ileal conduit or orthotopic neobladder, respectively, for the diversion. Participants will be instructed to swallow the capsule whole, preferably with food and at the same time each day. If a dose is forgotten, participants will be asked to take it when they remember and then take the next dose as usual. However, if they do not remember until the next dose, do not take extra capsules to make up the missed dose.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Presence of muscle invasive bladder cancer and planning to undergo radical cystectomy with either ileal conduit or neobladder diversion.
* 18 years of age or older

Exclusion Criteria

* Currently receiving antimicrobials for active infection
* Poor renal function with GFR \< 30 ml/min
* Allergy to nitrofurantoin and unable to take an alternative antibiotic (cephalexin, trimethoprim-sulfamethoxazole, or ciprofloxacin)
* Pregnancy
* Unable to provide Informed consent
* Prior pelvic radiation
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Minnesota

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Hamed Ahmadi

Role: PRINCIPAL_INVESTIGATOR

University of Minnesota

Locations

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University of Minnesota

Minneapolis, Minnesota, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Judith Graziano

Role: CONTACT

612-625-7486

Facility Contacts

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Judith Graziano

Role: primary

612-625-7486

Other Identifiers

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URO-2023-32133

Identifier Type: -

Identifier Source: org_study_id

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