Preoperative Microbial Reduction of the Nasal Cavity With Antimicrobial Photodynamic Therapy (aPDT).

NCT ID: NCT06570252

Last Updated: 2024-08-26

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

208 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-10-31

Study Completion Date

2026-08-31

Brief Summary

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The goal of this clinical trial is to investigate the preoperative microbial reduction of the nasal cavity using Photodynamic Therapy (aPDT) in adult patients undergoing surgical intervention at the Department for Craniomaxillofacial Surgery, University Hospital Zurich, Switzerland.

The main question the trial aims to answer is:

\- Does aPDT reduce microbial colonization in the nasal cavity more effectively 5 minutes after treatment compared to the baseline (before intervention)?

Participants will be randomized into two groups:

* Study Group: Nasal cavity photodisinfection using aPDT.
* Control Group: Treatment with 0.2% chlorhexidine gluconate and non-light activated methylene blue.

Researchers will compare the effectiveness of aPDT against the control treatment in reducing microbial colonization of the nasal cavity.

Study Procedure:

1. Nasal swab for baseline microbial colonization.
2. Application of 0.2% chlorhexidine gluconate and methylene blue.
3. Insertion of nasal light illuminator into the patient's nostrils:

* Study Group: Activation of the light source.
* Control Group: No activation of the light source.
4. Nasal swab taken 5 minutes after the intervention to assess microbial reduction.

Detailed Description

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Conditions

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Efficacy of Preoperative Microbial Reduction in the Nasal Cavity Using Antimicrobial Photodynamic Therapy (aPDT)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Experimental Group - nasal aPDT

1. Swabbing the formulation applicator (soft swab pre-saturated with the photosensitizer formulation) inside the patient's nostrils.
2. Connection of the nasal light illuminator to the light source and insertion of the nasal light illuminator into the patient's right and left nostrils.
3. Experimental group: Activation of the light source and illumination of the nose and nasopharynx for 2 minutes.
4. Repetition of steps 1.-3. to complete photo disinfection of all nasal regions.

Duration of study intervention: 14 minutes

Intervention is performed during preparations prior to surgery and followed by regular disinfection of oral cavity (not nasal cavity) according to hospital standards after nasal swab test.

Group Type EXPERIMENTAL

activated Light Source (aPDT)

Intervention Type DEVICE

Application of SW3100 Formulation (0.2% chlorhexidine gluconate and methylene blue) in both nostrils followed by placing the SW3200 Nasal Light Illuminator with one channel per nostril.

Activation of SW4000 Light Source (Class 1 Laser Device) that generates red light consisting of 2 channels of 700 mW, 664 nm light (continuous wave) used to activate the disinfecting formulation.

Duration of illumination 2 minutes

Control Group - no light activation

1. Swabbing the formulation applicator (soft swab pre-saturated with the photosensitizer formulation) inside the patient's nostrils.
2. Connection of the nasal light illuminator to the light source and insertion of the nasal light illuminator into the patient's right and left nostrils.
3. no activation of light source
4. Repetition of steps 1.-3. to complete control intervention.

Duration of treatment: 14 minutes

Intervention is performed during preparations prior to surgery and followed by regular disinfection of oral cavity (not nasal cavity) according to hospital standards after nasal swab test.

Group Type ACTIVE_COMPARATOR

non activated Light Source (Control)

Intervention Type DEVICE

Application of SW3100 Formulation (0.2% chlorhexidine gluconate and methylene blue) in both nostrils followed by placing the SW3200 Nasal Light Illuminator with one channel per nostril.

No activation of SW4000 Light Source

Waiting for 2 minutes

Interventions

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activated Light Source (aPDT)

Application of SW3100 Formulation (0.2% chlorhexidine gluconate and methylene blue) in both nostrils followed by placing the SW3200 Nasal Light Illuminator with one channel per nostril.

Activation of SW4000 Light Source (Class 1 Laser Device) that generates red light consisting of 2 channels of 700 mW, 664 nm light (continuous wave) used to activate the disinfecting formulation.

Duration of illumination 2 minutes

Intervention Type DEVICE

non activated Light Source (Control)

Application of SW3100 Formulation (0.2% chlorhexidine gluconate and methylene blue) in both nostrils followed by placing the SW3200 Nasal Light Illuminator with one channel per nostril.

No activation of SW4000 Light Source

Waiting for 2 minutes

Intervention Type DEVICE

Other Intervention Names

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SteriwaveTM Nasal Photodisinfection System SW4000 Light Source SW3200 Nasal Light Illuminator SW3100 Formulation Applicator SW3100 Formulation Applicator SW3200 Nasal Light Illuminator

Eligibility Criteria

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Inclusion Criteria

* Provision of a signed and dated informed consent form
* Stated willingness to comply with all study procedures and availability for the duration of the study
* Male or female ≥ 18 years of age
* surgical intervention in general anesthesia at the department of Oral and Maxillofacial Surgery of University Hospital Zurich

Exclusion Criteria

* inability to tolerate insertion of the light illuminator or the photosensitizer applicator due to anatomic variations (size, shape of oro-nasal region) or disease
* inability to follow the procedure of the investigation, e.g., due to language problems or psychological disorders of the subject
* known allergic reactions to components of the nasal decolonization treatment, including methylene blue or chlorhexidine gluconate
* planed surgery in the nasal cavity
* necessary nasal intubation for surgical intervention
* vulnerable persons (subjects incapable of judgment or subjects under tutelage)
* Pregnant or breastfeeding women
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ondine Biomedical Inc.

INDUSTRY

Sponsor Role collaborator

University Hospital, Zürich, Innovation Pool

UNKNOWN

Sponsor Role collaborator

University of Zurich

OTHER

Sponsor Role lead

Responsible Party

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Harald Essig

Prof. Dr. med. Dr. med. dent.; Clinical director a.i Department for Craniomaxillofacial Surgery

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Harald Essig, Prof Dr Dr

Role: PRINCIPAL_INVESTIGATOR

University Hospital Zürich, Department for Oral- and Maxillofacial Surgery

Central Contacts

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Gregoire Longchamp, Dr

Role: CONTACT

+41 44 255 30 58

Maximilian A Ries

Role: CONTACT

+41 43 253 24 65

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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Nasal aPDT 01

Identifier Type: -

Identifier Source: org_study_id

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