APPI-Cost Trial for Perforated Appendicitis

NCT ID: NCT06705842

Last Updated: 2025-12-11

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

PHASE4

Total Enrollment

346 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-04-07

Study Completion Date

2027-03-31

Brief Summary

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The purpose of this study to assess the clinical effectiveness and cost-effectiveness of povidone-iodine (PVI) irrigation in perforated appendicitis, to investigate barriers and facilitators to future implementation of PVI irrigation, and to collect costs and clinical and patient-reported outcomes among patients with non-perforated appendicitis.

Detailed Description

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Conditions

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Perforated Appendicitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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PVI

Group Type ACTIVE_COMPARATOR

PVI

Intervention Type DRUG

After removal of the appendix from the patient's abdomen and attainment of hemostasis, 10 mL/kg of 1% PVI (up to a maximum of 1,000 mL) will be used to irrigate the pelvis and right upper and lower quadrants. The solution will be left to dwell for 1 minute and then suctioned out

Usual Care

Group Type ACTIVE_COMPARATOR

Usual Care

Intervention Type DRUG

Surgeons may utilize local irrigation with saline if deemed necessary, defined as instillation of a small volume (\<100 mL) of liquid followed by aspiration, for the purpose of confirming hemostasis or suctioning thick fluid. Some surgeons may utilize large volume irrigation with saline solution, if that is consistent with their usual practice. Patients in the usual care arm will not receive PVI irrigation.

Interventions

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Usual Care

Surgeons may utilize local irrigation with saline if deemed necessary, defined as instillation of a small volume (\<100 mL) of liquid followed by aspiration, for the purpose of confirming hemostasis or suctioning thick fluid. Some surgeons may utilize large volume irrigation with saline solution, if that is consistent with their usual practice. Patients in the usual care arm will not receive PVI irrigation.

Intervention Type DRUG

PVI

After removal of the appendix from the patient's abdomen and attainment of hemostasis, 10 mL/kg of 1% PVI (up to a maximum of 1,000 mL) will be used to irrigate the pelvis and right upper and lower quadrants. The solution will be left to dwell for 1 minute and then suctioned out

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Plan to undergo appendectomy for acute appendicitis


* Enrolled in study preoperatively
* Intraoperative diagnosis of perforated appendicitis

Exclusion Criteria

* Preoperative hemodynamic instability requiring ongoing infusion of vasopressors
* Allergy to iodine
* Uncontrolled hyper- or hypothyroidism
* Renal dysfunction
* Pregnant or breastfeeding
* Primary language neither English nor Spanish
* Lack of functioning telephone or email account
* Incarcerated or in police custody

Eligibility for Randomization


* Non-perforated appendicitis
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Center for Advancing Translational Sciences (NCATS)

NIH

Sponsor Role collaborator

The University of Texas Health Science Center, Houston

OTHER

Sponsor Role lead

Responsible Party

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Dalya M Ferguson, MD, MS

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Dalya Ferguson, MD, MS

Role: PRINCIPAL_INVESTIGATOR

The University of Texas Health Science Center, Houston

Locations

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The University of Texas Health Science Center at Houston

Houston, Texas, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Dalya M Ferguson, MD, MS

Role: CONTACT

(713) 566-5098

Debbie Nguyen

Role: CONTACT

(713) 566-5098

Facility Contacts

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Dalya Ferguson, MD, MS

Role: primary

(713) 500-7640

Debbie Nguyen

Role: backup

(713) 566-5098

Other Identifiers

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1K12TR004908-01

Identifier Type: NIH

Identifier Source: secondary_id

View Link

HSC-MS-24-0772

Identifier Type: -

Identifier Source: org_study_id

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