Steriwave ICU Pilot Study

NCT ID: NCT06867458

Last Updated: 2025-03-10

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

400 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-03-31

Study Completion Date

2025-08-04

Brief Summary

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This is a single-center, non-blinded, prospective, pilot study enrolling patients admitted to the critical care unit at Royal Columbian Hospital. This study investigates the effects of universal nasal decolonization using antimicrobial photodynamic therapy (aPDT) on the prevention of hospital-acquired pneumonia (HAP), ventilator-acquired pneumonia (VAP), and hospital-acquired bloodstream infection (BSI) in this patient population.

Main Objectives include:

* To determine whether a large, multi-center RCT of this protocol is feasible
* To determine baseline rates of VAP, HAP, and ICU-acquired BSI
* To gather preliminary efficacy data regarding VAP, HAP, and ICU-acquired BSI prevention using universal aPDT nasal decolonization
* To gather preliminary microbiological data on the effect of universal aPDT procedures on nasal carriage of various microoganisms in ICU patients.

Detailed Description

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Conditions

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Ventilator Acquired Pneumonia Hospital Acquired Pneumonia Hospital Acquired Infections Nasal Decolonization of Staphylococcus Aureus

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

The pilot study will take place over four months at the Royal Columbian Hospital (RCH) Intensive Care Units. All patients who meet inclusion/exclusion criteria will be enrolled via a waived consent procedure. The first two months will constitute the control period before the aPDT intervention is introduced into the unit. All patients enrolled in the study will receive a nasal swab upon ICU admission, and once every four days during their stay. Following the control period, the intervention period will commence with the introduction of the aPDT device to all eligible patients. Nasal decolonization procedures will be administered every other day. Patients will undergo one follow-up visit at 4 days post ICU discharge.
Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Control Arm

The first two months will constitute the control period before the aPDT intervention is introduced into the unit. No nasal decolonization procedures (current standard of care) will take place at this time. All patients enrolled in the study will receive a nasal swab upon ICU admission, and once every four days during their stay.

Group Type NO_INTERVENTION

No interventions assigned to this group

Intervention Arm

Nasal decolonization procedures will be administered every other day. Just as during the intervention period, a nasal swab will be administered every four days to assess the microbiology of the nose prior to the scheduled nasal decontamination treatment

Group Type EXPERIMENTAL

Antimicrobial photodynamic therapy (aPDT) nasal decolonization device

Intervention Type DEVICE

aPDT is a technique that employs a specific wavelength of light to activate a photosensitizer substance. Once activated, this photosensitizer reacts with surrounding molecules to produce radicals and reactive oxygen species. When activated in the presence of microorganisms, these molecules serve to disrupt membrane structure and protein cross-linking, leading to their death.

Interventions

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Antimicrobial photodynamic therapy (aPDT) nasal decolonization device

aPDT is a technique that employs a specific wavelength of light to activate a photosensitizer substance. Once activated, this photosensitizer reacts with surrounding molecules to produce radicals and reactive oxygen species. When activated in the presence of microorganisms, these molecules serve to disrupt membrane structure and protein cross-linking, leading to their death.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* All ICU patients 19 years and above
* Expected length of ICU stay \>48 hrs

Exclusion Criteria

* Pregnant/breastfeeding individuals
* Allergy to methylene blue and/or chlorhexidine gluconate, or unknown allergy status
* Nasal or facial trauma that limits access to the nose
* Inability for the patients to tolerate or comply with treatment, as determined by their treating physician
* Patient, TSDM or MRP declines participation
* Co-enrolment with other research studies will be considered in an individual basis.
Minimum Eligible Age

19 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ondine Biomedical Inc.

INDUSTRY

Sponsor Role collaborator

Royal Columbian Hospital Foundation

OTHER

Sponsor Role collaborator

Fraser Health

OTHER

Sponsor Role lead

Responsible Party

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Steve Reynolds

Critical Care Physician

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Steven Reynolds

Role: PRINCIPAL_INVESTIGATOR

Fraser Health Authority

Locations

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Royal Columbian Hospital

New Westminster, British Columbia, Canada

Site Status

Countries

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Canada

Central Contacts

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Jessica Wittman Research Coordinator

Role: CONTACT

236 332 6575

Facility Contacts

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Jessica Wittmann Lead ICU Research Coordinator

Role: primary

236 332 6575

Other Identifiers

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2024142

Identifier Type: -

Identifier Source: org_study_id

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