Chlorhexidine Caps for CLABSI Prevention in Hemodialysis: a Pilot Randomized Controlled Trial

NCT ID: NCT07019610

Last Updated: 2025-06-13

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

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-08-31

Study Completion Date

2028-02-29

Brief Summary

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The goal of this clinical trial is to compare a chlorhexidine antimicrobial barrier cap in patients requiring hemodialysis treatment to the standard hemodialysis caps currently used within the Metro North Kidney Health Service.

The main questions to answer are:

* Study Feasibility
* Occurrence of infectious complications related to renal central venous catheters

Participants will be randomly allocated to receive either of the below hemodialysis caps to cover their hemodialysis catheter hub:

* The standard hemodialysis cap used at the Royal Brisbane and Women's Hospital, or
* The intervention hemodialysis cap containing chlorhexidine inside it

Researchers will compare standard and chlorhexidine hemodialysis caps to see if the presence of chlorhexidine improves the occurrance of infectious complications related to the hemodialysis catheter.

Detailed Description

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This study is a single-centre, two-arm, parallel group Randomized Controlled Trial (RCT) to test the effectiveness, safety, impact of device application on health-related quality of life measures, and cost-effectiveness of ClearGuard™ HD antimicrobial barrier caps in patients receiving hemodialysis.

Setting and Sample:

The ECHO-HD will be undertaken at the Metro North Kidney Health Service (MNKHS), Royal Brisbane and Women's Hospital in Queensland, Australia.

Sample Size:

The investigators will recruit 60 patients with 30 patients per arm. The purpose of the pilot study is to assess research project feasibility and inform the design of a large scale powered RCT. Viechtbauer et al. (2015) determined that a sample size of 59 participants is sufficient to detect a problem with a 5% probability of occurrence.

Conditions

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Vascular Access Complication Device Related Infection Device Related Sepsis Catheter Infection Catheter Complications Catheter-Related Infections Catheter Related Complications Hemodialysis Catheter Infection Hemodialysis Catheter-associated Infection Hemodialysis Complication

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

A single-centre, two-arm, parallel group randomised controlled trial.
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Control

Standard Non-Antimicrobial Hemodialysis Cap

Group Type ACTIVE_COMPARATOR

B Braun Combi-stopper

Intervention Type DEVICE

Standard practice caps used within the Metro North Kidney Health Service

Intervention

Antimicrobial Haemodialysis Catheter Luer End Cap

Group Type EXPERIMENTAL

ClearGuard HD

Intervention Type DEVICE

The ClearGuard HD end cap is a male luer lock end cap that incorporates an antimicrobial treatment (Chlorhexidine) on its surface designed to reduce microbial colonisation within a haemodialysis catheter hub.

Interventions

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ClearGuard HD

The ClearGuard HD end cap is a male luer lock end cap that incorporates an antimicrobial treatment (Chlorhexidine) on its surface designed to reduce microbial colonisation within a haemodialysis catheter hub.

Intervention Type DEVICE

B Braun Combi-stopper

Standard practice caps used within the Metro North Kidney Health Service

Intervention Type DEVICE

Other Intervention Names

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Haemodialysis Catheter Luer End Cap Standard Non-Antimicrobial Hemodialysis Cap

Eligibility Criteria

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Inclusion Criteria

* Age≥18
* Able to provide informed consent
* Kidney failure requiring a tunnelled CVC for treatment (haemodialysis)
* 21 days BSI free
* No known allergy to chlorhexidine and/or nylon and/or polypropylene.

Exclusion Criteria

* Current CLABSI
* Known allergic to chlorhexidine and/or nylon and/or polypropylene.
* Patients on an end-of-life pathway
* People with a cognitive impairment and/or intellectual disability
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Royal Brisbane and Women's Hospital

OTHER_GOV

Sponsor Role collaborator

The University of Queensland

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Claire Rickard

Role: PRINCIPAL_INVESTIGATOR

The University of Queensland

Locations

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Royal Brisbane and Women's Hospital

Herston, Queensland, Australia

Site Status

Countries

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Australia

Central Contacts

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Jue (Jenny) Wang

Role: CONTACT

+61 450 184 498

Other Identifiers

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IVPA_25.01

Identifier Type: -

Identifier Source: org_study_id

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