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出境医 / 临床实验 / BIP CVC in Access Center at Danderyd Hospital, Stockholm, Sweden (IMPROWE)

BIP CVC in Access Center at Danderyd Hospital, Stockholm, Sweden (IMPROWE)

Study Description
Brief Summary:

Primary objective of the study is to establish the incidence of all any catheter related complications in BIP CVC and standard CVC groups in patients requiring CVC.

(CVC - Central Venous Catheter; BIP - Bactiguard Infection Protection)


Condition or disease Intervention/treatment Phase
Vascular Access Complication Catheter-Related Infections Catheter Thrombosis Catheter Blockage Catheter Complications Catheter Site Discomfort Catheter Bacteraemia Device: BIP CVC Device: Standard CVC Not Applicable

Detailed Description:

Catheter related complications include CRBSI, CRI, Local CVC infection, need to exchange of CVC due to suspected CRI/CRBSI or thrombosis, stop / slower flow in any CVC lumen, local thrombosis, device malfunctions / technical catheter problems, device related adverse events.

(CRBSI - Catheter Related Blood Stream Infection; CRI - Catheter Related Infection)

Study Design
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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 19 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description: Pilot, randomized, open label, controlled trial
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Implementation and Evaluation of BIP CVC in Access Center at Danderyd Hospital, Stockholm, Sweden. Study Protocol
Actual Study Start Date : April 11, 2019
Actual Primary Completion Date : December 18, 2019
Actual Study Completion Date : December 18, 2019
Arms and Interventions
Arm Intervention/treatment
Experimental: BIP CVC
Polyurethane CVC with noble metal coating
Device: BIP CVC
Central venous access with noble metal coated CVC
Other Name: Noble metal coated CVC

Active Comparator: Standard CVC
Standard CVC made of polyurethane
Device: Standard CVC
Central venous access with standard uncoated CVC
Other Name: Uncoated CVC

Outcome Measures
Primary Outcome Measures :
  1. Number of patients with catheter related complications [ Time Frame: From CVC insertion until CVC withdrawal ]
    Patients having any complication specified as secondary endpoints


Secondary Outcome Measures :
  1. Number of patients with CRBSI [ Time Frame: From CVC insertion until CVC withdrawal ]
    CRBSI - Catheter Related Blood Stream Infections

  2. Number of patients with CRI [ Time Frame: From CVC insertion until CVC withdrawal ]
    CRI - Catheter Related Infections

  3. Number of patients with local CVC infections [ Time Frame: From CVC insertion until CVC withdrawal ]
    Skin infection at the insertion site

  4. Number of CVC exchanges per patient due to suspected infection or thrombosis [ Time Frame: From CVC insertion until CVC withdrawal ]
    Reported as incidence

  5. Number of patients with stop or slower flow in any CVC lumen [ Time Frame: From CVC insertion until CVC withdrawal ]
    Stop or slower flow or need of high pressure during blood sample withdrawal and/or injection of solution

  6. Number of patients with local thrombosis [ Time Frame: From CVC insertion until CVC withdrawal ]
    Local thrombosis - thrombosis in the insertion vein

  7. Number of patients with device malfunctions [ Time Frame: From CVC insertion until CVC withdrawal ]
    Any device malfunction or technical problems during insertion, withdrawal or use

  8. Number of patients with antibiotics and antithrombotics drug use [ Time Frame: From CVC insertion until CVC withdrawal ]
    including the reason of use and dose / number of days

  9. Number of patients with adverse events [ Time Frame: From CVC insertion until CVC withdrawal ]
    including casuality assessment to the CVC use; both serious and non-serious


Eligibility Criteria
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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Patients admitted to the Access Center at Danderyd who need an elective CVC (surgery, infection, nutrition, medication…)
  2. Fully recognize and understand patient information
  3. Signed informed consent

Exclusion Criteria:

  1. If CVC present prior to inclusion in the study and no intention to change the present CVC over guidewire
  2. Age < 18 years
  3. Pregnant women
  4. Known allergy to gold, silver and palladium
  5. Participation in other clinical studies which may interfere with this study as judged by the Investigator
Contacts and Locations

Locations
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Sweden
Danderyd Sjukhus
Stockholm, Sweden, 18288
Sponsors and Collaborators
Bactiguard AB
Danderyd Hospital
Investigators
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Principal Investigator: Jan Jakobsson, Prof Danderyd Hospital
Tracking Information
First Submitted Date  ICMJE June 4, 2019
First Posted Date  ICMJE June 6, 2019
Last Update Posted Date January 22, 2021
Actual Study Start Date  ICMJE April 11, 2019
Actual Primary Completion Date December 18, 2019   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: June 10, 2019)
Number of patients with catheter related complications [ Time Frame: From CVC insertion until CVC withdrawal ]
Patients having any complication specified as secondary endpoints
Original Primary Outcome Measures  ICMJE
 (submitted: June 4, 2019)
Catheter related complications [ Time Frame: From CVC insertion until CVC withdrawal ]
Sum of all complications specified as secondary endpoints
Change History
Current Secondary Outcome Measures  ICMJE
 (submitted: June 10, 2019)
  • Number of patients with CRBSI [ Time Frame: From CVC insertion until CVC withdrawal ]
    CRBSI - Catheter Related Blood Stream Infections
  • Number of patients with CRI [ Time Frame: From CVC insertion until CVC withdrawal ]
    CRI - Catheter Related Infections
  • Number of patients with local CVC infections [ Time Frame: From CVC insertion until CVC withdrawal ]
    Skin infection at the insertion site
  • Number of CVC exchanges per patient due to suspected infection or thrombosis [ Time Frame: From CVC insertion until CVC withdrawal ]
    Reported as incidence
  • Number of patients with stop or slower flow in any CVC lumen [ Time Frame: From CVC insertion until CVC withdrawal ]
    Stop or slower flow or need of high pressure during blood sample withdrawal and/or injection of solution
  • Number of patients with local thrombosis [ Time Frame: From CVC insertion until CVC withdrawal ]
    Local thrombosis - thrombosis in the insertion vein
  • Number of patients with device malfunctions [ Time Frame: From CVC insertion until CVC withdrawal ]
    Any device malfunction or technical problems during insertion, withdrawal or use
  • Number of patients with antibiotics and antithrombotics drug use [ Time Frame: From CVC insertion until CVC withdrawal ]
    including the reason of use and dose / number of days
  • Number of patients with adverse events [ Time Frame: From CVC insertion until CVC withdrawal ]
    including casuality assessment to the CVC use; both serious and non-serious
Original Secondary Outcome Measures  ICMJE
 (submitted: June 4, 2019)
  • CRBSI [ Time Frame: From CVC insertion until CVC withdrawal ]
    Catheter Related Blood Stream Infections
  • CRI [ Time Frame: From CVC insertion until CVC withdrawal ]
    Catheter Related Infections
  • Local CVC infections [ Time Frame: From CVC insertion until CVC withdrawal ]
    Skin infection at the insertion site
  • number of CVC exchanges due to suspected infection or thrombosis [ Time Frame: From CVC insertion until CVC withdrawal ]
    Reported as incidence
  • Stop or slower flow in any CVC lumen [ Time Frame: From CVC insertion until CVC withdrawal ]
    during blood sample withjdrawal and/or injection of solution
  • Local thrombosis [ Time Frame: From CVC insertion until CVC withdrawal ]
    Thormbosis in the insertion vein
  • Device malfunctions [ Time Frame: From CVC insertion until CVC withdrawal ]
    Any device malfunction or technical problems during insertion, withdrawal or use
  • Antibiotics and antithombotic drug use [ Time Frame: From CVC insertion until CVC withdrawal ]
    including the reason of use
  • Adverse events [ Time Frame: From CVC insertion until CVC withdrawal ]
    including casuality assessment to the CVC use; both serious and non-serious
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE BIP CVC in Access Center at Danderyd Hospital, Stockholm, Sweden
Official Title  ICMJE Implementation and Evaluation of BIP CVC in Access Center at Danderyd Hospital, Stockholm, Sweden. Study Protocol
Brief Summary

Primary objective of the study is to establish the incidence of all any catheter related complications in BIP CVC and standard CVC groups in patients requiring CVC.

(CVC - Central Venous Catheter; BIP - Bactiguard Infection Protection)

Detailed Description

Catheter related complications include CRBSI, CRI, Local CVC infection, need to exchange of CVC due to suspected CRI/CRBSI or thrombosis, stop / slower flow in any CVC lumen, local thrombosis, device malfunctions / technical catheter problems, device related adverse events.

(CRBSI - Catheter Related Blood Stream Infection; CRI - Catheter Related Infection)

Study Type  ICMJE Interventional
Study Phase  ICMJE Not Applicable
Study Design  ICMJE Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description:
Pilot, randomized, open label, controlled trial
Masking: None (Open Label)
Primary Purpose: Prevention
Condition  ICMJE
  • Vascular Access Complication
  • Catheter-Related Infections
  • Catheter Thrombosis
  • Catheter Blockage
  • Catheter Complications
  • Catheter Site Discomfort
  • Catheter Bacteraemia
Intervention  ICMJE
  • Device: BIP CVC
    Central venous access with noble metal coated CVC
    Other Name: Noble metal coated CVC
  • Device: Standard CVC
    Central venous access with standard uncoated CVC
    Other Name: Uncoated CVC
Study Arms  ICMJE
  • Experimental: BIP CVC
    Polyurethane CVC with noble metal coating
    Intervention: Device: BIP CVC
  • Active Comparator: Standard CVC
    Standard CVC made of polyurethane
    Intervention: Device: Standard CVC
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Terminated
Actual Enrollment  ICMJE
 (submitted: January 19, 2021)
19
Original Estimated Enrollment  ICMJE
 (submitted: June 4, 2019)
150
Actual Study Completion Date  ICMJE December 18, 2019
Actual Primary Completion Date December 18, 2019   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  1. Patients admitted to the Access Center at Danderyd who need an elective CVC (surgery, infection, nutrition, medication…)
  2. Fully recognize and understand patient information
  3. Signed informed consent

Exclusion Criteria:

  1. If CVC present prior to inclusion in the study and no intention to change the present CVC over guidewire
  2. Age < 18 years
  3. Pregnant women
  4. Known allergy to gold, silver and palladium
  5. Participation in other clinical studies which may interfere with this study as judged by the Investigator
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers  ICMJE No
Contacts  ICMJE Contact information is only displayed when the study is recruiting subjects
Listed Location Countries  ICMJE Sweden
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT03976557
Other Study ID Numbers  ICMJE PL-13732
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement  ICMJE
Plan to Share IPD: No
Responsible Party Bactiguard AB
Study Sponsor  ICMJE Bactiguard AB
Collaborators  ICMJE Danderyd Hospital
Investigators  ICMJE
Principal Investigator: Jan Jakobsson, Prof Danderyd Hospital
PRS Account Bactiguard AB
Verification Date January 2021

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP