A Trial for the Safety and Effectiveness of a Novel Antimicrobial-Coated Foley Catheter for Reduction of CAUTI.
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Purpose
The primary objective of this pilot study is to demonstrate the feasibility of recruiting eligible patients for the purposes of assessing the temporal aspects and rates of Catheter Associated Urinary Tract Infection (CAUTI), based on the agreed-upon case definition so that the numbers needed for a pivotal study can be better estimated.
| Condition | Intervention |
|---|---|
|
Urinary Tract Infection |
Device: ICET™ TIC Foley Catheter Device: BARD® LUBRI-SIL® IC Foley Catheter |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Prevention |
| Official Title: | A Randomized Trial for the Safety and Effectiveness of a Novel Antimicrobial-Coated Foley Catheter Attached to an Antimicrobial Anti-Reflux Device for Reduction of Catheter-Associated Urinary Tract Infection |
- The time to first Catheter Associated Urinary Tract Infection (CAUTI) event [ Time Frame: up to 30th day from the time of catheterization ] [ Designated as safety issue: No ]All randomized subjects will be followed until (1) up to 30th day from the time of catheterization or (2) the subject withdraws or is discharged from the hospital, whichever comes first and (3) 48 hours after the catheter is removed.
- The proportion of subjects with Symptomatic Urinary Tract Infection (SUTI) [ Time Frame: up to 30th day from the time of catheterization ] [ Designated as safety issue: No ]The proportion of SUTI in subjects from the time of catheterization up to 30 days from a single urine specimen collected from the catheter port or from the midstream clean catch urine collected 48 hours after catheter removal or until subject withdrawal or discharge from hospital.
- The proportion of subjects with Asymptomatic Bacteremic Urinary Tract Infection (ABUTI) [ Time Frame: up to 30th day from the time of catheterization ] [ Designated as safety issue: No ]The proportion of ABUTI in subjects from the time of catheterization up to 30 days or 48 hours after catheter removal or until subject withdrawal or discharge from hospital.
- Safety and tolerance of TIC system [ Time Frame: up to 30th day from the time of catheterization ] [ Designated as safety issue: Yes ]Safety will be assessed through Adverse Events and tolerance of the ICET TIC Foley catheter.
| Estimated Enrollment: | 120 |
| Study Start Date: | May 2012 |
| Estimated Study Completion Date: | March 2013 |
| Estimated Primary Completion Date: | March 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: ICET™ TIC Foley Catheter
Route of Administration: Urinary Bladder Catheterization
|
Device: ICET™ TIC Foley Catheter
The device to be evaluated in this investigation is a silver-based antimicrobial coated Foley catheter connected to an antimicrobial anti-reflux accessory (ICET Inc, Norwood, MA). The closed system is referred to as the TIC system and is designed with the objective of reducing the incidence of CAUTI. The accessory is non-tissue contacting.
Other Name: ICET™ TIC Foley Catheter Device (TIC System)
|
|
Active Comparator: BARD® LUBRI-SIL® IC Foley Catheter
Route of Administration: Urinary Bladder Catheterization
|
Device: BARD® LUBRI-SIL® IC Foley Catheter
The LUBRI-SIL® I.C. antimicrobial 100% silicone Foley catheter incorporates a formulation consisting of BACTI-GUARD®* silver alloy coating and BARD® hydrogel.
Other Name: BARD ® LUBRI-SIL® I.C. Foley Catheter Device
|
Detailed Description:
This pilot study will be a prospective, single site, randomized clinical investigation comparing the safety and effectiveness of the ICET TIC antimicrobial Foley catheter, against the infection control standard-of-care, the BARD ® LUBRI-SIL® I.C. Foley catheter.
Approximately 160 patients will be screened. The study has been designed to enroll approximately 120 eligible subjects to obtain about 60 evaluable subjects (30 in each arm). Subjects who meet the eligibility criteria will be enrolled into the study and randomly assigned to the experimental or standard-of-care group in a 1:1 ratio.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Subject is at least 18 years of age
- Subject is expected to be catheterized with 14 or 16 French Foley catheters for at least 72 hours.
- Subject (or a legally authorized representative) has provided written informed consent for study participation and procedures to be performed.
- Life expectancy at least 3 months or more in the judgment of the investigator
Exclusion Criteria:
- Subjects who present with previously known, symptomatic UTI
- Subjects with a positive urine dipstick at the time of enrollment
- Subjects who are on systemic antibiotics within 48 hours prior to enrollment
- Subjects with a known of suspected allergy to silicone, silver or silver compounds causing delayed hypersensitivity reactions or contact dermatitis.
- Subjects who have had an indwelling catheter removed less than 48 hours before study enrollment.
- Current genitourinary tract surgery or known infection
- Subject requires use of a non-study urinary catheter
- Subjects known to be pregnant or breast feeding at the time of enrollment
Contacts and Locations| United States, Minnesota | |
| University of Minnesota Fairview medical center | Recruiting |
| Minneapolis,, Minnesota, United States, 55455 | |
| Contact: Susan E Kline, MD 612-626-3662 kline003@umn.edu | |
| Principal Investigator: | Susan E Kline, MD | University of Minnesota - Clinical and Translational Science Institute |
More Information
No publications provided
| Responsible Party: | Innovative Chemical and Environmental Technologies, Inc |
| ClinicalTrials.gov Identifier: | NCT01681511 History of Changes |
| Other Study ID Numbers: | ICET-001, R44DK055891-06 |
| Study First Received: | July 29, 2012 |
| Last Updated: | September 7, 2012 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Innovative Chemical and Environmental Technologies, Inc:
|
Catheter Associated Urinary Tract Infections CAUTI |
Additional relevant MeSH terms:
|
Urinary Tract Infections Infection Urologic Diseases |
Anti-Infective Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 19, 2013