UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000029273
Receipt number R000032382
Scientific Title Pharmacokinetics of nitroimidazole antibacterial agent Metronidazole as intraoperative prophylaxis for colorectal surgery
Date of disclosure of the study information 2017/09/25
Last modified on 2019/08/01 18:23:52

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Basic information

Public title

Pharmacokinetics of nitroimidazole antibacterial agent Metronidazole as intraoperative prophylaxis for colorectal surgery

Acronym

Pharmacokinetics of Metronidazole as intraoperative prophylaxis for colorectal surgery

Scientific Title

Pharmacokinetics of nitroimidazole antibacterial agent Metronidazole as intraoperative prophylaxis for colorectal surgery

Scientific Title:Acronym

Pharmacokinetics of Metronidazole as intraoperative prophylaxis for colorectal surgery

Region

Japan


Condition

Condition

colorectal disease with surgical indication (both benign and malignant)

Classification by specialty

Hepato-biliary-pancreatic surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

We measure the transition of blood concentration, ascites concentration, tissue concentration (subcutaneous fat and peritoneum) of Metronidazole when it is administered as antibiotic prophylaxis in patients undergoing elective colorectal surgery.
Subsequently, we examine the relationship between the distribution of Metronidazole during surgery and MIC for anaerobic bacteria, and the necessity of additional administration.

Basic objectives2

PK,PD

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Pharmacokinetic parameters (Cmax, AUC, t1 / 2, tmax) of Metronidazole in blood, ascites and tissue (subcutaneous fat and peritoneum)

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Prevention

Type of intervention

Medicine

Interventions/Control_1

Patients are given intravenous drip infusion of Cefazolin 1 g and Metronidazole 500 mg as intraoperative antibiotic prophylaxis.
Blood (about 2 ml), ascites (about 2 ml), subcutaneous fat (about 4 mm cube) and peritoneum (about 4 mm square) are collected at the beginning of surgery (after laparotomy) and every hour thereafter and at the end of the surgery. Then we measure the Metronidazole concentration of each specimen.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

・Patients scheduled for elective colorectal surgery(limited to open surgery cases)
・Inpatients over 20 years old who agree to participate in this study, regardless of gender
・Patients who can give written informed consent to participate in this study

Key exclusion criteria

・Emergency surgical patient
・Patients requiring extensive small intestine resection
・Patients requiring excision of other organs
・Patients with complications leading to a decrease in liver function
・Patients with a history of allergies to Cefazolin or Metronidazole
・Combined use of Cefazolin or Metronidazole caution drug
・Patients who are pregnant or nursing
・Patients with organic diseases in the brain and spinal cord
・Patients judged inappropriate for this study by the researcher

Target sample size

10


Research contact person

Name of lead principal investigator

1st name Hiroki
Middle name
Last name Ohge

Organization

Hiroshima University Hospital

Division name

Department of Infectious Diseases

Zip code

734-8551

Address

1-2-3,Kasumi, Minami-ku Hiroshima-shi, Hiroshima

TEL

082-257-1613

Email

ohge@hiroshima-u.ac.jp


Public contact

Name of contact person

1st name Hiroyuki
Middle name
Last name Taogoshi

Organization

Hiroshima University graduate school

Division name

Department of Surgery, Applied Life Sciences Institute of Biomedical & Health Sciences

Zip code

734-8551

Address

1-2-3,Kasumi, Minami-ku Hiroshima-shi, Hiroshima

TEL

082-257-5216

Homepage URL


Email

d172952@hiroshima-u.ac.jp


Sponsor or person

Institute

Department of Infectious Diseases, Hiroshima University Hospital

Institute

Department

Personal name



Funding Source

Organization

Ministry of Education, Culture, Sports, Science and Technology

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Center for integrated medical research, Hiroshima University Hospital

Address

1-2-3,Kasumi, Minami-ku Hiroshima-shi, Hiroshima

Tel

082-257-1752

Email

protocol@cimr.hiroshima-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2017 Year 09 Month 25 Day


Related information

URL releasing protocol


Publication of results

Partially published


Result

URL related to results and publications


Number of participants that the trial has enrolled

10

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2017 Year 09 Month 25 Day

Date of IRB

2017 Year 09 Month 14 Day

Anticipated trial start date

2017 Year 09 Month 25 Day

Last follow-up date

2018 Year 09 Month 30 Day

Date of closure to data entry

2020 Year 03 Month 31 Day

Date trial data considered complete

2020 Year 03 Month 31 Day

Date analysis concluded

2020 Year 03 Month 31 Day


Other

Other related information



Management information

Registered date

2017 Year 09 Month 25 Day

Last modified on

2019 Year 08 Month 01 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000032382


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name