UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000042605
Receipt number R000048232
Scientific Title Triclosan-coated sutures versus uncoated sutures for prevention of surgical site infection after abdominal wall closure in open/laparoscopic colorectal surgery
Date of disclosure of the study information 2020/12/01
Last modified on 2023/06/12 10:57:35

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Triclosan-coated sutures versus uncoated sutures for prevention of surgical site infection after abdominal wall closure in open/laparoscopic colorectal surgery

Acronym

Triclosan-coated sutures versus uncoated sutures for prevention of surgical site infection after abdominal wall closure in open/laparoscopic colorectal surgery

Scientific Title

Triclosan-coated sutures versus uncoated sutures for prevention of surgical site infection after abdominal wall closure in open/laparoscopic colorectal surgery

Scientific Title:Acronym

Triclosan-coated sutures versus uncoated sutures for prevention of surgical site infection after abdominal wall closure in open/laparoscopic colorectal surgery

Region

Japan


Condition

Condition

Surgical site infection

Classification by specialty

Gastrointestinal surgery

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The effect of antimicrobial threads in fascial closure for colorectal surgery in relation to thread type and incidence surgical site infection

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Incidence of surgical site infection

Key secondary outcomes

(1) Surgical site complications other than surgical site infection
(2) Post-operative hospital stay


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


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

1) Patients with scheduled colorectal cancer surgery
2) Patient has operable general condition and organ function.
3) Performance Status (ECOG) of either 0 or 1.
4) Written consent to participate in the study has been obtained from the patient.

Key exclusion criteria

1) There is no history of surgical wounds on the planned surgical site.
2) Do not perform surgery on other organs in different locations at the same time.
3) No history of radiation therapy or chemotherapy.
4) No contamination or infection surgery.

Target sample size

2200


Research contact person

Name of lead principal investigator

1st name Norikatsu
Middle name
Last name Miyoshi

Organization

Osaka University, Graduate School of Medicine

Division name

Departments of Gastroenterological surgery

Zip code

565-0871

Address

2-2 Yamadaoka, Suita, Osaka

TEL

06-6879-3251

Email

nmiyoshi@gesurg.med.osaka-u.ac.jp


Public contact

Name of contact person

1st name Tsunekazu
Middle name
Last name Mizushima

Organization

Osaka University, Graduate School of Medicine

Division name

Departments of Gastroenterological surgery

Zip code

565-0871

Address

2-2 Yamadaoka, Suita, Osaka

TEL

06-6879-3251

Homepage URL


Email

tmizushima@gesurg.med.osaka-u.ac.jp


Sponsor or person

Institute

Multicenter Clinical Study Group of Osaka, Colorectal Cancer Treatment Group

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Osaka University, Graduate School of Medicine

Address

2-2 Yamadaoka, Suita, Osaka

Tel

06-6210-8290

Email

jim-chiken@hp.crc.med.osaka-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

2020 Year 12 Month 01 Day


Related information

URL releasing protocol

https://journals.lww.com/journalacs/Fulltext/2022/06000/Effectiveness_of_Triclosan_Coated_Sutures_Co

Publication of results

Published


Result

URL related to results and publications

https://journals.lww.com/journalacs/Fulltext/2022/06000/Effectiveness_of_Triclosan_Coated_Sutures_Co

Number of participants that the trial has enrolled

2207

Results

The recorded SSI rates were 4.2% in the triclosan-coated group and 6.74% in the uncoated suture group (p = 0.028). There were no serious adverse events in the groups. The final logistic regression model showed that several variables affected the occurrence of SSI. Our meta-analysis included six phase-III trials, and our study evaluated 4,797 patients. The results show a significant superiority of triclosan-coated sutures over uncoated suture material.

Results date posted

2023 Year 06 Month 12 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

This study was a multicenter prospective trial conducted within 24 Japanese secondary and tertiary care centers, and a propensity score matched analysis. Patients 20 years of age or older who underwent elective surgery for colorectal cancer were included.

Participant flow

Between July 2016 and July 2019, 2,207 patients were prospectively enrolled into the triclosan-coated sutures or uncoated sutures groups. The per-protocol population comprised 2,195 patients. The PS matching was performed for 1,579 patients: 926 patients in the coated group and 653 patients in the uncoated group.

Adverse events

Not found

Outcome measures

The primary endpoint was the incidence of an SSI. Secondary endpoints were length of hospital stay and surgical complication rates.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Main results already published

Date of protocol fixation

2016 Year 10 Month 04 Day

Date of IRB

2016 Year 10 Month 04 Day

Anticipated trial start date

2016 Year 10 Month 04 Day

Last follow-up date

2022 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Starting October 4, 2016, 2200 patients will be included in the study who will undergo standby colorectal surgery for patients aged 20 years and older with PS0-1. The sutures used for fascial sutures will be absorbable sutures selected by each institution.


Management information

Registered date

2020 Year 11 Month 30 Day

Last modified on

2023 Year 06 Month 12 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000048232


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name