UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000042658
Receipt number R000048675
Scientific Title The efficacy of prophylactic Sulbactam/Ampicillin in the treatment of perineal wound infection after abdominoperineal resection. Multicenter randomized controlled study
Date of disclosure of the study information 2021/01/04
Last modified on 2020/12/04 22:32:39

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Basic information

Public title

The efficacy of prophylactic Sulbactam/Ampicillin in the treatment of perineal wound infection after abdominoperineal resection. Multicenter randomized controlled study

Acronym

The efficacy of prophylactic Sulbactam/Ampicillin in the treatment of perineal wound infection after abdominoperineal resection. Multicenter randomized controlled study

Scientific Title

The efficacy of prophylactic Sulbactam/Ampicillin in the treatment of perineal wound infection after abdominoperineal resection. Multicenter randomized controlled study

Scientific Title:Acronym

The efficacy of prophylactic Sulbactam/Ampicillin in the treatment of perineal wound infection after abdominoperineal resection. Multicenter randomized controlled study

Region

Japan


Condition

Condition

Rectal cancer, Anal canal cancer

Classification by specialty

Gastrointestinal surgery

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study was to validate "the superiority of the study treatment Sulbactam/Ampicillin for 4 days postoperatively over the standard treatment Cefmetazole for up to 24 hours postoperatively for the prevention of perineal wound infection after abdominoperineal resection" by randomized comparison.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Incidence of perineal wound infection within 30 days after surgery

Key secondary outcomes

1 Incidence of all SSI(surgical site infection)
2 Percentage of all complications, excluding SSI, within 30 days of surgery.
3 Methicillin-resistant Staphylococcus Aureus (MRSA) detection rate
4 Post-operative hospital stay


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation


Institution consideration


Blocking


Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Prevention

Type of intervention

Medicine

Interventions/Control_1

Sulbactam/Ampicillin (SBT/AMPC)

Interventions/Control_2

Cefmetazole (CMZ)

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

85 years-old >

Gender

Male and Female

Key inclusion criteria

Patients for whom abdominoperineal resection (APR) is the planned procedure for rectal cancer and anal canal cancer
Patients with an Eastern Cooperative Oncology Group (ECOG) Performance status (PS) score of 0-2
Patients who are between 20 and 85 years of age at the time of obtaining consent
Patients who have been fully informed and understandably given their voluntary written consent to participate in this study
major organ functions are preserved on clinical examination within 30 days of enrollment

Key exclusion criteria

Patients who meet any of the following conditions are not eligible
(1) Patients with previous hypersensitivity to SBT/ABPC or CMZ
(2) Emergency surgery
(3) Patients with poorly controlled diabetes (HbA1c over 8.0), chronic renal failure requiring dialysis, and patients requiring immunosuppressive drugs
(4) Patients with a systemic active infection or fever (>38 degrees Celsius) and suspected infection
(5) Patients who are either pregnant, likely to be pregnant, within 28 days after delivery, or breastfeeding
(6) Serious organ failure
(7) As a result of preoperative explanations, cases of disagreement
(8) Any other patient whom the principal investigator or the researcher determines to be unsuitable for the safe conduct of the study

Target sample size

80


Research contact person

Name of lead principal investigator

1st name Yusuke
Middle name
Last name Kinugasa

Organization

Tokyo Medical and Dental University

Division name

Gastrointestinal Surgery

Zip code

113-8510

Address

1-5-45, Yushima, Bunkyoku, Tokyoto

TEL

03-5803-6111

Email

kinugasa.srg1@tmd.ac.jp


Public contact

Name of contact person

1st name Akitoshi
Middle name
Last name Nankaku

Organization

Tokyo Medical and Dental University

Division name

Gastrointestinal Surgery

Zip code

113-8510

Address

1-5-45, Yushima, Bunkyoku, Tokyoto

TEL

03-5803-6111

Homepage URL


Email

nanksrg1@tmd.ac.jp


Sponsor or person

Institute

Tokyo Medical and Dental University
Department of Gastrointestinal Surgery

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

Tokyo Medical and Dental University Ethics Review Committee

Address

1-5-45, Yushima, Bunkyoku, Tokyoto

Tel

03-5803-6111

Email

syomu1.adm@tmd.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

静岡県立静岡がんセンター(静岡県)、武蔵野赤十字病院(東京都)、静岡県立総合病院(静岡県)、国立がん研究センター中央病院(東京都)、江戸川病院(東京都)


Other administrative information

Date of disclosure of the study information

2021 Year 01 Month 04 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


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

Preinitiation

Date of protocol fixation

2020 Year 11 Month 15 Day

Date of IRB


Anticipated trial start date

2021 Year 01 Month 04 Day

Last follow-up date

2025 Year 01 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2020 Year 12 Month 04 Day

Last modified on

2020 Year 12 Month 04 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000048675


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name