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Sponsored by: |
Baystate Medical Center |
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Information provided by: | Baystate Medical Center |
ClinicalTrials.gov Identifier: | NCT00680459 |
Ethanol Locks as an Adjunct Treatment for Central Venous Line Infections
Purpose To evaluate the effectiveness of a 70% ethanol lock solution when used as an adjunct therapy with antibiotics to treat central venous line infections
Study Design Randomized Controlled Trial
Study Protocol Only those patients meeting all inclusion criteria and no exclusion criteria will be eligible to participate in this study. Once identified, signed informed consent will be obtained from the patient's guardian and the patient himself/herself depending on age. Patients will be randomized into 2 groups: Group 1 - those patients who will receive ethanol lock therapy and Group 2- those patients who will receive placebo therapy in the form of a heparin lock solution.
Outcome Measures Treatment success as defined by-
Treatment failure as defined by-
Condition | Intervention | Phase |
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Bloodstream Infection |
Drug: 70% ethanol Drug: heparin flush solution |
Phase III |
Study Type: | Interventional |
Study Design: | Treatment, Randomized, Double Blind (Subject, Caregiver), Placebo Control, Parallel Assignment, Efficacy Study |
Official Title: | Ethanol Locks for the Treatment of Central Venous Line Infections |
Estimated Enrollment: | 82 |
Study Start Date: | May 2008 |
Estimated Study Completion Date: | June 2011 |
Estimated Primary Completion Date: | May 2011 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
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1: Experimental
70% ethanol lock solution instilled into central venous line of patient with documented infection, in addition to usual care with antimicrobials and supportive therapy. 70% ethanol solution dwells for 4 hours, then is withdrawn and discarded. This procedure repeated daily for 5 consecutive days.
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Drug: 70% ethanol
70% ethanol lock solution instilled into central venous line of patient with documented infection, in addition to usual care with antimicrobials and supportive therapy. Volume of solution instilled varies from 0.8-1.9ml depending on volume of the lumen and hub of the particular size line being treated. 70% ethanol solution dwells for 4 hours, then is withdrawn and discarded. This procedure repeated daily for 5 consecutive days.
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2: Placebo Comparator
heparin flush 10 units/ml lock solution instilled into central venous line of patient with documented infection, in addition to usual care with antimicrobials and supportive therapy. heparin flush solution dwells for 4 hours, then is withdrawn and discarded. This procedure repeated daily for 5 consecutive days.
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Drug: heparin flush solution
heparin flush (10 units/ml) lock solution instilled into central venous line of patient with documented infection, in addition to usual care with antimicrobials and supportive therapy. Volume of solution instilled varies from 0.8-1.9ml depending on volume of the lumen and hub of the particular size line being treated. Heparin lock solution dwells for 4 hours, then is withdrawn and discarded. This procedure repeated daily for 5 consecutive days.
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Ethanol Lock Technique Protocol (adapted from the Children's Hospital Los Angeles)
Instill ethanol/heparin lock into the catheter to fill volume
Ages Eligible for Study: | 6 Months to 23 Years |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contact: Christine A McKiernan, MD | 413-794-4441 | christine.mckiernan@bhs.org |
Contact: Amanda Conti, MD | 413-794-0000 | amanda.conti@bhs.org |
United States, Massachusetts | |
Baystate Medical Center | Recruiting |
Springfield, Massachusetts, United States, 01199 | |
Contact: Christine A McKiernan, MD 413-794-4441 christine.mckiernan@bhs.org | |
Contact: Amanda Conti, MD 413-794-0000 amanda.conti@bhs.org | |
Principal Investigator: Christine A McKiernan, MD |
Principal Investigator: | Christine A McKiernan, MD | Baystate Medical Center |
Study Director: | Amanda Conti, MD | Baystate Medical Center |
Responsible Party: | Baystate Medical Center ( Christine McKiernan, MD, Principal Investigator ) |
Study ID Numbers: | IRB08-064 |
Study First Received: | May 16, 2008 |
Last Updated: | May 19, 2008 |
ClinicalTrials.gov Identifier: | NCT00680459 |
Health Authority: | United States: Institutional Review Board |
central line infection 70% ethanol Sepsis |
Sepsis Heparin Calcium heparin Ethanol |
Communicable Diseases Anti-Infective Agents Anticoagulants Molecular Mechanisms of Pharmacological Action Hematologic Agents Physiological Effects of Drugs Central Nervous System Depressants Fibrinolytic Agents |
Cardiovascular Agents Infection Pharmacologic Actions Anti-Infective Agents, Local Fibrin Modulating Agents Therapeutic Uses Central Nervous System Agents |