Infections after hysterectomy - a placebo controlled study comparing the profylactic use of azithromycin and cefuroxime with single cefuroxime

2024-517508-12-00 Therapeutic use (Phase IV) Ongoing, recruiting

Start 24 Oct 2024 · Status Ongoing, recruiting · 1 EU/EEA countries · 6 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruiting
Participants planned 2,278
Countries 1
Sites 6

Undergoing hysterectomy

To study post-hysterectomy infections and to compare the use of azithromycin and cefuroxime vs single cefuroxime in antibiotic prophylaxis

Key facts

Sponsor
HUS-Yhtymae
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Female
Therapeutic area
Diseases [C] - Female Urogenital Diseases and Pregnancy Complications [C13]
Trial duration
24 Oct 2024 → ongoing
Decision date (initial)
2024-10-24
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-517508-12-00
EudraCT number
2021-003467-10

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Prophylaxis

To study post-hysterectomy infections and to compare the use of azithromycin and cefuroxime vs single cefuroxime in antibiotic prophylaxis

Conditions and MedDRA coding

Undergoing hysterectomy

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. Women undergoing hysterectomy for a benign indication in a public hospital in Finland who have not any contraindications for azithromycin or cefuroxime. The person must understand the information given in finnish or swedish.

Exclusion criteria 1

  1. Inability to understand the study protocol. Allergy for either cefuroxime or azithromycin. Congenital or acquired prolonged QTc interval. Use of medicines that may prolong QTc interval (class Ia arrhythmia medications, quinidine, procainamide, and class III arrhythmia medications dofetilidi, amiodarone and sotalol). Use of SSRI medication and prolonged QTc interval.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Deep wound and pelvic organ infections up to 30 days postoperatively

Secondary endpoints 1

  1. Surficial infections and other infections, such has urine tract infections, and fever over 38 ℃ over 2 days.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Azithromycin

SCP1167043 · ATC

Active substance
Azithromycin
Substance synonyms
AZITROMICINA
Route of administration
ORAL
Max daily dose
1000 mg milligram(s)
Max total dose
1000 mg milligram(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
J01FA10 — AZITHROMYCIN
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Placebo 1

Placebo 9mm tablet, product number 9905609 (Consists of Cellulos.microcrist. (Emcocel 90M); Magn.stear.). Manufactured by HUS Apteekki.

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
Route of administration
ORAL
Max daily dose
1 Other
Max total dose
1 Other
Max treatment duration
1 Day(s)
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

HUS-Yhtymae

Sponsor organisation
HUS-Yhtymae
Address
Stenbackinkatu 9
City
Helsinki
Postcode
00290
Country
Finland

Scientific contact point

Organisation
HUS-Yhtymae
Contact name
HUS Naistenklinikka

Public contact point

Organisation
HUS-Yhtymae
Contact name
HUS Naistenklinikka

Locations

1 EU/EEA country · 6 investigational sites

By country

CountryMS statusPlanned subjectsSites
Finland Ongoing, recruiting 2,278 6
Rest of world 0

Investigational sites

Finland

6 sites · Ongoing, recruiting
HUS-Yhtymae
Naistenklinikka, Stenbackinkatu 9, 00290, Helsinki
Kuopio University Hospital
Naistentaudit, Puijonlaaksontie 2, P. O. Box 1777, Kuopio
Turku University Hospital
Naistentaudit, Kiinamyllynkatu 4-8, 20520, Turku
Oulu University Hospital
Naistentaudit, Kajaanintie 50, 90220, Oulu
Tampere University Hospital
Naistentaudit, Teiskontie 35, 33520, Tampere
Keski-Suomen Hyvinvointialue
Naistentaudit, Hoitajantie 3, 40620

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Finland 2024-10-24 2024-10-24

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 3 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) Tutkimussuunnitelma 5
Recruitment arrangements (for publication) Tarvittaessa toimitamme lisatietoja 1
Subject information and informed consent form (for publication) Tutkittavan_tiedote 2

Application history

2 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-10-06 Finland Acceptable
2024-10-24
2024-10-24
2 NON SUBSTANTIAL MODIFICATION NSM-1 2026-01-20 Finland Acceptable
2024-10-24
2026-01-20