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Single dose combination of sulfametoxazole/trimethoprim after percutaneous endoscopic gastrostomy
ISRCTN ISRCTN18677736
ClinicalTrials.gov identifier
Public title Single dose combination of sulfametoxazole/trimethoprim after percutaneous endoscopic gastrostomy
Scientific title Single dose combination of sulfametoxazole/trimethoprim after percutaneous endoscopic gastrostomy versus standard prophylaxis before percutaneous endoscopic gastrostomy: a single centre double blind randomised controlled trial
Acronym N/A
Serial number at source 2005-100 002
Study hypothesis A single dose combination of a sulfonamide and trimethoprim (Bactrim®), in an oral solution, given in the percutaneous endoscopic gastrostomy (PEG) catheter immediately after the PEG procedure, is as good as the standard prophylaxis with Zinacef® given intravenously minutes before the PEG procedure.
Lay summary
Ethics approval Regional ethical committee in Stockholm approved on the 2nd June 2005 (ref: 2005/505-31)
Study design Single centre double blind randomised controlled trial
Countries of recruitment Sweden
Disease/condition/study domain Percutaneous endoscopic gastrostomy procedure
Participants - inclusion criteria 1. Aged greater than or equal to 15 years, either sex
2. Need for PEG
3. Gives oral consent to the study
4. No contraindication for PEG
Participants - exclusion criteria 1. Ongoing antibiotic treatment
2. Allergy to study drug or standard treatment
3. Saying no to participation
4. Too sick to be able to give consent
Anticipated start date 03/06/2005
Anticipated end date 30/11/2009
Status of trial Completed
Patient information material Not available in web format, please use the contact details below to request a patient information sheet
Target number of participants 200 (100 in each arm)
Interventions Single dose of 20 ml oral solution of sulfamethoxazole/trimethoprim (Bactrim®) given in the PEG-catheter immediately after PEG compared to standard treatment (single dose of 1.5 g of cefuroxime [Zinacef®] given intravenously moments before PEG).

Planned follow up once at 7 - 14 days after the PEG procedure in both study arms.
Primary outcome measure(s) Parastomal infection at follow up
Secondary outcome measure(s) Measured at baseline and follow up:
1. Highly sensitive C-reactive protein
2. White blood cell count
3. Body mass index (BMI)
4. Complications
Sources of funding Swedish Cancer Society (Sweden)
Trial website
Publications 2010 results in http://www.ncbi.nlm.nih.gov/pubmed/20601414
Contact name Dr  John  Blomberg
  Address Unit of Gastrointestinal Research Group (UGIR)
Karolinska Institutet
Norra Stationsgatan 67
  City/town Stockholm
  Zip/Postcode 17176
  Country Sweden
  Tel +46 (0)8 517 709 83
  Fax +46 (0)8 517 762 80
  Email john.blomberg@karolinska.se
Sponsor Karolinska Institutet (Sweden)
  Address c/o Jesper Lagergren
Unit of Gastrointestinal Research Group (UGIR)
Norra Stationsgatan 67
  City/town Stockholm
  Zip/Postcode 17176
  Country Sweden
  Tel +46 (0)8 517 760 12
  Fax +46 (0)8 517 762 80
  Email jesper.lagergren@ki.se
  Sponsor website: http://ki.se/ki/jsp/polopoly.jsp?d=130&l=sv
Date applied 13/11/2009
Last edited 04/08/2010
Date ISRCTN assigned 04/01/2010
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