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Ciprofloxacin vs Trimetoprim/Sulfametoxazol for prostate biopsy - a clinical trial

Phase 1
Conditions
Prophylaxis of bacterial infektions of the prostate following transrectal prostate biopsy
Therapeutic area: Diseases [C] - Bacterial Infections and Mycoses [C01]
Registration Number
EUCTR2014-002999-83-SE
Lead Sponsor
Johan Styrke
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
Male
Target Recruitment
2550
Inclusion Criteria

Indication for prostate biopsy
Informed consent
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 1275
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 1275

Exclusion Criteria

•Diabetes Mellitus
•Kateter à demeure
•Urinary tract infection (past 6 months)
•Positive nitritis on urinary dipstick
•Allergy for Ciprofloxacin, Trimetoprim/Sulfametoxazol or other agents in the IMP
•Liver damage
•Use of Tizanidine
•Immunosuppression

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: To investigage if Trimetoprim/Sulfametoxazol is non inferior campared to Ciprofloxacin as antibiotic prophylaxis for transrectal prostate biopsy;Secondary Objective: To asses after prostate biopsy:<br>1, Mortality<br>2, Bacteriological carachteristisc<br>3, Time to desease<br>4, Number of inpatient days<br>5, The given number of doses of antibiotics if infection occurrs.<br>6, Riskfactors for infection.;Primary end point(s): •Subscribed urinary tract antibiotics within 2 weeks following prostate biopsy<br>•Submission to inpatient hospital care within 2 weeks after prostate biopsy for urinary tract infektion or sepsis.;Timepoint(s) of evaluation of this end point: 2 weeks after prostete biopsy. The first primary endpoint will be avaluated in an interim analysis every 6 months of the trial.
Secondary Outcome Measures
NameTimeMethod
Secondary end point(s): •Mortalitet (3 mån efter biopsi)<br>•Bakteriologisk karaktäristika på fallens blod- respektive urinodlingar.<br>•Tid till sjukdomsdebut.<br>•Vårdtid på sjukhus.<br>•Antal dygnsdoser antibiotika.<br>•Den exkluderade riskgruppens infektionsfrekvens.<br>•Riskgruppens inbördes riskstratifiering.<br>•Riskfaktorer för infektion, analys av baslinjevariabler.;Timepoint(s) of evaluation of this end point: The secondary end points will be evaluated after the trial is closed for inclusion, approximately 2-3 years after the start of the trial.
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