Compact Closed System Versus Mounted Open System (COSMOS)
COSMOS
Randomized Study of Closed Peripheral Intravenous Systems Versus Mounted Open Systems
2 other identifiers
interventional
1,200
1 country
1
Brief Summary
The purpose of this study is to investigate, in a prospective and randomized fashion, the clinical performance of a closed intravenous system versus an open conventional one, with respect to ease of handling and effectiveness (as defined by time of survival without complications), security provided to professionals and patients against accidental blood exposure or needlestick injury, catheter-related complications such as phlebitis, pain and blockage and overall costs of the two systems.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4
Started Mar 2008
Shorter than P25 for phase_4
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2008
CompletedFirst Submitted
Initial submission to the registry
April 22, 2008
CompletedFirst Posted
Study publicly available on registry
April 24, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2009
CompletedApril 13, 2009
April 1, 2009
3 months
April 22, 2008
April 10, 2009
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Length of time catheter remains in place without clinical symptoms
For the individual patient: Dwell time of the catheter free of complications, defined as the average time in hours from the insertion to the withdrawal of the catheter. For the study itself: From March through June, 2008.
Secondary Outcomes (1)
Incidence of complications of the catheter, bacterial colonization of catheter tips and costs of therapy.
For an individual patient: From the randomized insertion of the catheter until its withdrawal. For the study itself: From March through June, 2008.
Study Arms (2)
1
EXPERIMENTALExperimental Group (Closed System): Nexiva® Safety IV Catheter from BD (Becton Dickinson). The catheter has wings, a passive safety feature, an integrated Y extension tubing integrated and needle-less access using a split septum BD QSyte®. In order to completely close the Y connector a second Q-Syte® is added from the moment of catheter insertion
2
ACTIVE COMPARATORControl group (Open System): A 'mounted' system consisting of the Vasocan® Safety catheter of B. Braun Medical, SA. To the control catheters a three-way tap ('stopcock') with extension tubing 10 cm long (Connecta® Extra 3, from BD) is added. This comes as one unit (tap and tubing are integrated). When not in use the three-way tap ('stopcock') remains closed using a red cork Luer/Luer-Lock Sollner®, made by Amebil, SA.
Interventions
Vasocan® Safety catheter 18 G x 45 mm (Ref. 4248139S), 20 G x 33 mm (Ref. 4248112S) y 22 G x 25 mm (Ref. 4248090S)with wings and a passive safety mechanism. To the control catheters a three-way tap ('stopcock') with extension tubing 10 cm long (Connecta® Extra 3) from BD (ref 394995)will be added.
BD Nexiva® Catheter (18G x 45 mm, 20 G x 32 mm, 22 G x 25 mm) (Ref. 383609,Ref. 383606,Ref. 383602) BD QSyte®, Ref. 385100 Catheter material is Vialon®. The entire system is Latex and PVC free.
Eligibility Criteria
You may qualify if:
- Patient admitted to one of the participating units: H2N (Internal Medicine), H3N (Urology, Surgery, Trauma) and H3S (General Surgery)
- Age equal to or greater than 18 years
- Clinical need for a peripheral catheter of gauge size 18 G to 22 G for an anticipated period of 24 hours or greater
- Informed verbal consent before a witness (family relative or a health care professional employed by the hospital)
You may not qualify if:
- Minor (\<18 years old)
- Inability to understand the information regarding study purpose and procedure
- Absence of witnessed verbal informed consent
- Participation in any other study
- IV placed under emergency conditions
- Presence of a Central Venous Catheter or PICC line
- Anticipated use of the catheter and/or stay in the unit of less than 24 hours
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Hospital Clínico San Carlos
Madrid, Madrid, 28040, Spain
Study Officials
- STUDY CHAIR
Juan L Gonzalez Lopez, M.A. Nurse
Hospital Clínico San Carlos (Madrid, Spain)
- PRINCIPAL INVESTIGATOR
Juan Luis González López, M.A. Nurse
Hospital Clínico San Carlos (Madrid, Spain)
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
April 22, 2008
First Posted
April 24, 2008
Study Start
March 1, 2008
Primary Completion
June 1, 2008
Study Completion
April 1, 2009
Last Updated
April 13, 2009
Record last verified: 2009-04