NCT01008488

Brief Summary

The purpose of this study is to evaluate if antibiotic therapy is necessary for treatment of uncomplicated colonic diverticulitis. The hypothesis is that Patients with acute uncomplicated colonic diverticulitis will recover the condition without antibiotic therapy and the lack of antibiotic therapy will not lead to complications. The patients will be randomized to conservative treatment with and without antibiotic therapy.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
600

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Nov 2002

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

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

November 1, 2002

Completed
7 years until next milestone

First Submitted

Initial submission to the registry

November 4, 2009

Completed
1 day until next milestone

First Posted

Study publicly available on registry

November 5, 2009

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2010

Completed
7 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2010

Completed
Last Updated

December 23, 2011

Status Verified

December 1, 2011

Enrollment Period

7.5 years

First QC Date

November 4, 2009

Last Update Submit

December 22, 2011

Conditions

Keywords

colonic diverticulitisdiverticular diseaseantibiotic therapy

Outcome Measures

Primary Outcomes (1)

  • discharge without complications +/- antibiotic therapy

    Within 30 days after discharge

Secondary Outcomes (1)

  • to evaluate length of hospital stay, cost and late complications

    one year after admission

Study Arms (2)

Antibiotic

ACTIVE COMPARATOR
Drug: Antibiotic

No antibiotic

NO INTERVENTION

Interventions

Antibiotic according to local treatment routine against bowel pathogenesis

Antibiotic

Eligibility Criteria

Age18 Years - 90 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • adults with CT sign of acute colonic uncomplicated diverticulitis
  • elevated CRP and LPK
  • Temp.38c or more

You may not qualify if:

  • patients with peritonitis, sepsis or CT- sign of complicated diverticulitis with abscesses or free abdominal air
  • pregnancy
  • immunological incompetence and immunosuppressive therapy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

The Central Hospital

Västerås, Västmanland County, Sweden

Location

Related Publications (1)

  • Chabok A, Pahlman L, Hjern F, Haapaniemi S, Smedh K; AVOD Study Group. Randomized clinical trial of antibiotics in acute uncomplicated diverticulitis. Br J Surg. 2012 Apr;99(4):532-9. doi: 10.1002/bjs.8688. Epub 2012 Jan 30.

MeSH Terms

Conditions

Diverticulitis, ColonicDiverticular Diseases

Interventions

Anti-Bacterial Agents

Condition Hierarchy (Ancestors)

DiverticulitisGastroenteritisGastrointestinal DiseasesDigestive System DiseasesDiverticulosis, ColonicColonic DiseasesIntestinal Diseases

Intervention Hierarchy (Ancestors)

Anti-Infective AgentsTherapeutic UsesPharmacologic ActionsChemical Actions and Uses

Study Officials

  • Kenneth Smedh

    Center of Clinical Research, Västerås

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
MD

Study Record Dates

First Submitted

November 4, 2009

First Posted

November 5, 2009

Study Start

November 1, 2002

Primary Completion

May 1, 2010

Study Completion

December 1, 2010

Last Updated

December 23, 2011

Record last verified: 2011-12

Locations