NCT02198833

Brief Summary

The purpose of this study is to determine if the study Foley catheter with its patterned external surface can delay the time to the onset of urinary tract infection in spinal cord injury patients who are dependent on a Foley catheter for drainage of their urinary bladder.

Trial Health

57
Monitor

Trial Health Score

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

Enrollment
2

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Sep 2014

Shorter than P25 for not_applicable

Geographic Reach
1 country

2 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 21, 2014

Completed
3 days until next milestone

First Posted

Study publicly available on registry

July 24, 2014

Completed
1 month until next milestone

Study Start

First participant enrolled

September 1, 2014

Completed
10 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2015

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2015

Completed
1.8 years until next milestone

Results Posted

Study results publicly available

April 7, 2017

Completed
Last Updated

April 7, 2017

Status Verified

April 1, 2017

Enrollment Period

10 months

First QC Date

July 21, 2014

Results QC Date

February 1, 2017

Last Update Submit

April 5, 2017

Conditions

Keywords

Urinary Tract InfectionBacteriuriaTransurethral Foley CatheterSuprapubic Foley CatheterSpinal Cord injury

Outcome Measures

Primary Outcomes (1)

  • Delay Onset of Catheter Associated Symptomatic Urinary Tract Infection

    Patients will be assessed daily for the occurrence of signs and symptoms of urinary tract infection. A single, independent evaluator (PI/co-investigator) will determine whether the subject has a catheter associated urinary tract infection based on pre-defined criteria that involve symptom reports and lab values without knowledge of or access to the catheter type randomly assigned to the patient.

    15 Days

Secondary Outcomes (3)

  • Time to Occurrence of Asymptomatic Bacteruria or Funguria

    15 days

  • Assess the Microbial Coverage and Biofilm Formation on Catheter Surface

    Day 15 or upon removal of Foley Catheter

  • Device Specific Adverse Event Assessments

    15 Days

Study Arms (2)

Micro-Patterned Foley Catheter

EXPERIMENTAL

Procedures: Foley Catheter Insertion, Device Specific Adverse Event Assessment, Urine Cultures, Foley Catheter Tip Culture, Scanning Electron Microscopy

Biological: Urine CultureDevice: Foley Catheter Tip CultureDevice: Scanning Electron MicroscopyProcedure: Device Specific Adverse Event AssessmentProcedure: Foley Catheter Insertion

Standard-of-Care Foley Catheter

ACTIVE COMPARATOR

Procedures: Foley Catheter Insertion, Device Specific Adverse Event Assessment, Urine Cultures, Foley Catheter Tip Culture, Scanning Electron Microscopy

Biological: Urine CultureDevice: Foley Catheter Tip CultureDevice: Scanning Electron MicroscopyProcedure: Device Specific Adverse Event AssessmentProcedure: Foley Catheter Insertion

Interventions

Urine CultureBIOLOGICAL

Obtain urine culture every third day

Micro-Patterned Foley CatheterStandard-of-Care Foley Catheter

Catheter Tip Roll Plate Culture

Micro-Patterned Foley CatheterStandard-of-Care Foley Catheter

Houston Site Only

Micro-Patterned Foley CatheterStandard-of-Care Foley Catheter

Assessment will be made of catheter patency and/or trauma related to catheter placement

Micro-Patterned Foley CatheterStandard-of-Care Foley Catheter

Insert Foley catheter for 15 day duration

Micro-Patterned Foley CatheterStandard-of-Care Foley Catheter

Eligibility Criteria

Age21 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Veteran
  • Hospitalized in one of the two participating Spinal Cord Injury Units
  • Require a size 14, 16, or 18 French catheter
  • Sign and date the written informed consent document acknowledging his/her desire to participate in the study, or if unable to sign due to spinal cord injury give verbal consent in front of two impartial witnesses who sign and date the informed consent document in the presence of the participant
  • Be able to understand and comply with written and verbal protocol requirements, instructions, and protocol-stated restrictions
  • Require insertion or exchange of a Foley catheter for no longer than 15 days.

You may not qualify if:

  • Unable to provide informed consent
  • Has a current symptomatic urinary tract infection
  • Has persistent bacteriuria that cannot be cleared with antimicrobial agents to a nominal level of less than 1,000 Colony Forming Units/mL prior to study catheter insertion
  • Has a known bloodstream infection or an infection that requires prolonged antibiotic therapy
  • Has periurethral inflammation or infection
  • Has a known urethral anatomical anomaly which makes catheterization difficult
  • Has a known silicone allergy or sensitivity
  • Cannot accommodate a size 14,16 or 18 French Foley catheter.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

James A. Haley Veterans' Hospital

Tampa, Florida, 33612, United States

Location

Michael E. DeBakey Veterans Affairs Medical Center

Houston, Texas, 77030, United States

Location

MeSH Terms

Conditions

Urinary Tract InfectionsBacteriuriaSpinal Cord Injuries

Interventions

Microscopy, Electron, Scanning

Condition Hierarchy (Ancestors)

InfectionsUrologic DiseasesFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesMale Urogenital DiseasesSpinal Cord DiseasesCentral Nervous System DiseasesNervous System DiseasesTrauma, Nervous SystemWounds and Injuries

Intervention Hierarchy (Ancestors)

Microscopy, ElectronMicroscopyDiagnostic ImagingDiagnostic Techniques and ProceduresDiagnosisInvestigative Techniques

Limitations and Caveats

Two major factors: 1) Production of the study catheter took much longer than expected. Only size 16 French Foley available; and 2) The inability to clear asymptomatic bacteriuria from patients' urinary bladder prior to study catheter placement.

Results Point of Contact

Title
Rabih Darouiche, MD
Organization
Baylor College of Medcine

Study Officials

  • Rabih O Darouiche, MD

    Baylor College of Medicine

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Physician

Study Record Dates

First Submitted

July 21, 2014

First Posted

July 24, 2014

Study Start

September 1, 2014

Primary Completion

July 1, 2015

Study Completion

July 1, 2015

Last Updated

April 7, 2017

Results First Posted

April 7, 2017

Record last verified: 2017-04

Data Sharing

IPD Sharing
Will not share

Number of patients entered in the study is too small for analysis of data.

Locations