NCT04153604

Brief Summary

The utilization of doxycycline for SBP prophylaxis is a novel practice at MDMC. Therefore, an assessment of safety and efficacy is needed in order to generalize this practice. The publication of this study can potentially introduce a new alternative to guideline-directed therapies for secondary prevention of SBP. Doxycycline is non-inferior to guideline-directed therapies regarding safety and efficacy in primary and secondary prophylaxis for SBP.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
841

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Nov 2019

Shorter than P25 for all trials

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

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

November 4, 2019

Completed
Same day until next milestone

Study Start

First participant enrolled

November 4, 2019

Completed
2 days until next milestone

First Posted

Study publicly available on registry

November 6, 2019

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 7, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 7, 2020

Completed
Last Updated

March 20, 2026

Status Verified

March 1, 2024

Enrollment Period

9 months

First QC Date

November 4, 2019

Last Update Submit

March 19, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Occurrence of reported SBP

    Occurrence of reported SBP within 1-year of chemoprophylaxis initiation

    July 2014 to July 2018

Secondary Outcomes (8)

  • Incidences of death

    July 2014 to July 2018

  • Incidences of Liver transplant

    July 2014 to July 2018

  • Incidences of bacteremia

    July 2014 to July 2018

  • Hospitalizations and ED visits due to AKI

    July 2014 to July 2018

  • Hospitalizations and ED visits due to Clostridioides difficile infection

    July 2014 to July 2018

  • +3 more secondary outcomes

Interventions

a tetracycline antibiotic that fights bacteria in the body.

Eligibility Criteria

Age18 Years+
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Patients hospitalized at MDMC at the Liver Institute Clinic with a diagnosis of SBP based on ascitic fluid PMN count greater than 250 cells/mm3 from July 2014 to July 2018.

You may qualify if:

  • Patients ≥ 18 year-old with refractory ascites who are candidates for SBP prophylaxis per clinician's decision
  • Patients diagnosed with cirrhosis based on clinical criteria
  • Patients with a diagnosis of SBP confirmed by paracentesis

You may not qualify if:

  • Patients who have secondary peritonitis other than SBP
  • Patients who have a history of liver transplant prior to the initial episode of SBP
  • Patients with incomplete medical records

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Methodist Dallas Medical Center

Dallas, Texas, 75203, United States

Location

MeSH Terms

Conditions

Fibrosis

Interventions

Doxycycline

Condition Hierarchy (Ancestors)

Pathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

TetracyclinesNaphthacenesPolycyclic Aromatic HydrocarbonsHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsPolycyclic Compounds

Study Officials

  • Jessica Rago, PharmD

    The Methodist Hospital Research Institute

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
CASE ONLY
Time Perspective
RETROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 4, 2019

First Posted

November 6, 2019

Study Start

November 4, 2019

Primary Completion

August 7, 2020

Study Completion

August 7, 2020

Last Updated

March 20, 2026

Record last verified: 2024-03

Locations