NCT05534971

Brief Summary

Two different techniques for placing a central venous catheter will be compared. The studyu team hypothesizes that clinicians randomized to the peripheral catheter technique will have higher first attempt success rates, fewer procedural complications, and a shorter mean time to procedure completion than physicians assigned to wire through hollow bore needle.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
160

participants targeted

Target at P50-P75 for phase_4

Timeline
17mo left

Started Nov 2022

Longer than P75 for phase_4

Geographic Reach
1 country

1 active site

Status
recruiting

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 Progress71%
Nov 2022Dec 2027

First Submitted

Initial submission to the registry

September 6, 2022

Completed
4 days until next milestone

First Posted

Study publicly available on registry

September 10, 2022

Completed
2 months until next milestone

Study Start

First participant enrolled

November 16, 2022

Completed
5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2027

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2027

Last Updated

January 6, 2026

Status Verified

January 1, 2026

Enrollment Period

5 years

First QC Date

September 6, 2022

Last Update Submit

January 3, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Only 1 attempt

    The frequency with which the central line can be placed with only one attempt will be summarized. Each attempt is defined by skin penetration

    20 minutes

Secondary Outcomes (5)

  • Unable to place central line

    20 minutes

  • Number of attempts

    20 minutes

  • Number of attempted guidewire passages

    20 minutes

  • Time taken for completion of the procedure

    20 minutes

  • Procedure-related adverse events

    20 minutes

Study Arms (2)

Standard technique

ACTIVE COMPARATOR

The conventional hollow bore needle on a syringe will be used

Procedure: Central venous catheter insertion

Peripheral IV

EXPERIMENTAL

A peripheral intravenous catheter will be used to obtain initial central venous access

Procedure: Central venous catheter insertion

Interventions

The clinical team will use the technique to establish central venous access

Peripheral IVStandard technique

Eligibility Criteria

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

You may qualify if:

  • Adult patients in the emergency department who require ultrasound guided central line placement are eligible for participation and will be referred for participation in the study by the clinical team.

You may not qualify if:

  • Inherited, acquired, or medication related coagulopathy or thrombocytopenia (platelets \< 100,000). Patients will not be excluded for use of aspirin or other anti-platelet medication.
  • Previous central venous access at the same anatomical site.
  • Any indwelling catheter or wire that could potentially interfere with central line placement
  • Anterior border of the target vein deeper than 3.5cm
  • Or for any clinical feature that would interfere with obtaining informed consent including dementia, delirium, or encephalopathy, as determined by the clinical attending physician.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Montefiore

The Bronx, New York, 10467, United States

RECRUITING

MeSH Terms

Conditions

Shock

Condition Hierarchy (Ancestors)

Pathologic ProcessesPathological Conditions, Signs and Symptoms

Study Officials

  • Benjamin J Friedman, MD

    Montefiore Medical Center

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Benjamin Friedman, MD

CONTACT

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 6, 2022

First Posted

September 10, 2022

Study Start

November 16, 2022

Primary Completion (Estimated)

December 1, 2027

Study Completion (Estimated)

December 1, 2027

Last Updated

January 6, 2026

Record last verified: 2026-01

Data Sharing

IPD Sharing
Will not share

Locations