NCT07239349

Brief Summary

Previous studies have shown that even when following standard sterilization protocols, the positive culture rate of Cutibacterium acnes can still be as high as 30%. In recent years, several studies have reported that preoperative skin preparation of the shoulder, such as applying benzoyl peroxide (BPO) to the skin, can effectively reduce the cutaneous bacterial load of C. acnes and even decrease its incidence in the shoulder joint or surgical sutures after surgery. However, most of the existing studies have focused on arthroplasty, and robust evidence regarding contamination in rotator cuff surgery remains lacking. Therefore, this study aims to investigate whether preoperative skin preparation with a 10% BPO acne cleanser can effectively reduce contamination in rotator cuff surgery. The findings will help guide future clinical practice in preoperative preparation. This study will adopt a prospective randomized design. Patients will be randomly assigned (using a random number table) into two groups: the control group and the BPO cleanser group. All patients will receive instructions on preoperative skin cleansing. Patients in the control group will follow the current routine practice in our institution, cleansing the surgical site (shoulder) with soap or body wash. Patients in the BPO group, in addition to routine preoperative instructions, will receive specific guidance on cleansing the shoulder and surrounding skin. They will be provided with a 10% BPO acne cleanser and instructed to use it on the shoulder and surrounding area during bathing the day before surgery. After surgical disinfection, skin samples will be collected for bacterial culture. In addition, a segment of surgical suture will be obtained postoperatively for bacterial culture.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
150

participants targeted

Target at P75+ for not_applicable

Timeline
18mo left

Started Nov 2025

Typical duration for not_applicable

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 Progress23%
Nov 2025Nov 2027

First Submitted

Initial submission to the registry

November 16, 2025

Completed
2 days until next milestone

Study Start

First participant enrolled

November 18, 2025

Completed
2 days until next milestone

First Posted

Study publicly available on registry

November 20, 2025

Completed
12 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 18, 2026

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

November 18, 2027

Last Updated

November 20, 2025

Status Verified

November 1, 2025

Enrollment Period

1 year

First QC Date

November 16, 2025

Last Update Submit

November 16, 2025

Conditions

Keywords

rotator cuff teararthroscopybenzoyl peroxideCutibacterium acnes

Outcome Measures

Primary Outcomes (1)

  • Suture culture results

    Right after the surgery

Study Arms (2)

Control

NO INTERVENTION

Use soap to wash shoulder before surgery

Acne face wash

EXPERIMENTAL

Use acne face wash to clean shoulder before surgery

Other: Acne face wash

Interventions

Use acne face wash to clean shoulder before surgery

Acne face wash

Eligibility Criteria

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

You may qualify if:

  • rotator cuff tear
  • scheduled for arthroscopic rotator cuff repair surgery

You may not qualify if:

  • history of shoulder fracture
  • previous shoulder surgeries
  • tatoo on the shoulder

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

National Taiwan University Hospital

Taipei, 100, Taiwan

RECRUITING

MeSH Terms

Conditions

Rotator Cuff Injuries

Condition Hierarchy (Ancestors)

RuptureWounds and InjuriesShoulder InjuriesTendon Injuries

Central Study Contacts

Chih-Kai Hong, M.D.

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 16, 2025

First Posted

November 20, 2025

Study Start

November 18, 2025

Primary Completion (Estimated)

November 18, 2026

Study Completion (Estimated)

November 18, 2027

Last Updated

November 20, 2025

Record last verified: 2025-11

Data Sharing

IPD Sharing
Will not share

Locations