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An evaluation of the efficacy of HEXI-PREP by Clinell Wipes versus placebo and ChloraPrep, for use in preoperative skin preparation

An evaluation of the efficacy of HEXI-PREP by Clinell Wipes versus placebo and ChloraPrep, for use in pre-operative skin preparation - HEXI-PREP by Clinell Wipes

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2016-002692-98-GB
Enrollment
240
Registered
2017-04-13
Start date
2017-10-04
Completion date
Unknown
Last updated
2020-07-20

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

For disinfection of the skin, immediately prior to invasive medical procedures MedDRA version: 20.0 Level: LLT Classification code 10065586 Term: Skin disinfection System Organ Class: 100000004865

Interventions

Product Name: HEXI-PREP by Clinell Wipes Pharmaceutical Form: Cutaneous solution INN or Proposed INN: Chlorhexidine Gluconate CAS Number: 18472-51-0 Concentration unit: % (W/V) percent weight/volume C

Sponsors

GAMA Healthcare
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Male and female participants 18-70 years, who have provided written informed consent to participate in the study. 2. Treatment sites with a bacterial baseline count greater or equal to 5 log10/cm(2) at the groin, and greater or equal to 3 log10/cm(2) at the clavicle and median cubital fossa of the arm of Day -5 of the study. 3. Participants, who in the opinion of the investigator, are in suitable health for inclusion in the study. Are the trial subjects under 18? no Number of subjects for this age range: 0 F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 240 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 240

Exclusion criteria

Exclusion criteria: 1. Participants who are exposed to topical antimicrobial agents, including medicated soaps, shampoos or lotions, who use biocide treated pools or hot-tubs, use tanning beds or sunbathing during the 14-day pre-test conditioning period or during the test period. 2. Exposure of the test sites to strong detergents, solvents or other irritants during the 14-day pre-test conditioning period or during the test period. 3. Use of systemic or topical antibiotic medications, steroid medications or any other product known to affect the normal microbial flora of the skin, up to 1 month prior to the screening period, during the 14-day pre-test conditioning period or during the test period. 4. Known allergies to latex (rubber), alcohols, tape adhesives or to common antibacterial agents found in soaps, lotions or ointments, particularly chlorhexidine gluconate or chlorine. 5. Female patients who are pregnant, become pregnant or are breast-feeding during the pre-test conditioning or during the test period. 6. Active skin rashes or breaks in the skin at the test site 7. Active skin diseases or inflammatory skin conditions including contact dermatitis within 10cm of the test site. 8. Showering or bathing after Day -5 baseline sampling and unwilling to refrain from showering or bathing whilst at Surrey CRC (Day 0 to Day 1) 9. Participation in another clinical trial within 90 days preceding randomisation 10. Any other medical condition, which in the Investigator's opinion, should preclude participation. 11. Unwillingness to fulfil the performance requirements of the study

Design outcomes

Primary

MeasureTime frame
Main Objective: The overall trial objective is to evaluate the antimicrobial properties of HEXI-PREP by Clinell Wipes versus (1) Placebo, negative control (sterile saline 0.9%w/v) and (2) a positive control product, ChloraPrep (Chlorhexidine Gluconate 2.0%w/v / Isopropyl Alcohol 70%v/v) as per the methodology specified by the US Food & Drug Administration Tentative Final Monograph for Effectiveness Testing of a Patient Preoperative Skin Preparation. The primary objective of the study is to demonstrate superiority of HEXI-PREP by Clinell Wipe vs placebo (negative control) in reducing immediate bacterial load 1-10 minutes after administration to each respective test site.;Secondary Objective: Secondary objectives of the study are to demonstrate superiority of HEXI-PREP by Clinell Wipe vs placebo (negative control) in terms of persistence of a reduction in bacterial load at time points from 30 minutes - 24 hours. Additionally, to assess the relative efficacy of HEXI-PREP by Clinell Wipes to ChloraPrep (positive control) in regard to a reduction in bacterial load at 1-10 minutes, and time periods 30 mins - 24 hours after administration to the test sites. A final secondary objective is to establish the safety profile (local tolerance) of the administered preparations.;Primary end point(s): The primary outcome measure will be based on a log10 reduction of the immediate baseline bacterial count at 1-10 minutes compared to placebo control. The co-primary analysis will test the hypothesis that HEXI-PREP by Clinell Wipe is superior to placebo at each of the three test sites within the ITT population at 1-10 minutes after administration;Timepoint(s) of evaluation of this end point: The co-primary analysis will test the hypothesis that HEXI-PREP by Clinell Wipe is superior to placebo at each of the three test sites within the ITT population at 1-10 minutes after administration

Secondary

MeasureTime frame
Secondary end point(s): Secondary endpoint assessments will be based on persistence of a log10 reduction of the baseline bacterial counts at each of the three test sites over a period of up to 24 hours. Further secondary endpoints relate to local tolerance of the administered preparations.;Timepoint(s) of evaluation of this end point: Persistence of a log10 reduction of the baseline bacterial counts will be conducted at 30 minutes and 6 hours (inguinal test sites) and 6 and 24 hours (clavicular and median cubital region of arm) after application to the test site compared to placebo and ChloraPrep active control

Countries

United Kingdom

Contacts

Public ContactDavid Fairlamb

ProTherax Ltd

davidfairlamb@protherax.com01274561815

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026