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NGS vs Culture Outcomes for Treatment of PJI

Randomized Controlled Trial Investigating the Use of Next-generation Sequencing in Directing the Antimicrobial Treatment of Periprosthetic Joint Infection

Status
UNKNOWN
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05247281
Enrollment
250
Registered
2022-02-18
Start date
2022-09-21
Completion date
2025-05-31
Last updated
2023-11-08

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

Conditions

Prosthetic Joint Infection

Brief summary

This multicenter, randomized controlled trial will compare the use of NGS and traditional culture in directing antimicrobial treatment for patients with periprosthetic joint infection.

Interventions

DIAGNOSTIC_TESTCulture-based treatment

Medications to treat prosthetic joint infection will be chosen based on results of traditional cultures alone

DIAGNOSTIC_TESTNext Generation Sequencing (NGS) with Culture

Medications to treat prosthetic joint infection will be chosen based results of NGS and culture

Sponsors

Center for Innovation and Research Organization
Lead SponsorNETWORK

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Adults (age \> 18 years) * Undergoing single stage revision or 1st stage resection arthroplasty/spacer placement for PJI (ICM-positive) of the hip or knee * Written informed consent

Exclusion criteria

* Ongoing participation in another clinical trial * Megaprosthesis

Design outcomes

Primary

MeasureTime frameDescription
Number of participants who have been diagnosed with prosthetic joint infection as assessed by the 2018 International Consensus Definition of prosthetic joint infection90 days from time of surgeryDiagnosis of re-infection following surgery and treatment for prosthetic joint infection

Secondary

MeasureTime frame
Number of subjects who have a re-operation as assessed by inpatient hospitalization medical recordsone year from time to surgery

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026