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Multiple doses versus single dose of cefazolin to prevent periprosthetic joint infection after revision arthroplasty: a multicenter open-label, randomized clinical trial

Multiple doses versus single dose of cefazolin to prevent periprosthetic joint infection after revision arthroplasty: a multicenter open-label, randomized clinical trial - REViSION

Status
Active, not recruiting
Phases
Phase 4
Study type
Interventional
Source
NL-OMON
Registry ID
NL-OMON48292
Enrollment
780
Registered
2019-06-25
Start date
2019-11-25
Completion date
Unknown
Last updated
2024-07-22

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

Conditions

joint infection prosthetic joint infection

Interventions

After obtaining informed consent, subjects will be randomized into 2 prophylactic groups: A. Cefazolin at a single dose of 2 grams intravenously 15-60 minutes before incision, with a repeat dose of

Sponsors

Sint Maartenskliniek
Lead Sponsor

Eligibility

Age
18 Years to 99 Years

Inclusion criteria

Inclusion criteria: planned revision arthroplasty of the prosthesis of the hip or knee for non-infectious reason

Exclusion criteria

Exclusion criteria: periprosthetic joint infection on baseline

Design outcomes

Primary

MeasureTime frame
The primary endpoint is the difference in proportion of infection-free implant survival between the study groups within 1 year of follow-up, as assessed by the independent Data Review Committee, in the mITT population.

Secondary

MeasureTime frame
The secondary objectives include the determination of the incidence, risk factors, treatment outcome and prognosis of SSI and PJI during follow-up. The safety and tolerance of the regimens, and the antimicrobial susceptibility patterns of microorganisms will be described. Patient reported outcome measures (PROMs) will be used to evaluate physical performance and satisfaction of subjects within 1 year after the index revision arthroplasty. A cost-utility analysis will only be performed when the primary outcome has demonstrated superiority of the extended regimen.

Countries

Netherlands

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)