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Assessment of Drug-eluting Ureteral Stent on Bacterial Adherence and Biofilm Formation

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ClinicalTrials.gov Identifier: NCT00250406
Recruitment Status : Completed
First Posted : November 8, 2005
Last Update Posted : December 20, 2013
Sponsor:
Collaborator:
Boston Scientific Corporation
Information provided by (Responsible Party):
John Denstedt, Lawson Health Research Institute

Study Description
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Brief Summary:
The purpose of this study is to determine the clinical effects of a triclosan stent on adherent bacteria, stent biofilms, and patient urine cultures in patients with an indwelling triclosan ureteral stent. The patient populations that will be tested include: patients following ureteroscopy and patients scheduled to undergo shockwave lithotripsy who require a ureteral stent. It is hypothesized that triclosan eluting ureteral stents will reduce the number of bacteria both on (within biofilm) and around (in the urine) a ureteral stent.

Condition or disease Intervention/treatment Phase
Renal Calculi Ureteral Obstruction Device: Ureteral Stent Phase 2

Study Design
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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 20 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Assessment of Bacterial Adherence and Biofilm Formation on a Triclosan Loaded Ureteral Stent: A Phase II Study
Study Start Date : November 2005
Actual Primary Completion Date : March 2009
Actual Study Completion Date : March 2009

Resource links provided by the National Library of Medicine

Drug Information available for: Triclosan

Arms and Interventions
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Arm Intervention/treatment
Active Comparator: 1
Percuflex Plus Ureteral Stent
 Device: Ureteral Stent
Percuflex Plus Stent as the control
Other Name: Percuflex Plus Stent
Experimental: 2
TRIUMPH stent (triclosan-eluting stent)
 Device: Ureteral Stent
triclosan-eluting ureteral stent
Other Name: TRIUMPH STENT


Outcome Measures
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Primary Outcome Measures :
  1. Primary objective is to determine if the number of stent adherent bacteria will be less in patients who receive a triclosan stent compared to a control/standard stent. [ Time Frame: at time of intervention ]

Secondary Outcome Measures :
  1. Secondary objectives to be assessed include the amount of biofilm adherent to each stent and each patient's urine culture. [ Time Frame: at time of intervention ]

Eligibility Criteria
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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients who undergo ureteroscopy for any reason and require a ureteral stent post-operatively as determined by the surgeon (e.g. renal obstruction, ureteral edema, ureteral perforation, large stone fragments to pass, following ureteral dilation, ureteral trauma, solitary kidney, or any other reason left to the discretion of the surgeon).
  • Patients undergoing extracorporeal shockwave lithotripsy (ESWL) who will require a stent as determined by the treating urologist (e.g. solitary kidney, ureteral stone > 1 cm, renal stone > 1.5 cm, significant renal obstruction, history of pyelonephritis, or any other reason left to the discretion of the surgeon).
  • Patients who have or are going to have chronic ureteral stents, for any reason.
  • Patients willing to return to St. Joseph's Hospital's Urology Clinic for follow-up.

Exclusion Criteria:

  • Age ≤ 17 years
  • Patients unable to consent.
  • Any patient requiring endocarditis or prosthetic device prophylaxis (e.g. fresh arthroplasty etc.).
  • Pregnant females
  • Immunocompromised patients
  • Significant urinary symptoms (urgency, dysuria, strangury, hematuria) or other bladder pathology that may cause these symptoms (e.g. interstitial cystitis)
  • Anyone in the investigator's opinion that would be unsuitable.
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00250406


Locations
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Canada, Ontario
Urology, St. Joseph's Hospital
London, Ontario, Canada, N6A 4V2
Sponsors and Collaborators
Lawson Health Research Institute
Boston Scientific Corporation
Investigators
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Principal Investigator: John D Denstedt, MD, FRCSC St. Joseph's Hospital, The University of Western Ontario
More Information
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Responsible Party: John Denstedt, Chair/Chief, Department of Surgery, Western University, Lawson Health Research Institute
ClinicalTrials.gov Identifier: NCT00250406     History of Changes
Other Study ID Numbers: R-05-646
First Posted: November 8, 2005    Key Record Dates
Last Update Posted: December 20, 2013
Last Verified: December 2013
Keywords provided by John Denstedt, Lawson Health Research Institute:
urolithiasis
ureteral stent
triclosan
drug eluting
Additional relevant MeSH terms:
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Ureteral Obstruction
Ureteral Diseases
Kidney Calculi
Nephrolithiasis
Calculi
Pathological Conditions, Anatomical
Kidney Diseases
Urologic Diseases
Urolithiasis
 Urinary Calculi
Triclosan
Anti-Infective Agents, Local
Anti-Infective Agents
Fatty Acid Synthesis Inhibitors
Hypolipidemic Agents
Antimetabolites
Molecular Mechanisms of Pharmacological Action
Lipid Regulating Agents