Safety and Efficacy Study of NVC-422 on Bacteriuria in Catheterized Patients

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00781339
Recruitment Status : Completed
First Posted : October 29, 2008
Last Update Posted : September 12, 2011
Information provided by (Responsible Party):
NovaBay Pharmaceuticals, Inc.

Brief Summary:
The purpose of this clinical trial is to study the effects of NVC-422 instilled into the bladder in reducing bacteria in the urine.

Condition or disease Intervention/treatment Phase
Asymptomatic Bacteriuria Drug: sodium 2-(dichloroamino)-2-methylpropane-1-sulfonate monohydrate Phase 2

Detailed Description:

Catheter-associated urinary tract infection (CAUTI) is a major healthcare problem in the U.S., accounting for approximately 40% of all hospital acquired infections. Microorganisms can colonize the catheter extraluminally or intraluminally, and are often protected in a biofilm environment. Nearly all patients catherized for 30 days or longer will develop bacteriuria, or the presence of bacteria in normally sterile urine. Ten to twenty percent of these patients will develop a symptomatic CAUTI. In a further 1-4%, the infection will spread into the kidneys or bloodstream, leading to potentially lethal bacteremia.

Currently, there is no bladder irrigation solution that can reduce or eliminate CAUTI. A bladder instillation solution that can keep the bladder and catheter substantially free of bacteria and biofilm is expected to provide a practical and cost-effective means of minimizing CAUTIs.

NVC-422 is a topical, non-antibiotic, fast acting, broad spectrum anti-microbial, which exhibits potential for the rapid decolonization of a range of urologic pathogens, including Escherichia Coli (E. coli), Enterococcus spp., P. mirabilis and others. In vitro studies with NVC-422 have also shown that it is capable of penetrating a biofilm and effectively killing the contained microbes.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 20 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Phase IIa Open Label Study to Evaluate the Safety and Antimicrobial Effects of NVC-422 on Bacteriuria in Chronically Catheterized Subjects
Study Start Date : October 2008
Actual Primary Completion Date : March 2010
Actual Study Completion Date : March 2010

Arm Intervention/treatment
Experimental: Active Drug: sodium 2-(dichloroamino)-2-methylpropane-1-sulfonate monohydrate
0.1% NVC-422 in saline, up to 100 mL, Study Part 1 - once on Day 1 held in the bladder for 1 hour; Study Part 2 (Part 2a - 0.1% NVC-422, Part 2b - 0.2% NVC-422), once daily for 7 days, held in the bladder for 1 hour
Other Name: NVC-422

Primary Outcome Measures :
  1. Evaluate the safety and antimicrobial effect (and its duration) of NVC-422 in urine following bladder instillation in chronically catheterized subjects with bacteriuria [ Time Frame: 7-10 days ]

Secondary Outcome Measures :
  1. Assess urine concentration of NVC-422 and its primary metabolite (2,2-DMT) following bladder instillation [ Time Frame: 1-7 days ]
  2. Assess plasma concentration of NVC-422 and its primary metabolite (2,2-DMT) following bladder instillation [ Time Frame: 1-7 days ]

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

Inclusion Criteria:

  • Patients or their guardians are willing and able to provide informed consent
  • Age > 18 years
  • Condition requiring chronic transurethral catheterization for at least 1 month prior to enrollment
  • Indwelling transurethral catheter not scheduled for exchange for at least 1 week from first treatment
  • Documented asymptomatic bacteriuria as defined in the protocol
  • Vital signs within the following limits: blood pressure 90 to 160 mm Hg systolic and 50 to100 mm Hg diastolic, pulse rate 45 to 100 bpm, respiratory rate 8 to 24 respirations per minute, oral body temperature 35.5ºC to 38.0ºC
  • Screening must occur within 14 days of enrollment into the study

Exclusion Criteria:

  • Unwillingness/inability to fulfill the requirements of the study
  • History of hepatitis B or C, HIV, AIDS, or other immunodeficiency disease
  • Systemic antibiotics within 7 days of enrollment
  • Any condition that, in the opinion of the principal investigator, would make the subject unsuitable for the study or place the subject at additional risk.
  • Any investigational drug or investigational device within 30 days of enrollment in the study
  • Women who are pregnant or lactating; or of child-bearing potential unless using highly effective birth control method for 1 month prior to and during the study

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 identifier (NCT number): NCT00781339

United States, Texas
Michael E. Debakey V.A. Medical Center
Houston, Texas, United States, 77030
Sponsors and Collaborators
NovaBay Pharmaceuticals, Inc.
Principal Investigator: Rabih O. Darouiche, M.D. Baylor College of Medicine

Responsible Party: NovaBay Pharmaceuticals, Inc. Identifier: NCT00781339     History of Changes
Other Study ID Numbers: CL0803
First Posted: October 29, 2008    Key Record Dates
Last Update Posted: September 12, 2011
Last Verified: September 2011

Keywords provided by NovaBay Pharmaceuticals, Inc.:
Chronically Catheterized

Additional relevant MeSH terms:
Urinary Tract Infections
Urologic Diseases