Clinical Trial Results:
Carriage of S. aureus and interaction with the nasal microbiome
Summary
|
|
EudraCT number |
2018-002119-81 |
Trial protocol |
NL |
Global end of trial date |
01 Sep 2020
|
Results information
|
|
Results version number |
v1(current) |
This version publication date |
20 Nov 2021
|
First version publication date |
20 Nov 2021
|
Other versions |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
|
|||
Trial identification
|
|||
Sponsor protocol code |
MEC-2018-091
|
||
Additional study identifiers
|
|||
ISRCTN number |
- | ||
US NCT number |
- | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
|
|||
Sponsor organisation name |
Erasmus MC
|
||
Sponsor organisation address |
Dr. Molewaterplein 40, Rotterdam, Netherlands, 3015 GD
|
||
Public contact |
Medisch Ethische Toetsings Commissie, Erasmus MC, 0031 107033625, metc@erasmusmc.nl
|
||
Scientific contact |
Medisch Ethische Toetsings Commissie, Erasmus MC, 0031 107033625, metc@erasmusmc.nl
|
||
Paediatric regulatory details
|
|||
Is trial part of an agreed paediatric investigation plan (PIP) |
No
|
||
Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
|
||
Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
|
||
Results analysis stage
|
|||
Analysis stage |
Final
|
||
Date of interim/final analysis |
01 Sep 2021
|
||
Is this the analysis of the primary completion data? |
Yes
|
||
Primary completion date |
01 Sep 2020
|
||
Global end of trial reached? |
Yes
|
||
Global end of trial date |
01 Sep 2020
|
||
Was the trial ended prematurely? |
No
|
||
General information about the trial
|
|||
Main objective of the trial |
To identify nasal microbial communities associated with S. aureus carriage and to study the influence over time of S. aureus targeted decolonization treatment on these microbial communities.
|
||
Protection of trial subjects |
Monitoring of AEs and SAEs, as well as known hypersensitivity reactions and undesirable effects described in the SmPC of the intervention drugs
|
||
Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
01 Sep 2018
|
||
Long term follow-up planned |
No
|
||
Independent data monitoring committee (IDMC) involvement? |
No
|
||
Population of trial subjects
|
|||
Number of subjects enrolled per country |
|||
Country: Number of subjects enrolled |
Netherlands: 35
|
||
Worldwide total number of subjects |
35
|
||
EEA total number of subjects |
35
|
||
Number of subjects enrolled per age group |
|||
In utero |
0
|
||
Preterm newborn - gestational age < 37 wk |
0
|
||
Newborns (0-27 days) |
0
|
||
Infants and toddlers (28 days-23 months) |
0
|
||
Children (2-11 years) |
0
|
||
Adolescents (12-17 years) |
0
|
||
Adults (18-64 years) |
34
|
||
From 65 to 84 years |
1
|
||
85 years and over |
0
|
|
|||||||||||
Recruitment
|
|||||||||||
Recruitment details |
Subjects were recruited from the Netherlands between february and june 2019 | ||||||||||
Pre-assignment
|
|||||||||||
Screening details |
All subjects were screened for S. aureus carrier status. Max 35 carriers and 35 noncarriers could be included in their respective cohorts for the intervention study. Inclusion: subjects must be over 18 years old Exclusion: antimicrobial drug use, known allergy to the intervention drug, pregnant/breastfeeding women, chronic illness | ||||||||||
Pre-assignment period milestones
|
|||||||||||
Number of subjects started |
35 | ||||||||||
Number of subjects completed |
19 | ||||||||||
Pre-assignment subject non-completion reasons
|
|||||||||||
Reason: Number of subjects |
Consent withdrawn by subject: 4 | ||||||||||
Reason: Number of subjects |
Not eligible after screening: 11 | ||||||||||
Reason: Number of subjects |
Lost to follow-up: 1 | ||||||||||
Period 1
|
|||||||||||
Period 1 title |
Intervention period
|
||||||||||
Is this the baseline period? |
Yes | ||||||||||
Allocation method |
Not applicable
|
||||||||||
Blinding used |
Not blinded | ||||||||||
Arms
|
|||||||||||
Arm title
|
Intervention overall | ||||||||||
Arm description |
- | ||||||||||
Arm type |
Experimental | ||||||||||
Investigational medicinal product name |
Bactroban nasal ointment 2%
|
||||||||||
Investigational medicinal product code |
RVG13761
|
||||||||||
Other name |
|||||||||||
Pharmaceutical forms |
Cutaneous/nasal ointment
|
||||||||||
Routes of administration |
Cutaneous use, Intranasal use
|
||||||||||
Dosage and administration details |
Apply intranasally twice daily for 5 days
|
||||||||||
Investigational medicinal product name |
Hibiscrub 4% w/v cutaneous solution
|
||||||||||
Investigational medicinal product code |
RVG10156
|
||||||||||
Other name |
|||||||||||
Pharmaceutical forms |
Cutaneous solution, Cutaneous/oromucosal solution
|
||||||||||
Routes of administration |
Cutaneous use
|
||||||||||
Dosage and administration details |
Apply on body and hair daily for 5 days
|
||||||||||
|
|||||||||||
Notes [1] - The number of subjects reported to be in the baseline period are not the same as the worldwide number enrolled in the trial. It is expected that these numbers will be the same. Justification: The intended target group showed little interest to participate in the study. We were unable to reached the expected number of participants as reported before |
|||||||||||
Period 2
|
|||||||||||
Period 2 title |
Follow-up period
|
||||||||||
Is this the baseline period? |
No | ||||||||||
Allocation method |
Not applicable
|
||||||||||
Blinding used |
Not blinded | ||||||||||
Arms
|
|||||||||||
Arm title
|
Follow-up overall | ||||||||||
Arm description |
- | ||||||||||
Arm type |
No intervention | ||||||||||
Investigational medicinal product name |
No investigational medicinal product assigned in this arm
|
||||||||||
|
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Baseline characteristics reporting groups
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Intervention period
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group description |
- | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis sets
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set title |
Carrier cohort
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set type |
Sub-group analysis | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set description |
Subjects that were defined S. aureus carriers during the screening period
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set title |
Noncarrier cohort
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set type |
Sub-group analysis | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set description |
Subjects that were defined noncarriers during the screening period
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|
|||
End points reporting groups
|
|||
Reporting group title |
Intervention overall
|
||
Reporting group description |
- | ||
Reporting group title |
Follow-up overall
|
||
Reporting group description |
- | ||
Subject analysis set title |
Carrier cohort
|
||
Subject analysis set type |
Sub-group analysis | ||
Subject analysis set description |
Subjects that were defined S. aureus carriers during the screening period
|
||
Subject analysis set title |
Noncarrier cohort
|
||
Subject analysis set type |
Sub-group analysis | ||
Subject analysis set description |
Subjects that were defined noncarriers during the screening period
|
|
||||||||||||||||
End point title |
Microbiome composition of the nose [1] | |||||||||||||||
End point description |
Bacterial abundance counted as the number of bacterial species identified in the nasal microbiota of the subjects. Identified species: S. aureus, D. pigrum, M. nonliquefaciens, C. propinquum, C. accolens, C. pseudodiphtheriticum, C. macginleyi, S. epidermidis, C. acnes and others
|
|||||||||||||||
End point type |
Primary
|
|||||||||||||||
End point timeframe |
Intervention and follow-up period
|
|||||||||||||||
Notes [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: Form is not suitable to describe our statistical analyses done for the microbiota composition of S. aureus carriers and noncarrier, before and after decolonisation treatment. All statistical analyses will be included in the manuscript, which is currently in preparation |
||||||||||||||||
|
||||||||||||||||
Attachments |
Bacterial abundance in carriers and noncarriers |
|||||||||||||||
No statistical analyses for this end point |
|
|||
Adverse events information [1]
|
|||
Timeframe for reporting adverse events |
February 2019 until January 2020
|
||
Assessment type |
Non-systematic | ||
Dictionary used for adverse event reporting
|
|||
Dictionary name |
MedDRA | ||
Dictionary version |
6.1
|
||
Frequency threshold for reporting non-serious adverse events: 0% | |||
Notes [1] - There are no non-serious adverse events recorded for these results. It is expected that there will be at least one non-serious adverse event reported. Justification: Due to the general good health of the subjects, method of self-reporting and low risk of the trial, no non-serious adverse events were reported |
|
|||
Substantial protocol amendments (globally) |
|||
Were there any global substantial amendments to the protocol? Yes | |||
Date |
Amendment |
||
10 Jan 2019 |
Change in study protocol causing reducing the required samples by 50% |
||
11 Apr 2019 |
Change to subject information regarding the option to inform their general practitioner about their participation |
||
09 Sep 2019 |
Request to change the end date of the trial |
||
Interruptions (globally) |
|||
Were there any global interruptions to the trial? No | |||
Limitations and caveats |
|||
Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
Manuscript describing the results of this study is in preparation |