Clinical trial

A Randomised Study Comparing No Mechanical Bowel Preparation With Oral Antibiotics Alone in Patients Undergoing Elective Colon Surgery (REaCT-NSQIP)

Name
OTT 18-03
Description
The REaCT NSQIP will compare oral antibiotics vs. no antibiotics, which are two standards of care treatments for preoperative preparation of the bowel prior to colorectal surgery
Trial arms
Trial start
2018-10-23
Estimated PCD
2025-09-01
Trial end
2026-12-01
Status
Recruiting
Phase
Early phase I
Treatment
No Preparation
No preparation before surgery
Arms:
No Preparation
Neomycin and Flagyl
Oral antibiotic (Neomycin and Flagyl) taken the day before the surgery
Arms:
Oral Antibiotics
Other names:
Metronidazole
Size
432
Primary endpoint
Post-Operative Surgical Infection Complication
30 days
Eligibility criteria
Inclusion Criteria: * Patients undergoing elective, non-emergency colon, resection surgery or abdominal perineal resection and no other requirements exists for a mechanical bowel preparation (as determined by the operating surgeon) * 18 years of age or older * Able to provide oral consent Exclusion Criteria: * Contraindication to the oral antibiotics, including allergies or adverse reactions to either metronidazole or neomycin * Undergoing a rectal resection with a planned anastomosis (these patients will all receive MBP) * Emergency surgery where no opportunity to administer preoperative oral antibiotics exists * Requirement for a MBP (i.e. rectal resection with pelvic anastomosis, intraoperative colonoscopy, or at the discretion of the treating surgeon
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE4'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 432, 'type': 'ESTIMATED'}}
Updated at
2024-04-03

1 organization

1 product

1 indication

Indication
Colon Surgery