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Status unknownNCT01186172Updated Jan 5, 2012

Ethanol Lock for the Salvage of Infected Long-term Vascular Access

A Phase 3 interventional study of Ethanol-lock therapy and Antibiotic-lock in Bacteremia, sponsored by Fondazione IRCCS Policlinico San Matteo di Pavia. Status unknown at 1 site in Italy. Open to participants aged 1 Year and older. Per ClinicalTrials.gov, last updated 2012-01-05.

Sponsored by Fondazione IRCCS Policlinico San Matteo di Pavia · Phase 3, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jan 2012), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 3
Study type
Interventional
Enrollment
200
Allocation
Randomized
Ages
1 Year and older
Sex
All
01

Study summary

Long-term venous devices (e.g.Ports, tunneled catheters,...) may become infected. Sometimes it is very difficult to treat the infection and it is necessary to remove the device. The purpose of this study is to determine the efficacy of instilled ethanol ("ethanol lock therapy") versus instilled antibiotics ("antibiotic lock therapy") to save long-term venous device when infected, preventing their removal.

02

Conditions studied

  • Bacteremia

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Keywords

  • ethanol
  • lock therapy
  • vascular access
  • central venous catheter
  • sepsis
03

In context

Bacteremia

322 studies on the registry are indexed under Bacteremia; 49 are open to participants now.

This study's planned enrollment of 200 is above the median of 149 across 171 interventional studies indexed under Bacteremia.

Browse Bacteremia studies →

Lead sponsor

Fondazione IRCCS Policlinico San Matteo di Pavia is the lead sponsor of 255 studies on the registry; 113 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
1 Year and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age: >1 year and 10 Kgs
  • Long-term vascular device in place at least for 7 days
  • Catheter-related infection (at least presumed)
  • Will to save the infected device (expected high risk access)

Exclusion criteria

Exclusion Criteria:

  • Known ethanol-allergy
  • Known antabuse-like drugs in use
  • Religious refusal
  • S.aureus or Candida spp. as main pathogens (except in the unusual and documented scenarios when replacement of vascular access device proved to be very difficult)
  • Tract or pocket infection
  • Complicated infection (septic shock, infectious thrombosis, osteomyelitis, endocarditis)
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
200 participants (estimated)

Study arms

  • Experimental
    Ethanol-lock

    Treatment with a combination of ethanol-lock and parenteral therapy

    Drug: Ethanol-lock therapy

  • Active comparator
    Antibiotic lock

    Treatment with a combination of antibiotic-lock and parenteral therapy

    Drug: Antibiotic-lock

Interventions

  • DrugEthanol-lock therapy

    Daily ethanol-lock with 70% ethanol instilled in device dead-space, leaved in place for the longest possible interval, and then discarded. For dialysis devices, it is acceptable to leave the lock in place between dialysis sessions. Lock therapy will be continued for 7 days.

  • DrugAntibiotic-lock

    Daily antibiotic-lock according to 2009 IDSA Guidelines,instilled in device dead-space, leaved in place for the longest possible interval, and then discarded. For dialysis devices, it is acceptable to leave the lock in place between dialysis sessions. Lock therapy will be continued for 7 days.

06

What researchers measure

Primary outcomes

  1. Ratio of saved devices

    Time frame: 7 days

Secondary outcomes

  1. Number of participants with adverse events linked to ethanol lock as a measure of safety and tolerability

    Major adverse event (stop protocol): anaphylaxis, antabuse-like reaction, device damage, severe dysphoric reaction. Minor adverse events (do not stop protocol): nausea, vomiting, headache, dizziness.

    Time frame: 60 days

  2. Number of patients with proper parenteral therapy

    Verified by an Infectious Diseases Specialist

    Time frame: 7 days

  3. Ratio of saved devices

    Time frame: 15-30-60 days

  4. Time for next bacteriemic episode

    Time frame: 30 days after the end of lock

07

Study locations

1 of 1 sites recruiting
  • Fondazione IRCCS Policlinico "San Matteo"
    Pavia, PV 27100, Italy
    • Michele Pagani, M.D. · Principal investigator
    • Andrea Bottazzi, M.D. · Sub investigator
    Recruiting
08

References and documents

Publications

  • Maiefski M, Rupp ME, Hermsen ED. Ethanol lock technique: review of the literature. Infect Control Hosp Epidemiol. 2009 Nov;30(11):1096-108. doi: 10.1086/606162. Erratum In: Infect Control Hosp Epidemiol. 2010 Feb;31(2):202. PubMed 19803767 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 5, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01186172
Lead sponsor
Fondazione IRCCS Policlinico San Matteo di Pavia
Responsible party
Michele Pagani (Dirigente Medico 1 livello, Fondazione IRCCS Policlinico San Matteo di Pavia) — Principal investigator
First posted
Aug 23, 2010
Start date
Jun 2010
Primary completion
Dec 2012 (estimated)
Completion
Jun 2013 (estimated)
Last update
Jan 5, 2012

Study contacts

Michele Pagani, MD
Contact
m.pagani@smatteo.pv.it
+390382502767
Andrea Bottazzi, MD
Contact
a.bottazzi@smatteo.pv.it
+390382502767
Michele Pagani, M.D.
principal investigator · Fondazione IRCCS Policlinico San Matteo, Pavia, Italy

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Jan 2012. You cannot join it, but the record below documents what was studied.

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