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Active, not recruitingNCT02096159PROPHYUpdated Nov 14, 2024

Prophylactic Antibiotics or Placebo After Hypospadias Repair

An interventional study of trimethoprim-sulfamethoxazole and placebo in Hypospadias, sponsored by Ann & Robert H Lurie Children's Hospital of Chicago. Active, not recruiting at 2 sites in 2 countries. Open to male participants aged Up to 5 Years. Per ClinicalTrials.gov, last updated 2024-11-14.

Sponsored by Ann & Robert H Lurie Children's Hospital of Chicago · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
93
Allocation
Randomized
Ages
Up to 5 Years
Sex
Male
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Study summary

The primary purpose of this study is to determine if routine use of prophylactic (preventive) antibiotics after repair of mid-to-distal hypospadias is beneficial.

Read the detailed description

Participants in this multicenter, double-blind study are randomized to receive trimethoprim-sulfamethoxazole or placebo for 10 days postoperatively. Short- and intermediate-term results will be published after participants complete 6 months and 5 years of follow-up, respectively.

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Conditions studied

  • Hypospadias

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Keywords

  • Hypospadias
  • Anti-Bacterial Agents
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In context

Hypospadias

131 studies on the registry are indexed under Hypospadias; 34 are open to participants now.

This study's enrollment of 93 is above the median of 68 across 102 interventional studies indexed under Hypospadias.

Browse Hypospadias studies →

Lead sponsor

Ann & Robert H Lurie Children's Hospital of Chicago is the lead sponsor of 176 studies on the registry; 30 are open to participants now.

Of its 10 completed or terminated interventional studies of FDA-regulated products, 5 (50%) have results posted.

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

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Who can participate

Ages eligible
Up to 5 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Inclusion criteria

  • mid-to-distal shaft hypospadias
  • single-stage hypospadias repair
  • length of urethral repair (urethroplasty) less than or equal to 20 mm
  • placement of an open-drainage urethral stent at the time of hypospadias repair, with intended duration of stenting for 5-10 days post-operatively

Exclusion criteria

Exclusion Criteria:

  • previous hypospadias repair
  • prior adverse/allergic reaction or other contraindication to trimethoprim-sulfamethoxazole
  • cross-reactivity of an existing medication with trimethoprim-sulfamethoxazole
  • any patient condition with elevated risk of infection or adverse outcome from potential infection (e.g., HIV/AIDS, poorly controlled diabetes mellitus or other immunocompromising conditions, congenital heart disease)
  • use of antibiotics within seven days prior to hypospadias repair
  • foreskin reconstruction at the time of hypospadias repair
  • prescription of oral antibiotics other than Study Medication at the time of hypospadias repair
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Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
93 participants (actual)

Study arms

  • Experimental
    Antibiotics

    trimethoprim-sulfamethoxazole oral suspension, 4 mg/kg (0.5 mL/kg) twice daily for 10 days

    Drug: trimethoprim-sulfamethoxazole

  • Placebo comparator
    Placebo

    placebo oral suspension, 0.5 mL/kg twice daily for 10 days

    Other: placebo

Interventions

  • Drugtrimethoprim-sulfamethoxazole
  • Otherplacebo
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What researchers measure

Primary outcomes

  1. postoperative infection

    Urinary tract infection; cellulitis/wound infection

    Time frame: up to 30 days

  2. wound-healing complications

    meatal stenosis; urethral stricture; urethrocutaneous fistula; dehiscence; urethral diverticulum

    Time frame: up to 5 years

Secondary outcomes

  1. adverse drug reaction

    Time frame: up to 14 days

  2. C. difficile colitis

    Time frame: up to 6 months

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Study locations

2 sites
  • Ann & Robert H Lurie Children's Hospital of Chicago
    Chicago, Illinois 60611, United States
  • The Hospital for Sick Children
    Toronto, Ontario M5G 1X8, Canada
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References and documents

Publications

  • Faasse MA, Farhat WA, Rosoklija I, Shannon R, Odeh RI, Yoshiba GM, Zu'bi F, Balmert LC, Liu DB, Alyami FA, Beaumont JL, Erickson DL, Gong EM, Johnson EK, Judd S, Kaplan WE, Kaushal G, Koyle MA, Lindgren BW, Maizels M, Marcus CR, McCarter KL, Meyer T, Qureshi T, Saunders M, Thompson T, Yerkes EB, Cheng EY. Randomized trial of prophylactic antibiotics vs. placebo after midshaft-to-distal hypospadias repair: the PROPHY Study. J Pediatr Urol. 2022 Apr;18(2):171-177. doi: 10.1016/j.jpurol.2022.01.008. Epub 2022 Jan 25. PubMed 35144885 ↗

Study documents

  • Protocol and statistical analysis plan · Jun 11, 2015

Documents are hosted by the registry — open the source record to download them.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 14, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02096159
Lead sponsor
Ann & Robert H Lurie Children's Hospital of Chicago
Collaborators
The Hospital for Sick Children
Responsible party
Earl Y Cheng, MD (Head, Division of Urology, Ann & Robert H Lurie Children's Hospital of Chicago) — Principal investigator
First posted
Mar 26, 2014
Start date
Mar 2014
Primary completion
Dec 2018
Completion
Aug 2025 (estimated)
Last update
Nov 14, 2024

Study contacts

Earl Y Cheng, MD
principal investigator · Ann & Robert H Lurie Children's Hospital of Chicago
Mark A Faasse, MD, MPH
principal investigator · Ann & Robert H Lurie Children's Hospital of Chicago

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Nov 2024. You cannot join it, but the record below documents what was studied.

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