CClinicalTrials.gg
Status unknownNCT03045783PUoA-EIoTAUpdated Feb 7, 2017

Prophylactic Use of Antibiotics in Endoscopic Injection of Tissue Adhesive in Gastric Varices

An interventional study of Cefotiam in Gastric Varices and Cirrhosis, sponsored by Shanghai Zhongshan Hospital. Status unknown at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2017-02-07.

Sponsored by Shanghai Zhongshan Hospital · Not applicable, Interventional, and Prevention

The sponsor has not verified this record recently (last verified Feb 2017), so the status shown — last known as Active, not recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
912
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
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Study summary

The purpose of the study is to evaluate the efficacy and safety of prophylactic use of antibiotics in endoscopic injection of tissue adhesive in gastric varices.

Read the detailed description

Gastroesophageal variceal bleeding is the most common and life-threatening condition in patients with portal hypertension, which are susceptibility to bacterial infection. However, the prophylaxis use of antibiotics remained uncertain and lack of high level evidences.This study is a randomized controlled trial. The purpose of the study is to evaluate the efficacy and safety of prophylactic use of antibiotics in endoscopic injection of tissue adhesive in gastric varices.

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Conditions studied

  • Gastric Varices
  • Cirrhosis

Keywords

  • gastric varices
  • endoscopic injection of tissue adhesive
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In context

Esophageal and Gastric Varices

169 studies on the registry are indexed under Esophageal and Gastric Varices; 41 are open to participants now.

This study's planned enrollment of 912 is above the median of 104 across 109 interventional studies indexed under Esophageal and Gastric Varices.

Browse Esophageal and Gastric Varices studies →

Lead sponsor

Shanghai Zhongshan Hospital is the lead sponsor of 636 studies on the registry; 283 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • 18 y.o. ≤age≤75 y.o.;
  • Diagnosis of esophageal gastric varices by gastroscopy;
  • Cirrhotic gastroesophageal variceal bleeding underwent endoscopic injection of tissue adhesive;

Exclusion criteria

Exclusion Criteria:

  • age \<18 y.o. or age > 75 y.o.;
  • Never had the variceal bleeding episode before;
  • Do not have endoscopic injection of tissue adhesive;
  • The cefotiam contraindications: such as allergies, pregnancy etc;
  • combined with other malignant tumor (not exclude patients with hepatocellular carcinoma who don't not need treatment at the moment);
  • Known infection before endoscopic treatment (Fever, microbial cultures positive, et al.);
  • Massive ascites or combined with other high risk factor that require prophylaxis use of antibiotics;
  • Acute variceal bleeding within 5 days;
  • Refuse to participate
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Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
912 participants (estimated)

Study arms

  • Experimental
    Prophylactic use of antibiotics group

    Prophylactic use of antibiotics during endoscopic treatment, cefotiam 2.0g intravenous

    Drug: Cefotiam

  • No intervention
    On-demand group

    Routine endoscopic examination and treatment. Antibiotics are not used during endoscopic treatment

Interventions

  • DrugCefotiam

    Prophylactic use of antibiotics group:Prophylactic use of antibiotics during endoscopic treatment, cefotiam 2.0g intravenous

    Also known as: HaiTiShu

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What researchers measure

Primary outcomes

  1. The incidence of infection after endoscopic treatment

    Patients will receive body temperature, blood routine, inflammatory markers examination before and after endoscopic treatment

    Time frame: 1 week

Secondary outcomes

  1. Rebleeding rate

    Patients will be followed up and receive an endoscopic examination after patients have been followed up for 2 months.

    Time frame: 2 months

  2. Mortality rate

    The investigators observe the mortality events during 2 months

    Time frame: 2 months

  3. All clinical events

    All clinical events were defined as occurrence rebreeding, ascitic fluid infection, portal vein thrombosis, or death.

    Time frame: 2 months

  4. Serum endotoxin

    Time frame: before and the first day after endoscopic treatment

  5. inflammatory factors including IL-6, IL-8, TNF-a, IL-1beta,IL-2R, IL-10

    Time frame: before and the first day after endoscopic treatment

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Study locations

1 site
  • 180 Fenglin Road
    Shanghai, Shanghai 200032, China
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 7, 2017, 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
NCT03045783
Lead sponsor
Shanghai Zhongshan Hospital
Collaborators
Lanzhou University Second Hospital, Beijing Ditan Hospital, Shandong Provincial Hospital, Renmin Hospital of Wuhan University, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, The First Affiliated Hospital of Anhui Medical University
Responsible party
Shiyao Chen (Professor, Shanghai Zhongshan Hospital) — Principal investigator
First posted
Feb 7, 2017
Start date
Dec 2016
Primary completion
Mar 2019 (estimated)
Completion
Jul 2019 (estimated)
Last update
Feb 7, 2017

Study contacts

Shiyao CHEN, M.D.
principal investigator · Zhongshan Hospital, Fudan University, Shanghai

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Feb 2017. You cannot join it, but the record below documents what was studied.

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