ClinicalTrials.gg
CompletedNCT03349268Updated Mar 14, 2022Results posted

Pulsed UV Xenon Disinfection to Prevent Resistant Healthcare Associated Infection

An interventional study of Pulsed xenon ultraviolet (PX-UV) Device and Sham Device in Healthcare Associated Infection, Clostridium Difficile Infection and Infection Due to Multidrug Resistant Bacteria, sponsored by University of Michigan. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-03-14.

Sponsored by University of Michigan · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Registered 3 months after the study started (first participant enrolled Jul 2017, registered Nov 2017).
Phase
Not applicable
Study type
Interventional
Enrollment
25,732
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 60 studies in Cross Infection with a site in United States — 5 open to participants now, 6 under way, none of them phase 3. Cross Infection · United States.

Enrollment
3rd of 40
25,732 · median 167
Started
2017
with 1 other
No phase
20 of 60
2 open now
Registered
39th of 60
by date
Lead sponsor
4 of 60
University of Michigan

Among the 60 studies in Cross Infection with a site in United States, this one is the 3rd largest by enrollment of the 40 interventional ones that give a count, is one of 2 that started in 2017, is one of 20 with no phase, and was the 39th registered.

Cross Infection

285 studies on the registry are indexed under Cross Infection; 48 are open to participants now.

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Open to participants now

5 of the 60 studies in Cross Infection with a site in United States are open now. Recruiting first, the newest first:

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A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 27 Cross Infection studies recruiting now, 22 (81%) set no upper age limit and 3 (11%) stop at 75 or younger; 5 take children under 18; 6 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

The objective is to conduct a prospective, sham controlled, double-blinded, interventional crossover trial to compare standard terminal cleaning plus PX-UV (intervention) with standard terminal cleaning plus sham PX-UV (control) with crossover at 12 months, following a 6-month washout period. Outcome measures include the rates of HAIs, as well as the recurrence of genetically identical clinical strains of HAIs among patients on study units. The study will be conducted in 2 hospitals covering 16 total hospital units at Detroit Medical Center. Our central hypothesis is that the addition of PX-UV to standard terminal cleaning will be associated with a significant reduction in the rate of HAIs, as well as a reduction in the recovery of genetically identical strains of MDROs. The impact of PX-UV disinfection on rates of HAIs on study units will be determined by comparing rates of HAIs on a) study units where PX-UV is added to standard terminal cleaning practices to b) units where a sham UV disinfection system is added to standard terminal cleaning; and by comparing rates of HAIs on the same medical ward during each of two 12-month phases of a crossover study (one phase when a PX-UV device is added and one when a sham device is added to standard terminal cleaning).

The long-term goal of this project is to establish the efficacy of terminal cleaning plus PX-UV in reducing rates of HAIs due to the following multi-drug resistant organisms (MDROs): C. difficile, vancomycin-resistant enterococci (VRE), Klebsiella pneumoniae and Escherichia coli producing extended-spectrum beta-lactamases (ESBLs), methicillin-resistant Staphylococcus aureus (MRSA) and Acinetobacter baumannii.

At the conclusion of the proposed project, novel data will be generated from this rigorously controlled study regarding the effectiveness of PX-UV in reducing HAIs in a representative, real-world healthcare setting.

Read the detailed description

In 2011, 721,800 healthcare-associated infections (HAIs) were reported in the United States. The hospital environment has been increasingly recognized as an important determinant of HAI acquisition and prevention of HAIs has become a top priority for the U.S. Department of Health and Human Services (HHS). Terminal cleaning of a patient room is recognized as a critically important process to help prevent HAIs and involves extensive cleaning and disinfection of the room after a patient has been discharged from the room and before the subsequent patient has been admitted to the room. Pulsed xenon ultraviolet light (PX-UV) has been shown to be effective in killing a variety of pathogens including endospores of Clostridium difficile. PX-UV works quickly - the entire cycle time for use in a hospital room is 15 minutes. To date, the clinical impact of adding PX-UV to terminal cleaning has not been demonstrated in clinical trials with sham controls or in a crossover design. The long-term goal of this project is to establish the efficacy of terminal cleaning plus PX-UV in reducing rates of HAIs due to the following multi-drug resistant organisms (MDROs): C. difficile, vancomycin-resistant enterococci (VRE), Klebsiella pneumoniae and Escherichia coli producing extended-spectrum beta-lactamases (ESBLs), methicillin-resistant Staphylococcus aureus (MRSA) and Acinetobacter baumannii. The objective of this application is to conduct a prospective, sham controlled, double-blinded, interventional crossover trial to compare standard terminal cleaning plus PX-UV (intervention) with standard terminal cleaning plus sham PX-UV (control) with crossover at 12 months, following a 6-month washout period. Outcome measures include the rates of HAIs, as well as the recurrence of genetically identical clinical strains of HAIs among patients on study units. The study will be conducted in 2 hospitals covering 16 total hospital units at Detroit Medical Center. Our central hypothesis is that the addition of PX-UV to standard terminal cleaning will be associated with a significant reduction in the rate of HAIs, as well as a reduction in the recovery of genetically identical strains of MDROs. The impact of PX-UV disinfection on rates of HAIs on study units will be determined by comparing rates of HAIs on a) study units where PX-UV is added to standard terminal cleaning practices to b) units where a sham UV disinfection system is added to standard terminal cleaning; and by comparing rates of HAIs on the same medical ward during each of two 12-month phases of a crossover study (one phase when a PX-UV device is added and one when a sham device is added to standard terminal cleaning). At the conclusion of the proposed project, novel data will be generated from this rigorously controlled study regarding the effectiveness of PX-UV in reducing HAIs in a representative, real-world healthcare setting.

03

Conditions studied

  • Healthcare Associated Infection
  • Clostridium Difficile Infection
  • Infection Due to Multidrug Resistant Bacteria
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • All patients admitted to the study units will be eligible
  • Only patients who remain in the hospital for four calendar days or longer will be eligible for evaluation of eiHAI outcomes (the day of admission counts as calendar day one).
  • Patients who do not develop an eiHAI at the time of unit discharge will be eligible for eiHAI outcomes for up to calendar 3 days following unit discharge.

Exclusion criteria

Exclusion Criteria:

  • All patients not cared for on study units
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
25,732 participants (actual)

Study arms

  • Active comparator
    Pulsed xenon ultraviolet light (PX-UV) Device Emitting Germicidal UV

    Pulsed xenon ultraviolet light (PX-UV) Device to be used to disinfect rooms following post-discharge terminal cleaning

    Device: Pulsed xenon ultraviolet (PX-UV) Device · Device: Sham Device

  • Sham comparator
    Sham Device - Non Emitting Germicidal UV

    Sham Device to be run in rooms following post-discharge terminal cleaning. No Germicidal UV is emitted.

    Device: Pulsed xenon ultraviolet (PX-UV) Device · Device: Sham Device

Interventions

  • DevicePulsed xenon ultraviolet (PX-UV) Device

    Two Detroit Medical Center (DMC) acute-care hospitals are being proposed for this project, Sinai-Grace Hospital (SGH) and Detroit Receiving Hospital (DRH). SGH is a 383-bed hospital, and DRH is a 248-bed hospital. The study will be conducted in eight hospital units in SGH and eight hospital units in DRH, including two medical intensive care units (ICUs), two surgical ICUs and 12 non-ICU medical-surgical wards. The 16 study units include a total of 379 beds. Devices will be deployed on these study units with the sham and intervention devices split evenly between SGH and DRH. Within each study site, the types of devices (PX-UV vs sham) will be assigned randomly to the units in Phase 1 and then switched in Phase 2.

  • DeviceSham Device

    Two Detroit Medical Center (DMC) acute-care hospitals are being proposed for this project, Sinai-Grace Hospital (SGH) and Detroit Receiving Hospital (DRH). SGH is a 383-bed hospital, and DRH is a 248-bed hospital. The study will be conducted in eight hospital units in SGH and eight hospital units in DRH, including two medical intensive care units (ICUs), two surgical ICUs and 12 non-ICU medical-surgical wards. The 16 study units include a total of 379 beds. Devices will be deployed on these study units with the sham and intervention devices split evenly between SGH and DRH. Within each study site, the types of devices (PX-UV vs sham) will be assigned randomly to the units in Phase 1 and then switched in Phase 2.

06

What researchers measure

Primary outcomes

  1. Number of Environmentally-implicated Healthcare-Associated Infections (eiHAIs) Associated With the Additional Use of a PX-UV Disinfection Compared to Standard Terminal Cleaning

    PX-UV Device was used following each discharge on study units, with intervention devices emitting germicidal UV on 50% of the units and sham devices not emitting germicidal UV on 50% of the units.

    Time frame: 24 months (Two 12 month phases)

07

Results

Posted Mar 14, 2022

Participant flow

Participant flow — Overall Study
MilestonePatients Only on Pulsed Xenon Ultraviolet Light (PX-UV) Device Emitting Germicidal UV UnitsPatients Cared for on Only Sham Device - Non Emitting Germicidal UV UnitsPatients Cared for on Both PX-UV and Sham Units
Started9117102966319
Completed9117102966319
Not completed000

Outcome measures

PrimaryNumber of Environmentally-implicated Healthcare-Associated Infections (eiHAIs) Associated With the Additional Use of a PX-UV Disinfection Compared to Standard Terminal Cleaning

PX-UV Device was used following each discharge on study units, with intervention devices emitting germicidal UV on 50% of the units and sham devices not emitting germicidal UV on 50% of the units.

Time frame:
24 months (Two 12 month phases)
Reported as:
Number · eiHAIs
Number of Environmentally-implicated Healthcare-Associated Infections (eiHAIs) Associated With the Additional Use of a PX-UV Disinfection Compared to Standard Terminal Cleaning
eiHAIsPatients Only on Pulsed Xenon Ultraviolet Light (PX-UV) Device Emitting Germicidal UV UnitsPatients Cared for on Only Sham Device - Non Emitting Germicidal UV Units
Number of Environmentally-implicated Healthcare-Associated Infections (eiHAIs) Associated With the Additional Use of a PX-UV Disinfection Compared to Standard Terminal Cleaning303298
Statistical analysis
  • Patients Only on Pulsed Xenon Ultraviolet Light (PX-UV) Device Emitting Germicidal UV Units vs Patients Cared for on Only Sham Device - Non Emitting Germicidal UV Units · Poisson regression · p = 0.23

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Patients Only on Pulsed Xenon Ultraviolet Light (PX-UV) Device Emitting Germicidal UV Units———
Patients Cared for on Only Sham Device - Non Emitting Germicidal UV Units———
Patients Cared for on Both PX-UV and Sham Units———

Baseline characteristics

Age, Continuous
Age, Continuous(years)Patients Only on Pulsed Xenon Ultraviolet Light (PX-UV) Device Emitting Germicidal UV UnitsPatients Cared for on Only Sham Device - Non Emitting Germicidal UV UnitsPatients Cared for on Both PX-UV and Sham UnitsTotal
Mean57.4 ± 18.2357.46 ± 18.4161.50 ± 16.5158.43 ± 17.98
Sex/Gender, Customized
Sex/Gender, Customized(Participants)Patients Only on Pulsed Xenon Ultraviolet Light (PX-UV) Device Emitting Germicidal UV UnitsPatients Cared for on Only Sham Device - Non Emitting Germicidal UV UnitsPatients Cared for on Both PX-UV and Sham UnitsTotal
Female42534962301812233
Male48585333329113482
Unknown611017
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Patients Only on Pulsed Xenon Ultraviolet Light (PX-UV) Device Emitting Germicidal UV UnitsPatients Cared for on Only Sham Device - Non Emitting Germicidal UV UnitsPatients Cared for on Both PX-UV and Sham UnitsTotal
American Indian/Alaska Native32342086
Asian/Pacific Islander31221366
Black or African American71428085521220439
White93310254192377
Unknown/Not Reported/Other97911306552764
Region of Enrollment
Region of Enrollment(participants)Patients Only on Pulsed Xenon Ultraviolet Light (PX-UV) Device Emitting Germicidal UV UnitsPatients Cared for on Only Sham Device - Non Emitting Germicidal UV UnitsPatients Cared for on Both PX-UV and Sham UnitsTotal
United States911710296631925732
08

Study locations

1 site
  • Detroit Medical Center
    Detroit, Michigan 48205, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Undecided

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jul 2017 to primary completion in Jan 2020, 30 months.

Results were first posted in Mar 2022, 2 years 1 month after primary completion. A results delay was requested in Dec 2020.

Of 57 non-industry interventional studies with no phase under Cross Infection, half reached primary completion within 16 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 29. This study's 30 months is above that.

Counting every sponsor, half of 59 studies reached it within 16 months; a quarter within 6 and three quarters within 29.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 2, 2017
First posted
Nov 21, 2017
StartActual
Jul 7, 2017
Primary completionActual
Jan 31, 2020
CompletionActual
Apr 15, 2020
Results delay requested
Dec 21, 2020
Results first posted
Mar 14, 2022
Last update
Mar 14, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 14, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03349268
Collaborators
Agency for Healthcare Research and Quality (AHRQ), Xenex Disinfection Services LLC, Detroit Medical Center, Henry Ford Health System, TEMPVA Research Group, Inc., Wayne State University
Responsible party
keith kaye (Principal Investigator, University of Michigan) — Principal investigator
First posted
Nov 21, 2017
Start date
Jul 7, 2017
Primary completion
Jan 31, 2020
Completion
Apr 15, 2020
Results posted
Mar 14, 2022
Last update
Mar 14, 2022

Study contacts

Keith S. Kaye, MD, MPH
principal investigator · University of Michigan

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Feb 2022. You cannot join it, but the record below documents what was studied.

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