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CompletedNCT03868241CRITICUpdated Mar 9, 2020

Coated Devices to Decrease Infection in the Intensive Care Unit

A Phase 1/2 interventional study of Coated devices and Control in Critically Ill, sponsored by Hospital do Coracao. Completed at 6 sites in Brazil. Open to participants aged 18 Years to 100 Years. Per ClinicalTrials.gov, last updated 2020-03-09.

Sponsored by Hospital do Coracao · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
103
Allocation
Randomized
Ages
18 Years to 100 Years
Sex
All
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Study summary

Pilot explanatory, randomized, open label, controlled trial. Critically ill patients which will demand placement of invasive devices for organ support (endotracheal tube, central venous catheter and urinary Foley catheter) will be randomized 1:1 to receive coated (Bactiguard®) or habitual (non-coated) devices.

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Conditions studied

  • Critically Ill

Keywords

  • sepsis
  • ventilator-associated pneumonia
  • catheter related bloodstream infection
  • urinary catheter-related infection
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In context

Infections

6,687 studies on the registry are indexed under Infections; 807 are open to participants now.

This study's enrollment of 103 is below the median of 120 across 4,200 interventional studies indexed under Infections.

Browse Infections studies →

Lead sponsor

Hospital do Coracao is the lead sponsor of 66 studies on the registry; 14 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 100 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • All patients admitted to the intensive care unit which will require simultaneous insertion of all three devices (endotracheal tube, central venous catheter and urinary catheter) due to illness severity as defined by the attending physician.

Exclusion criteria

Exclusion Criteria:

  • Patients admitted to the intensive care unit for more than 48 hours or admitted in the hospital for more than seven days
  • Presence of any of the invasive devices (endotracheal tube, central venous catheter or urinary catheters) before randomization and absence of the intention to exchange the devices;
  • Previous use of any type of coated devices;
  • Age \< 18 years;
  • Known pregnancy
  • Known allergy to gold, silver and palladium;
  • Suspected or confirmed brain death;
  • Previously enrolled in the study

Newly added exclusion criteria in version 2.0:

  • Severe chronic pulmonary obstructive disease which may limit catheter site selection
  • Previous irradiation and/or thrombosis in site selected for catheter insertion
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Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
103 participants (actual)

Study arms

  • Experimental
    Bactiguard-coated Devices

    Patients will receive endotracheal tube, central venous catheter and urinary cather coated with gold, silver and palladium (Bactiguard coating)

    Device: Coated devices

  • Placebo comparator
    Control

    Shelf endotracheal tube, central venous catheter and urinary cather available at each intensive care unit without any type of coating designed to prevent infection

    Device: Control

Interventions

  • DeviceCoated devices

    Gold-silver-palladium coated devices (endotracheal tube, central venous catheter and urinary catheter) will be used whenever necessary. All three devices are required to be inserted as soon as possible after randomization and need for all three devices are the main inclusion criteria

  • DeviceControl

    Devices without coating available at each participating intensive care unit

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What researchers measure

Primary outcomes

  1. Number of participants recruited in each center during the trial

    Assess the recruitment rate

    Time frame: Through study completion, an average of 1 year

  2. Number of participants admitted to the intensive care unit that requires simultaneous insertion of endotracheal tube, central venous catheter and urinary catheter

    Assess how many patients admitted to the intensive care unit will demand insertion of endotracheal tube, urinary catheter and central venous catheter after admission in all patients

    Time frame: Through study completion, an average of 1 year

  3. Feasibility - Occurence of sepsis

    Occurrence of sepsis after admission in patients that require all three devices to be inserted in all patients

    Time frame: 28 days

Secondary outcomes

  1. Sepsis

    Occurrence of sepsis after randomization (defined as infection plus organ failure)

    Time frame: 28 days

  2. Occurence of ventilator-associated pneumonia

    Occurence of ventilator-associated pneumonia by radiographic and clinical criteria

    Time frame: 28 days

  3. Occurence of central venous catheter-related bloodstream infection

    Occurence of central venous catheter-related bloodstream infection using Brazilian regulatory agency criteria

    Time frame: 28 days

  4. Occurence of urinary catheter-related infection

    Occurence of urinary catheter-related infection defined as positive urinary culture coupled with fever and without any other infection source

    Time frame: 28 days

  5. Rate of composite endpoint of ventilator-associated pneumonia and/or central venous catheter-related bloodstream infection and/or urinary catheter-related infection

    Occurrence of any of the infections above

    Time frame: 28 days

  6. Antibiotic-free days

    Number of days not receiving antibiotics

    Time frame: 28 days

  7. Number of patients that die in Intensive Care Unit

    Mortality during intensive care unit stay

    Time frame: Through intensive care unit stay, an average of 28 days

  8. Number of patients that die during hospital stay

    Mortality during hospital stay

    Time frame: Through hospital stay, an average of 40 days

07

Study locations

6 sites
  • Hospital do Coração
    São Paulo, SP 04005000, Brazil
  • Hospital de Base de São José do Rio Preto
    Rio Preto, São Paulo, Brazil
  • AC Camargo Câncer Center
    São Paulo, Brazil
  • Hospital da Luz
    São Paulo, Brazil
  • Hospital Paulistano
    São Paulo, Brazil
  • Hospital São Paulo - UNIFESP
    São Paulo, Brazil
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References and documents

Publications

  • Zampieri FG, de Oliveira NE, Nassar AP Jr, de Oliveira Manoel AL, Grion C, Lacerda FH, Maia I, Thompson M, Giancursi TS, de Aquino Martins P, Lisboa T, Abait T, Damiani LP, Machado FR, Cavalcanti AB; BRICNet. Bundle of Coated Devices to Reduce Nosocomial Infections in the Intensive Care Unit. CRITIC Pilot Randomized Controlled Trial. Ann Am Thorac Soc. 2020 Oct;17(10):1257-1263. doi: 10.1513/AnnalsATS.202003-206OC. PubMed 32526149 ↗

Study documents

  • Statistical analysis plan · Oct 3, 2019

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

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 9, 2020, 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
NCT03868241
Lead sponsor
Hospital do Coracao
Collaborators
Bactiguard AB
Responsible party
Sponsor
First posted
Mar 11, 2019
Start date
Apr 6, 2019
Primary completion
Feb 13, 2020
Completion
Feb 28, 2020
Last update
Mar 9, 2020

Study contacts

Alexandre Biasi, MD/PhD
study director · Hospital do Coração

Oversight

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

Not currently enrolling

This study is completed, as verified in Mar 2020. You cannot join it, but the record below documents what was studied.

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