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Trial registered on ANZCTR
Registration number
ACTRN12619000768190
Ethics application status
Approved
Date submitted
15/05/2019
Date registered
23/05/2019
Date last updated
23/05/2019
Date data sharing statement initially provided
23/05/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
Study comparing antibiotics versus placebo at time of catheter removal post robotic prostate removal
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Scientific title
A Randomised controlled trial of ceftriaxone versus placebo for prevention of urinary tract infections at trial of void post robotic laparoscopic radical prostatectomy in patients with prostate cancer.
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Secondary ID [1]
298235
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Nil Known
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Universal Trial Number (UTN)
U1111-1233-4290
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Trial acronym
TRAP Trial
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
urinary tract infection
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prostate cancer
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Condition category
Condition code
Infection
311337
311337
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0
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Studies of infection and infectious agents
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Cancer
311338
311338
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0
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Prostate
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Ceftriaxone versus placebo at Trial of Void
Intervention Group
- drug Ceftriaxone
- dose 1g once
- duration - NA
- mode intravaneous injection
- timing - at removal of catheter (seven days post prostatectomy)
- administeration - medically trained research fellow
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Intervention code [1]
314481
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Prevention
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Comparator / control treatment
Placebo Group
- drug normal saline (0.9%)
- dose 10ml once
- duration - NA
- mode intravaneous injection
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Control group
Placebo
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Outcomes
Primary outcome [1]
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symptomatic urinary tract infection (UTI)
- positive urine culture and
- positive lower urinary tract symptoms (weekly international prostate symptom score) and/or systemic infective symptoms assessed by research fellow .
*this is a composite primary outcome
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Assessment method [1]
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Timepoint [1]
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first 4 weeks post robot assisted laparoscopic radical prostatectomy
- urine sample will be collected at time of trial of void and weekly for four weeks post prostatectomy unless the participant becomes symptomatic then it will be repeated according to standard of care for UTI management
- participants will be assessed for symptoms as a single assessment at time of trial of void and they will be advised to self report any signs or symptoms of UTI to treating urologist or GP in the followup period
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Secondary outcome [1]
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asymptomatic bacteriuria
- positive urine culture
- without any evidence of new lower urinary tract symptoms or systemic infective symptoms - participants will be asked at trial of void about these symptoms in a study specific questionnaire and will be advised to self report any signs or symptoms of UTI to treating urologist or GP in the followup period
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Assessment method [1]
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Timepoint [1]
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30 days following robot assisted laparoscopic radical prostatectomy
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Eligibility
Key inclusion criteria
Men undergoing robot assisted laparoscopic radical prostatectomy at the Wesley Hospital
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Males
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Can healthy volunteers participate?
No
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Key exclusion criteria
non-robotic prostatectomy
positive preoperative urine culture
previous allergy to ceftriaxone
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
allocation involved contacting the holder of the allocation schedule who was "off-site" or at central administration site
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Permuted block randomisation
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
comparative statistics will be undertaken to determine differences in (a)symptomatic infection rates between groups
power calculations are based on the basis that 5% risk of symptomatic infection without antibiotics
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
3/06/2019
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Actual
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Date of last participant enrolment
Anticipated
1/12/2020
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Actual
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Date of last data collection
Anticipated
31/12/2020
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Actual
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Sample size
Target
800
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
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The Wesley Hospital - Auchenflower
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Recruitment postcode(s) [1]
26486
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4066 - Auchenflower
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Wesley Medical Research
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Address [1]
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451 Coronation Drive
Auchenflower
QLD 4066
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
A/Prof John Yaxley
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Address
Wesley Urology Clinic
The Wesley Hospital
Suite 42, level 4
40 Chasely Street
Auchenflower QLD 4066
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
302719
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Country [1]
302719
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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UnitingCare Health HREC
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Ethics committee address [1]
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Upper Floor Moorlands House, The Wesley Hospital 451 Coronation Drive Auchenflower QLD 4066
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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02/03/2018
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Ethics approval number [1]
303372
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Summary
Brief summary
The purpose of this study is to determine if the use of an antibiotic (Ceftriaxone) post-radical prostatectomy will help prevent urinary tract infections in patients with a indwelling catheter inserted at time of trial of void. You may be eligible for this study if you have prostate cancer and are undergoing a robot assisted laparoscopic radical prostatectomy at the Wesley Hospital. Study details Participants will be randomly allocated to one of two groups, the intervention group (standard care) or the placebo group. The procedure in the intervention group will involve: a) Injecting 1g of antibiotic (Ceftriaxone) via an injection in the arm at time of catheter removal (one week post-surgery). b) Collection of urine samples and blood The placebo group will receive: a) Injecting 10ml of saline via an injection in the arm at time of catheter removal (one week post-surgery). b) Collection of urine samples and blood It is hoped that this study will determine if antibiotics reduce the incidence of symptomatic urinary tract infections after catheter removal as currently they are being given to every person, which may lead to increased antibiotic resistance if they are not actually required.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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A/Prof John Yaxley
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Address
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Wesley Urology Clinic
Sutie 42, Level 4
40 Chasely St
Auchenflower QLD 4066
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Country
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Australia
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Phone
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+61 7 3720 6950
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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John Yaxley
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Address
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Wesley Urology Clinic
Sutie 42, Level 4
40 Chasely St
Auchenflower QLD 4066
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Country
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Australia
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Phone
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+61 7 3720 6950
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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John Yaxley
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Address
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Wesley Urology Clinic
Sutie 42, Level 4
40 Chasely St
Auchenflower QLD 4066
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Country
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Australia
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Phone
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+61 7 3720 6950
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Fax
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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