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Recruiting Phase 3

New Treatment of Cardiac Device Infections; Immediate Reimplantation After Removal of Infected System

NCT06250985 · tracked via the Priya Life Science Denmark tracker
Phase
Phase 3
Started
2024-04-29
Last updated
2026-10-01

Condition(s) studied

Endocarditis, Bacterial

Investigational drug(s) / intervention(s)

Timing of reimplantation

Timing of reimplantation: Patients will be rendomized 1:1 by computer to recieve either standart care or intervention prior to removal of infected system

Study summary

The goal of this randomized clinical trials is to ascertain the safety and efficacy of immediate reimplantation of cardiac electronic implantable devices in patients with endocarditis and device-infections, compared to standard care, i.e. reimplantation at a later procedure date.

The primary outcome is the occurence of the composite primary endpoint within 6 months of randomization consisting of

* Death
* Symptomatic embolism (systemic arterial embolism or pulmonary embolism)
* Bacteremia og pocket-infection
* Removal of a CIED due to new infection

Eligibility

Sex
ALL
Min age
18 Years
Max age
110 Years
Healthy volunteers
No
Inclusion Criteria: * Culture positive or negative infection of a CIED acording to PI * Indication for removal of device * Clinical indication of device removal of existing device (concurrent left-sided IE is not a contraindication). * Indication for reimplantation of new device * A minimum of 3 days of sufficient antibiotic treatment (intravenous or oral) has been administered and/or culture negative antibiotic regimen have been adminstered until blood culture is examined. * stabilization criteria fulfilled i.e. I) negativ blood cultures, II) WBC \< 15 mia/L or reduction of min. 25% and III) CRP \<50 or min. 25% reduction. Exclusion Criteria: * Immunoincompetence (active chemotherapy or prednisone treatment \> 20mg/day * Device-infection within last 6 months (relaps) * Septic shock * Stabilization criteria not fulfilled after 10 days of suficient antibiotic treatment

Primary outcome measure(s)

  • Composite primary outcome — within 6 months of randomization
    Composite endpoint consisting of number of participants with one or more of the following events during follow-up: death, symptomatic embolism (systemic or pulmonary), bacteremia or pocket infection with same bacterial pathogen or removal of device due to new infection.

Trial sites (5)

FacilityCityRegionStatus
Bispebjerg-Frederiksberg Hospital Frederiksberg Copenhagen Recruiting
Hilleroed Hospital Hillerød Nordsjaelland Recruiting
Aalborg University Hospital Aalborg North Denmark Recruiting
Rigshospitalet Copenhagen Denmark Recruiting
Herlev-Gentofte Hospital Herlev Denmark Recruiting
Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT06250985 on ClinicalTrials.gov ↗ ← All trials in Denmark