UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000059037
Receipt number R000067519
Scientific Title A Single-center Prospective Comparison Study of Blood Culture Contamination Rates Between Peripheral Venipuncture and Non-wire Hub Collection During Central Venous Catheter Insertion in Critically ill Patients: Bayesian sequential design
Date of disclosure of the study information 2025/09/09
Last modified on 2025/09/10 12:15:13

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Basic information

Public title

A Single-center Prospective Comparison Study of Blood Culture Contamination Rates Between Peripheral Venipuncture and Non-wire Hub Collection During Central Venous Catheter Insertion in Critically ill Patients

Acronym

Blood Culture Contamination Rates Between Non-wire Hub Collection and Peripheral Venipuncture

Scientific Title

A Single-center Prospective Comparison Study of Blood Culture Contamination Rates Between Peripheral Venipuncture and Non-wire Hub Collection During Central Venous Catheter Insertion in Critically ill Patients: Bayesian sequential design

Scientific Title:Acronym

Contamination of Blood Culture: Venipuncture vs Non-wire hub during Central line insertion

Region

Japan


Condition

Condition

Blood Culture Contamination

Classification by specialty

Infectious disease Intensive care medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The primary objective of this study is to estimate the excess contamination rate (delta) in blood cultures obtained from lumens without wire manipulation (non-wire hubs) during new central venous catheter insertion compared to peripheral venous puncture. The results of this study will provide the basis for finalizing the design of subsequent confirmatory trials.

Basic objectives2

Others

Basic objectives -Others

The secondary objective is to collect statistical evidence to determine whether delta falls within a clinically acceptable range relative to the pre-specified non-inferiority margin (2.0%) (non-inferiority) or clearly exceeds it (superiority).

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Blood culture contamination rates during central venous catheter insertion and venipuncture

Key secondary outcomes

True bacteremia rate
Positive Agreement Rate
Obtained volume of blood culture


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients suspected of having an infection by a clinician who require blood culture collection and central venous catheter placement
Adults aged 18 years and older

Key exclusion criteria

Individuals who declined to participate in the research
Individuals deemed unsuitable by the principal investigator or co-investigators

Target sample size

280


Research contact person

Name of lead principal investigator

1st name Kohei
Middle name
Last name Hasegawa

Organization

Sakai City Medical Center

Division name

Department of infectious diseaseas

Zip code

593-8304

Address

1-1-1, Ebaraji-cho, nishi-ku, Sakai, Osaka

TEL

072-272-1199

Email

ipph86txs@gmail.com


Public contact

Name of contact person

1st name Kohei
Middle name
Last name Hasegawa

Organization

Sakai City Medical Center

Division name

Department of infectious diseases

Zip code

593-8304

Address

1-1-1, Ebaraji-cho, nishi-ku, Sakai, Osaka

TEL

09098701250

Homepage URL


Email

ipph86txs@gmail.com


Sponsor or person

Institute

Sakai City Medical Center

Institute

Department

Personal name



Funding Source

Organization

Self funding

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Sakai City Medical Center

Address

1-1-1, Ebaraji-cho, nishi-ku, Sakai, Osaka

Tel

072-272-1199

Email

ipph86txs@gmail.com


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 09 Month 09 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2025 Year 09 Month 09 Day

Date of IRB


Anticipated trial start date

2025 Year 10 Month 01 Day

Last follow-up date

2026 Year 09 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This study is a prospective, two-group paired comparison clinical trial using a Bayesian sequential design, in which blood cultures are collected simultaneously from two pathways, a nonwire hub and a peripheral vein, in the same patient.
Case registration will be promptly terminated upon meeting any of the predefined discontinuation criteria.
Maximum Sample Size: Case registration for this study will be limited to a maximum of one year from the study start date. Preliminary estimates project approximately 280 cases within one year. Due to anticipated seasonal variations in blood culture positivity rates and contamination incidence, the study period is set to a maximum of one year to minimize bias related to the timing of study implementation.
Interim Monitoring: Interim monitoring will be conducted after the initial 100 pairs are enrolled and every 30 additional pairs of data are accumulated thereafter.
Study Termination Criteria: At each interim monitoring point, the 95% confidence interval for delta will be calculated.


Management information

Registered date

2025 Year 09 Month 09 Day

Last modified on

2025 Year 09 Month 10 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000067519