Can a daily antibiotic shield dialysis patients from deadly infections?
NCT ID NCT05248620
First seen Sep 10, 2026 · Last updated Sep 11, 2026 · Updated 1 time
Summary
People with end-stage kidney disease who start hemodialysis often use a central venous catheter for access. These catheters raise the risk of bloodstream infections. Researchers are testing whether a daily antibiotic, amoxicillin-clavulanic acid, can prevent these infections compared with a placebo. The trial enrolls 800 adults on hemodialysis and tracks hospitalizations for bloodstream infections and severe culture-negative infections.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- amoxicillin-clavulanic acid, an antibiotic combination
- What this could lead to
- If it works, this could offer a simple way to protect dialysis patients with catheters from dangerous bloodstream infections.
- What could go wrong
- Antibiotics can cause side effects and may not prevent all infections. Overuse could also lead to resistant bacteria, and the trial may not show a clear benefit.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
-
About 800 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Feb 2022
- Expected to finish
-
May 2029
An estimate. End dates often move.
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * End Stage Kidney Disease (ESKD) patients who receive an uncuffed or cuffed CVC for expected chronic HD, regardless of previous ESKD treatment modality (PD or KTX) and hemodialysis access (AV-fistula or AV-graft)) * ≥18 years * Ability to understand the study background, risk and benefit of treatment and to give written informed consent Exclusion Criteria: * Unable to give informed consent * Known intolerance to beta-lactam antibiotics and clindamycin * Active infection treated with antibiotics * Breastfeeding * Pregnancy. In women of childbearing age, an approved birth control must be ensured at least 1 month before and during all the 6 months of antibiotic/placebo treatment. Patients may be rescreened later i.e. within a time period of one month from start of HD, if exclusion criteria are reversible.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for End-stage kidney disease are added.
By submitting, you agree to our Terms of use
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
-
The places running it
7 sites. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
-
Aalborg University Hospital
RECRUITINGAalborg, North Region, 9100, Denmark
-
Aarhus University Hospital
NOT_YET_RECRUITINGAarhus, Middle Region, 8200, Denmark
-
Herlev-Gentofte Hospital
RECRUITINGCopenhagen, Capital Region, 2730, Denmark
-
North Zealand Hospital Hillerød
NOT_YET_RECRUITINGHillerød, Capital Region, 3400, Denmark
-
Odense University Hospital
RECRUITINGOdense, Region South, 5000, Denmark
-
Rigshospitalet
NOT_YET_RECRUITINGCopenhagen, Capital Region, 2100, Denmark
-
ZUH Roskilde
RECRUITINGRoskilde, Region Sjælland, 4000, Denmark
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Fewer dialysis sessions: can Twice-Weekly work as well?
- Can pedaling through dialysis make patients stronger?
- Can a health worker at your dialysis clinic keep you out of the hospital?
- Can music make dialysis exercise more effective?
- Can mindfulness calm the mind and improve sleep for dialysis patients?
- Can a simple relaxation technique calm night pain in dialysis?