Heart surgery antibiotic duration under scrutiny: could one dose be enough?
NCT ID NCT05447559
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 2 times
Summary
This study compares giving antibiotics only during heart surgery versus continuing for 24 or 48 hours afterward, to see if shorter use is just as good at preventing surgical site infections. Over 9,000 adults having heart surgery through a breastbone incision will take part. The goal is to reduce unnecessary antibiotic use, which can cause side effects and contribute to antibiotic resistance.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- cefazolin
- What this could lead to
- If successful, this could show that a single dose of antibiotic during surgery is enough to prevent infections, reducing side effects and antibiotic resistance.
- What could go wrong
- This is a large trial, but it's testing a non-inferiority approach—meaning it aims to prove shorter treatment is not worse. There is a risk that shorter treatment may lead to more infections in some patients.
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
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 9,180 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 2023
- Expected to finish
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Jun 2028
An estimate. End dates often move.
- Lead sponsor
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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
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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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: \- Adult patients undergoing cardiac surgery involving a median sternotomy Exclusion Criteria: * Age \<18 years * American Society of Anesthesiology (ASA) 5 * Subjects with GFR \<40mL/min/1.73m2 or those requiring continuous renal replacement therapy, haemodialysis or peritoneal dialysis * Surgery for suspected or proven endocarditis or deep sternal wound infection * Documented cefazolin hypersensitivity * Documented methicillin resistant Staphylococcus aureus (MRSA) colonisation or infection in the 12-months prior to index surgery * Cardiac transplantation * Procedures involving insertion ventricular assist device or mechanical circulatory support device * Procedures not involving a median sternotomy * Patients previously enrolled and randomised to the CALIPSO trial
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Get notified about this study
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Genom att skicka in godkänner du våra Användarvillkor
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.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
25 sites in 5 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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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
Show contact details
Enter your email to view the contact information for this study.
Genom att skicka in godkänner du våra Användarvillkor
Locations
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Austin Health
RECRUITINGMelbourne, Victoria, 3084, Australia
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Cabrini Health
RECRUITINGMelbourne, Victoria, 3144, Australia
Contact Email: •••••@•••••
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Christchurch Hospital
RECRUITINGChristchurch, New Zealand
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Epworth HealthCare
RECRUITINGMelbourne, Victoria, 3121, Australia
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Fiona Stanley Hospital
RECRUITINGPerth, Western Australia, Australia
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Flinders Medical Centre
RECRUITINGAdelaide, South Australia, 5042, Australia
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Flinders Private
RECRUITINGAdelaide, South Australia, 5042, Australia
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Halifax Infirmary
RECRUITINGHalifax, Nova Scotia, Canada
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IJN
RECRUITINGKuala Lumpur, Malaysia
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Princess Alexandra Hospital
RECRUITINGBrisbane, Queensland, 4102, Australia
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Royal Adelaide Hospital
RECRUITINGAdelaide, South Australia, 5000, Australia
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Royal Hobart Hospital
RECRUITINGHobart, Tasmania, 7000, Australia
Contact Email: •••••@•••••
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Sir Charles Gairdner
NOT_YET_RECRUITINGNedlands, Western Australia, Australia
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St Andrew's War Memorial Hospital
ACTIVE_NOT_RECRUITINGBrisbane, Queensland, Australia
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St George Hospital
ACTIVE_NOT_RECRUITINGSydney, New South Wales, 2217, Australia
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St John of God Subiaco Hospital
RECRUITINGPerth, Western Australia, 6008, Australia
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St Vincent's Hospital
RECRUITINGMelbourne, Australia
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The Alfred Hospital
RECRUITINGMelbourne, Victoria, 3004, Australia
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The Prince Charles Hospital
RECRUITINGBrisbane, Queensland, 4032, Australia
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The Royal Melbourne Hospital
RECRUITINGMelbourne, Victoria, 3050, Australia
Contact Email: •••••@•••••
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UMMC
NOT_YET_RECRUITINGKuala Lumpur, Malaysia
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UT Southwestern Medical Centre
NOT_YET_RECRUITINGDallas, Texas, 75390, United States
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Victorian Heart Hospital
RECRUITINGMelbourne, Victoria, 3168, Australia
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Waikato Hospital
RECRUITINGHamilton, 3204, New Zealand
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Wakefield Hospital
NOT_YET_RECRUITINGWellington, New Zealand
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Wellington Hospital
RECRUITINGWellington, New Zealand
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Westmead Hospital
RECRUITINGSydney, New South Wales, 2145, Australia
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a simple ointment make surgical scars heal better?
- Which wound closure cuts infection risk after abdominal surgery?
- A new wash could outsmart spine surgery infections without the seroma risk
- Can a sprinkle of antibiotic powder stop spine surgery infections?
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- Can a flap made from the hernia sac itself prevent mesh complications?