Which antibiotic wins? study tests infection prevention in pancreatic surgery
NCT ID NCT03269994
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at nearly 1,000 adults having pancreatic surgery to see which antibiotic, cefoxitin or piperacillin-tazobactam, works better at preventing wound infections within 30 days after the operation. Participants received one of the two antibiotics before surgery. The goal is to help doctors choose the best option to reduce infections and improve recovery.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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967 people
The number who actually took part.
- Started
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Nov 2017
- Finished
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Jan 2025
- 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age \>/= 18 years * Patients undergoing elective pancreatoduodenectomy (PD) for any diagnosis/indication Exclusion Criteria: * Patients undergoing a minimally invasive PD, such as laparoscopic or robotic PD * Patients with known and documented allergies to any of the penicillins, cephalosporins, or β-lactamase inhibitors * Patients who are otherwise ineligible to receive the antibiotics in this study * Patients highly unlikely to undergo PD according to the surgeon's judgment, such as conditions amenable to pancreas enucleation, ampullectomy, etc. * Patients with long-term glucocorticosteroid use. The following uses of corticosteroids are permitted: single doses, topical applications (e.g., for rash), inhaled sprays (e.g., for obstructive airways diseases), eye drops or local injections (e.g., intra-articular) * Patients unable to provide informed consent * Creatinine clearance (CrCl) \</= 40 mL/min * Patients receiving hemodialysis or peritoneal dialysis * Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive hCG laboratory test * Patients with a known bacterial infection present at the time of surgery or who received antimicrobial therapy within 7 days prior to surgery
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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.
Contacts and locations
Locations
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Baptist Memorial Healthcare
Memphis, Tennessee, 38120, United States
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Baylor Scott & White Health
Dallas, Texas, 75246, United States
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Brody School of Medicine at East Carolina University
Greenville, North Carolina, 27834, United States
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Duke University
Durham, North Carolina, 27713, United States
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Emory University School of Medicine
Atlanta, Georgia, 30322, United States
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Gundersen Lutheran Medical Foundation
La Crosse, Wisconsin, 54601, United States
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Hackensack Meridian Health / Hackensack University Medical Center Cancer Center
Hackensack, New Jersey, 07601, United States
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Hamilton Health Sciences Center (Juravinski Hospital)
Hamilton, Ontario, Canada
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Indiana University
Indianapolis, Indiana, 46202, United States
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Intermountain Healthcare
Murray, Utah, 84107, United States
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Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
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Memoral Sloan Kettering Westchester (Consent only)
Harrison, New York, 10604, United States
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Memorial Sloan Kettering Basking Ridge (Consent only)
Basking Ridge, New Jersey, 07920, United States
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Memorial Sloan Kettering Cancer Center
New York, New York, 10065, United States
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Memorial Sloan Kettering Commack (Consent only)
Commack, New York, 11725, United States
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Montefiore Health Systems (Montefiore Medical Center)
The Bronx, New York, 10467, United States
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Mount Sinai Hospital
New York, New York, 10029, United States
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Mount Sinai West
New York, New York, 10029, United States
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NorthShore University Health System
Evanston, Illinois, 60201, United States
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Northwestern Medicine (Data Collection)
Chicago, Illinois, 60611, United States
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Ohio State University
Columbus, Ohio, 43210, United States
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Ottawa Hospital
Ottawa, Ontario, K1H 8L6, Canada
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Pennsylvania State Hershey
Hershey, Pennsylvania, 17033, United States
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Providence Health & Services (Portland Med Ctr)
Portland, Oregon, 97213, United States
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Sunnybrook Health Sciences Centre
Toronto, Ontario, M4N 3M5, Canada
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Thomas Jefferson University Hospital
Philadelphia, Pennsylvania, 19107, United States
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UC Davis Comprehensive Cancer Center
Sacramento, California, 95817, United States
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University of Iowa
Iowa City, Iowa, 52242, United States
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University of Nebraska Medical Center
Omaha, Nebraska, 68198-7680, United States
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University of Utah
Salt Lake City, Utah, 84112, United States
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University of Washington School of Medicine
St Louis, Missouri, 63110, United States
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University of Wisconsin
Madison, Wisconsin, 53792, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Gut bacteria may hold clues to why some cancer treatments work better
- Can a blood test before pancreatic surgery predict a dangerous leak?
- New chemo cocktail targets pancreatic cancer at every stage
- Bacteria-Based immunotherapy targets pancreatic tumors in first human test
- Can a new radiation machine cut breath holds for cancer patients?
- Two oral drugs join chemotherapy in a bid to shrink pancreatic tumors