One-Dose antibiotic could slash ventilator pneumonia deaths in brain injury patients
NCT ID NCT06819592
First seen Jun 27, 2026 · Last updated Aug 28, 2026 · Updated 1 time
Summary
This study tests whether giving a single dose of a common antibiotic soon after a breathing tube is placed can prevent lung infections and improve survival in ICU patients with severe brain injuries. Researchers will enroll 3,300 adults on ventilators due to stroke, trauma, or lack of oxygen. The goal is to see if early prevention of pneumonia leads to better recovery and lower death rates.
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 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 3,300 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2025
- Expected to finish
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Dec 2029
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.
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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: 1. ≥ 18 years of age 2. Receiving invasive mechanical ventilation 3. The requirement for mechanical ventilation is because of an acute brain injury due to intracranial haemorrhage, ischaemic stroke, cerebral venous sinus thrombosis, subarachnoid haemorrhage, suspected hypoxic ischaemic encephalopathy post cardiac arrest, or traumatic brain injury. 4. Admitted to an ICU or is anticipated to be admitted to an ICU Exclusion Criteria: 1. Endotracheal intubation was more than 12 hours ago 2. Hospital admission was more than 72 hours ago 3. Anticipated inability to deliver trial intervention within 90 minutes of randomisation 4. Documented use of antibiotic therapy in the week prior to hospitalisation 5. Currently receiving antibiotic therapy, or intention to prescribe antibiotic therapy, excluding cephazolin for peri-operative prophylaxis 6. Any contraindication to receiving ceftriaxone 7. Known or suspected pregnancy 8. Death within 90 days is deemed inevitable due to the current illness or intercurrent medical conditions 9. Previously enrolled in the PREVENT-NEURO trial.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
29 sites in 3 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
Locations
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Austin Health
NOT_YET_RECRUITINGHeidelberg, Victoria, 3084, Australia
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Bendigo Health
NOT_YET_RECRUITINGBendigo, Victoria, 3550, Australia
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Canberra Hospital
NOT_YET_RECRUITINGCanberra, Australian Capital Territory, 2605, Australia
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Dubbo Health Service
NOT_YET_RECRUITINGDubbo, New South Wales, 2830, Australia
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Eastern Health Box Hill
NOT_YET_RECRUITINGBox Hill, Victoria, 3128, Australia
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Fiona Stanley Hospital
NOT_YET_RECRUITINGPerth, Western Australia, 6150, Australia
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Footscray Hospital Western Health
NOT_YET_RECRUITINGFootscray, Victoria, 3011, Australia
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Gold Coast University Hospital
NOT_YET_RECRUITINGGold Coast, Queensland, 4215, Australia
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Liverpool Hospital
NOT_YET_RECRUITINGLiverpool, New South Wales, 2170, Australia
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Nepean Hospital
RECRUITINGKingswood, New South Wales, 2747, Australia
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Princess Alexandra Hospital
RECRUITINGWoolloongabba, Queensland, 4102, Australia
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Royal Adelaide Hospital
NOT_YET_RECRUITINGAdelaide, South Australia, 5000, Australia
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Royal Brisbane and Women's Hospital
RECRUITINGHerston, Queensland, 4006, Australia
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Royal Darwin Hospital
NOT_YET_RECRUITINGTiwi, Northern Territory, 0810, Australia
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Royal Hobart Hospital
NOT_YET_RECRUITINGHobart, Tasmania, 7000, Australia
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Royal North Shore Hospital
RECRUITINGSydney, New South Wales, 2000, Australia
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Royal Perth Hospital
NOT_YET_RECRUITINGPerth, Western Australia, 6000, Australia
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Royal Prince Alfred Hospital
NOT_YET_RECRUITINGCamperdown, New South Wales, 2050, Australia
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Sir Charles Gairdner Hospital
NOT_YET_RECRUITINGNedlands, Western Australia, 6009, Australia
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St George Hospital
RECRUITINGKogarah, New South Wales, 2217, Australia
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St Vincent's Hospital Melbourne
NOT_YET_RECRUITINGFitzroy, Victoria, 3065, Australia
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St. Vincent's Health Sydney
NOT_YET_RECRUITINGDarlinghurst, New South Wales, 2010, Australia
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Sunshine Hospital - Western Health
NOT_YET_RECRUITINGSaint Albans, Victoria, 3021, Australia
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The Alfred Hospital
NOT_YET_RECRUITINGMelbourne, Victoria, Australia
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The George Institute
NOT_YET_RECRUITINGRandwick, New South Wales, 2031, Australia
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Townsville University Hospital
NOT_YET_RECRUITINGDouglas, Queensland, 4814, Australia
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University of Alberta
NOT_YET_RECRUITINGEdmonton, Alberta, T6G 2R3, Canada
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Wellington Hospital
RECRUITINGWellington, New Zealand
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Westmead Hospital
NOT_YET_RECRUITINGWestmead, New South Wales, 2145, Australia
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Other studies related to the condition(s) this trial covers.
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