New gut cleaner could make colon surgery safer
NCT ID NCT07180615
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study tests whether a gut-cleaning routine using rifaximin works as well as the standard neomycin/metronidazole combination to prevent infections after colon surgery. About 458 adults having planned colon surgery will take one of the two treatments the day before surgery. Researchers will track infections, deaths, and hospital stay length for 30 days after surgery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Rifaximin (Xifaxan) or Neomycin/Metronidazole
- What this could lead to
- If it works, this could offer a simpler, better-tolerated gut-cleaning option before colon surgery to reduce infection risk.
- What could go wrong
- This is a phase 4 trial comparing two established drugs, so major surprises are unlikely. The main risk is that rifaximin may not prevent infections as effectively as the standard combination.
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 458 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jun 2026
An estimate. Start dates often move.
- Expected to finish
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Jun 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.
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: * aged ≥ 18 years * undergoind planned colon surgery * colon surgery will be included in Swissnoso SSI surveillance * informed consent Exclusion Criteria: * contraindications and/or intolerance to one of the study compounds * patients with underlying active infection (wound contamination class IV) at the timepoint of incision * pregnant women * unable to follow study protocol
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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
4 sites. 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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Kantonsspital Aarau
Aarau, 5001, Switzerland
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Kantonsspital St. Gallen
Sankt Gallen, 9007, Switzerland
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Luzerner Kantonsspital
Lucerne, 6006, Switzerland
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Stadtspital Triemli
Zurich, 8063, Switzerland
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