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Brain surgery infection fighter: vancomycin powder put to the test
NCT ID NCT02284126
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested whether applying vancomycin powder directly to the surgical wound during brain surgery can reduce infections. Over 1,100 adults having neurosurgery were randomly assigned to receive either the topical vancomycin or standard care. The main goal was to see if the treatment lowered the rate of surgical site infections within 90 days.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Vancomycin (topical powder or paste)
- What this could lead to
- If it works, this could provide a simple way to lower infection risk after brain surgery, reducing complications and hospital stays.
- What could go wrong
- This is a single-blinded trial; results may not apply to all surgeries. Vancomycin resistance or side effects are possible.
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
-
Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
-
1,103 people
The number who actually took part.
- Start date
-
Oct 2014
- Finished
-
Nov 2020
- 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: * Adult (18+) neurosurgical procedure (ie.Craniotomy, Craniectomy, and Cranioplasty) Exclusion Criteria: * Creatinine \> 1.50 mg/dL on admission * Vancomycin allergy (documented or self-reported) * Evidence of infection at or near the planned surgical site * No planned dural or dural-substitute closure * Spinal instrumentation (topical vancomycin is already standard of care) * No surface area to apply:Carotid endarterectomy, MRI-guided laser ablation * Trans-sphenoidal approach * Acoustic neuroma resection * Surgeon preference for or against use in the given procedure
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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
-
Columbia University Medical Center
New York, New York, 10032, United States
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