Actively Recruiting

Phase 2
Phase 3
Age: 18Years +
All Genders
ID05169229

Antibiotic Impregnated Bone Graft to Reduce Infection in Hip Replacement. The ABOGRAFT Trial

Led by University Hospital, Linkoeping · Updated on 2025-07-22

1100

Participants Needed

1

Research Sites

156 weeks

Total Duration

On this page

Sponsors

U

University Hospital, Linkoeping

Lead Sponsor

R

Region Östergötland

Collaborating Sponsor

AI-Summary

What this Trial Is About

Total hip replacement is a common and effective surgery to improve quality of life, but infections around the artificial joint can be a serious problem. This trial studies whether using antibiotic-treated bone grafts can lower infection rates after hip replacement surgery compared to bone grafts treated with a placebo. It focuses on patients undergoing elective hip arthroplasty, including complex revision surgeries, aiming to reduce infections that often require additional operations. Participants are randomly assigned to one of two groups: one receives a combination of vancomycin and tobramycin antibiotics mixed into bone graft material, while the other group receives a placebo saline solution mixed with the bone graft. These treatments are applied locally during revision hip surgeries. This is a double-blind trial, meaning neither patients nor doctors know which treatment is given. The study follows participants for at least two years after surgery to assess outcomes. Throughout the trial, researchers will monitor participants for reoperations caused by infections sensitive to the antibiotics used. They will also track reasons and timing of any reoperation or implant revision within two and five years. Participants will undergo regular follow-up visits to evaluate infection status and joint function. The study collects data on bacterial types and antibiotic resistance in any infections. This close monitoring helps assess the safety and effectiveness of the antibiotic bone graft over time.

CONDITIONS

Brief Title

Antibiotic Impregnated Bone Graft to Reduce Infection in Hip Replacement.

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 years or older
  • Scheduled for hip arthroplasty requiring bone graft
  • Willing to provide informed consent
  • For women of childbearing potential, negative pregnancy test prior to reoperation
Not Eligible

You will not qualify if you...

  • Active prosthetic joint infection
  • Known allergy or contraindication to vancomycin or tobramycin
  • Mental, language, or cognitive difficulties affecting study understanding
  • Expected difficulty completing 2-year follow-up
  • Women of childbearing potential not using contraception
  • Pregnant women
  • Nursing women

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Treatment

Duration - Surgery day

Participants receive a combination of vancomycin and tobramycin or saline added to bone graft during revision hip arthroplasty surgery.

1 surgery visit (in-person)

Follow-up

Duration - Up to 5 years

Participants are monitored for up to 5 years after surgery to assess infection and implant outcomes.

Scheduled follow-up visits over 2 and 5 years

Trial Site Locations

Total: 1 location

1

Universitetssjukhuset Linköping

Linköping, Region Östergotland, Sweden, 58185

Actively Recruiting

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Research Team

D

Daphne Wezenberg, PhD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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