Actively Recruiting

Phase Not Applicable
All Genders
NCT06323668

Cardiac Implantable Electronic Device RemOval Versus Full CoUrse Medical Treatment

Led by Rigshospitalet, Denmark · Updated on 2024-11-20

180

Participants Needed

1

Research Sites

715 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The CIEDOUT study is an open label randomized trial in patients with possible cardiac implantable electronic device (CIED) infection. The hypothesis is that CIED removal + guideline antibiotic therapy is better than 6-weeks antibiotic therapy alone in preventing death or relapse of bacteremia in patients with bacteremia and possible CIED infection (not definite CIED infection). The objective of this study is to test whether CIED removal + guideline antibiotic therapy is superior to 6-weeks antibiotic therapy alone in prevention of the composite endpoint of death or relapse bacteremia after 6 months of follow-up in patients with CIED and systemic infection but without definite CIED infection.

CONDITIONS

Official Title

Cardiac Implantable Electronic Device RemOval Versus Full CoUrse Medical Treatment

Who Can Participate

All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Possible cardiac implantable electronic device (CIED) infection
  • Bacteremia or fungemia with Staphylococcus aureus detected in at least 1 positive blood culture or CoNS, Cutibacterium spp., Candida spp., Streptococcus spp. (except Streptococcus pneumoniae), and Enterococcus faecalis detected in at least 2 positive blood cultures
  • Or left-sided valve infective endocarditis
  • Possible CIED infection with bacteremia or fungemia detected in at least 1 positive blood culture with the specified microorganisms
Not Eligible

You will not qualify if you...

  • Unavailable for follow-up (e.g., tourist)
  • Unwilling to sign informed consent
  • Unable to sign informed consent
  • Not a candidate by clinician discretion
  • Definite CIED infection
  • Clinical frailty score of 7 or higher
  • EUROSCORE II greater than 33%
  • Forced expiratory volume in one second (FEV1) less than 1 liter or less than 30% of expected

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Copenhagen University Hospital, Rigshospitalet

Copenhagen, Denmark

Actively Recruiting

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Research Team

E

Emil L Fosbøl, MD, PhD

CONTACT

A

Amna Alhakak, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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