Actively Recruiting

Phase 4
Age: 18Years +
All Genders
NCT07186634

PeRiOperative Medicine Platform Trial

Led by Monash University · Updated on 2026-04-17

7800

Participants Needed

2

Research Sites

503 weeks

Total Duration

On this page

Sponsors

M

Monash University

Lead Sponsor

T

The Alfred

Collaborating Sponsor

AI-Summary

What this Trial Is About

Our specific aims are to investigate whether conservative (≤30%), intermediate (50%), or liberal (80%) inspired oxygen during and immediately after surgery: Aim 1: Reduces surgical site infections (SSIs or "wound infections") and other healthcare-associated infections (pneumonia and sepsis). Aim 2: Reduces a pooled composite of serious postoperative complications, leading to a faster and more complete recovery after surgery, and thus increases "days alive and at home up to 30 days after surgery" (DAH30). Primary hypothesis: Liberal (80%) oxygen concentration delivered with anesthesia in patients undergoing major surgery reduces the incidence of SSIs after surgery compared to conservative (≤30%) or intermediate (50%) oxygen concentration. Secondary hypothesis: Hyperoxia (50-80%) delivered with anesthesia in patients undergoing major surgery increases the incidence of pulmonary and other complications after surgery compared to conservative (≤30%) oxygen concentration, resulting in fewer Days At Home (DAH). PROMPT enrolls patients undergoing elective or semi-elective surgery.

CONDITIONS

Official Title

PeRiOperative Medicine Platform Trial

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adult patient (18 years of age or older at time of admission)
  • Scheduled to undergo a surgical procedure involving a skin incision
  • Expected surgery duration of at least 2 hours
  • Planned overnight hospital stay of at least 1 night
  • Surgery may include cardiac, orthopedic, obstetric, or gynecological procedures
Not Eligible

You will not qualify if you...

  • ASA physical status 5 (moribund, not expected to survive with or without an operation)
  • Inability to provide informed consent
  • Previous participation in PROMPT within the prior 30 days
  • ASA physical status 1 or 2
  • Undergoing cardiac surgery
  • Undergoing thoracic surgery if one-lung ventilation is required
  • Currently suspected or proven infection
  • Advanced lung disease requiring home oxygen therapy
  • Previous bleomycin therapy
  • Known or suspected pregnancy

AI-Screening

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Trial Site Locations

Total: 2 locations

1

The Alfred

Melbourne, Victoria, Australia, 3004

Actively Recruiting

2

Wellington Hospital

Wellington, NZ, New Zealand, 6012

Actively Recruiting

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Research Team

P

Paul S Myles, DSc

CONTACT

T

Trisha Peel, PhD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

TRIPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

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