Evidence map›Paper›PMID 37709311›Full record

Trial reportBMJ open2023

Evaluation of the effectiveness and safety of oral vancomycin versus placebo in the prevention of recurrence of

Rafael San-Juan, Julia Origuen, Karen Campion, Mario Fernández-Ruiz, Beatriz Diaz-Pollan, Alejandro Callejas-Diaz, Giancarlo Candela, Maria Angeles Orellana, David Lora, Irene Llorente Muñoz and 4 more

2 registry-linked trialsAbstract readRandomized Controlled TrialClinical Trial, Phase III
In one paragraph

Trial report in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05320068 phase3completednot on this map

Phase III,randomized,double-blinded Clinical Trial to Evaluate the Effectiveness and Safety of Oral Vancomycin Vs Placebo in the Prevention of Recurrence of C.difficile Infection in Patients Under Treatment with Systemic Antibiotic Therapy

TypeinterventionalSponsorJulia OrígüenRan2022 to 2024Enrolled24ConditionsClostridioides Difficile InfectionArmsOral Vancomycin, Placebo
NCT06979609 phase2 / phase3recruitingnot on this mapstarted 2025, after this paper: background citation

Secondary Prophylaxis of Recurrent Clostridioides Difficile Infections During Systemic Antibiotics With Vancomycin: A Randomized Controlled Trial

TypeinterventionalSponsorMcGill University Health Centre/Research Institute of the McGill University Health CentreRan2025 to 2029Enrolled300ConditionsClostridioides Difficile Infection, Clostridioides Difficile Infection Recurrence, Clostridoides Difficile Associated DiseaseArmsOral Vancomycin Prophylaxis, Placebo
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Clinical microbiology reviews · 2024
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Rafael San-JuanDepartment of Infectious Diseases, Hospital Universitario "12 de Octubre", Madrid, Spain rafasjg@yahoo.es.ORCID 0000-0003-3446-1991
Julia OriguenDepartment of Infectious Diseases, Hospital Universitario "12 de Octubre", Madrid, Spain.
Karen CampionDepartment of Infectious Diseases, Hospital Universitario "12 de Octubre", Madrid, Spain.
Mario Fernández-RuizDepartment of Infectious Diseases, Hospital Universitario "12 de Octubre", Madrid, Spain.
Beatriz Diaz-PollanDepartment of Internal Medicine, La Paz University Hospital, Madrid, Spain.ORCID 0000-0002-7241-4208
Alejandro Callejas-DiazDepartment of Internal Medicine, Puerta de Hierro University Hospital of Majadahonda, Majadahonda, Spain.ORCID 0000-0002-7516-8348
Giancarlo CandelaDepartment of Internal Medicine, Severo Ochoa University Hospital, Leganes, Spain.
Maria Angeles OrellanaDepartment of Microbiology, Hospital Universitario "12 de Octubre", Madrid, Spain.
David LoraClinical Research Unit (I+12), Hospital Universitario 12 de Octubre, Madrid, Spain.ORCID 0000-0002-3317-5689
Irene Llorente MuñozSCREN, Fundacion para la Investigacion Biomedica del Hospital Universitario 12 de Octubre, Madrid, Spain.ORCID 0000-0002-4664-8609
Maria Teresa GarciaSCREN, Fundacion para la Investigacion Biomedica del Hospital Universitario 12 de Octubre, Madrid, Spain.
Maite Martinez-UñaDepartment of Pharmacy, Hospital Universitario "12 de Octubre", Madrid, Spain.ORCID 0000-0002-3543-5173
Jose Miguel FerrariDepartment of Pharmacy, Hospital Universitario "12 de Octubre", Madrid, Spain.
Jose M AguadoDepartment of Infectious Diseases, Hospital Universitario "12 de Octubre", Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMETHODS AND ANALYSIS: We will perform a phase III, multicentre, placebo-controlled RCT (PREVAN trial) in a 2:1 ratio in favour of SPV (experimental treatment), in four tertiary care hospitals in Spain. Adult patients (≥18 years) with a previous history of CDI in the previous 180 days and with requirement for hospitalisation and systemic antibiotic therapy will be randomly allocated to receive either 125 mg of oral vancomycin or placebo every 6 hours for 10 days. Patients will be followed for 60 days after the end of treatment to verify a reduction in the rate of CDI recurrence in the experimental group. We assume a recurrence rate of 5% in the experimental group versus 25% in the placebo group. Accepting an alpha risk of 0.05 and a beta risk of 0.2 in a two-sided test, 104 subjects will be required in total (68 assigned to the SPV group and 34 to the placebo group). ETHICS AND DISSEMINATION: Ethical approval has been obtained from the Ethic Committee for Research with medicinal products of the University Hospital '12 de Octubre' (AC069/18) and from the Spanish Medicines and Healthcare Product Regulatory Agency (AEMPS, AC069/18), which is valid for all participating centres under existing Spanish legislation. The results will be presented at international meetings and will be made available to patients and funders. TRIAL REGISTRATION NUMBER: NCT05320068.

Indexed as

Clostridium InfectionsVancomycinAdultAnti-Bacterial AgentsHospitals, UniversityHumansSecondary PreventionAnti-Bacterial AgentsVancomycinepidemiologygastrointestinal infectionsinfection control

Identifiers

PMID37709311
PMCPMC11148698

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.