Prophylactic Antibiotics in Cystectomy With Diversion

Trial statusRecruiting
Trial phaseEarly Phase 1
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Minnesota

About this trial

Using a randomized 2 arm design, this study is being conducted to test for non-inferiority of no prophylactic antibiotic therapy versus the prophylactic oral antibiotic, nitrofurantoin, through comparison of rates of postoperative urinary tract infections within the 90-day postoperative period in patients with muscle invasive bladder cancer who undergo radical cystectomy with urinary diversion.

Eligibility criteria

Qualifiers

Presence of muscle invasive bladder cancer and planning to undergo radical cystectomy with either ileal conduit or neobladder diversion.

18 years of age or older

Disqualifiers

Currently receiving antimicrobials for active infection

Poor renal function with GFR < 30 ml/min

Allergy to nitrofurantoin and unable to take an alternative antibiotic (cephalexin, trimethoprim-sulfamethoxazole, or ciprofloxacin)

Pregnancy

Trial design

Treatments tested in this trial

  • Prophylactic antibiotics postoperatively.

Treatment groups

120 Participants
are divided into 2 treatment groups

Sponsors and collaborators