Antiseptic-coated sutures to reduce pancreatic fistula risk after Whipple
Official title: Does Antiseptic Coated Suture Reduce Pancreatic Fistula Rate After Pancreatoduodenectomy: A Randomized Controlled Trial
Run by The Cleveland Clinic · NCT07318493 · Data updated 2026-11-12
This trial tests whether using antiseptic-coated sutures during a Whipple procedure reduces the chance of developing a pancreatic fistula within 90 days after surgery.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 436 (estimated) |
| Sponsor | The Cleveland Clinic Academic / other |
| Locations | 3 sites (Akron, Ohio and 2 other locations) |
| Status | Recruiting |
| Started | January 13, 2026 |
| Main results expected | December 2030 |
| Study ends | February 2031 |
| Registry record updated | January 21, 2026 |
| Trial ID | NCT07318493 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18 years) scheduled for elective pancreatoduodenectomy who can provide informed consent and have not had prior pancreatic surgery are ideal candidates.
✕Probably not a fit
Patients undergoing emergency operations, those with prior pancreatic surgery, pregnant patients, minors, or people unable to consent are not eligible and would not benefit from participation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized controlled superiority trial will assign adult patients undergoing a scheduled pancreatoduodenectomy (Whipple) to receive either antiseptic (triclosan)-coated sutures or standard non-coated sutures. The primary outcome is the rate of clinically significant postoperative pancreatic fistula within 90 days after surgery. Randomization occurs at Cleveland Clinic sites in Ohio and both suture types are already used at these centers. The goal is to see if the antiseptic coating lowers clinically important fistula rates compared with standard sutures.
Why it matters
Potential benefit: If successful, antiseptic-coated sutures could lower rates of postoperative pancreatic fistula and reduce related infections, reinterventions, and hospital stay.
How similar studies have gone: Triclosan-coated sutures have reduced surgical-site infections in some abdominal and general surgery studies, but evidence specifically showing reduced pancreatic fistula after Whipple procedures is limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Subjects must be undergoing a scheduled pancreatoduodenectomy. * Age ≥18 years. * Subjects must have the ability to understand and the willingness to sign a written informed consent document Exclusion Criteria: * Patients \< 18 years old * Patients who are pregnant * Patients with history of previous pancreatic surgery * Patients who are unable to provide informed consent
Where it's running
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Cleveland Clinic Akron
Akron, Ohio, United States Recruiting -
Cleveland Clinic
Cleveland, Ohio, United States Recruiting -
Cleveland Clinic Fairview Hospital
Fairview, Ohio, United States Recruiting
Study contacts
- Principal investigator: Toms Augustin, MD — The Cleveland Clinic
- Study coordinator: Christine Moegling, BS
- Email: Drabekc@ccf.org
- Phone: 216 399-4706
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Continuous nefopam infusion after pancreatoduodenectomy
This trial will test whether a continuous infusion of nefopam can lower opioid use and reduce pain for people having a pancreatoduodenectomy.
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Comparing general anesthesia to combined anesthesia during pancreatic surgery
This study is testing whether using general anesthesia alone or combined with an epidural is better for people having pancreatic surgery, focusing on how it affects blood pressure and other related issues during and after the operation.
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Using indocyanine green to check blood flow in the pancreatic remnant during pancreaticoduodenectomy
This trial will try using indocyanine green during pancreaticoduodenectomy to visualize blood flow and see if that lowers postoperative pancreatic fistula in adults having the operation.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.