Clinical trial Recruiting at 3 sites Interventional Ages 18 and up

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.

More Pancreatoduodenectomy trials

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment436 (estimated)
SponsorThe Cleveland Clinic
Academic / other
Locations3 sites (Akron, Ohio and 2 other locations)
StatusRecruiting
StartedJanuary 13, 2026
Main results expectedDecember 2030
Study endsFebruary 2031
Registry record updatedJanuary 21, 2026
Trial IDNCT07318493 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

  • 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

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.