Ventricular irrigation to treat ventriculitis
Official title: Safety and Efficacy of Ventricular Irrigation for Ventriculitis: a Randomized Controlled Trial
Run by RenJi Hospital · NCT06358209 · Data updated 2026-11-12
This test will see if flushing infected brain ventricles (ventricular irrigation) helps adults with purulent ventriculitis recover faster and have fewer complications than standard treatment.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 65 Years |
| Sex | All |
| Enrollment | 310 (estimated) |
| Sponsor | RenJi Hospital Academic / other |
| Locations | 35 sites (Hefei, Anhui and 34 other locations) |
| Status | Recruiting |
| Started | July 1, 2025 |
| Main results expected | June 30, 2028 |
| Study ends | December 31, 2028 |
| Registry record updated | September 10, 2026 |
| Trial ID | NCT06358209 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18–65 with purulent CSF (cloudy/yellow) and WBC >1000×10^6/L, fever, and either positive CSF microbiology or CT/MRI evidence of intraventricular pus who can tolerate surgical intervention and give consent.
✕Probably not a fit
Patients unlikely to benefit include those with a Glasgow Coma Scale of 3, unstable vital signs (no spontaneous breathing or needing pressors), severe bleeding risk that precludes surgery, and pregnant or lactating women.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Ventriculitis is a life-threatening infection of the brain’s ventricular system often associated with neurosurgical devices or procedures and with high mortality and long-term neurological disability. This interventional approach adds surgical ventricular irrigation—flushing and clearing pus from the ventricles, typically via external ventricular access—to standard antimicrobial therapy. The trial enrolls adults with purulent CSF (cloudy or yellow fluid with very high white blood cell counts), fever, and either positive CSF microbiology or CT/MRI evidence of intraventricular pus. Multiple hospitals in Anhui, China, led by RenJi Hospital and academic collaborators will track safety, infection clearance, mortality, and functional neurological outcomes.
Why it matters
Potential benefit: If successful, ventricular irrigation could speed clearance of infection, lower mortality, and reduce long-term neurological disability in patients with purulent ventriculitis.
How similar studies have gone: Several recent case series and observational studies suggest ventricular irrigation can speed infection control and may improve outcomes, but high-quality randomized evidence is still limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age 18-65 years old; * CSF is purulent (it appears cloudy or yellow) and white blood cell count over 1000×10\^6/L. * Fever (\>38.0°C) * Meet at least one of the following: 1. Patient has organism(s) identified from CSF by a culture or non-culture based microbiologic testing method; 2. Cranial CT or MRI indicating intraventricular floccule or pus. * With consent form Exclusion Criteria: * With GCS score of 3 * With unstable vital signs such as no spontaneous breathing and blood pressure maintenance drugs * With severe propensity for bleeding (Such as coagulation dysfunction, active bleeding, etc.), and unable to tolerate the surgical procedures or operations related to ventricular irrigation treatment. * Pregnant or lactating women
Where it's running
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Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology
Wuhan, Hubei, China Recruiting -
Renji Hospital, School of Medicine, Shanghai Jiaotong University
Shanghai, Shanghai Municipality, China Recruiting -
Shanghai Donglei Brain Hospital
Shanghai, Shanghai Municipality, China Recruiting -
South taihu hospital affiliated to huzhou college
Huzhou, Zhejiang, China Recruiting -
The First Affiliated Hospital of University of Science and Technology of China
Hefei, Anhui, China Not yet recruiting -
The Second People's Hospital of Anhui Province
Hefei, Anhui, China Not yet recruiting
Show 29 more locations
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The First Affiliated Hospital of Wannan Medical College
Wuhu, Anhui, China Not yet recruiting -
Xuanwu Hospital Capital Medical University
Beijing, Beijing Municipality, China Not yet recruiting -
The First Affiliated Hospital of Fujian Medical University
Fuzhou, Fujian, China Not yet recruiting -
Nanfang Hospital, Southern Medical University
Guangzhou, Guangdong, China Not yet recruiting -
Zhujiang Hospital of Southern Medical University
Guangzhou, Guangdong, China Not yet recruiting -
Shenzhen Second People's Hospital
Shenzhen, Guangdong, China Not yet recruiting -
Zhongshan Hospital of Traditional Chinese Medicine
Zhongshan, Guangdong, China Not yet recruiting -
The First Affiliated Hospital of Harbin Medical University
Harbin, Heilongjiang, China Not yet recruiting -
Henan Provincial People's Hospital
Zhengzhou, Henan, China Not yet recruiting -
Xiangya Hospital of Central South University
Changsha, Hunan, China Not yet recruiting -
Jiangsu Province Hospital
Nanjing, Jiangsu, China Not yet recruiting -
Nanjing Drum Tower Hospital
Nanjing, Jiangsu, China Not yet recruiting -
Affiliated Hospital of Nantong University
Nantong, Jiangsu, China Not yet recruiting -
The First Affiliated Hospital of Soochow University
Suzhou, Jiangsu, China Not yet recruiting -
904 Hospital of the People's Liberation Army Joint Logistic Support Force
Wuxi, Jiangsu, China Not yet recruiting -
Affiliated Hospital of Yangzhou University
Yangzhou, Jiangsu, China Not yet recruiting -
Ganzhou People's Hospital
Ganzhou, Jiangxi, China Not yet recruiting -
The Second Affiliated Hospital of Nanchang University
Nanchang, Jiangxi, China Not yet recruiting -
The Fourth Affiliated Hospital of China Medical University
Shenyang, Liaoning, China Not yet recruiting -
The Second Affiliated Hospital of Air Force Medical University
Xi'an, Shaanxi, China Not yet recruiting -
Qilu Hospital of Shandong University
Jinan, Shandong, China Not yet recruiting -
Shanghai East Hospital
Shanghai, Shanghai Municipality, China Not yet recruiting -
Shanghai Tenth People's Hospital
Shanghai, Shanghai Municipality, China Not yet recruiting -
The Second Affiliated Hospital of Naval Medical University
Shanghai, Shanghai Municipality, China Not yet recruiting -
West China Hospital, Sichuan University
Chengdu, Sichuan, China Not yet recruiting -
Inner Mongolia People's Hospital
Hohhot, The Nei Monggol Autonomous Region, China Not yet recruiting -
The First Affiliated Hospital of Xinjiang Medical University
Ürümqi, Xinjiang Uygur Autonomous Region, China Not yet recruiting -
First Affiliated Hospital of Zhejiang University
Hangzhou, Zhejiang, China Not yet recruiting -
The affiliated people's hospital of ningbo university
Ningbo, Zhejiang, China Not yet recruiting
Study contacts
- Principal investigator: Jiyao Jiang, Dr — Renji Hospital, School of Medicine, Shanghai Jiaotong University
- Study coordinator: Jiyao Jiang, Dr
- Email: jiyaojiang@126.com
- Phone: 021-68383729
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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.