ISRCTN ISRCTN66140176
DOI https://doi.org/10.1186/ISRCTN66140176
Secondary identifying numbers N/A
Submission date
17/03/2010
Registration date
06/04/2010
Last edited
29/03/2023
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Circulatory System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Diederik van de Beek
Scientific

Department of Neurology
Academic Medical Centre
Meibergdreef 9
Amsterdam
1100 DE
Netherlands

Study information

Study designMulticentre prospective randomised open-label blinded endpoint trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typePrevention
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titlePreventive ceftriaxone to improve functional health in patients with stroke by preventing infection: a multicentre prospective randomised controlled trial
Study acronymPASS
Study objectivesWe hypothesise that preventive use of the antibiotic ceftriaxone improves functional health outcome in patients with stroke by preventing infection.
Ethics approval(s)METC of the Academic Medical Center in Amsterdam pending approval as of 17/03/2010
Health condition(s) or problem(s) studiedStroke, infection
InterventionOur intervention group will be treated with optimal medical care and ceftriaxone 2000 mg, intravenously, 1 time daily, for 4 days. The control group will receive the optimal medical care without ceftriaxone. The total duration of follow-up is 3 months; the primary outcome will then be assessed in a structured interview by telephone.
Intervention typeDrug
Pharmaceutical study type(s)
PhasePhase III
Drug / device / biological / vaccine name(s)Ceftriaxone
Primary outcome measureFunctional health at 3-month follow-up, as assessed by the modified Rankin scale (mRS) dichotomised as a favorable outcome (mRS 0 - 2) or an unfavorable outcome (mRS 3 - 6)
Secondary outcome measures1. Death rate at discharge and 3 months
2. Infection rate during hospital admission
3. Length of hospital admission
4. Volume of post-stroke care
5. Use of antibiotics during the 3 months follow-up
6. Functional health using the full ordinal scoring range of the mRS
7. Quality adjusted life years (QALYs)
8. Costs
Overall study start date01/05/2010
Completion date01/05/2014

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants3200
Total final enrolment2470
Key inclusion criteria1. Aged greater than or equal to 18 years, either sex
2. Stroke (ischaemic and haemorrhagic)
3. Any measurable neurological deficit defined as National Institutes of Health Stroke Scale (NIHSS) greater than 1
4. Stroke onset less than 24 hours
5. Admission
Key exclusion criteria1. Symptoms or signs of infection on admission requiring antibiotic therapy
2. Use of antibiotics less than 24 hours before admission
3. Pregnancy
4. Hypersensitivity for cephalosporin
5. Previous anaphylaxis for penicillin or penicillin-derivates
6. Subarachnoid haemorrhage
Date of first enrolment01/05/2010
Date of final enrolment01/05/2014

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Academic Medical Centre
Amsterdam
1100 DE
Netherlands

Sponsor information

Academic Medical Centre (AMC) (Netherlands)
Hospital/treatment centre

Department of Neurology
Meibergdreef 9
Amsterdam
1105AZ
Netherlands

Website http://www.amc.uva.nl/
ROR logo "ROR" https://ror.org/03t4gr691

Funders

Funder type

Research organisation

Netherlands Organisation for Health Research and Development (ZonMw) (Netherlands) (ref: 171002302)
Private sector organisation / Other non-profit organizations
Alternative name(s)
Netherlands Organisation for Health Research and Development
Location
Netherlands
Netherlands Heart Foundation (Nederlandse Hartstichting) (Netherlands) (ref: CD 300006)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing planNot provided at time of registration

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 21/04/2014 Yes No
Statistical Analysis Plan statistical analysis plan 01/10/2014 No No
Results article results 18/04/2015 Yes No
Results article results 01/07/2018 27/08/2019 Yes No
Results article results 01/01/2020 15/04/2020 Yes No
Results article sub study results 12/01/2021 15/01/2021 Yes No
Other publications Association between leukocyte counts and carotid artery stenosis 08/12/2022 28/12/2022 Yes No
Abstract results Substudy results abstract European Stroke Organisation Conference 2021 03/09/2021 29/03/2023 No No

Editorial Notes

29/03/2023: Abstract added.
28/12/2022: Publication reference added.
15/01/2021: Publication reference added.
15/04/2020: Publication reference added.
27/08/2019: Publication reference and total final enrolment added.