Trial Outcomes & Findings for Antibacterial-coated Sutures at Time of Cesarean (NCT NCT03386240)

NCT ID: NCT03386240

Last Updated: 2026-06-22

Results Overview

Number of Participants With Endometritis, Wound Infection, or Other Post-Cesarean Infections post-cesarean infections occurring within 30 days of delivery, including endometritis, wound infection, or other infections. Endometritis: Presence of two or more of the following signs with no other identified etiology: fever (\>38°C or \>100.4°F), abdominal pain, fundal tenderness, or cervical/vaginal purulent discharge. Wound Infection: Presence of superficial or deep incisional surgical site infection (SSI), including cellulitis/erythema, induration around the incision, or purulent discharge from the incision site with or without fever, including necrotizing fasciitis. Wound hematoma, seroma, or wound breakdown alone without signs of infection was not considered infection. Other Infections: Pelvic septic thrombosis diagnosed based on persistent signs of endometritis with or without radiologic confirmation, or abdominal/pelvic abscess confirmed radiologically.

Recruitment status

TERMINATED

Study phase

PHASE4

Target enrollment

1169 participants

Primary outcome timeframe

Within 30 days following delivery

Results posted on

2026-06-22

Participant Flow

Participant milestones

Participant milestones
Measure
Vicryl-plus, Monocryl-plus, PDS-plus (Triclosan-coated Sutures
Use of Monocryl Plus, Vicryl Plus and PDS Plus Suture (Triclosan-coated sutures) will be used exclusively throughout the entire procedure. Vicryl-plus, monocryl-plus, PDS-plus (Triclosan-coated Sutures): The intervention consists of using Plus group (Triclosan-coated Sutures)
Vicryl, Monocryl, PDS (Not Coated With Triclosan)
Use of Monocryl, Vicryl and PDS Suture (equivalent uncoated sutures) will be used exclusively throughout the whole procedure. Vicryl, monocryl, PDS (not coated with triclosan): Consists of equivalent sutures (not coated with triclosan) during cesarean delivery.
Overall Study
STARTED
585
584
Overall Study
COMPLETED
585
584
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Antibacterial-coated Sutures at Time of Cesarean

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Vicryl-plus, Monocryl-plus, PDS-plus (Triclosan-coated Sutures
n=585 Participants
Use of Monocryl Plus, Vicryl Plus and PDS Plus Suture (Triclosan-coated sutures) will be used exclusively throughout the entire procedure. Vicryl-plus, monocryl-plus, PDS-plus (Triclosan-coated Sutures): The intervention consists of using Plus group (Triclosan-coated Sutures)
Vicryl, Monocryl, PDS (Not Coated With Triclosan)
n=584 Participants
Use of Monocryl, Vicryl and PDS Suture (equivalent uncoated sutures) will be used exclusively throughout the whole procedure. Vicryl, monocryl, PDS (not coated with triclosan): Consists of equivalent sutures (not coated with triclosan) during cesarean delivery.
Total
n=1169 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Age, Categorical
Between 18 and 65 years
585 Participants
n=20 Participants
584 Participants
n=20 Participants
1169 Participants
n=40 Participants
Age, Categorical
>=65 years
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Sex: Female, Male
Female
585 Participants
n=20 Participants
584 Participants
n=20 Participants
1169 Participants
n=40 Participants
Sex: Female, Male
Male
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
413 Participants
n=20 Participants
433 Participants
n=20 Participants
846 Participants
n=40 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
172 Participants
n=20 Participants
151 Participants
n=20 Participants
323 Participants
n=40 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=20 Participants
0 Participants
n=20 Participants
0 Participants
n=40 Participants
Region of Enrollment
United States
585 participants
n=20 Participants
584 participants
n=20 Participants
1169 participants
n=40 Participants

PRIMARY outcome

Timeframe: Within 30 days following delivery

Number of Participants With Endometritis, Wound Infection, or Other Post-Cesarean Infections post-cesarean infections occurring within 30 days of delivery, including endometritis, wound infection, or other infections. Endometritis: Presence of two or more of the following signs with no other identified etiology: fever (\>38°C or \>100.4°F), abdominal pain, fundal tenderness, or cervical/vaginal purulent discharge. Wound Infection: Presence of superficial or deep incisional surgical site infection (SSI), including cellulitis/erythema, induration around the incision, or purulent discharge from the incision site with or without fever, including necrotizing fasciitis. Wound hematoma, seroma, or wound breakdown alone without signs of infection was not considered infection. Other Infections: Pelvic septic thrombosis diagnosed based on persistent signs of endometritis with or without radiologic confirmation, or abdominal/pelvic abscess confirmed radiologically.

Outcome measures

Outcome measures
Measure
Vicryl-plus, Monocryl-plus, PDS-plus (Triclosan-coated Sutures
n=585 Participants
Use of Monocryl Plus, Vicryl Plus and PDS Plus Suture (Triclosan-coated sutures) will be used exclusively throughout the entire procedure. Vicryl-plus, monocryl-plus, PDS-plus (Triclosan-coated Sutures): The intervention consists of using Plus group (Triclosan-coated Sutures)
Vicryl, Monocryl, PDS (Not Coated With Triclosan)
n=584 Participants
Use of Monocryl, Vicryl and PDS Suture (equivalent uncoated sutures) will be used exclusively throughout the whole procedure. Vicryl, monocryl, PDS (not coated with triclosan): Consists of equivalent sutures (not coated with triclosan) during cesarean delivery.
Participants With Endometritis, Wound Infection, or Other Post-Cesarean Infections
Endometritis
2 Participants
1 Participants
Participants With Endometritis, Wound Infection, or Other Post-Cesarean Infections
Wound Infection
20 Participants
21 Participants
Participants With Endometritis, Wound Infection, or Other Post-Cesarean Infections
Other Post-Cesarean Infections
0 Participants
0 Participants

PRIMARY outcome

Timeframe: Within 30 days following delivery

Number of participants who developed a surgical site infection (SSI) following cesarean delivery.

Outcome measures

Outcome measures
Measure
Vicryl-plus, Monocryl-plus, PDS-plus (Triclosan-coated Sutures
n=585 Participants
Use of Monocryl Plus, Vicryl Plus and PDS Plus Suture (Triclosan-coated sutures) will be used exclusively throughout the entire procedure. Vicryl-plus, monocryl-plus, PDS-plus (Triclosan-coated Sutures): The intervention consists of using Plus group (Triclosan-coated Sutures)
Vicryl, Monocryl, PDS (Not Coated With Triclosan)
n=584 Participants
Use of Monocryl, Vicryl and PDS Suture (equivalent uncoated sutures) will be used exclusively throughout the whole procedure. Vicryl, monocryl, PDS (not coated with triclosan): Consists of equivalent sutures (not coated with triclosan) during cesarean delivery.
Participants With Surgical Site Infection
17 Participants
19 Participants

SECONDARY outcome

Timeframe: Within 30 days following delivery

Number of Maternal Deaths.

Outcome measures

Outcome measures
Measure
Vicryl-plus, Monocryl-plus, PDS-plus (Triclosan-coated Sutures
n=585 Participants
Use of Monocryl Plus, Vicryl Plus and PDS Plus Suture (Triclosan-coated sutures) will be used exclusively throughout the entire procedure. Vicryl-plus, monocryl-plus, PDS-plus (Triclosan-coated Sutures): The intervention consists of using Plus group (Triclosan-coated Sutures)
Vicryl, Monocryl, PDS (Not Coated With Triclosan)
n=584 Participants
Use of Monocryl, Vicryl and PDS Suture (equivalent uncoated sutures) will be used exclusively throughout the whole procedure. Vicryl, monocryl, PDS (not coated with triclosan): Consists of equivalent sutures (not coated with triclosan) during cesarean delivery.
Maternal Deaths
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Within 30 days following delivery

Number of participants who developed wound hematoma or seroma following cesarean delivery. Wound hematoma was defined as a localized collection of blood at the incision site, and seroma was defined as a localized accumulation of serous fluid at the incision site identified during the postoperative follow-up period.

Outcome measures

Outcome measures
Measure
Vicryl-plus, Monocryl-plus, PDS-plus (Triclosan-coated Sutures
n=585 Participants
Use of Monocryl Plus, Vicryl Plus and PDS Plus Suture (Triclosan-coated sutures) will be used exclusively throughout the entire procedure. Vicryl-plus, monocryl-plus, PDS-plus (Triclosan-coated Sutures): The intervention consists of using Plus group (Triclosan-coated Sutures)
Vicryl, Monocryl, PDS (Not Coated With Triclosan)
n=584 Participants
Use of Monocryl, Vicryl and PDS Suture (equivalent uncoated sutures) will be used exclusively throughout the whole procedure. Vicryl, monocryl, PDS (not coated with triclosan): Consists of equivalent sutures (not coated with triclosan) during cesarean delivery.
Participants With Wound Hematoma or Seroma
Wound with Hematoma
0 Participants
1 Participants
Participants With Wound Hematoma or Seroma
Wound with Seroma
1 Participants
0 Participants

SECONDARY outcome

Timeframe: Within 30 days following delivery

Number of participants who developed puerperal fever following cesarean delivery. Puerperal fever was defined as a temperature \>100.4°F occurring after the first 24 hours postpartum or a temperature ≥101°F occurring at any time during the postpartum period.

Outcome measures

Outcome measures
Measure
Vicryl-plus, Monocryl-plus, PDS-plus (Triclosan-coated Sutures
n=585 Participants
Use of Monocryl Plus, Vicryl Plus and PDS Plus Suture (Triclosan-coated sutures) will be used exclusively throughout the entire procedure. Vicryl-plus, monocryl-plus, PDS-plus (Triclosan-coated Sutures): The intervention consists of using Plus group (Triclosan-coated Sutures)
Vicryl, Monocryl, PDS (Not Coated With Triclosan)
n=584 Participants
Use of Monocryl, Vicryl and PDS Suture (equivalent uncoated sutures) will be used exclusively throughout the whole procedure. Vicryl, monocryl, PDS (not coated with triclosan): Consists of equivalent sutures (not coated with triclosan) during cesarean delivery.
Participants With Puerperal Fever
4 Participants
3 Participants

Adverse Events

Vicryl-plus, Monocryl-plus, PDS-plus (Triclosan-coated Sutures

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Vicryl, Monocryl, PDS (Not Coated With Triclosan)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Vicryl-plus, Monocryl-plus, PDS-plus (Triclosan-coated Sutures
n=585 participants at risk
Use of Monocryl Plus, Vicryl Plus and PDS Plus Suture (Triclosan-coated sutures) will be used exclusively throughout the entire procedure. Vicryl-plus, monocryl-plus, PDS-plus (Triclosan-coated Sutures): The intervention consists of using Plus group (Triclosan-coated Sutures)
Vicryl, Monocryl, PDS (Not Coated With Triclosan)
n=584 participants at risk
Use of Monocryl, Vicryl and PDS Suture (equivalent uncoated sutures) will be used exclusively throughout the whole procedure. Vicryl, monocryl, PDS (not coated with triclosan): Consists of equivalent sutures (not coated with triclosan) during cesarean delivery.
Renal and urinary disorders
Unanticipated Problem
0.17%
1/585 • Number of events 1 • 30 days following delivery
1 AE during the study period was reported. We are unaware of any other adverse events during the study period.
0.00%
0/584 • 30 days following delivery
1 AE during the study period was reported. We are unaware of any other adverse events during the study period.

Additional Information

Gayle Olson Koutrouvelis, MD, MPH

UTMB

Phone: 409-747-4905

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place