Trial Outcomes & Findings for D-PLEX 310: Safety and Efficacy of D-PLEX in the Prevention of Post Abdominal Surgery Incisional Infection (NCT NCT03633123)

NCT ID: NCT03633123

Last Updated: 2026-03-24

Results Overview

The infection rate and mortality rate were measured by the number and proportion of subjects with either an SSI event (as determined by the blinded and independent adjudication committee, within 30 days post abdominal surgery) or mortality for any reason within 30 days post index surgery

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

202 participants

Primary outcome timeframe

30 days post surgery

Results posted on

2026-03-24

Participant Flow

Subjects who met the eligibility requirements were randomized to either the investigational arm (SOC + D-PLEX) or the control arm (SOC only) in a 1:1 ratio. Subjects were randomized through an interactive web randomization system (IWRS) integrated with the electronic Case Report Form (eCRF), based on the subject's information collected during the screening period and details of the planned surgery.

Participant milestones

Participant milestones
Measure
Standard of Care (SoC)
SOC prophylactic treatment pre-operation will be as per Israeli Ministry of Health and international guidelines: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Standard of Care (SoC): Prophylactic, pre-operation: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Post-operation: this is each participating center standard practice for this type of procedure
D-PLEX + SoC
D-PLEX is provided to suitable and willing study subjects as an adjunct to the SoC treatment D\_PLEX: D\_PLEX is reconstituted into paste and administered in a single application following closure of the fascia, on the fascia suture line, and on the soft tissues of the abdominal wall along the whole length of the surgical wound (including muscle, fat and dermis). Standard of Care (SoC): Prophylactic, pre-operation: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Post-operation: this is each participating center standard practice for this type of procedure
Overall Study
STARTED
101
101
Overall Study
Number of Subjects in the ITT Population
100
101
Overall Study
Actual Number of Subjects Treated in Each Treatment Group (Safety Population)
100
99
Overall Study
COMPLETED
93
100
Overall Study
NOT COMPLETED
8
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Standard of Care (SoC)
SOC prophylactic treatment pre-operation will be as per Israeli Ministry of Health and international guidelines: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Standard of Care (SoC): Prophylactic, pre-operation: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Post-operation: this is each participating center standard practice for this type of procedure
D-PLEX + SoC
D-PLEX is provided to suitable and willing study subjects as an adjunct to the SoC treatment D\_PLEX: D\_PLEX is reconstituted into paste and administered in a single application following closure of the fascia, on the fascia suture line, and on the soft tissues of the abdominal wall along the whole length of the surgical wound (including muscle, fat and dermis). Standard of Care (SoC): Prophylactic, pre-operation: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Post-operation: this is each participating center standard practice for this type of procedure
Overall Study
Lost to Follow-up
1
0
Overall Study
Death
5
0
Overall Study
Not willing to come to the hospital
1
1
Overall Study
The index surgery was not performed hence no abdominal incision
1
0

Baseline Characteristics

Demographic data is based on the safety population.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Standard of Care (SoC)
n=100 Participants
SOC prophylactic treatment pre-operation will be as per Israeli Ministry of Health and international guidelines: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Standard of Care (SoC): Prophylactic, pre-operation: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Post-operation: According to each participating center standard practice for this type of procedure
D-PLEX + SoC
n=101 Participants
D-PLEX is provided to suitable and willing study subjects as an adjunct to the SoC treatment D-PLEX: D-PLEX is reconstituted into paste and administered in a single application following closure of the fascia, on the fascia suture line, and on the soft tissues of the abdominal wall along the whole length of the surgical wound (including muscle, fat and dermis). Standard of Care (SoC): Prophylactic, pre-operation: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Post-operation: According to each participating center standard practice for this type of procedure
Total
n=201 Participants
Total of all reporting groups
Age, Continuous
61.2 years
STANDARD_DEVIATION 16.28 • n=100 Participants • Demographic data is based on the safety population.
60.8 years
STANDARD_DEVIATION 15.27 • n=99 Participants • Demographic data is based on the safety population.
61.0 years
STANDARD_DEVIATION 15.74 • n=199 Participants • Demographic data is based on the safety population.
Sex: Female, Male
Female
39 Participants
n=100 Participants • Subjects demographic and other baseline characteristics were analyzed for the Safety population that includes 100 subjects in the SoC arm and 99 subjects in the D-PLEX + SOC arm
39 Participants
n=99 Participants • Subjects demographic and other baseline characteristics were analyzed for the Safety population that includes 100 subjects in the SoC arm and 99 subjects in the D-PLEX + SOC arm
78 Participants
n=199 Participants • Subjects demographic and other baseline characteristics were analyzed for the Safety population that includes 100 subjects in the SoC arm and 99 subjects in the D-PLEX + SOC arm
Sex: Female, Male
Male
61 Participants
n=100 Participants • Subjects demographic and other baseline characteristics were analyzed for the Safety population that includes 100 subjects in the SoC arm and 99 subjects in the D-PLEX + SOC arm
60 Participants
n=99 Participants • Subjects demographic and other baseline characteristics were analyzed for the Safety population that includes 100 subjects in the SoC arm and 99 subjects in the D-PLEX + SOC arm
121 Participants
n=199 Participants • Subjects demographic and other baseline characteristics were analyzed for the Safety population that includes 100 subjects in the SoC arm and 99 subjects in the D-PLEX + SOC arm
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=100 Participants • Demographic data is based on safety population only
0 Participants
n=99 Participants • Demographic data is based on safety population only
0 Participants
n=199 Participants • Demographic data is based on safety population only
Race (NIH/OMB)
Asian
1 Participants
n=100 Participants • Demographic data is based on safety population only
0 Participants
n=99 Participants • Demographic data is based on safety population only
1 Participants
n=199 Participants • Demographic data is based on safety population only
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=100 Participants • Demographic data is based on safety population only
0 Participants
n=99 Participants • Demographic data is based on safety population only
0 Participants
n=199 Participants • Demographic data is based on safety population only
Race (NIH/OMB)
Black or African American
0 Participants
n=100 Participants • Demographic data is based on safety population only
0 Participants
n=99 Participants • Demographic data is based on safety population only
0 Participants
n=199 Participants • Demographic data is based on safety population only
Race (NIH/OMB)
White
99 Participants
n=100 Participants • Demographic data is based on safety population only
99 Participants
n=99 Participants • Demographic data is based on safety population only
198 Participants
n=199 Participants • Demographic data is based on safety population only
Race (NIH/OMB)
More than one race
0 Participants
n=100 Participants • Demographic data is based on safety population only
0 Participants
n=99 Participants • Demographic data is based on safety population only
0 Participants
n=199 Participants • Demographic data is based on safety population only
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=100 Participants • Demographic data is based on safety population only
0 Participants
n=99 Participants • Demographic data is based on safety population only
0 Participants
n=199 Participants • Demographic data is based on safety population only
BMI
27.47 kg/m^2
STANDARD_DEVIATION 5.27 • n=100 Participants • Subjects demographics and other baseline characteristics were analyzed for the Safety population that includes 100 subjects in the SoC arm and 99 subjects in the D-PLEX + SOC arm
26.72 kg/m^2
STANDARD_DEVIATION 5.16 • n=99 Participants • Subjects demographics and other baseline characteristics were analyzed for the Safety population that includes 100 subjects in the SoC arm and 99 subjects in the D-PLEX + SOC arm
27.09 kg/m^2
STANDARD_DEVIATION 5.22 • n=199 Participants • Subjects demographics and other baseline characteristics were analyzed for the Safety population that includes 100 subjects in the SoC arm and 99 subjects in the D-PLEX + SOC arm
Height
170.24 cm
STANDARD_DEVIATION 9.12 • n=100 Participants • Subjects demographic and other baseline characteristics were analyzed for the Safety population that includes 100 subjects in the SoC arm and 99 subjects in the D-PLEX + SOC arm
168.33 cm
STANDARD_DEVIATION 9.93 • n=99 Participants • Subjects demographic and other baseline characteristics were analyzed for the Safety population that includes 100 subjects in the SoC arm and 99 subjects in the D-PLEX + SOC arm
169.29 cm
STANDARD_DEVIATION 9.55 • n=199 Participants • Subjects demographic and other baseline characteristics were analyzed for the Safety population that includes 100 subjects in the SoC arm and 99 subjects in the D-PLEX + SOC arm
Weight
80.2 kg
STANDARD_DEVIATION 18.66 • n=100 Participants • Subjects demographic other baseline characteristics were analysed for the Safety population that includes 100 subjects in the SoC arm and 99 subjects in the D-PLEX + SOC arm
75.78 kg
STANDARD_DEVIATION 16.07 • n=99 Participants • Subjects demographic other baseline characteristics were analysed for the Safety population that includes 100 subjects in the SoC arm and 99 subjects in the D-PLEX + SOC arm
77.91 kg
STANDARD_DEVIATION 17.51 • n=199 Participants • Subjects demographic other baseline characteristics were analysed for the Safety population that includes 100 subjects in the SoC arm and 99 subjects in the D-PLEX + SOC arm

PRIMARY outcome

Timeframe: 30 days post surgery

Population: Intent to Treat (ITT) population.

The infection rate and mortality rate were measured by the number and proportion of subjects with either an SSI event (as determined by the blinded and independent adjudication committee, within 30 days post abdominal surgery) or mortality for any reason within 30 days post index surgery

Outcome measures

Outcome measures
Measure
Standard of Care (SoC)
n=100 Participants
SOC prophylactic treatment pre-operation will be as per Israeli Ministry of Health and international guidelines: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Standard of Care (SoC): Prophylactic, pre-operation: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Post-operation: this is each participating center standard practice for this type of procedure
D-PLEX + SoC
n=101 Participants
D-PLEX is provided to suitable and willing study subjects as an adjunct to the SoC treatment D\_PLEX: D\_PLEX is reconstituted into paste and administered in a single application following closure of the fascia, on the fascia suture line, and on the soft tissues of the abdominal wall along the whole length of the surgical wound (including muscle, fat and dermis). Standard of Care (SoC): Prophylactic, pre-operation: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Post-operation: this is each participating center standard practice for this type of procedure
The Combined Infection and Mortality Rate Within 30 Days Post Index Surgery
24 Participants
10 Participants

SECONDARY outcome

Timeframe: 30 days post surgery

Population: ITT population

ASEPSIS is acronym of wound assessment and treatment parameters (described in the title), which provides numerically score during an inspection of the surgical site. The final score is being interpreted to severity of wound appearance and the clinical consequences of the infection. Each parameter will be evaluated and numerically scored. Some (Serous discharge \& Erythema) will be marked between 0 - 5 and others (Purulent exudate \& Separation of deep tissue) are marked between 0 - 10 - based on the proportion of the wound they affect when 0 is none and either 5 or 10 are for over 80% of the wound. Other parameters (Additional antibiotic treatment, a requirement for pus drainage, isolation of bacteria \& stay duration as an inpatient) are scored Yes or No. No equals 0. Yes is calculated as either 5 points (for some parameters) or 10 for others. The final score can be in the range of 0 - 70. 0 - 10 for wound which heals satisfactorily and over 40 for a severe wound infection.

Outcome measures

Outcome measures
Measure
Standard of Care (SoC)
n=100 Participants
SOC prophylactic treatment pre-operation will be as per Israeli Ministry of Health and international guidelines: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Standard of Care (SoC): Prophylactic, pre-operation: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Post-operation: this is each participating center standard practice for this type of procedure
D-PLEX + SoC
n=101 Participants
D-PLEX is provided to suitable and willing study subjects as an adjunct to the SoC treatment D\_PLEX: D\_PLEX is reconstituted into paste and administered in a single application following closure of the fascia, on the fascia suture line, and on the soft tissues of the abdominal wall along the whole length of the surgical wound (including muscle, fat and dermis). Standard of Care (SoC): Prophylactic, pre-operation: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Post-operation: this is each participating center standard practice for this type of procedure
Average ASEPSIS Assessment Score (for Parameters Additional Treatment, Serous Discharge, Erythema, Purulent Exudate, Separation of Deep Tissue, Isolation of Bacteria, Stay Duration as Inpatient) During 30 Days Post-surgery.
1.37 score on a scale
Standard Deviation 4.72
0.77 score on a scale
Standard Deviation 3.32

SECONDARY outcome

Timeframe: 30 days post surgery

Population: ITT population

Death from any reason within 30 days post abdominal surgery

Outcome measures

Outcome measures
Measure
Standard of Care (SoC)
n=100 Participants
SOC prophylactic treatment pre-operation will be as per Israeli Ministry of Health and international guidelines: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Standard of Care (SoC): Prophylactic, pre-operation: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Post-operation: this is each participating center standard practice for this type of procedure
D-PLEX + SoC
n=101 Participants
D-PLEX is provided to suitable and willing study subjects as an adjunct to the SoC treatment D\_PLEX: D\_PLEX is reconstituted into paste and administered in a single application following closure of the fascia, on the fascia suture line, and on the soft tissues of the abdominal wall along the whole length of the surgical wound (including muscle, fat and dermis). Standard of Care (SoC): Prophylactic, pre-operation: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Post-operation: this is each participating center standard practice for this type of procedure
Mortality Rate Within 30 Days Post Abdominal Surgery
3 Participants
0 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 30 days post-surgery

Population: ITT population

The number and proportion of subjects who experienced Surgical site infection (SSI) within 30 days

Outcome measures

Outcome measures
Measure
Standard of Care (SoC)
n=100 Participants
SOC prophylactic treatment pre-operation will be as per Israeli Ministry of Health and international guidelines: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Standard of Care (SoC): Prophylactic, pre-operation: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Post-operation: this is each participating center standard practice for this type of procedure
D-PLEX + SoC
n=101 Participants
D-PLEX is provided to suitable and willing study subjects as an adjunct to the SoC treatment D\_PLEX: D\_PLEX is reconstituted into paste and administered in a single application following closure of the fascia, on the fascia suture line, and on the soft tissues of the abdominal wall along the whole length of the surgical wound (including muscle, fat and dermis). Standard of Care (SoC): Prophylactic, pre-operation: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Post-operation: this is each participating center standard practice for this type of procedure
Infection Rate
21 Participants
10 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 30 days post surgery

Population: ITT population

The number and proportion of subjects who experienced at least one SSSI within 30 days post abdominal surgery were presented by treatment.

Outcome measures

Outcome measures
Measure
Standard of Care (SoC)
n=100 Participants
SOC prophylactic treatment pre-operation will be as per Israeli Ministry of Health and international guidelines: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Standard of Care (SoC): Prophylactic, pre-operation: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Post-operation: this is each participating center standard practice for this type of procedure
D-PLEX + SoC
n=101 Participants
D-PLEX is provided to suitable and willing study subjects as an adjunct to the SoC treatment D\_PLEX: D\_PLEX is reconstituted into paste and administered in a single application following closure of the fascia, on the fascia suture line, and on the soft tissues of the abdominal wall along the whole length of the surgical wound (including muscle, fat and dermis). Standard of Care (SoC): Prophylactic, pre-operation: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Post-operation: this is each participating center standard practice for this type of procedure
Incidence of Superficial Surgical Site Infection (SSSI) During 30 Days Post-surgery
19 Participants
9 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 30 days post surgery

Population: ITT population

The number and proportion of subjects who experienced at least one DSSI within 30 days post abdominal surgery were presented by treatment.

Outcome measures

Outcome measures
Measure
Standard of Care (SoC)
n=100 Participants
SOC prophylactic treatment pre-operation will be as per Israeli Ministry of Health and international guidelines: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Standard of Care (SoC): Prophylactic, pre-operation: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Post-operation: this is each participating center standard practice for this type of procedure
D-PLEX + SoC
n=101 Participants
D-PLEX is provided to suitable and willing study subjects as an adjunct to the SoC treatment D\_PLEX: D\_PLEX is reconstituted into paste and administered in a single application following closure of the fascia, on the fascia suture line, and on the soft tissues of the abdominal wall along the whole length of the surgical wound (including muscle, fat and dermis). Standard of Care (SoC): Prophylactic, pre-operation: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Post-operation: this is each participating center standard practice for this type of procedure
Incidence of Deep Surgical Site Infection (DSSI) During 30 Days Post-surgery
2 Participants
0 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: During 60 days of study participation

Population: ITT population

Death from any reason within 60 days post abdominal surgery

Outcome measures

Outcome measures
Measure
Standard of Care (SoC)
n=100 Participants
SOC prophylactic treatment pre-operation will be as per Israeli Ministry of Health and international guidelines: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Standard of Care (SoC): Prophylactic, pre-operation: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Post-operation: this is each participating center standard practice for this type of procedure
D-PLEX + SoC
n=101 Participants
D-PLEX is provided to suitable and willing study subjects as an adjunct to the SoC treatment D\_PLEX: D\_PLEX is reconstituted into paste and administered in a single application following closure of the fascia, on the fascia suture line, and on the soft tissues of the abdominal wall along the whole length of the surgical wound (including muscle, fat and dermis). Standard of Care (SoC): Prophylactic, pre-operation: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Post-operation: this is each participating center standard practice for this type of procedure
Mortality Rate Within 60 Days Post Abdominal Surgery
5 Participants
0 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: During 60 days of study participation

Population: ITT population

Number of hospitalization days after surgery and until discharge. Will include prolongation of primary hospitalization compared to the average of the rest of the recruited patients and re-admission due to infection

Outcome measures

Outcome measures
Measure
Standard of Care (SoC)
n=100 Participants
SOC prophylactic treatment pre-operation will be as per Israeli Ministry of Health and international guidelines: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Standard of Care (SoC): Prophylactic, pre-operation: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Post-operation: this is each participating center standard practice for this type of procedure
D-PLEX + SoC
n=101 Participants
D-PLEX is provided to suitable and willing study subjects as an adjunct to the SoC treatment D\_PLEX: D\_PLEX is reconstituted into paste and administered in a single application following closure of the fascia, on the fascia suture line, and on the soft tissues of the abdominal wall along the whole length of the surgical wound (including muscle, fat and dermis). Standard of Care (SoC): Prophylactic, pre-operation: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Post-operation: this is each participating center standard practice for this type of procedure
Number of Overall Hospitalization Days Post Surgery
9.39 Days
Standard Deviation 5.46
10.02 Days
Standard Deviation 6.26

OTHER_PRE_SPECIFIED outcome

Timeframe: 30 days post-surgery

Population: ITT population

The number and proportion of subjects hospitalized due to SSI within 30 days post-surgery

Outcome measures

Outcome measures
Measure
Standard of Care (SoC)
n=100 Participants
SOC prophylactic treatment pre-operation will be as per Israeli Ministry of Health and international guidelines: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Standard of Care (SoC): Prophylactic, pre-operation: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Post-operation: this is each participating center standard practice for this type of procedure
D-PLEX + SoC
n=101 Participants
D-PLEX is provided to suitable and willing study subjects as an adjunct to the SoC treatment D\_PLEX: D\_PLEX is reconstituted into paste and administered in a single application following closure of the fascia, on the fascia suture line, and on the soft tissues of the abdominal wall along the whole length of the surgical wound (including muscle, fat and dermis). Standard of Care (SoC): Prophylactic, pre-operation: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Post-operation: this is each participating center standard practice for this type of procedure
Subject Hospitalization Due to SSI
2 Participants
1 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 30 days post surgery

Population: ITT population

Resistance to Doxycycline for any organisms recovered from an abdominal surgery incisional Infection site will be done using a central lab. Any organism which will grow (if), will be further tested for Doxycycline susceptibility. The number of participants who have bacterial growth analyzed was summarized by treatment group.

Outcome measures

Outcome measures
Measure
Standard of Care (SoC)
n=100 Participants
SOC prophylactic treatment pre-operation will be as per Israeli Ministry of Health and international guidelines: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Standard of Care (SoC): Prophylactic, pre-operation: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Post-operation: this is each participating center standard practice for this type of procedure
D-PLEX + SoC
n=101 Participants
D-PLEX is provided to suitable and willing study subjects as an adjunct to the SoC treatment D\_PLEX: D\_PLEX is reconstituted into paste and administered in a single application following closure of the fascia, on the fascia suture line, and on the soft tissues of the abdominal wall along the whole length of the surgical wound (including muscle, fat and dermis). Standard of Care (SoC): Prophylactic, pre-operation: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Post-operation: this is each participating center standard practice for this type of procedure
Susceptibility to Doxycycline
6 participants
8 participants

OTHER_PRE_SPECIFIED outcome

Timeframe: During 30 days of study participation

Population: ITT population

The number and proportion of subjects with hospital re-admission due to SSI.

Outcome measures

Outcome measures
Measure
Standard of Care (SoC)
n=100 Participants
SOC prophylactic treatment pre-operation will be as per Israeli Ministry of Health and international guidelines: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Standard of Care (SoC): Prophylactic, pre-operation: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Post-operation: this is each participating center standard practice for this type of procedure
D-PLEX + SoC
n=101 Participants
D-PLEX is provided to suitable and willing study subjects as an adjunct to the SoC treatment D\_PLEX: D\_PLEX is reconstituted into paste and administered in a single application following closure of the fascia, on the fascia suture line, and on the soft tissues of the abdominal wall along the whole length of the surgical wound (including muscle, fat and dermis). Standard of Care (SoC): Prophylactic, pre-operation: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Post-operation: this is each participating center standard practice for this type of procedure
Number of Re-admissions Due to Surgical Site Infection
2 Participants
1 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 60 days post surgery

Population: ITT population

The number of antibiotic treatment days due to SSI.

Outcome measures

Outcome measures
Measure
Standard of Care (SoC)
n=100 Participants
SOC prophylactic treatment pre-operation will be as per Israeli Ministry of Health and international guidelines: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Standard of Care (SoC): Prophylactic, pre-operation: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Post-operation: this is each participating center standard practice for this type of procedure
D-PLEX + SoC
n=101 Participants
D-PLEX is provided to suitable and willing study subjects as an adjunct to the SoC treatment D\_PLEX: D\_PLEX is reconstituted into paste and administered in a single application following closure of the fascia, on the fascia suture line, and on the soft tissues of the abdominal wall along the whole length of the surgical wound (including muscle, fat and dermis). Standard of Care (SoC): Prophylactic, pre-operation: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Post-operation: this is each participating center standard practice for this type of procedure
Number of Antibiotic Treatment Days Post Surgery
5.81 Days
Standard Deviation 5.61
4.33 Days
Standard Deviation 3.50

OTHER_PRE_SPECIFIED outcome

Timeframe: 60 days post-surgery

Population: The number of ITT population subjects who experienced at least one adjudicated SSI

The number and proportion of subjects who received antibiotics due to SSI

Outcome measures

Outcome measures
Measure
Standard of Care (SoC)
n=21 Participants
SOC prophylactic treatment pre-operation will be as per Israeli Ministry of Health and international guidelines: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Standard of Care (SoC): Prophylactic, pre-operation: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Post-operation: this is each participating center standard practice for this type of procedure
D-PLEX + SoC
n=10 Participants
D-PLEX is provided to suitable and willing study subjects as an adjunct to the SoC treatment D\_PLEX: D\_PLEX is reconstituted into paste and administered in a single application following closure of the fascia, on the fascia suture line, and on the soft tissues of the abdominal wall along the whole length of the surgical wound (including muscle, fat and dermis). Standard of Care (SoC): Prophylactic, pre-operation: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Post-operation: this is each participating center standard practice for this type of procedure
Subjects Receiving Antibiotics Due to SSI
7 Participants
3 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 30 days post surgery

Population: The number of ITT population subjects who experienced at least one adjudicated SSI

Number of days between surgery and a confirmed incisional surgery infection

Outcome measures

Outcome measures
Measure
Standard of Care (SoC)
n=21 Participants
SOC prophylactic treatment pre-operation will be as per Israeli Ministry of Health and international guidelines: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Standard of Care (SoC): Prophylactic, pre-operation: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Post-operation: this is each participating center standard practice for this type of procedure
D-PLEX + SoC
n=10 Participants
D-PLEX is provided to suitable and willing study subjects as an adjunct to the SoC treatment D\_PLEX: D\_PLEX is reconstituted into paste and administered in a single application following closure of the fascia, on the fascia suture line, and on the soft tissues of the abdominal wall along the whole length of the surgical wound (including muscle, fat and dermis). Standard of Care (SoC): Prophylactic, pre-operation: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Post-operation: this is each participating center standard practice for this type of procedure
Time to Surgical Site Infection
9.1 Days
Standard Deviation 0.91
16.3 Days
Standard Deviation 3.59

Adverse Events

Standard of Care (SoC)

Serious events: 20 serious events
Other events: 52 other events
Deaths: 5 deaths

D-PLEX + SoC

Serious events: 16 serious events
Other events: 50 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Standard of Care (SoC)
n=100 participants at risk
SOC prophylactic treatment pre-operation will be as per Israeli Ministry of Health and international guidelines: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Post-operation: this is each participating center standard practice for this type of procedure
D-PLEX + SoC
n=99 participants at risk
D-PLEX is provided to suitable and willing study subjects as an adjunct to the SoC treatment D-PLEX: D-PLEX is reconstituted into paste and administered in a single application following closure of the fascia, on the fascia suture line, and on the soft tissues of the abdominal wall along the whole length of the surgical wound (including muscle, fat and dermis). Standard of Care (SoC): Prophylactic, pre-operation: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Post-operation: this is each participating center standard practice for this type of procedure
Blood and lymphatic system disorders
Anaemia
1.0%
1/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
0.00%
0/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Cardiac disorders
Cardio-respiratory arrest
1.0%
1/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
0.00%
0/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Cardiac disorders
Myocardial infarction
1.0%
1/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
0.00%
0/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Gastrointestinal disorders
Abdominal pain
1.0%
1/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
0.00%
0/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Gastrointestinal disorders
Diarrhoea
1.0%
1/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
0.00%
0/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Gastrointestinal disorders
Duodenal perforation
1.0%
1/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
0.00%
0/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Gastrointestinal disorders
Haematochezia
1.0%
1/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
0.00%
0/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Gastrointestinal disorders
Ileus
1.0%
1/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
2.0%
2/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Gastrointestinal disorders
Internal hernia
0.00%
0/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
1.0%
1/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Gastrointestinal disorders
Intestinal obstruction
0.00%
0/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
1.0%
1/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Gastrointestinal disorders
Intra-abdominal fluid collection
1.0%
1/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
0.00%
0/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Gastrointestinal disorders
Lower gastrointestinal haemorrhage
1.0%
1/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
0.00%
0/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Gastrointestinal disorders
Small intestinal obstruction
0.00%
0/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
2.0%
2/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
General disorders
Asthenia
0.00%
0/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
1.0%
1/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
General disorders
Death
1.0%
1/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
0.00%
0/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
General disorders
General physical health deterioration
0.00%
0/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
1.0%
1/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Infections and infestations
Abdominal abscess
1.0%
1/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
0.00%
0/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Infections and infestations
Peritoneal abscess
0.00%
0/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
1.0%
1/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Infections and infestations
Peritonitis
1.0%
1/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
0.00%
0/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Infections and infestations
Pneumonia
1.0%
1/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
0.00%
0/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Infections and infestations
Postoperative wound infection
2.0%
2/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
1.0%
1/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Infections and infestations
Sepsis
1.0%
1/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
0.00%
0/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Infections and infestations
Septic shock
1.0%
1/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
0.00%
0/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Infections and infestations
Urinary tract infection
1.0%
1/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
0.00%
0/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Injury, poisoning and procedural complications
Anastomotic haemorrhage
0.00%
0/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
1.0%
1/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Injury, poisoning and procedural complications
Anastomotic leak
3.0%
3/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
2.0%
2/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Injury, poisoning and procedural complications
Injury
1.0%
1/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
0.00%
0/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Injury, poisoning and procedural complications
Procedural complication
0.00%
0/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
1.0%
1/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Injury, poisoning and procedural complications
Stoma site haemorrhage
1.0%
1/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
1.0%
1/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Injury, poisoning and procedural complications
Ureteric injury
0.00%
0/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
1.0%
1/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Metabolism and nutrition disorders
Dehydration
1.0%
1/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
0.00%
0/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Renal and urinary disorders
Renal failure
1.0%
1/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
1.0%
1/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Renal and urinary disorders
Urinary retention
1.0%
1/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
1.0%
1/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Renal and urinary disorders
Vesicocutaneous fistula
0.00%
0/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
1.0%
1/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Respiratory, thoracic and mediastinal disorders
Laryngeal oedema
1.0%
1/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
0.00%
0/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.00%
0/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
1.0%
1/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.

Other adverse events

Other adverse events
Measure
Standard of Care (SoC)
n=100 participants at risk
SOC prophylactic treatment pre-operation will be as per Israeli Ministry of Health and international guidelines: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Post-operation: this is each participating center standard practice for this type of procedure
D-PLEX + SoC
n=99 participants at risk
D-PLEX is provided to suitable and willing study subjects as an adjunct to the SoC treatment D-PLEX: D-PLEX is reconstituted into paste and administered in a single application following closure of the fascia, on the fascia suture line, and on the soft tissues of the abdominal wall along the whole length of the surgical wound (including muscle, fat and dermis). Standard of Care (SoC): Prophylactic, pre-operation: 1st or 2nd generation of Cephalosporine family, plus Metronidazole. Post-operation: this is each participating center standard practice for this type of procedure
Gastrointestinal disorders
Diarrhoea
3.0%
3/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
3.0%
3/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Gastrointestinal disorders
Ileus
6.0%
6/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
8.1%
8/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
General disorders
Impaired healing
4.0%
4/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
4.0%
4/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Infections and infestations
Postoperative wound infection
23.0%
23/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
15.2%
15/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Infections and infestations
Urinary tract infection
3.0%
3/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
7.1%
7/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Injury, poisoning and procedural complications
Anastomotic leak
5.0%
5/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
3.0%
3/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Gastrointestinal disorders
Lower gastrointestinal haemorrhage
2.0%
2/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
0.00%
0/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Gastrointestinal disorders
Nausea
2.0%
2/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
0.00%
0/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Gastrointestinal disorders
Small intestinal obstruction
0.00%
0/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
2.0%
2/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Gastrointestinal disorders
Vomiting
2.0%
2/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
1.0%
1/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
General disorders
Pyrexia
2.0%
2/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
1.0%
1/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Infections and infestations
Clostridium difficile infection
0.00%
0/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
2.0%
2/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Injury, poisoning and procedural complications
Post procedural discharge
0.00%
0/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
2.0%
2/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
Investigations
Haemoglobin decreased
0.00%
0/100 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.
2.0%
2/99 • 2 month
All-Cause Mortality were assessed in the ITT population. Serious and Other Adverse Events were assessed in the Safety Population.

Additional Information

Eyal Shoshani, VP Clinical Affaies

PolyPid

Phone: +972-74-719-5700

Results disclosure agreements

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