Azithromycin Prophylaxis for PRElabor CEsarean DElivery Trial
NCT06605118 · Status: RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 8000
Last updated 2026-04-09
Summary
This is a phase-III multi-center double-blind randomized controlled trial of 8,000 individuals undergoing a scheduled or prelabor cesarean delivery who are randomized to either adjunctive azithromycin prophylaxis or to placebo. Both groups also will receive standard of care preoperative antibiotics (excluding azithromycin). The primary endpoint is a maternal infection composite defined as any one of the following up to 6 weeks postpartum: endometritis, wound infection, abscess, septic thrombosis, sepsis, pneumonia, pyelonephritis and breast infection.
Conditions
- Obstetrical Complications
- Labor and Delivery Complication
- Cesarean Delivery
Interventions
- DRUG
-
Azithromycin Injection
500mg azithromycin in 250 mL of normal saline
- DRUG
-
250 mL of normal saline
- DRUG
-
Standard of Care Preoperative antibiotics
standard of care preoperative antibiotics (excluding azithromycin) prior to incision
Sponsors & Collaborators
-
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
collaborator NIH -
University of Alabama at Birmingham
collaborator OTHER -
The George Washington University Biostatistics Center
lead OTHER
Principal Investigators
-
Alan T.N. Tita, MD PhD · University of Alabama at Birmingham
-
Kim Boggess, MD · University of North Carolina, Chapel Hill
-
Monica Longo, MD PhD · Eunice Kennedy Shriver NICHD
-
Rebecca G Clifton, PhD · The George Washington University Biostatistics Center
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Sex
- FEMALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2024-11-06
- Primary Completion
- 2027-11-30
- Completion
- 2027-11-30
- FDA Drug
- Yes
Countries
- United States
Study Locations
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