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Japanese

April. 19, 2023

April. 19, 2023

jRCT1040230010

Development of proactive antimicrobial strategy using novel rapid test complex for microorganisms during pancreatoduodenectomy (DOREMI trial)

Development of a novel antimicrobial strategy during pancreatoduodenectomy (DOREMI trial)

Fujii Tsutomu

University of Toyama

2630, Sugitani, Toyama

+81-76-434-7331

fjt@med.u-toyama.ac.jp

Tanaka Haruyoshi

University of Toyama

2630, Sugitani, Toyama

+81-76-434-7331

tanakaharu@med.nagoya-u.ac.jp

Recruiting

April. 19, 2023

Dec. 01, 2022
150

Interventional

non-randomized controlled trial

open(masking not used)

historical control

single assignment

treatment purpose

Patients are scheduled to undergo pancreaticoduodenectomy.
Patients must be at least 20 years of age at the time of enrollment.
ECOG PS status 0, 1, or 2
The patient's consent to participate in this study was obtained.

History of serious drug hypersensitivity or drug allergy.
Patients have obvious preoperative infection or inflammation (e.g., fever over 38.0 digree).
Patient has a serious underlying disease (cardiac, pulmonary, metabolic, renal, cirrhosis, bowel obstruction, etc.) and is considered by the surgeon to be at high risk (more than 5%) of surgery-related mortality.
Patients have dementia, psychosis, or psychiatric symptoms.
Other conditions that make them unsuitable for the study as determined by the study investigator(s).

20age old over
No limit

Both

pancreatoduodenectomy

For the intervention group, a combined test (RMiX) of the following i-iii will be performed
Tmm method: PCR of DNA from body fluids is performed to identify and quantify the initiating organisms by the pattern of Tm values.
p16S-PCR method: Designs probe PCR primer and performs targeted determination of bacterial species.
ATP-LST method: Susceptibility testing is performed using a reagent that emits luminescence due to the ATP enzyme reaction of bacteria.
PAT: Based on the results of RMiX, a treatment plan is discussed.

pancreatoduodenectomy

D016577

RMiX-PAT Treatment compliance rate

RMiX Target coverage

University of Toyama
2020 President's Discretionary Expenses
Not applicable
University of Toyama
Not applicable
Kakenhi
Not applicable
Ethics Committee, University of Toyama
2630, Sugitani, Toyama, Toyama

+81-76-415-8857

rinri@adm.u-toyama.ac.jp
Approval

Feb. 17, 2023

No

none