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Trial · NCT01235546

Study of Effectiveness and Safety of Azithromycin-based Extended-spectrum Prophylaxis to Prevent Post Cesarean Infection

NCT01235546, Not applicable, Completed, Alan Tita; results first posted 2017-07-28

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Study of Effectiveness and Safety of Azithromycin-based Extended-spectrum Prophylaxis to Prevent Post Cesarean Infection. Trials, record NCT01235546. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01235546

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Study of Effectiveness and Safety of Azithromycin-based Extended-spectrum Prophylaxis to Prevent Post Cesarean Infection
NCT number
NCT01235546
Status
Completed
Phases
Not applicable
Enrollment
2,013 participants, actual
Lead sponsor
Alan Tita
Conditions
Endometritis, Wound Infection, Abscess, Surgical Site Infection
Interventions
Azithromycin and standard of care, Placebo and standard of care
First posted
2010-11-05
Last updated
2017-07-28
Results first posted
2017-07-28

Source ClinicalTrials.gov

Registered outcomes10

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryParticipants With Endometritis and/or Wound Infection and/or Other Post-cesarean Infections (Occurring Within 6 Weeks of Delivery)Up to 6 weeks after delivery
Endometritis was defined as the presence of at least two of the following signs with no other recognized cause: fever (temperature of at least 38°C \[100.4°F\]), abdominal pain, uterine tenderness, or purulent drainage from the uterus. Wound infection was defined as the presence of either superficial or deep incisional surgical-site infection characterized by cellulitis or erythema and induration around the incision or purulent discharge from the incision site with or without fever and included necrotizing fasciitis. Wound hematoma, seroma, or breakdown alone in the absence of the preceding signs did not constitute infection.
OtherNeonatal Morbidities (Listed Below)Up to 3 months after birth
morbidities include: death, Respiratory Distress Syndrome (RDS), Bronchopulmonary Dysplasia (BPD), Periventricular Leukomalacia (PVL) suspected or proven sepsis, Necrotizing Enterocolitis (NEC) Intraventricular Hemorrhage (IVH) and systemic inflammatory response syndrome
OtherNeonatal Intensive Care Unit (NICU) AdmissionUp to 3 months after birthNeonates who are admitted to the NICU due to morbidities diagnosed from birth and up to three months of life. Morbidities as defined in the Neonatal morbidities outcome measure.
OtherNeonatal ReadmissionUp to 3 months after birth
OtherMaternal FeverUp to 6 weeks after delivery
OtherMaternal Postpartum Readmission or Unscheduled VisitUp to 6 weeks after deliveryMaternal postpartum unscheduled visit or readmission to the hospital
OtherMaternal Postpartum Antibiotic UseUp to 6 weeks after deliveryMaternal postpartum use of antibiotics
OtherMaternal Serious Adverse EventsUp to 6 weeks after deliveryAll maternal serious adverse events
OtherNeonatal Serious Adverse EventsUp to 3 months after birthComposite for all neonatal serious adverse events
OtherInfant Pyloric Stenosisup to 3 months after birthAny diagnosis of pyloric stenosis based on clinical presentation and radiological and/or surgical confirmation

Outcomes10

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYParticipants With Endometritis and/or Wound Infection and/or Other Post-cesarean Infections (Occurring Within 6 Weeks of Delivery)Up to 6 weeks after delivery
The specific characteristics related to the cesarean delivery, including indications for cesarean delivery, receipt of standard prophylaxis, timing of receipt of study medication, and type of surgical skin preparation, were similar in the two groups.
ParticipantsCOUNT_OF_PARTICIPANTS
OTHER_PRE_SPECIFIEDNeonatal Morbidities (Listed Below)Up to 3 months after birthParticipantsCOUNT_OF_PARTICIPANTS
OTHER_PRE_SPECIFIEDNeonatal Intensive Care Unit (NICU) AdmissionUp to 3 months after birthParticipantsCOUNT_OF_PARTICIPANTS
OTHER_PRE_SPECIFIEDNeonatal ReadmissionUp to 3 months after birthHospitalization after dischargeParticipantsCOUNT_OF_PARTICIPANTS
OTHER_PRE_SPECIFIEDMaternal FeverUp to 6 weeks after deliveryPostpartum FeverParticipantsCOUNT_OF_PARTICIPANTS
OTHER_PRE_SPECIFIEDMaternal Postpartum Readmission or Unscheduled VisitUp to 6 weeks after deliveryParticipantsCOUNT_OF_PARTICIPANTS
OTHER_PRE_SPECIFIEDMaternal Postpartum Antibiotic UseUp to 6 weeks after deliveryParticipantsCOUNT_OF_PARTICIPANTS
OTHER_PRE_SPECIFIEDMaternal Serious Adverse EventsUp to 6 weeks after deliveryParticipantsCOUNT_OF_PARTICIPANTS
OTHER_PRE_SPECIFIEDNeonatal Serious Adverse EventsUp to 3 months after birthParticipantsCOUNT_OF_PARTICIPANTS
OTHER_PRE_SPECIFIEDInfant Pyloric Stenosisup to 3 months after birthParticipantsCOUNT_OF_PARTICIPANTS

Results by group20

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Participants With Endometritis and/or Wound Infection and/or Other Post-cesarean Infections (Occurring Within 6 Weeks of Delivery)Placebo119Participants
Participants With Endometritis and/or Wound Infection and/or Other Post-cesarean Infections (Occurring Within 6 Weeks of Delivery)Azithromycin62Participants
Neonatal Morbidities (Listed Below)Placebo and Standard of Care135Participants
Neonatal Morbidities (Listed Below)Azithromycin and Standard of Care146Participants
Neonatal Intensive Care Unit (NICU) AdmissionPlacebo and Standard of Care169Participants
Neonatal Intensive Care Unit (NICU) AdmissionAzithromycin and Standard of Care171Participants
Neonatal ReadmissionPlacebo With Standard Prophylaxis43Participants
Neonatal ReadmissionAzithromycin (Zithromax) With Standard Prophylaxis39Participants
Maternal FeverPlacebo With Standard Prophylaxis81Participants
Maternal FeverAzithromycin (Zithromax) With Standard Prophylaxis51Participants

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPlacebo and Standard of Care994
Overall StudySTARTEDAzithromycin and Standard of Care1,019
Overall StudyCOMPLETEDPlacebo and Standard of Care992
Overall StudyCOMPLETEDAzithromycin and Standard of Care1,018
Overall StudyNOT COMPLETEDPlacebo and Standard of Care2
Overall StudyNOT COMPLETEDAzithromycin and Standard of Care1

Adverse events4

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherICU admissionGeneral disordersPlacebo and Standard of Care1499214
otherICU admissionGeneral disordersAzithromycin and Standard of Care91,0189
seriousSevere allergic reactionImmune system disordersPlacebo and Standard of Care2999229
seriousSevere allergic reactionImmune system disordersAzithromycin and Standard of Care151,01815

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPlacebo and Standard of Care0992
Total, all-cause mortalityAzithromycin and Standard of Care01,018
Total, other adverse eventsPlacebo and Standard of Care14992
Total, other adverse eventsAzithromycin and Standard of Care91,018
Total, serious adverse eventsPlacebo and Standard of Care29992
Total, serious adverse eventsAzithromycin and Standard of Care151,018

Papers7

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
12798523BACKGROUNDPubMed
18165392BACKGROUNDPubMed
19300334BACKGROUNDPubMed
27682034DERIVEDPubMed
28178058DERIVEDPubMed
35675601DERIVEDPubMed
38873885DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons12

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Placebo and Standard of Care vs Azithromycin and Standard of Care: Maternal Postpartum Antibiotic UseTrial comparisons
Placebo and Standard of Care vs Azithromycin and Standard of Care: Neonatal Serious Adverse EventsTrial comparisons
Placebo and Standard of Care vs Azithromycin and Standard of Care: Maternal Serious Adverse EventsTrial comparisons
Placebo With Standard Prophylaxis vs Azithromycin (Zithromax) With Standard Prophylaxis: Neonatal ReadmissionTrial comparisons
Placebo and Standard of Care vs Azithromycin and Standard of Care: Neonatal Morbidities (Listed Below)Trial comparisons
Azithromycin vs Placebo: Participants With Endometritis and/or Wound Infection and/or Other Post-cesarean Infections (Occurring Within 6 Weeks of Delivery)Trial comparisons
Placebo and Standard of Care vs Azithromycin and Standard of Care: Infant Pyloric StenosisTrial comparisons
Placebo and Standard of Care vs Azithromycin and Standard of Care: Maternal Postpartum Readmission or Unscheduled VisitTrial comparisons
Placebo With Standard Prophylaxis vs Azithromycin (Zithromax) With Standard Prophylaxis: Maternal FeverTrial comparisons
Placebo and Standard of Care vs Azithromycin and Standard of Care: Neonatal Intensive Care Unit (NICU) AdmissionTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT01235546

GET https://conductscience.org/api/trials/v1/NCT01235546/registered