The Study of Unasyn-S 12g/Day for Community Acquired Pneumonia (CAP)
A Multicenter, Unblinded, Non-Comparative Study Of Unasyn-S 12 G/Day Evaluating The Safety And Efficacy In Japanese Adult Subjects With Community Acquired Pneumonia
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Fukuoka, Japan
- Fukuoka Sanno Hospital
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Kochi, Japan
- National Hospital Organization Kochi National Hospital
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Kumamoto, Japan
- Saiseikai Kumamoto Hospital
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Aichi-ken
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Seto-shi, Aichi-ken, Japan
- Tosei General Hospital
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Fukuoka
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Kitakyushu, Fukuoka, Japan
- National Hospital Organization Kokura Medical Center
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Kitakyushu, Fukuoka, Japan
- University of Occupational and Environmental Health
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Yanagawa, Fukuoka, Japan
- Nagata Hospital
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Hokkaido
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Asahikawa, Hokkaido, Japan
- National Hospital Organization Asahikawa Medical Center
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Sapporo, Hokkaido, Japan
- National Hokkaido Medical Center
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Hyogo
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Himejishi, Hyogo, Japan
- National Hospital Organization Himeji Medical Center
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Kagawa
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Takamatsu, Kagawa, Japan
- KKR Takamatsu Hospital
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Kanagawa
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Kawasaki-city, Kanagawa, Japan
- Nippon Koukan Hospital
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Yokohama, Kanagawa, Japan
- Kanagawa Cardiovascular and Respiratory Center
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Kumamoto
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Koushi-shi, Kumamoto, Japan
- National Hospital Organization Kumamoto Saishyunsou Hospital
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Miyagi
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Shiogama, Miyagi, Japan
- Saka General Hospital/Respiratory
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Nagano
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Matsumoto, Nagano, Japan
- National Hospital Organization Matsumoto Medical Center Chushin Matsumoto Hospital
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Nagasaki
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Isahaya, Nagasaki, Japan
- Japanese Red Cross Nagasaki Genbaku Isahaya Hospital
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Nagasaki-city, Nagasaki, Japan
- Nagasaki University School of Medicine
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Okayama
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Tsukubo-gun, Okayama, Japan
- National Hospital Organization Minami-Okayama Medical Center
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Saga
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Ureshino-shi, Saga, Japan
- National Hospital Organization Ureshino Medical Center
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Saitama
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Sayama, Saitama, Japan
- Sekishinkai Sayama Hospital
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Shizuoka
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Hamamatsu, Shizuoka, Japan
- National Hospital Organization Tenryu National Hospital
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- 16 years of age or older.
- Patients who were diagnosed as moderate to severe community acquired pneumonia requiring initial intravenous therapy and hospitalization.
Exclusion Criteria:
- Known or suspected hypersensitivity or intolerance to ampicillin sodium/sulbactam sodium, other penicillins, or cephems.
- Hepatic dysfunction [Aspartate Aminotransferase(AST), Alanine Aminotransferase (ALT), total bilirubin > 3 times upper limit of normal range values].
- Severe renal dysfunction (creatinine clearance < 30 ml/min).
- Severe underlying disease; patients in which drug clinical evaluation is difficult because of confounding diseases.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: ampicillin sodium/sulbactam sodium
ampicillin sodium/sulbactam sodium 12g/day (3 g four times a day) IV
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ampicillin sodium/sulbactam sodium is administered 12g/day (3 g four times a day) intravenously for 3 to 14 days
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Response Rate (Clinical Response, Data Review Committee Assessment)
Time Frame: End of treatment, Test of cure (7 days after End of treatment), Long term follow up (7 days after Test of cure)
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Response rate was calculated from the following formula, "the number of participants assessed as effective" over "total participants excluding ones assessed as indeterminate" multiplied by 100.
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End of treatment, Test of cure (7 days after End of treatment), Long term follow up (7 days after Test of cure)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Response Rate (Clinical Response, Investigator Assessment)
Time Frame: End of treatment, Test of cure (7 days after End of treatment), Long term follow up (7 days after Test of cure)
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Response rate was calculated from the following formula, "the number of participants assessed as effective" over "total participants EXCLUDING ones assessed as indeterminate" multiplied by 100.
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End of treatment, Test of cure (7 days after End of treatment), Long term follow up (7 days after Test of cure)
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The Tendency Toward Clinical Improvement (Investigator Assessment)
Time Frame: Day 4
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The number of participants who showed tendency toward clinical improvement based on the assessment of temperature, white blood cell count, C-reactive protein, clinical symptoms on Day 4 and was determined to continue the treatment.
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Day 4
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Eradication Rate (Bacteriological Response, Data Review Committee Assessment)
Time Frame: Day 4, End of treatment, Test of cure (7 days after End of treatment), Long term follow up (7 days after Test of cure)
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Eradication Rate was calculated from the following formula, "the number of participants assessed as eradication, presumed eradication or microbial substitution" over "total participants excluding ones assessed as indeterminate" multiplied by 100.
Microbial substitution means the appearance of new pathogens other than the original pathogens in a specimen from the same location with signs and symptoms of infection after the original pathogens were eradicated by treatment.
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Day 4, End of treatment, Test of cure (7 days after End of treatment), Long term follow up (7 days after Test of cure)
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Eradication Rate (Bacteriological Response, Investigator Assessment)
Time Frame: Day 4, End of treatment, Test of cure (7 days after End of treatment), Long term follow up (7 days after Test of cure)
|
Eradication Rate was calculated from the following formula, "the number of participants assessed as eradication , presumed eradication or microbial substitution" over "total participants excluding ones assessed as indeterminate" multiplied by 100.
Microbial substitution means the appearance of new pathogens other than the original pathogens in a specimen from the same location with signs and symptoms of infection after the original pathogens were eradicated by treatment.
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Day 4, End of treatment, Test of cure (7 days after End of treatment), Long term follow up (7 days after Test of cure)
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Kohno S, Tateda K, Mikamo H, Kadota J, Niki Y, Itamura R. Efficacy and safety of intravenous sulbactam/ampicillin 3 g 4 times daily in Japanese adults with moderate to severe community-acquired pneumonia: a multicenter, open-label, uncontrolled study. J Infect Chemother. 2015 Mar;21(3):182-8. doi: 10.1016/j.jiac.2014.11.006. Epub 2014 Nov 20.
- Soto E, Shoji S, Muto C, Tomono Y, Marshall S. Population pharmacokinetics of ampicillin and sulbactam in patients with community-acquired pneumonia: evaluation of the impact of renal impairment. Br J Clin Pharmacol. 2014 Mar;77(3):509-21. doi: 10.1111/bcp.12232.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Infections
- Respiratory Tract Infections
- Respiratory Tract Diseases
- Lung Diseases
- Bacterial Infections
- Bacterial Infections and Mycoses
- Pneumonia
- Pneumonia, Bacterial
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Enzyme Inhibitors
- Anti-Bacterial Agents
- beta-Lactamase Inhibitors
- Ampicillin
- Sulbactam
Other Study ID Numbers
Other Study ID Numbers
- A9231001
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