Colistin Plus Rifampicin in MDR P. Aeruginosa and A. Baumanii
Randomized Controlled Trial of Colistin Versus Colistin Plus Rifampicin in MDR P.Aeruginosa and A.Baumanii
In Siriraj Hospital, Colistin alone for treatment of MDR. A.baumanii or P.aeruginosa contributed to mortality 45%. In vitro studies revealed synergism of Rifampicin and Colistin.
In this study, patients with documented MDR. P.aeruginosa or A.baumanii will be allocated to receive Colistin alone and another group will receive Colistin plus Rifampicin.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Contact
Study Contact
- Name: Visanu Thamlikitkul, Professor
- Phone Number: 6626 662 419 7000
- Email: sivth@mahidol.ac.th
Study Contact Backup
- Name: Sunee Thanakhumtorn
- Phone Number: 6616 662 419 7000
- Email: srstn@mahidol.ac.th
Study Locations
-
-
Bangkok
-
Bangkoknoi, Bangkok, Thailand, 10700
- Recruiting
- Division of Infectious disease and Tropical Medicine, Department of Medicine, Faculty of Medicine Siriraj Hospital
-
Contact:
- Visanu Thamlikitkul, Professor
- Phone Number: 6626 662 419 7000
- Email: sivth@mahidol.ac.th
-
Contact:
- Sunee Thanakhumtorn
- Phone Number: 6616 662 419 7000
- Email: srstn@mahidol.ac.th
-
Principal Investigator:
- Sukij Piyasirisilp, MD
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age>18 years
- Hospitalized to Siriraj Hospital
- Infection with MDR A.baumanii or P.aeruginosa
- Nescessary for treatment with Colistin
- Patient agrees to participate by giving written informed consent.
Exclusion Criteria:
- pregnancy or lactating mother
- Colistin or Rifampicin allergy
- Active hepatic disease or abnormal liver function test
- patient who suspected infection with mycobacterium tuberculosis
- patient who can not drug by enteral feeding
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: Colistin
Colistate
|
Colistimethate Sodium dose 2.5-5mg/kg/day
Other Names:
|
|
Experimental: Colistin plus Rifampicin
Colistate Rifampin
|
Colistin 2.5 to 5 mg/ Kg/ day Rifampin 10 mg/ Kg/ day
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
number of subjects with cure or improvement
Time Frame: up to day 28
|
Cure Improvement Worse Death
|
up to day 28
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
number of subjects with eradication of causative bacteria
Time Frame: up to day 28
|
Eradication Persistence Superinfection
|
up to day 28
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Sukij Piyasirisilp, MD, Siriraj Hospital
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
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
Additional Relevant MeSH Terms
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Nucleic Acid Synthesis Inhibitors
- Enzyme Inhibitors
- Anti-Bacterial Agents
- Leprostatic Agents
- Cytochrome P-450 Enzyme Inducers
- Cytochrome P-450 CYP3A Inducers
- Antitubercular Agents
- Antibiotics, Antitubercular
- Cytochrome P-450 CYP2B6 Inducers
- Cytochrome P-450 CYP2C8 Inducers
- Cytochrome P-450 CYP2C19 Inducers
- Cytochrome P-450 CYP2C9 Inducers
- Rifampin
- Colistin
Other Study ID Numbers
Other Study ID Numbers
- SirirajCEU51-001
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