- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00462878
Meropenem Versus Meropenem Plus Glycopeptide in Patients With Febrile Neutropenia After Allogenic Blood Stem Cell Transplantation (MERONEM)
May 11, 2009 updated by: PETHEMA Foundation
MERONEM: Observational Study About Efficacy of Meropenem in Comparison of Meropenem and Glycopeptide in Treatment of Neutropenia Febrile in Allogenic Blood Stem Cell Transplantation Patients
Observational study to compare the treatment in neutropenic patients after allogenic blood stem cell transplantation, with meropenem or meropenem plus glycopeptide.
Study Overview
Status
Completed
Intervention / Treatment
Detailed Description
Observational study cost-effectivity to compare the treatment in neutropenic patients after allogenic blood stem cell transplantation, with meropenem or meropenem plus glycopeptide.
The study will be done in two consecutive cohorts of patients. First cohort: meropenem 1g/8h ev Second cohort: meropenem 1g/8h and glycopeptide (vancomycin 1g/12 h or teicoplanin 400 mg/24h)
Study Type
Observational
Enrollment (Anticipated)
392
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Alicante, Spain
- Hospital G. de Alicante
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Alzira, Spain
- Hospital de la Ribera
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Barcelona, Spain
- Hospital del Mar
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Barcelona, Spain
- Hospital U. Vall D'Hebron
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Barcelona, Spain
- Hospital Sant Pau
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Barcelona, Spain
- Hospital C. de Barcelona
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Barcelona, Spain
- Hospital Durant y Reynals
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Basurto, Spain
- Basurtuko Ospitalea
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Bilbao, Spain
- Hospital de Cruces
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Castellón, Spain
- Hospital General de Castellon
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Cáceres, Spain
- Hospital San Millan
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Cádiz, Spain
- Hospital Puerta del Mar
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Gandia, Spain
- Hospital Francesc de Borja
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Girona, Spain
- Hospital Doctor Josep Trueta
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Granada, Spain
- Hospital Virgen de las Nieves
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La Coruña, Spain
- Hospital Juan Canalejo
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La Coruña, Spain
- H. Xeral de Galicia
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Lugo, Spain
- Complexo H. Xeral-Calde
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Madrid, Spain
- Hospital Ramon y Cajal
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Madrid, Spain
- Hospital 12 de octubre
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Madrid, Spain
- Hospital Gregorio Marañón
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Madrid, Spain
- Hospital La Paz
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Madrid, Spain
- Hospital Clinico San Carlos
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Madrid, Spain
- Hospital La Princesa
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Madrid, Spain
- Clínica Puerta de Hierro
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Murcia, Spain
- Hospital Reina Sofía
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Murcia, Spain
- Hospital General de Murcia
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Murcia, Spain
- Hospital U. Virgen de la Arrixaca
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Málaga, Spain
- Hospital Carlos Haya
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Málaga, Spain
- H. Universitario Virgen de la Victoria
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Salamanca, Spain
- Hospital Universitario Salamanca
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Santander, Spain
- Hospital Aránzazu
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Santander, Spain
- Hospital U. Marques de Valdecilla
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Santiago de Compostela, Spain
- Hospital Clinico Universitario de Santiago
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Sevilla, Spain
- Hospital Virgen del Rocío
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Tarragona, Spain
- Hospital de Tarragona "Joan XXIII"
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Valencia, Spain
- Instituto Valenciano de Oncología
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Valencia, Spain
- Hospital Clinico Universitario de Valencia
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Valencia, Spain
- Hospital Dr. Peset
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Valencia, Spain
- Hospital Arnao de Vilanova
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Valencia, Spain
- Hospital General U. de Valencia
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Valencia, Spain
- Hospital U. La Fe (H. Infantil)
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Valencia, Spain
- Hospital U. La Fe
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Valladolid, Spain
- Hospital Rio Hortega
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Valladolid, Spain
- Hospital C. de Valladolid
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Vigo, Spain
- Hospital Do Meixoeiro
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Zaragoza, Spain
- Miguel Servet
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Zaragoza, Spain
- Hospital C.U. De Zaragoza
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Asturias
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Oviedo, Asturias, Spain
- Hospital Central de Asturias
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Balears
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Palma de Mallorca, Balears, Spain
- Hospital Son Dureta
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Barcelona
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Badalona, Barcelona, Spain
- Hospital U. Germans Trias i Pujol
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Manresa, Barcelona, Spain
- Hospital General de Manresa
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Sabadell, Barcelona, Spain
- Hospital Niño Jesús
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Terrassa, Barcelona, Spain
- Hospital Mutua Tarrasa
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Canarias
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Las Palmas de Gran Canaria, Canarias, Spain
- Hospital Materno-Infantil de Las Palmas
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Las palmas de Gran Canaria, Canarias, Spain
- Hospital Insular de las Palmas
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Tenerife, Canarias, Spain
- Hospital Universitario de Canarias
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las Palmas de Gran Canaria, Canarias, Spain
- Hospital Ntra Sra del Pino/Sabinal
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León
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Leon, León, Spain
- Hospital Virgen Blanca
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Madrid
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Alcalá de Henares, Madrid, Spain
- Hospital Principe de Asturias
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Leganes, Madrid, Spain
- Hospital Severo Ochoa
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Tarragona
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Tortosa, Tarragona, Spain
- Hospital Verge de la Cinta
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Valencia
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Sagunto, Valencia, Spain
- Hospital de Sagunto
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Xativa, Valencia, Spain
- Hospital Luis Alcañiz de Xátiva
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Sampling Method
Non-Probability Sample
Study Population
Patients submitted to allogenic transplant with neutropenia (neutrophils account < 500/mm3 or neutrophils account < 1000/mm3 with prevision to decrease until 500/mm3 at the next 24-48 h); Signs and symptoms to infection; Fever (Temperature> 38,3 ºC registered one time, or 38 ºC en two times separated 60 minutes in a period of 12 h)
Description
Inclusion Criteria:
- Age > 18 years
- Patients submitted to allogenic transplant
- Neutropenia: neutrophils account < 500/mm3 or neutrophils account < 1000/mm3 with prevision to decrease until 500/mm3 at the next 24-48 h
- Signs and symptoms to infection
- Fever: Temperature> 38,3 ºC registered one time, or 38 ºC en two times separated 60 minutes in a period of 12 h.
Exclusion Criteria:
- Medical history of meropenem or glycopeptides hypersensitivity
- Renal failure or creatinine in serum > 2,25 mg/dl or creatinine clearance < 40 ml
- Liver insufficiency
- Childbearing potential or breast feeding period
- Contraindications to meropenem, vancomycin or teicoplanin
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Sanz Miguel Angel, Doctor, Hospital la Fe
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Hughes WT, Armstrong D, Bodey GP, Bow EJ, Brown AE, Calandra T, Feld R, Pizzo PA, Rolston KV, Shenep JL, Young LS. 2002 guidelines for the use of antimicrobial agents in neutropenic patients with cancer. Clin Infect Dis. 2002 Mar 15;34(6):730-51. doi: 10.1086/339215. Epub 2002 Feb 13. No abstract available.
- Cometta A, Glauser MP. Empiric antibiotic monotherapy with carbapenems in febrile neutropenia: a review. J Chemother. 1996 Oct;8(5):375-81. doi: 10.1179/joc.1996.8.5.375.
- Jarque I, Sanz MA. [Application of the concepts of evidence-based medicine to the evidence on the treatment of febrile neutropenia]. Enferm Infecc Microbiol Clin. 1999;17 Suppl 2:95-102. Spanish.
- Klastersky J. Current attitudes for therapy of febrile neutropenia with consideration to cost-effectiveness. Curr Opin Oncol. 1998 Jul;10(4):284-90. doi: 10.1097/00001622-199807000-00002.
- Koya R, Andersen J, Fernandez H, Goodman M, Spector N, Smith R, Hanlon J, Cassileth PA. Analysis of the value of empiric vancomycin administration in febrile neutropenia occurring after autologous peripheral blood stem cell transplants. Bone Marrow Transplant. 1998 May;21(9):923-6. doi: 10.1038/sj.bmt.1701201.
- Celebi H, Akan H, Akcaglayan E, Ustun C, Arat M. Febrile neutropenia in allogeneic and autologous peripheral blood stem cell transplantation and conventional chemotherapy for malignancies. Bone Marrow Transplant. 2000 Jul;26(2):211-4. doi: 10.1038/sj.bmt.1702503.
- Smith TL, Pearson ML, Wilcox KR, Cruz C, Lancaster MV, Robinson-Dunn B, Tenover FC, Zervos MJ, Band JD, White E, Jarvis WR. Emergence of vancomycin resistance in Staphylococcus aureus. Glycopeptide-Intermediate Staphylococcus aureus Working Group. N Engl J Med. 1999 Feb 18;340(7):493-501. doi: 10.1056/NEJM199902183400701.
- Dompeling EC, Donnelly JP, Deresinski SC, Feld R, Lane-Allman EF, De Pauw BE. Early identification of neutropenic patients at risk of grampositive bacteraemia and the impact of empirical administration of vancomycin. Eur J Cancer. 1996 Jul;32A(8):1332-9. doi: 10.1016/0959-8049(96)00050-0.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
November 1, 2002
Study Completion (Actual)
April 1, 2009
Study Registration Dates
First Submitted
April 18, 2007
First Submitted That Met QC Criteria
April 18, 2007
First Posted (Estimate)
April 19, 2007
Study Record Updates
Last Update Posted (Estimate)
May 12, 2009
Last Update Submitted That Met QC Criteria
May 11, 2009
Last Verified
May 1, 2009
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 03-2002-GTA
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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