- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00619580
Ampicillin-sulbactam Resistant E.Coli at UPMC
December 5, 2014 updated by: University of Pittsburgh
The information collected will optimize the management of patients with gram negative bacteremia.
Approximately 300 patients with Gram negative bacteremia are cared for each year at UPMC-P.
Published medical literature suggests that mortality from this infection exceeds 20%.
The aim of this research is to determine the risk factors for bacteriologic failure of antibiotic therapy, risk factors for antibiotic resistance in bloodstream isolates and risk factors for mortality from Gram negative bacteremia.
Modifiable risk factors can then be tackled by a future interventional study.
Study Overview
Status
Withdrawn
Conditions
Detailed Description
The information collected will optimize the management of patients with gram negative bacteremia.
Approximately 300 patients with Gram negative bacteremia are cared for each year at UPMC-P.
All sites are collecting the following information that was collected as part of the patient's clinical treatment.
The following variables will be collected at all sites: time and location of positive cultures, underlying diseases and severity of illness, recent immunomodulative therapies, physical exam findings, laboratory and radiographical data, antimicrobial usage within 14 days of onset of bacteremia, microbiological data and resistance patterns, choice of antibiotics once organism identified, suspected source of bacteremia, bacteriological outcomes, laboratory results, demographic information, medications, clinical outcome,gender, height, weight, ethnicity, and past medical history (please see attached clinical data collection worksheet dated 4/2005).
We will also collect information retrospectively for one year and prospectively for one year.
The bacteria in the patient's blood cultures will be subcultured (after the diagnosis has been obtained since the microbiology lab would otherwise destroy the culture) and provided to the honest broker who will deidentify the specimen and link it to the medical information collected (which will also be deidentified by the honest broker).
The following evaluation will be performed on these samples.
The minimal inhibitory concentration of the antibiotic used in treatment will be performed by the E-Test method (AB Biodisk, Solna, Sweden).
Specific mechanisms of antimicrobial resistance will be studied with emphasis on the presence of beta-lactamases produced by the bacteria.
This evaluation will be performed by analytical isoelectric focusing techniques as well as PCR and gene sequencing analysis to determine genes encoding beta-lactamases.
Biologic samples will be under the control of the principal investigator of this research project.
All samples provided to the investigators are deidentified by the honest broker and will be coded with numbers.
The information linking these code numbers to the corresponding subjects' identities will be kept in a separate, secure location that only the honest broker has access to.
The investigators on this study will keep the samples indefinitely.
Samples will be kept in the investigator's laboratory located in Scaife Hall, room 812, 3500 Terrace Street.
At no time with the research investigators have access to any patient identifers.
Medical record information and bacteria samples from facilities outside of UPMC will be provided to the PI de-identified.
At not time will the anyone on the research team have access to patient identifiers.
All information and bacteria are collected as part of the patient's clinical treatment.
Study Type
Observational
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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Pennsylvania
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Pittsburgh, Pennsylvania, United States, 15213
- UPMC
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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
Probability Sample
Study Population
E coli positive infections at UPMC
Description
Inclusion Criteria:
- All patients at the aforementioned institutions that have Gram negative bacteremia will be included in the study.
- Women with childbearing potential will also be included in this study. Since this is an observational study, no added risk is conferred to the woman or potential progeny. HIV serostatus will not be specifically investigated for participation in this study.
Exclusion Criteria:
- None
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
Cohorts and Interventions
Group / Cohort |
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positive E coli
positive E coli at UPMC
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
The aims of this study are to: Determine the risk factors for multidrug resistance (ESBL production) in bloodstream isolates of Gram negative bacilli,
Time Frame: 5 years
|
5 years
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
determine the risk factors for failure of prompt clearance of the blood of Gram negative bacteria
Time Frame: 5 years
|
5 years
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Yohei Doi, MD, University of Pittsburgh
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
February 1, 2008
Primary Completion (Actual)
November 1, 2014
Study Completion (Actual)
December 1, 2014
Study Registration Dates
First Submitted
February 7, 2008
First Submitted That Met QC Criteria
February 20, 2008
First Posted (Estimate)
February 21, 2008
Study Record Updates
Last Update Posted (Estimate)
December 8, 2014
Last Update Submitted That Met QC Criteria
December 5, 2014
Last Verified
December 1, 2014
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- PRO08010298
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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