- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02492425
A Registry Study on Hospitalized Patients With Community-acquired Pneumonia in Real-life of China (CAP-China)
Evaluating the Adherence to Guidelines' Empirical Antibiotic Recommendations and Outcome of Patients Admitted to a Hospital Ward With a Diagnosis of Community-acquired Pneumonia
Study Overview
Status
Conditions
Detailed Description
In China, the data about current management of patients hospitalized with community acquired pneumonia (CAP) in the real-life setting is not available,type of pneumonia, selection of initial antibiotic, time to clinical stability, antibiotic choice anf modification,clinical outcomes and costs remain unclear.
In this study, we will collect comprehensive information on CAP and healthcare associated pneumonia (HCAP) management patterns to evaluate the disease burden of hospitalized patients with CAP and HCAP in real life of China .to analyze microbiological characteristics,clinical manifestations,antibiotic regimens ,adherences to guidelines and effect on outcome in different groups of patients with CAP (> and = 65 years, different comorbidities ,risk factors) ,to investigate microbiological characteristics,clinical manifestations,antibiotic regimens ,adherences to guidelines and effect on outcome in different groups of disease severity with CAP ,to provide the difference on microbiological characteristics,clinical manifestations,antibiotic regimens ,and outcome between patients with CAP and HCAP ,to understand the current situation of antibiotic regimen ,to evaluate influence of different antibiotic regimens on prognosis.
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Locations
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Beijing, China, 100029
- China-Japan Friendship Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Patients > or = 14 years of age
- Patient meets the criteria of community acquired pneumonia
- Patient meets the criteria of healthcare-associated pneumonia
- Informed consent to participate in the study is provided
Exclusion Criteria:
- Patients participating in a clinical trial or other intervention studies
- Patients <14 years of age
- Patient meets the criteria of hospital acquired pneumonia
- Known active tuberculosis or current treatment for tuberculosis
- Non-infectious pulmonary diseases (e.g. pulmonary embolism, pulmonary edema, pulmonary vasculitis, interstitial pneumonia)
- HIV positive
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
initial antibiotic treatment failure rate
Time Frame: 72 hours
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a change in antibiotic therapy due to worsening signs or symptoms of infection or lack of clinical improvement after first dose use of antibiotics to 72h
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72 hours
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in-hospital clinical failure rate
Time Frame: Time from date of admission to discharge up to 1 week
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1)a change in antibiotic therapy due to worsening signs or symptoms of infection or lack of clinical improvement, 2) in-hospital mortality, 3) recurrence, defined as signs or symptoms of infection after completion of therapy requiring re-initiation of antibiotics
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Time from date of admission to discharge up to 1 week
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30-day post-discharge clinical failure rate
Time Frame: discharge up to 5 weeks
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rate of re-hospitalization due to pulmonary infection and death during the follow-up period at 30 days post-discharge from hospital
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discharge up to 5 weeks
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Duration of intravenous antimicrobial therapy
Time Frame: 2 weeks
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Time from the first dose of intravenous antibiotics to date of stop of intravenous antibiotics ,participants will be followed for the duration of hospital stay
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2 weeks
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Hospital length of stay
Time Frame: 2 weeks
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Patients will be asked about hospitalization, date, Patients will be asked about hospitalization, date, participants will be asked about the time of admission and discharge
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2 weeks
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Duration of oral antimicrobial therapy
Time Frame: 2 weeks
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Time from date of administration of first antibiotic to date of discontinuation of last antibiotic
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2 weeks
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Duration of antimicrobial therapy
Time Frame: 6 weeks
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Time from date of administration of first antibiotic to date of discontinuation of last antibiotic (or to date of censoring, whichever comes first) upto a maximum of 30 days post-discharge from hospital post discharge from hospital
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6 weeks
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Days of each antimicrobial therapy
Time Frame: 6 weeks
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Time from date of first administration on admission to hospital to date of discontinuation (or to date of censoring, whichever comes first) upto a maximum of 30 days post-discharge follow-up for each antibiotic
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6 weeks
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Collaborators and Investigators
Sponsor
Investigators
- Study Chair: Bin Cao, MD, China-Japan Friendship Hospital
Publications and helpful links
General Publications
- Yang SQ, Qu JX, Wang C, Yu XM, Liu YM, Cao B. Influenza pneumonia among adolescents and adults: a concurrent comparison between influenza A (H1N1) pdm09 and A (H3N2) in the post-pandemic period. Clin Respir J. 2014 Apr;8(2):185-91. doi: 10.1111/crj.12056. Epub 2013 Nov 26.
- Cao B, Huang GH, Pu ZH, Qu JX, Yu XM, Zhu Z, Dong JP, Gao Y, Zhang YX, Li XH, Liu JH, Wang H, Xu Q, Li H, Xu W, Wang C. Emergence of community-acquired adenovirus type 55 as a cause of community-onset pneumonia. Chest. 2014 Jan;145(1):79-86. doi: 10.1378/chest.13-1186.
- Qu J, Gu L, Wu J, Dong J, Pu Z, Gao Y, Hu M, Zhang Y, Gao F, Cao B, Wang C; Beijing Network for Adult Community-Acquired Pneumonia (BNACAP). Accuracy of IgM antibody testing, FQ-PCR and culture in laboratory diagnosis of acute infection by Mycoplasma pneumoniae in adults and adolescents with community-acquired pneumonia. BMC Infect Dis. 2013 Apr 11;13:172. doi: 10.1186/1471-2334-13-172.
Helpful Links
Study record dates
Study Major Dates
Study Start
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- NCT20150401
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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