- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02837835
Lung Concentrations of Ceftazidime in Patients With Ventilator-associated Pneumonia (CEFTALC)
Comparison of Lung Concentrations of Ceftazidime Administered by Continuous Versus Intermittent Infusion in Patients With Ventilator-associated Pneumonia
Study Overview
Detailed Description
Primary objective
The main objective of this study is to show the continuous administration of superiority ceftazidime versus intermittent administration, in terms of lung tissue concentration of ceftazidime in mechanically ventilated patients with pneumonia caused by a bacillus gram negative.
Methods
Trial
Prospective therapeutic trial in parallel groups, controlled, randomized, single center comparing two methods of administration of ceftazidime (continuous administration by self-pulsed syringe versus discontinuous administration regimens to 3 injections per 24 hours) in patients with severe pneumonia in mechanically ventilated due to gram negative bacillus.
Population
Patients will be enrolled in the Intensive Care Unit of the Reims university hospital.
All patients meeting the inclusion criteria and respecting the criteria of non-inclusions (see below) will be consecutively enrolled in the study after obtaining consent. The allocation of one of the 2 treatment modality will be made by randomization.
Variables and parameters collected in the study:
In addition to sociodemographic variables, variables for inclusion in the study and judgment criteria, different blood and urine tests will be collected:
- Criteria for inclusion and non-inclusion (see above);
Outcome:
i) concentration in the cell film ceftazidime;
ii) serum concentration of ceftazidime;
iii) period during which the serum concentration of ceftazidime is higher than 20 mg/l;
- Socio-demographic variables: Age, Gender;
- Blood Assays: Blood gas; Blood Urea, créatinimémie and chemistry panel; serum protein; Complete Blood Count; Beta HCG if women of childbearing age; Liver function tests: AST, ALT, GGT, bilirubin, alkaline phosphatase;
- Urinary Assays: Creatinine clearance and urinary electrolytes.
Study Type
Enrollment (Actual)
Phase
- Phase 3
Contacts and Locations
Study Locations
-
-
Reims
-
France, Reims, France, 51092
- CHU Reims
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria
- Age >18 years;
- Patients hospitalized in the general intensive care unit of the University Hospital of Reims;
- Nosocomial pneumonia with Gram-negative.
Exclusion Criteria:
- Weight >110 kg;
- Pregnant or breastfeeding women;
- Known allergy to beta - lactam antibiotics;
- Renal impairment: clearance <60 calculated by the Cockcroft and Gault;
- Known history of pulmonary fibrosis;
- Patients included in another research protocol.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: continuous administration of ceftazidime
|
20 mg/kg of body weight followed by 60 mg/kg/day
20 mg/kg over 30 min every 8 h
|
Experimental: intermittent administration of ceftazidime
|
20 mg/kg of body weight followed by 60 mg/kg/day
20 mg/kg over 30 min every 8 h
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
lung tissue concentration of ceftazidime
Time Frame: up to 44 hours
|
up to 44 hours
|
Collaborators and Investigators
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
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
- 104R04
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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