Pharmacokinetic and Pharmacodynamic Evaluation of Linezolid Administered Intravenously in MRSA-positive, Morbidly Obese Patients With Pneumonia
NCT01805284 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 15
Last updated 2021-12-01
Summary
The objectives of the study are:
(i) to evaluate the proportion of patients who attain a T\>MIC (Minimum Inhibitory Concentration) of 100% and the time frame in which they do so. The investigators therefore plan to measure unbound linezolid trough concentrations before administration of the second, third, fourth and fifth dose. Furthermore, the investigators will assess the AUC0 - 24h/MIC in all study subjects. Therefore, multiple plasma samples will be drawn after the fourth or fifth dose, when steady state conditions are reached.
(ii) to describe the pharmacokinetic variability of unbound linezolid concentrations in this cohort using a population pharmacokinetic model and to assess the expected probability of target attainment (PTA) by MIC against MRSA.
Twenty adult, MRSA-positive, morbidly obese patients with clinically and radiologically documented pneumonia are to be included. Therefore, a multi-centre, international observational study is necessary. Given the specific target population this study is not feasible in a single-centre approach. The goal is to find up to 6 centres that anticipate including 3 to 4 patients in the study within a time frame of one year.
Included patients should receive at least 6 doses of linezolid. Linezolid must be administered intravenously (iv) over a one hour controlled infusion (with use of a volumetric infusion pump).
Conditions
Interventions
- DRUG
-
Linezolid
600 mg linezolid as a 1 hour controlled infusion (acceptable time frame is between 30 and 120 minutes), twice, at least 3 days.
Sponsors & Collaborators
-
University Hospital, Ghent
collaborator OTHER - collaborator INDUSTRY
-
University Ghent
lead OTHER
Principal Investigators
-
Dirk Vogelaers, Ph.D., M.D. · University Hospital, Ghent
Study Design
- Allocation
- NA
- Purpose
- OTHER
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-02-28
- Primary Completion
- 2016-09-30
- Completion
- 2016-09-30
Countries
- Belgium
Study Locations
More Related Trials
-
Continuous Infusion of Linezolid Versus Intermittent Dosing in the Treatment of Nosocomial Pneumonia
NCT04531332 ·Status: UNKNOWN ·Phase: NA
-
Towards Reducing Resistance and Hematological Toxicity of Linezolid
NCT00177723 ·Status: COMPLETED
-
The OPTIMAL TDM Study: Determining Optimal Beta-lactam Plasma Concentrations Through Therapeutic Drug Monitoring
NCT03790631 ·Status: COMPLETED
-
Trial of Antimicrobial Restraint in Presumed Pneumonia
NCT04438187 ·Status: COMPLETED ·Phase: NA
-
Contezolid Acefosamil Versus Linezolid for the Treatment of Acute Bacterial Skin and Skin Structure Infection
NCT03747497 ·Status: COMPLETED ·Phase: PHASE2
-
Model-informed Precision Dosing for Linezolid
NCT06444802 ·Status: NOT_YET_RECRUITING ·Phase: PHASE3
-
Microbiologic Response With Linezolid And Vancomycin In Ventilator-Associated Pneumonia Due To Methicillin Resistant Staphylococcus Aureus
NCT00572559 ·Status: COMPLETED ·Phase: PHASE4
-
Clinical Outcomes of Methicillin Resistant Staphylococcus Aureus (MRSA) Hospital-Based Pneumonia
NCT01819935 ·Status: COMPLETED
-
Immunosuppression and Intensive Care Unit-acquired Multidrug-resistant Bacteria
NCT06652126 ·Status: RECRUITING
-
Evaluation Of Linezolid Pk Profile In Burns Patients
NCT00255996 ·Status: COMPLETED ·Phase: PHASE1
-
Evaluation of the Achievement of a Pharmacodynamic Target of Piperacillin-Tazobactam for the Population With Obesity
NCT06690905 ·Status: COMPLETED ·Phase: PHASE4
-
Linezolid Alone or Combined With Carbapenem Against Methicillin-resistant Staphylococcus Aureus (MRSA) in Ventilator-associated Pneumonia
NCT01356472 ·Status: UNKNOWN ·Phase: PHASE4
-
Ceftobiprole in Hospital Acquired Pneumonia
NCT00210964 ·Status: COMPLETED ·Phase: PHASE3
-
Pharmacokinetics and Pleural Fluid Penetration of Amoxicillin and Clavulanic Acid in Patients With Pleural Infections
NCT04350502 ·Status: COMPLETED ·Phase: NA
-
Impact of Pharmaceutical Interviews Regarding the Management of Adverse Effects Related to the Antibiotic Therapy Used to Treat Osteoarticular Infections During Return Home
NCT05248490 ·Status: COMPLETED ·Phase: NA
-
Tedizolid Phosphate (TR-701 FA, MK-1986) vs Linezolid for the Treatment of Nosocomial Pneumonia (MK-1986-002)
NCT02019420 ·Status: COMPLETED ·Phase: PHASE3
-
Therapeutic Drug Monitoring in Patients With Difficult-to-Treat Gram-Negative Bacterial Infections
NCT05942157 ·Status: RECRUITING ·Phase: NA
-
Risk Factors for Linezolid Resistance in Staphylococcus Aureus
NCT00519025 ·Status: COMPLETED
-
Personalized Optimization of Antibiotic Therapy in Pulmonary Sepsis Critically Ill Patients Through Application of Rapid Microbiological Diagnostic Technologies and Pharmacokinetic/Pharmacodynamic Modelling
NCT06956053 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Treatment of Neutropenic Patients With Fever Who Are Suspected to Have A Gram Positive Infection
NCT00035425 ·Status: COMPLETED ·Phase: PHASE3
-
A Placebo-Controlled, Dose-Escalating Study to Examine the Safety and Tolerability of Single Intravenous Doses of CF-301 in Healthy Subjects
NCT02439359 ·Status: COMPLETED ·Phase: PHASE1
-
PHASE II SINGLE-CENTER, RANDOMIZED, OPEN-LABEL, PROSPECTIVE, STUDY TO DETERMINE THE IMPACT OF SERIAL PROCALCITONIN
NCT04983901 ·Status: COMPLETED ·Phase: PHASE2
-
Plasma Pharmacological Monitoring of M Penicillins in Methicillin-sensitive Staphylococcus Aureus Bacteremia
NCT06495697 ·Status: RECRUITING
-
Plasma Pharmacokinetics (PK) & Lung Penetration of Ceftolozane/Tazobactam in Participants With Pneumonia (MK-7625A-007)
NCT02387372 ·Status: COMPLETED ·Phase: PHASE1
-
Vancomycin Dosing for Serious MRSA Infections: A Non-inferiority Randomized Trial of Trough Level Versus AUC/MIC
NCT04793152 ·Status: RECRUITING ·Phase: NA