Pharmacodynamics Modeling to Optimize Dosage Regimens of Sulbactam in Patients With Acinetobacter Infections
NCT02688322 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 18
Last updated 2017-09-20
Summary
Acinetobacter species have emerged as agents of serious nosocomial infections in critically ill patients. Only a few effective antibiotics are currently available for the treatment of this pathogen and, therefore, sulbactam is being considered as an alternative treatment option. The aims of this study were to i) reveal the population pharmacokinetics and ii) assess the probability of target attainment (PTA) of sulbactam in septic critically ill patients caused by Acinetobacter spp. infections.
The study was conducted in septic critically ill patients caused by Acinetobacter spp. Each patient received 2 g every 12 h of sulbactam for 10 days, after which PK studies were carried out on day 4 of sulbactam therapy and a Monte Carlo simulation was performed to determine the probability of attaining a specific pharmacodynamic target.
Conditions
- Acinetobacter Infections
Interventions
- DRUG
-
Sulbactam
2 g in 100 ml of normal saline solution and administered via an infusion pump at a constant flow rate 1 h every 12 h. Blood samples (approximately 5 ml) will be obtained by direct venepuncture at the following time: 0, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8 and 12 h after 7th dose of sulbactam
Sponsors & Collaborators
-
Prince of Songkla University
collaborator OTHER -
Sutep Jaruratanasirikul
lead OTHER
Study Design
- Allocation
- NA
- Purpose
- OTHER
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2014-09-30
- Primary Completion
- 2016-08-31
- Completion
- 2016-08-31
Countries
- Thailand
Study Locations
More Related Trials
-
Efficacy of Colistin Monotherapy Versus Colistin Plus Minocycline for Carbapenem-Resistant A. Baumannii Infection
NCT05586815 ·Status: UNKNOWN ·Phase: PHASE4
-
A Study to Assess the Safety and Risk of Hypersensitivity Reactions of Sulbactam-durlobactam in Adults With Acinetobacter Baumannii-calcoaceticus (ABC) Complex Infection
NCT06746883 ·Status: RECRUITING
-
Bacteremia Antibiotic Length Actually Needed for Clinical Effectiveness: A Pilot RCT
NCT02261506 ·Status: COMPLETED ·Phase: NA
-
Impact of Real-time MIC (Minimum Inhibitory Concentration) Reporting (<6 Hours) on β-lactam Prescription in Cases of Gram-negative Bacilli Bacteremia in ICU Patients in Real-life Settings
NCT07202377 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Switch to Oral Antibiotics in Gram-negative Bacteremia
NCT04146922 ·Status: COMPLETED ·Phase: NA
-
Beta-lactam Pharmacokinetics in Secondary Care
NCT03033394 ·Status: COMPLETED
-
Beta-lactam Therapeutic Drug Monitoring in Singapore
NCT04450680 ·Status: UNKNOWN
-
A Study to Assess Sulbactam-durlobactam in Pediatric Patients With Acinetobacter Baumannii-calcoaceticus Complex Infection
NCT06801223 ·Status: RECRUITING ·Phase: PHASE1
-
Different Dosing Strategies of Colistin in Multidrug-Resistant Gram-Negative Bacilli Infections
NCT06843668 ·Status: RECRUITING ·Phase: PHASE2/PHASE3
-
A Study to Investigate the Pharmacokinetics of RO7223280 in Critically Ill Participants With Bacterial Infections
NCT05614895 ·Status: COMPLETED ·Phase: PHASE1
-
Pharmacokinetics of Piperacillin and Tazobactam in Critically Ill Patients
NCT03738683 ·Status: COMPLETED
-
Pharmacokinetics/ Pharmacodynamics (PK/PD) Study of Vancomycin
NCT02443064 ·Status: UNKNOWN ·Phase: PHASE4
-
Early Oral Switch for Uncomplicated Gram-negative Bacteraemia
NCT05199324 ·Status: RECRUITING ·Phase: PHASE4
-
Evaluation of Vancomycin Treatment of Infections Due to Staphylococcus Aureus
NCT00862862 ·Status: TERMINATED
-
Pharmacokinetics of Amikacin and Cefuroxime in Critically Ill Patients.
NCT04470973 ·Status: UNKNOWN
-
The Effect of Nebulization of Alkaline Solution on Treating XDRAB Pneumonia With C/S Plus Minocycline
NCT02060149 ·Status: UNKNOWN ·Phase: PHASE1/PHASE2
-
Colistin-rifampin Combination and Colistin Monotherapy in Extensively Drug-resistant Acinetobacter Baumannii
NCT03622918 ·Status: COMPLETED ·Phase: NA
-
Effect of Aerosolised Colistin in Ventilator Associated Pneumonia
NCT02683603 ·Status: COMPLETED ·Phase: PHASE4
-
The Immunostimulatory Effects of Gentamicin
NCT05303909 ·Status: TERMINATED ·Phase: PHASE2
-
Aerosolized Plus Intravenous vs. Intravenous Colistin for VAP Due to Pandrugs-resistant A. Baumannii in Neonates
NCT02806141 ·Status: TERMINATED ·Phase: PHASE3
-
Outpatient Parenteral Antimicrobial Therapy (OPAT)
NCT03221140 ·Status: RECRUITING
-
Therapy of Ventilator-associated Tracheobronchitis Caused by Gram Negative Bacteria With Nebulized Colistin
NCT02619786 ·Status: UNKNOWN ·Phase: PHASE3
-
Colistin Versus Colistin Plus Fosfomycin for Infections Caused by MDR Acinetobacter Baumannii
NCT01297894 ·Status: UNKNOWN ·Phase: PHASE3
-
Optimizing Clinical Use of Polymyxin B
NCT02682355 ·Status: COMPLETED
-
Impact of Plasma Levels of Colistin in Patients With Carbapenem Resistant Acinetobacter Baumannii Infection
NCT02482961 ·Status: COMPLETED