Study Comparing Inhaled Amikacin Versus Placebo to Prevent Ventilator Associated Pneumonia
NCT03149640 · Status: COMPLETED · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 850
Last updated 2025-12-22
Summary
The objective of the study is to prove that after the third day of invasive mechanical ventilation a three-day course of inhaled amikacin reduces the incidence of subsequent VAP.
Parallel two group double blind randomized controlled clinical trial. Individual randomization, performed on day 4 of invasive mechanical ventilation, will be stratified on centre in order to account for variations in VAP prevention bundle implementation and use of systemic antibiotics the day of randomization. Patients will be treated three consecutive days with inhaled amikacin or placebo. Patients will be followed up daily in the intensive care unit for the occurrence of VAP according to international guidelines until day 28.
Conditions
- Pneumonia, Ventilator-Associated
Interventions
- DRUG
-
Inhaled amikacin
Once a day, inhaled amikacin at day 4, day 5 and day 6 of invasive mechanical ventilation: 20 mg/kg of ideal body weight, maximum 2 g per day.
- DRUG
-
Inhaled placebo
Once a day, inhaled placebo at day 4, day 5 and day 6 of invasive mechanical ventilation.
Sponsors & Collaborators
-
University Hospital, Tours
lead OTHER
Principal Investigators
-
Stephan EHRMANN, MD-PhD · University Hospital, Tours
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-07-19
- Primary Completion
- 2021-03-09
- Completion
- 2021-06-17
Countries
- France
Study Locations
More Related Trials
-
Aerosolized Antibiotics in the Treatment of Ventilator Associated Pneumonia
NCT02478710 ·Status: TERMINATED ·Phase: PHASE4
-
Delayed Antibiotic Therapy in Non-severe Ventilator Acquired Pneumonia (VAP)
NCT05205525 ·Status: COMPLETED
-
Effect of Additional Nebulized Amikacin in Ventilator-Associated Pneumonia Caused by Gram Negative Bacteria
NCT02574130 ·Status: COMPLETED ·Phase: NA
-
Reduction of Bacterial Resistance With Inhaled Antibiotics in the Intensive Care Unit
NCT01878643 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Impact of Direct Antimicrobial Susceptibility Testing on Respiratory Sample of Intensive Care Patient With Suspected VAP
NCT02897466 ·Status: UNKNOWN ·Phase: NA
-
Pulmonary Diffusion of Antibiotics in Patients Admitted for ARDS Following SARS-CoV-2 Pneumonia
NCT05464680 ·Status: COMPLETED ·Phase: NA
-
Aerosolized Antibiotics and Respiratory Tract Infection in Patients on Mechanical Ventilation
NCT00396578 ·Status: COMPLETED ·Phase: PHASE2
-
Ventilator Associated Pneumonia Multiplex PCR for Anti-Infective Regimens
NCT06554327 ·Status: RECRUITING ·Phase: NA
-
Defining Antibiotic Treatment Duration for Ventilator - Associated Lung Infection
NCT03382548 ·Status: COMPLETED ·Phase: PHASE3
-
Impact of Antibio Prophylaxis on Occurence of Ventilator Associated Pneumonia in Trauma Patients
NCT07059039 ·Status: COMPLETED
-
Antibiotic Treatment for Pneumonia Caused by Stenotrophomonas Maltophilia in ICU Patients
NCT07052604 ·Status: RECRUITING
-
The Pharmacodynamics of Doripenem Between 4-hour and 1-hour Infusion in Patients With Ventilator-associated Pneumonia
NCT01467648 ·Status: COMPLETED ·Phase: PHASE4
-
Predictive Factors of Good Pulmonary Penetration of Antibiotics : AntiBiotics Dosage in Broncho-Alveolar Lavage
NCT03927079 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Structural and Microbiological Characterization of Endotracheal Tube Biofilm in Patients at Increased Risk for the Development of Ventilator-associated Pneumonia in the Intensive Care Unit
NCT04926493 ·Status: COMPLETED
-
Ventilation Associated Pneumonia and Covid-19
NCT05089968 ·Status: COMPLETED
-
Prevention of Ventilator Associated Pneumonia With Toothbrushing in Oral Care of Critically Ill Mechanically Ventilated Patients
NCT02400294 ·Status: COMPLETED
-
Strategies to Prevent Pneumonia (SToP Pneumonia)
NCT00234598 ·Status: COMPLETED ·Phase: PHASE2
-
Microbial Etiology of Ventilator-associated Pneumonia in COVID-19 Infected Patients
NCT04344509 ·Status: UNKNOWN
-
Hospital-acquired Pneumonia Prevention: Intervention, Evaluation & Research
NCT04915898 ·Status: COMPLETED ·Phase: NA
-
Antimicrobial Stewardship For Ventilator Associated Pneumonia in Intensive Care
NCT05124977 ·Status: RECRUITING ·Phase: NA
-
Study of the Aerosol Deposition With Vented and Unvented Jet Nebulizer in Healthy Subjets
NCT01428323 ·Status: UNKNOWN ·Phase: NA
-
7-days Versus 14 Days of Antibiotics Therapy for Ventilator Associated Pneumonia
NCT03477292 ·Status: COMPLETED ·Phase: NA
-
Coated Endotracheal Tube and Mucus Shaver to Prevent Hospital-Acquired Infections
NCT00341354 ·Status: COMPLETED ·Phase: PHASE2
-
Direct E-test on Bronchoalveolar Lavage From Patients With Ventilator-acquired Pneumonia
NCT01042353 ·Status: COMPLETED ·Phase: PHASE4
-
Five Versus Seven Day Antibiotic Course for the Treatment of Pneumonia in the Intensive Care Unit
NCT01554657 ·Status: COMPLETED ·Phase: NA