Trial Outcomes & Findings for Vancomycin Pharmacokinetics in Patients on Peritoneal Dialysis (NCT NCT03685747)

NCT ID: NCT03685747

Last Updated: 2022-03-03

Results Overview

Total systemic plasma concentration following 12-hour dwell

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

4 participants

Primary outcome timeframe

Day: 1

Results posted on

2022-03-03

Participant Flow

Participant milestones

Participant milestones
Measure
Vancomycin
A single 20 mg/kg intraperitoneal dose in 1-liter of 7.5% icodextrin solution of vancomycin will be administered. Sparse blood sampling will be obtained during an overnight 12-hour dwell and during the exchange period. Vancomycin: Vancomycin one-time 20 mg/kg intraperitoneal dose.
Overall Study
STARTED
4
Overall Study
COMPLETED
4
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Vancomycin Pharmacokinetics in Patients on Peritoneal Dialysis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Vancomycin
n=4 Participants
A single 20 mg/kg intraperitoneal dose in 1-liter of 7.5% icodextrin solution of vancomycin will be administered. Sparse blood sampling will be obtained during an overnight 12-hour dwell and during the exchange period. Vancomycin: Vancomycin one-time 20 mg/kg intraperitoneal dose.
Age, Categorical
<=18 years
0 Participants
n=99 Participants
Age, Categorical
Between 18 and 65 years
3 Participants
n=99 Participants
Age, Categorical
>=65 years
1 Participants
n=99 Participants
Age, Continuous
43 years
STANDARD_DEVIATION 19 • n=99 Participants
Sex: Female, Male
Female
1 Participants
n=99 Participants
Sex: Female, Male
Male
3 Participants
n=99 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
Race (NIH/OMB)
Asian
3 Participants
n=99 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=99 Participants
Race (NIH/OMB)
White
0 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
Region of Enrollment
United States
4 Participants
n=99 Participants

PRIMARY outcome

Timeframe: Day: 1

Total systemic plasma concentration following 12-hour dwell

Outcome measures

Outcome measures
Measure
Vancomycin
n=4 Participants
A single 20 mg/kg intraperitoneal dose in 1-liter of 7.5% icodextrin solution of vancomycin will be administered. Sparse blood sampling will be obtained during an overnight 12-hour dwell and during the exchange period. Vancomycin: Vancomycin one-time 20 mg/kg intraperitoneal dose.
Maximum Total Plasma Concentration (Cmax)
28.7 mg/L
Standard Deviation 4.9

PRIMARY outcome

Timeframe: Day: 1

Time (hours) to achieve the maximum plasma concentration

Outcome measures

Outcome measures
Measure
Vancomycin
n=4 Participants
A single 20 mg/kg intraperitoneal dose in 1-liter of 7.5% icodextrin solution of vancomycin will be administered. Sparse blood sampling will be obtained during an overnight 12-hour dwell and during the exchange period. Vancomycin: Vancomycin one-time 20 mg/kg intraperitoneal dose.
Time to Maximum Plasma Concentration (Tmax)
14.4 hours
Interval 13.8 to 15.0

PRIMARY outcome

Timeframe: Days: 1-7

AUC based on vancomycin plasma concentrations

Outcome measures

Outcome measures
Measure
Vancomycin
n=4 Participants
A single 20 mg/kg intraperitoneal dose in 1-liter of 7.5% icodextrin solution of vancomycin will be administered. Sparse blood sampling will be obtained during an overnight 12-hour dwell and during the exchange period. Vancomycin: Vancomycin one-time 20 mg/kg intraperitoneal dose.
Area Under the Concentration-time Curve (AUC0-inf)
2589.9 hr x mg/L
Standard Deviation 365.6

PRIMARY outcome

Timeframe: Days: 1-7

Total vancomycin plasma vancomycin clearance

Outcome measures

Outcome measures
Measure
Vancomycin
n=4 Participants
A single 20 mg/kg intraperitoneal dose in 1-liter of 7.5% icodextrin solution of vancomycin will be administered. Sparse blood sampling will be obtained during an overnight 12-hour dwell and during the exchange period. Vancomycin: Vancomycin one-time 20 mg/kg intraperitoneal dose.
Total Body Clearance (CLtotal)
7.2 mL/min
Standard Deviation 1.3

PRIMARY outcome

Timeframe: Days: 1-7

Vancomycin clearance from peritoneal dialysis

Outcome measures

Outcome measures
Measure
Vancomycin
n=4 Participants
A single 20 mg/kg intraperitoneal dose in 1-liter of 7.5% icodextrin solution of vancomycin will be administered. Sparse blood sampling will be obtained during an overnight 12-hour dwell and during the exchange period. Vancomycin: Vancomycin one-time 20 mg/kg intraperitoneal dose.
Dialytic Clearance
11.1 mL/min
Standard Deviation 4.3

SECONDARY outcome

Timeframe: Days: 1-7

Any adverse events throughout entirety of study as assessed by physician-investigator

Outcome measures

Outcome measures
Measure
Vancomycin
n=4 Participants
A single 20 mg/kg intraperitoneal dose in 1-liter of 7.5% icodextrin solution of vancomycin will be administered. Sparse blood sampling will be obtained during an overnight 12-hour dwell and during the exchange period. Vancomycin: Vancomycin one-time 20 mg/kg intraperitoneal dose.
Adverse Events
0 Participants

Adverse Events

Vancomycin

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Walter Kraft

Thomas Jefferson University

Phone: 2159559077

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place