Antibiotic Therapy In Respiratory Tract Infections
NCT04166110 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 310
Last updated 2023-05-23
Summary
Primary aim: to demonstrate that stopping antibiotic treatment in patients diagnosed with acute community acquired pneumonia (CAP) based on clinical response has a non-inferior efficacy 15 days after start of treatment, compared to a conventional predetermined duration left to the physician's judgement, in adults treated in the community setting.
Secondary aims: To compare the 2 study arms on:
1. Clinical success at late follow up (Day 30),
2. Duration of antibiotic treatment,
3. Frequency and severity of adverse events,
4. Patient's pneumonia symptoms and quality of life.
Conditions
- Community-Acquired Pneumonia
Interventions
- DRUG
-
Predetermined treatment duration
Antibiotic treatment duration left to the physician's judgement (following national guidelines, 7 to 14 days)
- DRUG
-
Variable treatment duration
Treatment duration vary according to stability criteria reaching time Patients will self-monitor 2 times a day (in the morning and in the evening) using a set of connected devices, to monitor their vital signs before any treatment intake. After at least 3 days of treatment and stability criteria obtained for the last 24 hours (i.e. 3 vital signs recording), patients will stop the antibiotic treatment.
Sponsors & Collaborators
-
Assistance Publique - Hôpitaux de Paris
lead OTHER
Principal Investigators
-
Aurélien DINH, MD · Unité des Maladies Infectieuses, Hôpital Raymond Poincaré, Garches
-
Anne-Claude CRÉMIEUX, MD, PhD · Service des maladies infectieuses, Hôpital Saint Louis, Paris
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-09-30
- Primary Completion
- 2025-12-31
- Completion
- 2025-12-31
Countries
- France
Study Locations
More Related Trials
-
Azithromycin Microspheres in Patients With Low Risk Community Acquired Pneumonia
NCT00140023 ·Status: COMPLETED ·Phase: PHASE3
-
Utility of Empiric Antibiotics for Non-intubated Novel Coronavirus Diseases 2019 Patients
NCT04674410 ·Status: WITHDRAWN
-
Short Duration Treatment of Non-severe Community Acquired Pneumonia
NCT01963442 ·Status: UNKNOWN ·Phase: PHASE2
-
Community-Acquired Pneumonia - Study on the Initial Treatment With Antibiotics of Lower Respiratory Tract Infections
NCT01660204 ·Status: COMPLETED ·Phase: NA
-
Optimizing Care for Children Hospitalized With Community-acquired Pneumonia: Short-course Therapy
NCT06125340 ·Status: RECRUITING ·Phase: PHASE4
-
Efficacy and Safety of SR1375 in Adult Patients With CAP
NCT06577558 ·Status: RECRUITING ·Phase: PHASE2
-
Study to Proof the Clinical and Bacteriological Non-inferiority of Ampicillin/Amoxicillin Versus Moxifloxacin in Hospitalized Patients With Non-severe Community-acquired Pneumonia
NCT00887276 ·Status: TERMINATED ·Phase: PHASE4
-
Duration of Antibiotic Treatment in Community-acquired Pneumonia
NCT05762328 ·Status: RECRUITING ·Phase: NA
-
Use of MULTIplex PCR, Procalcitonin, and Sputum Appearance to Reduce Duration of Antibiotic Therapy During Severe COPD EXAcerbation: A Controlled, Randomized, Open-label, Parallel-Group, Multicenter Trial
NCT05280132 ·Status: RECRUITING ·Phase: NA
-
Microbiology Testing With the Aim Of Directed Antimicrobial Therapy For CAP
NCT01662258 ·Status: WITHDRAWN ·Phase: NA
-
Treatment of Mycobacterium Xenopi Pulmonary Infection
NCT01298336 ·Status: COMPLETED ·Phase: PHASE3
-
Amoxicillin Alone Versus Amoxicillin/Clavulanate for Community-acquired Pneumonia in Patients Aged 65 Years or Older, and Hospitalized in a Non-intensive Care Unit Ward
NCT06229288 ·Status: RECRUITING ·Phase: PHASE3
-
Anti-inflammatory Action of Oral Clarithromycin in Community-acquired Pneumonia
NCT04724044 ·Status: COMPLETED ·Phase: PHASE3
-
Comparative Study of EDP-420 Versus Another Antibiotic in the Treatment of Community Acquired Pneumonia
NCT00270517 ·Status: UNKNOWN ·Phase: PHASE2
-
The Optimal Antibiotic Treatment Duration for Community-acquired Pneumonia in Adults Diagnosed in General Practice in Denmark (CAP-D)
NCT06295120 ·Status: RECRUITING ·Phase: PHASE4
-
Trial on a Strategy Combining Rapid Diagnostic Testing and Antimicrobial Stewardship to Improve Antibiotic Use in Patients With Hospital-acquired Pneumonia.
NCT04153682 ·Status: COMPLETED ·Phase: NA
-
PCT-guided Treatment Regarding Antibiotic Use for Acute COPD Exacerbations
NCT05854901 ·Status: UNKNOWN ·Phase: NA
-
Improved Use of Antibiotic Guidelines in Hospital Environment
NCT00512772 ·Status: COMPLETED
-
Assessing Effectiveness of Community Acquired Pneumonia Treatment by Continuous Pneumonia Severity Score
NCT04135183 ·Status: UNKNOWN ·Phase: NA
-
Comparison of Two Antibiotic Regimens for the Treatment of Early Airways Infection With PA in Adults With Bronchiectasis
NCT06368804 ·Status: RECRUITING ·Phase: PHASE2
-
Study of Clinical and Immune Severity Profiles of Patients Infected With SARS-Cov2 (COVID-19)
NCT04365166 ·Status: UNKNOWN
-
Impact of a Regional Antimicrobial Stewardship on the Length of Stay of Patients Admitted to Hospital With Pneumonia
NCT02276092 ·Status: COMPLETED
-
A Prospective, Multicenter, Single-arm MAC-PD Cohort: a NTM-NET and ESGMYC Collaborative Study
NCT05906316 ·Status: RECRUITING
-
Antibiotic Therapy in Viral Airway Infections
NCT05045612 ·Status: RECRUITING ·Phase: PHASE4
-
The Study Of Azithromycin Switch Therapy For Treatment Of Community Acquired Pneumonia (CAP)
NCT00809328 ·Status: COMPLETED ·Phase: PHASE3