Pivmecillinam With Amoxicillin/Clavulanic Acid for Step Down Oral Therapy in ESBL UTIs
NCT05224401 · Status: RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 330
Last updated 2023-08-28
Summary
To evaluate if the combination of pivmecillinam and clavulanic acid (PAC) is non-inferior to ciprofloxacin, trimethoprim-sulfamethoxazole or ertapenem as step down oral therapy in patients with febrile UTI caused by extended spectrum beta-lactamase (ESBL) producing Enterobacterales (EPE).
Conditions
- Urinary Tract Infections
- Bacteremia
- Antibiotic Resistant Infection
Interventions
- DRUG
-
Pivmecillinam and amoxicillin/clavulanic acid
1 tablet pivmecillinam 400 mg and 1 tablet Amoxicillin/clavulanic acid 875/125 mg, three times daily.
- DRUG
-
Standard treatment, ciprofloxacin, trimethoprim/sulfamethoxazole or ertapenem depending on susceptibility
Ciprofloxacin 500 mg twice daily, trimethoprim/sulfamethoxazole 800 mg/160 mg twice daily or ertapenem 1 g once daily.
Sponsors & Collaborators
-
Lund University
lead OTHER
Principal Investigators
-
Oskar Ljungquist, MD, PhD. · Lunds universitet
-
Emeli Månsson, MD, PhD. · Västmanland Hospital Västeras
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 130 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-05-29
- Primary Completion
- 2027-09-01
- Completion
- 2027-09-01
- FDA Drug
- Yes
Countries
- Sweden
Study Locations
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