Beta-lactam Intermittent Versus Continuous Infusion and Combination Antibiotic Therapy in Sepsis
NCT05681442 · Status: RECRUITING · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 600
Last updated 2026-02-27
Summary
Patients hospitalized in ICU with sepsis (infection with life-threatening organ dysfunction according to sepsis 3.0 definitions) or septic shock presumably due to MDR-GNB (multidrug resistant Gram-negative bacteria). The study will be a prospective multicentre, randomized, open-label comparative continuous vs. intermittent pivotal βL (Beta Lactamine) antibiotic infusion strategies and combination vs. monotherapy trial conducted with a 2X2 factorial design.
Conditions
Interventions
- DRUG
-
continuous pivotal βL-AB
continuous pivotal βL-AB
- DRUG
-
intermittent pivotal βL-AB
intermittent pivotal βL-AB (IID = control group)
- DRUG
-
AG infusion most 1 dose
AG infusion most 1 dose (AMT group )
- DRUG
-
AG infusion for 5 days
AG infusion for 5 days (ACT Group)
Sponsors & Collaborators
-
Assistance Publique - Hôpitaux de Paris
lead OTHER
Principal Investigators
-
Aline DECHANET · Assistance Publique - Hôpitaux de Paris (AP-HP)
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-11-13
- Primary Completion
- 2027-01-04
- Completion
- 2027-06-04
Countries
- France
Study Locations
More Related Trials
-
Early Optimization of Ceftazidime Regimen in Critical Care
NCT07085624 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Evaluation of the Performance of the IDBIORIV Method in Pathogen Identification and Antibiotic Susceptibility Testing in Patients With Sepsis
NCT06219135 ·Status: RECRUITING
-
Empiric Antibiotic Treatment for Septic Patients in the Intensive Care Unit
NCT05924126 ·Status: RECRUITING
-
Study of the Role of Interferon αon the Endothelial Dysfunction During Septic Shock
NCT04204694 ·Status: UNKNOWN
-
Study of Procalcitonin (PCT)-Guided Antibiotic Use in Severe Sepsis Patients Without Obvious Infection
NCT01025180 ·Status: TERMINATED ·Phase: PHASE4
-
Safety and Efficacy of Procalcitonin Guided Antibiotic Therapy in Adult Intensive Care Units (ICU's)
NCT01139489 ·Status: COMPLETED ·Phase: NA
-
Aminoglycosides in Early Sepsis
NCT06712641 ·Status: RECRUITING ·Phase: PHASE4
-
Antibiotic Administration and Blood Culture Positivity in Severe Sepsis and Septic Shock
NCT01867905 ·Status: COMPLETED
-
Descriptive Study of the Evolution in Proportion of Regulatory B Lymphocytes in Patients Hospitalized in Intensive Care for Severe Sepsis
NCT03115125 ·Status: UNKNOWN ·Phase: NA
-
De-escalation of Empirical Antimicrobial Therapy Study in Severe Sepsis
NCT01626612 ·Status: COMPLETED ·Phase: PHASE3
-
Diagnostic Performance of a New Bio-marker During Bacterial Sepsis
NCT02721134 ·Status: COMPLETED ·Phase: NA
-
Procalcitonin Monitoring May Decrease Antibiotic Use in the Intensive Care Unit
NCT01085994 ·Status: UNKNOWN
-
Preemptive Resuscitation for Eradication of Septic Shock
NCT01449721 ·Status: COMPLETED ·Phase: NA
-
GR270773 In The Treatment Of Suspected Or Confirmed Gram-Negative Severe Sepsis In Adults
NCT00089986 ·Status: COMPLETED ·Phase: PHASE2
-
A Randomised Trial on the Saftely and Efficacy of GR270774 in the Treatment of Gram-negative Sepsis in Adult
NCT00563134 ·Status: SUSPENDED ·Phase: NA
-
Blood Culture Improvement Guidelines and Diagnostic Stewardship for Antibiotic Reduction in Critically Ill Children
NCT03441126 ·Status: COMPLETED
-
Comparison of Sensitivity Between Presepsine and Lactate for the Diagnosis of Severe Sepsis.
NCT02300415 ·Status: UNKNOWN
-
Impact of Aminoglycosides-based Antibiotics Combination and Protective Isolation on Outcomes in Critically-ill Neutropenic Patients With Sepsis: (Combination-Lock01)
NCT05443854 ·Status: UNKNOWN ·Phase: PHASE3
-
Septic Shock-induced Immunosuppression
NCT04067674 ·Status: RECRUITING
-
Impact of qSOFA Calculation on the Timing of Antimicrobial Therapy in the Emergency Department
NCT03299894 ·Status: COMPLETED ·Phase: NA
-
Antibiotics Management of Septic Neutropenic Patients in the Intensive Care Unit
NCT03217721 ·Status: COMPLETED
-
Sepsis Pre-Alert Monitoring Intervention: Study to Investigate Targeted Enhanced Monitoring for Sepsis
NCT03473769 ·Status: WITHDRAWN ·Phase: NA
-
Therapeutic Monitoring of Beta-lactams in Critically Ill Patients With Sepsis
NCT07270523 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Samu Save Sepsis: Early Goal Directed Therapy in Pre Hospital Care of Patients With Severe Sepsis and/or Septic Shock
NCT02473263 ·Status: COMPLETED ·Phase: PHASE3
-
Early Use of Polymyxin B Hemoperfusion in Abdominal Sepsis
NCT00629382 ·Status: COMPLETED ·Phase: PHASE4