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Multiple-dose Pharmacokinetics of Doripenem During Continuous Venovenous Hemodiafiltration and Molecular Adsorbent Recirculating System in ICU Patients and During Hemodialysis in Longterm Hemodialysis Patients.

Phase 3
Completed
Conditions
Infections During Organ Replacement Therapy
Interventions
Other: Pharmacokinetic profiling
Registration Number
NCT02018939
Lead Sponsor
Medical University of Vienna
Brief Summary

The study is conducted to investigate the pharmacokinetics of Doripenem during CVVHDF (Continuous venovenous hemodiafiltration), MARS (Molecular Adsorbent Recirculating System) and intermittent hemodialysis.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
24
Inclusion Criteria
  • Age >18 years
  • Suspected or proven bacterial infection requiring parenteral antibiotic therapy.
  • Organ replacement therapy (MARS, CVVHDF or HD)
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Exclusion Criteria
  • Known hypersensitivity to doripenem or other carbapenems, or severe hypersensitivity (anaphylactic reaction) to beta-lactam antibacterial agents.
  • An expected survival of less than two days.
  • Known pregnancy
  • Coadministration of valproic acid or probenecid, which cannot be discontinued for the duration of the study
  • Doripenem as monotherapy for resistent species or fungal infections.
  • Other reasons opposing the study participation on the discretion of the investigators.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Pharmacokinetic profiling in HemodialysisPharmacokinetic profilingPatients with chronic intermittent hemodialysis receiving doripenem therapy are included in this arm. Pharmacokinetic samples are drawn.
Pharmacokinetic profiling in CVVHPharmacokinetic profilingPatients receiving continuous venovenous renal replacement therapy in an ICU setting receiving doripenem therapy are included in this arm. Pharmacokinetic samples are drawn.
Pharmacokinetic profiling in MARSPharmacokinetic profilingPatients receiving liver replacement therapy (MARS) in an ICU setting receiving doripenem therapy are included in this arm. Pharmacokinetic samples are drawn.
Primary Outcome Measures
NameTimeMethod
Influence of organ replacement therapy on area under curve of doripenem serum concentrationday 15

Pharmacokinetic samples are drawn from each patient during the trial. Analysis by HPLC will be conducted after the end of the trial.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Medical University of Vienna

🇦🇹

Vienna, Austria

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