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A Pharmacovigilance Evaluation And Assessment Of The Prescribing Practice For Tygacil In Usual Health Care Setting

Completed
Conditions
Infection
Interventions
Registration Number
NCT00488488
Lead Sponsor
Pfizer
Brief Summary

To assess the efficacy and safety of Tygacil in the usual German hospital setting. The main goals are: to assess the efficacy of Tygacil under usual care conditions (cure rate); to assess the main side effects observed in daily medical practice (Safety of Tygacil); to determine whether patients are optimally dosed with Tygacil (according to the label) and the proportion of patients receiving a monotherapy versus combination therapy; to observe the potential resistance development against Tygacil in Germany; to determine which antibiotic agents are chosen for a combination therapy with Tygacil; to determine to which antibiotic substance non-responders to Tygacil are switched; to assess the duration of the intravenous therapy with Tygacil and to determine whether and which patients receive an oral antibiotic substance after the therapy with Tygacil; to collect information on profile, comorbidities and characteristics of patients treated with Tygacil.

Detailed Description

Non-interventional study: subjects to be selected according to the usual clinical practice of their physician.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1028
Inclusion Criteria
  • Actual or planned therapy with tigecycline.
  • At least 18 years old.
Exclusion Criteria
  • Hypersensitivity to antibiotics or tigecycline.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Atigecycline-
Primary Outcome Measures
NameTimeMethod
Percentage of Participants With Clinical and Microbiological Cure: All ParticipantsEnd of Treatment (duration based on severity, location, and clinical response; maximum duration 47 days)

Cure = complete resolution of infection symptoms; no further antibiotic treatment required. A second microbiological examination was documented only for participants with treatment failure.

Percentage of Participants With Clinical and Microbiological Cure: Nosocomial InfectionsEnd of Treatment (duration based on severity, location, and clinical response; maximum duration 47 days)

Cure = complete resolution of infection symptoms; no further antibiotic treatment required. A second microbiological examination was documented only for participants with treatment failure.

Percentage of Participants With Clinical and Microbiological Cure: Community-acquired InfectionsEnd of Treatment (duration based on severity, location, and clinical response: maximum duration 47 days)

Cure = complete resolution of infection symptoms; no further antibiotic treatment required. A second microbiological examination was documented only for participants with treatment failure.

Percentage of Participants With Composite Cure: All ParticipantsEnd of Treatment (duration based on severity, location, and clinical response; maximum duration 47 days)

Composite Cure = complete resolution or improvement of infection symptoms; no further antibiotic treatment required.

Percentage of Participants With Composite Cure: Nosocomial InfectionsEnd of Treatment (duration based on severity, location, and clinical response; maximum duration 47 days)

Composite Cure = complete resolution or improvement of infection symptoms; no further antibiotic treatment required.

Percentage of Participants With Composite Cure: Community-acquired InfectionsEnd of Treatment (duration based on severity, location, and clinical response: maximum duration 47 days)

Composite Cure = complete resolution or improvement of infection symptoms; no further antibiotic treatment required.

Secondary Outcome Measures
NameTimeMethod
Participants With Probable Failure at Follow-upFollow-up (up to Day 47)

Participants with antibiogram follow-up due to treatment failure who had detectable pathogens. Treatment failure = no significant improvement of infection symptoms under Tygacil therapy.

Percentage of Participants With Resistant Pathogens Identified at Follow-up Due to Treatment FailureFollow-up (up to Day 47)

Percentage of participants with resistant pathogens for each pathogen identified at second (follow-up) microbial examination. A second microbiological examination was documented only for participants with treatment failure. Treatment failure = no significant improvement of infection symptoms under Tygacil therapy.

Antibiotic Agents Chosen for Combination Therapy With TigecyclineBaseline to End of Treatment (up to Day 47)

Percentage of participants who received each antibiotic administered as combination therapy with tigecycline.

Change of Antibiotic Treatment From Tygacil to Alternative AntibioticBaseline to End of Treatment (up to Day 47)

Reasons for change in antibiotic treatment from Tygacil to another antibiotic.

Reasons for Utilization of TygacilBaseline to End of Treatment (up to Day 47)
Overall Mortality: All ParticipantsBaseline to End of Treatment (up to Day 47)

Deaths for any reasons occurring during the study observation period.

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