2024-513890-30-00招募中4 期
SePkLin Study: Pragmatic, Multicenter, Randomized, Controlled Clinical Trial in Patients with Sepsis to Evaluate the Safety and Efficacy of Personalized Pk/Pd Dosing Versus Standard Dosing of LINezolid.
Fundacion Instituto De Investigacion Sanitaria De Santiago De Compostela2 个研究点 分布在 1 个国家目标入组 692 人开始时间: 2024年8月2日最近更新:
适应症
相关药物
试验速览
- 阶段
- 4 期
- 状态
- 招募中
- 入组人数
- 692
- 试验地点
- 2
- 主要终点
- Incidence of thrombocytopenia. Thrombopenia will be considered to be a platelet count below 75% of the patient's baseline value, at any time during the follow-up period.
研究概览
简要总结
The primary objective of the study is to demonstrate the superiority of personalized linezolid dosing based on PK/PD by evaluating the incidence of thrombocytopenia in both treatment groups.
入排标准
- 年龄范围
- 18 years 至 65+ years(18-64 Years, 65+ Years)
- 接受健康志愿者
- 否
入选标准
- •Adult patients (18 years and older) receiving linezolid.
- •Diagnosis of sepsis (SOFA scale ≥ 2 points or in the case of chronic organ dysfunction, increase of 2 points compared to the baseline score).
- •Patients have started antibiotic treatment with linezolid according to usual clinical practice.
排除标准
- •Interruption of treatment before the first blood sample.
- •Pregnant or nursing women.
- •Known allergy or hypersensitivity to linezolid.
- •Patients will be excluded if they are already in any other intervention trials.
结局指标
主要结局
Incidence of thrombocytopenia. Thrombopenia will be considered to be a platelet count below 75% of the patient's baseline value, at any time during the follow-up period.
Incidence of thrombocytopenia. Thrombopenia will be considered to be a platelet count below 75% of the patient's baseline value, at any time during the follow-up period.
次要结局
- Recurrence rate (relapses and reinfections) up to day 28: Recurrence is defined as the reappearance of symptoms of infection together with a positive culture for the same microorganism isolated in the initial culture in a patient with clinical cure at the cure visit. Reinfection is defined in a similar way, but with isolation of a different strain from the initial one.
- Mortality: mortality from all causes will be evaluated at 14 and 28 days.
- Changes in the SOFA scale: evolution of the daily values in the SOFA scale.
- Duration of admission to the critical care unit: number of days from admission to the critical care unit until being discharged from the unit.
- Days free from treatment with vasopressor agents: number of days that the patient avoided receiving vasopressor agents.
- Days free from mechanical ventilation: number of days that the patient avoided mechanical ventilation.
- Renal Replacement Therapy Free Days: Number of days the patient avoided renal replacement therapy.
- Days free of extracorporeal therapy: number of days that the patient avoided the use of extracorporeal membrane oxygenation.
- Percentage of patients in therapeutic range: the percentage of patients in therapeutic range will be evaluated, 2-7 mg/L
- Percentage of patients achieving the target PK/PD parameter: the percentage of patients achieving the target PK/PD parameter of AUC0 →24h/MIC ≥100 and %T>MIC will be evaluated. When microbiological culture and its corresponding MIC are not available, the ECOFF value defined by EUCAST will be used.
研究者
Anxo Fernández Ferreiro
Scientific
Fundacion Instituto De Investigacion Sanitaria De Santiago De Compostela
研究点 (2)
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