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临床试验/2024-513890-30-00
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

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

申办方类型
Patient organisation/association
责任方
Principal Investigator
主要研究者

Anxo Fernández Ferreiro

Scientific

Fundacion Instituto De Investigacion Sanitaria De Santiago De Compostela

研究点 (2)

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