Pharmacokinetics of Carbapenem Antibiotics in Obese Patients.
Phase 4
Completed
- Conditions
- Obesity
- Registration Number
- NCT01407965
- Lead Sponsor
- University of Ulm
- Brief Summary
Tissue kinetics of ertapenem and meropenem in fatty tissue, intraperitoneal fluid and plasma.
- Detailed Description
The purpose of this study is to determine the free tissue kinetics of ertapenem and meropenem in fatty tissue and intraperitoneal fluid up to 24 hours after administration of the IMP.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 13
Inclusion Criteria
- Hospitalized patients 18 years or older requiring elective surgical intervention (open or laparoscopic surgery) at intraabdominal organs
- BMI more or even 40
- written informed consent
Exclusion Criteria
- BMI < 40
- pregnancy or lactation in women
- emergency surgery
- history of serious allergy or intolerance to β-lactam antibiotics
- systemic antimicrobial therapy with ceftazidime (internal standard of high-performance liquid chromatography / mass spectrometry) within a 7 days period prior to study entry
- ongoing intraabdominal infections
- terminal illness
- severe diseases of the liver, e.g. cirrhosis of the liver with ALT or AST > 6 x upper limit of normal (ULN) and bilirubin > 3 x ULN
- severe renal insufficiency with a creatinine clearance ≤30 mL/min.
- neutrophil count < 1000 cells/mm3
- platelets < 75000 cells/mm3
- coagulation studies (INR) > 1.5 x ULN
- ongoing chemotherapy and/or radiotherapy
- ongoing therapy with valproin acid (in case of ertapenem administration).
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Primary Outcome Measures
Name Time Method Unbound concentration of ertapenem and meropenem in fatty tissue and peritoneal fluid within 24 h after administration
- Secondary Outcome Measures
Name Time Method Number of Adverse Events (total and per patient) Participants will be followed for the duration of hospital stay, an expected average of 3 weeks Number of Serious Adverse Events (total and per patient) Participants will be followed for the duration of hospital stay, an expected average of 3 weeks Number of Suspected Unexpected Serious Adverse Reactions (SUSARs) Participants will be followed for the duration of hospital stay, an expected average of 3 weeks
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What are the molecular mechanisms of ertapenem and meropenem distribution in adipose tissue of obese individuals?
How does carbapenem pharmacokinetics in obese patients compare to standard-of-care antibiotic regimens for infections?
Are there specific biomarkers that correlate with carbapenem efficacy in intraperitoneal fluid of morbidly obese subjects?
What adverse events are associated with high-dose carbapenem administration in fatty tissue and plasma of phase IV trials?
How do carbapenem antibiotics interact with other drugs in obese patients with comorbid metabolic syndrome and infections?
Trial Locations
- Locations (2)
University of Ulm, Dept. of Visceral Surgery
🇩🇪Ulm, Germany
University of Ulm
🇩🇪Ulm, Germany
University of Ulm, Dept. of Visceral Surgery🇩🇪Ulm, Germany