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Ertapenem Versus Meropenem/Imipenem for ESBL+ Gram-negative Infections

Phase 4
Conditions
Drug Safety
Interventions
Registration Number
NCT01297842
Lead Sponsor
Mahidol University
Brief Summary

Adult patients with ESBL-producing Gram negative infections are randomized to receive ertapenem or meropenem/imipenem. Clinical and microbiological responses between both groups are compared.

Detailed Description

Ertapenem is active against ESBL-producing Gram negative bacteria. This study is conducted to determine if ertapenem is effective against ESBL-producing Gram negative infections similar to meropenem/imipenem.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
100
Inclusion Criteria
  • Hospitalized patients aged >18 years with documented ESBL +ve GNB infection
  • Receive meropenem or imipenem/cilastatin as empiric antibiotic therapy
Exclusion Criteria
  • Having been treated with meropenem or imipenem/cilastatin for longer than 72 hours
  • Have active P. aeruginosa co-infection
  • Pregnancy or breast feeding
  • Allergy to carbapenems

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Meropenem or ImipenemMeropenem or ImipenemMeropenem or Imipenem o.5 or 1 gram 3 to 4 times a day for 7 to 14 days
ErtapenemErtapenemErtapenem 1 gram per day for 7 to 14 days
Primary Outcome Measures
NameTimeMethod
Number of subjects with cure or improvement14 days

Cure Improvement Persistence Death from Infection

Secondary Outcome Measures
NameTimeMethod
Number of subjects with eradication of the causative bacteria14 days

Eradication Persistence Superinfection

Trial Locations

Locations (1)

Siriraj Hospital

🇹🇭

Bangkok, Thailand

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