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POPPET Study - Measuring the concentration of Piperacillin/Tazobactam, an antibiotic, given over 24 hours as a continuous infusion to children.

Phase 1
Conditions
Febrile Neutropenia
MedDRA version: 20.0Level: PTClassification code 10016288Term: Febrile neutropeniaSystem Organ Class: 10005329 - Blood and lymphatic system disorders
Therapeutic area: Diseases [C] - Cancer [C04]
Registration Number
EUCTR2015-002644-14-GB
Lead Sponsor
Alder Hey Children's NHS Foundation Trust
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
All
Target Recruitment
15
Inclusion Criteria

1.Have an oncology/haematology diagnosis.
2.2 years and upwards.
3.Commenced on Piperacillin/Tazobactam as part of normal standard of care for the treatment of febrile neutropenia.
4.Administration of Piperacillin/Tazobactam is via elastomeric pump.
5.Have a central line with at least 1 lumen that bleeds back for sampling.
6.Written informed consent from parent/legal guardian if patient <16 years or from patient if =16 years. This person must understand the contents of the consent, requirements of the study and have had an opportunity to review questions with a medically trained member of the site study team.
7.Written assent from older competent patients (judged on a case by case basis).
8.Patient and parent/legal guardian must have a good understanding of the English language, in which the consent/assent forms are available, and understand the requirements for reporting of any AE to the Investigator.
Are the trial subjects under 18? yes
Number of subjects for this age range: 15
F.1.2 Adults (18-64 years) no
F.1.2.1 Number of subjects for this age range 0
F.1.3 Elderly (>=65 years) no
F.1.3.1 Number of subjects for this age range 0

Exclusion Criteria

1.Age less than 2 years.
2.Central line that doesn’t bleed back.
3.A patient where treatment with Piperacillin/Tazobactam is not considered first line e.g. patient with known bacterial resistance.
4.Written consent not obtained.
5.An older competent participant (judged on case by case basis) declines assent to study.
6.The patient is deemed unsuitable at the discretion of the investigator.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Primary end point(s): To measure the serum concentration at set time points for Piperacillin/Tazobactam when delivered by elastomeric pump in stated population.;Main Objective: What plasma concentrations are achieved in continuous infusion administration of Piperacillin/Tazobactam via elastomeric device in paediatric patients being treated for febrile neutropenia?;Secondary Objective: Are there any adverse effects of administration of Piperacillin/Tazobactam via elastomeric pump?;Timepoint(s) of evaluation of this end point: Pharmacokinetic bloods will be taken at 0.5, 2 and 4 hours post intermittent dose of Piperacillin/Tazobactam, prior to starting the continuous infusion, and at 3 time points during an elastomeric pump (at least 3 hours apart). The bloods will be batched and sent for analysis after the first 5 patients and at completion of all study sample collection. <br><br>Blood samples will be frozen and analysed as a batch within 3 months of the end of the study.
Secondary Outcome Measures
NameTimeMethod
Secondary end point(s): Are there any adverse effects of administration of Piperacillin/Tazobactam using an elastomeric pump?;Timepoint(s) of evaluation of this end point: This will be assessed as part of the ongoing study procedures.
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