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Concentration of Ampicillin / Sulbactam and Amoxicillin / Clavulanic Acid in the Blood During Renal Replacement Therapy in Longterm Renal Replacement Therapy Patients

Phase 3
Completed
Conditions
Infection During Hemodialysis
Interventions
Drug: Ampicillin / sulbactam
Drug: Administration of Amoxicillin / clavulanic acid
Procedure: Blooddraws for pharmacokinetic profiling
Registration Number
NCT02007603
Lead Sponsor
Medical University of Vienna
Brief Summary

The study will be conducted to investigate the pharmacokinetics of ampicillin / sulbactam and amoxicillin/clavulanic acid during intermittent haemodialysis.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
16
Inclusion Criteria
  • Age >18 years
  • Suspected or proven bacterial infection requiring parenteral antibiotic therapy.
  • Renal replacement therapy (HD)
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Exclusion Criteria
  • Known hypersensitivity to ampicillin / sulbactam, amoxicillin / clavulanic acid or other beta-lactames, or severe hypersensitivity (anaphylactic reaction) to beta-lactam antibacterial agents.
  • An expected survival of less than two days.
  • Known pregnancy
  • Co-administration of one of the following drugs: probenecid which cannot be discontinued for the duration of the study
  • Ampicillin / sulbactam respectively amoxicillin / clavulanic acid as monotherapy for resistant species or fungal infections.
  • Other reasons opposing the study participation on the discretion of the investigators.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Amoxicillin / clavulanic acidBlooddraws for pharmacokinetic profilingPatients are randomized to the amoxicillin / clavulanic acid arm. Pharmacokinetic samples will be taken during multiple hemodialysis sessions.
Ampicillin / sulbactamAmpicillin / sulbactamPatients are randomized to the ampicillin / sulbactam arm. Pharmacokinetic samples will be taken during multiple hemodialysis sessions.
Ampicillin / sulbactamBlooddraws for pharmacokinetic profilingPatients are randomized to the ampicillin / sulbactam arm. Pharmacokinetic samples will be taken during multiple hemodialysis sessions.
Amoxicillin / clavulanic acidAdministration of Amoxicillin / clavulanic acidPatients are randomized to the amoxicillin / clavulanic acid arm. Pharmacokinetic samples will be taken during multiple hemodialysis sessions.
Primary Outcome Measures
NameTimeMethod
Influence of hemodialysis on the area under concentration curve of ampicillin/sulbactam and amoxicillin / clavulanic acid plasma concentration levels.day 15

Pharmacokinetic samples are drawn on multiple timepoints from each patient during his participation.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Medical University of Vienna

🇦🇹

Vienna, Austria

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