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Amikacine nébulisée à forte dose. Pharmacocinétique dans la pneumonie associée à la ventilation mécaniqueD’ARTAGNAN 3 - Dartagnan3

Conditions
Ventilator associated pneumonia
MedDRA version: 9.1Level: LLTClassification code 10065153Term: Ventilator associated pneumonia
Registration Number
EUCTR2008-000248-15-FR
Lead Sponsor
Association pour la promotion de la réanimation médicale à Tours
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
All
Target Recruitment
24
Inclusion Criteria

Patients hospitalized in the intensive care unit and undergoing mechanical ventilation for more than 48h and presenting a clinical, radiological and biological sucpicion of ventilator associated pneumonia.
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

Allergy to amikacin or any component of the IMPs
Acute or chronic kidney failure.
Myasthenia gravis.
Vestibulo-cochlear disorders.
Pregnancy.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: To determine the maximal dosage of nebulized amikacin one may administer to patients undergoing mechanical ventilation in the intensive care unit and suffering of ventilator associated pneumonia without exceeding the amikacin serum concentrations measured after standard intravenous infusion of amikacin;Primary end point(s): Dose of nebulized amikacin that allows to measure serum amikacin concentrations close to but inferior to those measured after standard intravenous amikacin infusion. ;Secondary Objective: To evaluate safty of nebulized amikacin in intensive care unit patients. <br>To evaluate de potential pulmonary and systemic accumulation of amikacin after repeated nebulizations. <br>To evaluate the clinical benefit of nebulized amikacine compared to intravenous infusion of amikacin. <br>To modelize pulmonary absorption kinetics of nebulized amikacin.
Secondary Outcome Measures
NameTimeMethod
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