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The Study of Unasyn-S 12g/Day for Community Acquired Pneumonia (CAP)

Phase 3
Completed
Conditions
Pneumonia, Bacterial
Interventions
Registration Number
NCT01189487
Lead Sponsor
Pfizer
Brief Summary

Unasyn-S 12g/day (3 g four times a day) is the commonly used dosage depending on the severity for US, EU, China, Taiwan and Korea for over 20 years, however, Unasyn-S 12g/day has not yet been approved in Japan. The purpose of this trial is to evaluate the clinical efficacy and safety in Japanese adult subjects with community acquired pneumonia receiving ampicillin sodium/sulbactam sodium, 12g/day (3 g four times a day ) IV.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
47
Inclusion Criteria
  • 16 years of age or older.
  • Patients who were diagnosed as moderate to severe community acquired pneumonia requiring initial intravenous therapy and hospitalization.
Exclusion Criteria
  • Known or suspected hypersensitivity or intolerance to ampicillin sodium/sulbactam sodium, other penicillins, or cephems.
  • Hepatic dysfunction [Aspartate Aminotransferase(AST), Alanine Aminotransferase (ALT), total bilirubin > 3 times upper limit of normal range values].
  • Severe renal dysfunction (creatinine clearance < 30 ml/min).
  • Severe underlying disease; patients in which drug clinical evaluation is difficult because of confounding diseases.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
ampicillin sodium/sulbactam sodiumampicillin sodium/sulbactam sodiumampicillin sodium/sulbactam sodium 12g/day (3 g four times a day) IV
Primary Outcome Measures
NameTimeMethod
Response Rate (Clinical Response, Data Review Committee Assessment)End of treatment, Test of cure (7 days after End of treatment), Long term follow up (7 days after Test of cure)

Response rate was calculated from the following formula, "the number of participants assessed as effective" over "total participants excluding ones assessed as indeterminate" multiplied by 100.

Secondary Outcome Measures
NameTimeMethod
Response Rate (Clinical Response, Investigator Assessment)End of treatment, Test of cure (7 days after End of treatment), Long term follow up (7 days after Test of cure)

Response rate was calculated from the following formula, "the number of participants assessed as effective" over "total participants EXCLUDING ones assessed as indeterminate" multiplied by 100.

The Tendency Toward Clinical Improvement (Investigator Assessment)Day 4

The number of participants who showed tendency toward clinical improvement based on the assessment of temperature, white blood cell count, C-reactive protein, clinical symptoms on Day 4 and was determined to continue the treatment.

Eradication Rate (Bacteriological Response, Data Review Committee Assessment)Day 4, End of treatment, Test of cure (7 days after End of treatment), Long term follow up (7 days after Test of cure)

Eradication Rate was calculated from the following formula, "the number of participants assessed as eradication, presumed eradication or microbial substitution" over "total participants excluding ones assessed as indeterminate" multiplied by 100. Microbial substitution means the appearance of new pathogens other than the original pathogens in a specimen from the same location with signs and symptoms of infection after the original pathogens were eradicated by treatment.

Eradication Rate (Bacteriological Response, Investigator Assessment)Day 4, End of treatment, Test of cure (7 days after End of treatment), Long term follow up (7 days after Test of cure)

Eradication Rate was calculated from the following formula, "the number of participants assessed as eradication , presumed eradication or microbial substitution" over "total participants excluding ones assessed as indeterminate" multiplied by 100. Microbial substitution means the appearance of new pathogens other than the original pathogens in a specimen from the same location with signs and symptoms of infection after the original pathogens were eradicated by treatment.

Trial Locations

Locations (22)

Tosei General Hospital

🇯🇵

Seto-shi, Aichi-ken, Japan

Nagata Hospital

🇯🇵

Yanagawa, Fukuoka, Japan

University of Occupational and Environmental Health

🇯🇵

Kitakyushu, Fukuoka, Japan

National Hospital Organization Himeji Medical Center

🇯🇵

Himejishi, Hyogo, Japan

Nagasaki University School of Medicine

🇯🇵

Nagasaki-city, Nagasaki, Japan

National Hokkaido Medical Center

🇯🇵

Sapporo, Hokkaido, Japan

National Hospital Organization Kokura Medical Center

🇯🇵

Kitakyushu, Fukuoka, Japan

National Hospital Organization Asahikawa Medical Center

🇯🇵

Asahikawa, Hokkaido, Japan

National Hospital Organization Kumamoto Saishyunsou Hospital

🇯🇵

Koushi-shi, Kumamoto, Japan

KKR Takamatsu Hospital

🇯🇵

Takamatsu, Kagawa, Japan

Kanagawa Cardiovascular and Respiratory Center

🇯🇵

Yokohama, Kanagawa, Japan

Nippon Koukan Hospital

🇯🇵

Kawasaki-city, Kanagawa, Japan

Saka General Hospital/Respiratory

🇯🇵

Shiogama, Miyagi, Japan

National Hospital Organization Matsumoto Medical Center Chushin Matsumoto Hospital

🇯🇵

Matsumoto, Nagano, Japan

National Hospital Organization Ureshino Medical Center

🇯🇵

Ureshino-shi, Saga, Japan

Japanese Red Cross Nagasaki Genbaku Isahaya Hospital

🇯🇵

Isahaya, Nagasaki, Japan

National Hospital Organization Minami-Okayama Medical Center

🇯🇵

Tsukubo-gun, Okayama, Japan

Sekishinkai Sayama Hospital

🇯🇵

Sayama, Saitama, Japan

National Hospital Organization Tenryu National Hospital

🇯🇵

Hamamatsu, Shizuoka, Japan

Fukuoka Sanno Hospital

🇯🇵

Fukuoka, Japan

National Hospital Organization Kochi National Hospital

🇯🇵

Kochi, Japan

Saiseikai Kumamoto Hospital

🇯🇵

Kumamoto, Japan

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