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Meropenem Versus Meropenem Plus Glycopeptide in Patients With Febrile Neutropenia After Allogenic Blood Stem Cell Transplantation

Completed
Conditions
Allogenic Blood Stem Cell Transplantation
Febrile Neutropenia
Registration Number
NCT00462878
Lead Sponsor
PETHEMA Foundation
Brief Summary

Observational study to compare the treatment in neutropenic patients after allogenic blood stem cell transplantation, with meropenem or meropenem plus glycopeptide.

Detailed Description

Observational study cost-effectivity to compare the treatment in neutropenic patients after allogenic blood stem cell transplantation, with meropenem or meropenem plus glycopeptide.

The study will be done in two consecutive cohorts of patients. First cohort: meropenem 1g/8h ev Second cohort: meropenem 1g/8h and glycopeptide (vancomycin 1g/12 h or teicoplanin 400 mg/24h)

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
392
Inclusion Criteria
  • Age > 18 years
  • Patients submitted to allogenic transplant
  • Neutropenia: neutrophils account < 500/mm3 or neutrophils account < 1000/mm3 with prevision to decrease until 500/mm3 at the next 24-48 h
  • Signs and symptoms to infection
  • Fever: Temperature> 38,3 ºC registered one time, or 38 ºC en two times separated 60 minutes in a period of 12 h.
Exclusion Criteria
  • Medical history of meropenem or glycopeptides hypersensitivity
  • Renal failure or creatinine in serum > 2,25 mg/dl or creatinine clearance < 40 ml
  • Liver insufficiency
  • Childbearing potential or breast feeding period
  • Contraindications to meropenem, vancomycin or teicoplanin

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (64)

Hospital Central de Asturias

🇪🇸

Oviedo, Asturias, Spain

Hospital Son Dureta

🇪🇸

Palma de Mallorca, Balears, Spain

Hospital U. Germans Trias i Pujol

🇪🇸

Badalona, Barcelona, Spain

Hospital General de Manresa

🇪🇸

Manresa, Barcelona, Spain

Hospital Niño Jesus

🇪🇸

Sabadell, Barcelona, Spain

Hospital Mutua Tarrasa

🇪🇸

Terrassa, Barcelona, Spain

Hospital Insular de Las Palmas

🇪🇸

Las palmas de Gran Canaria, Canarias, Spain

Hospital Materno-Infantil de Las Palmas

🇪🇸

Las Palmas de Gran Canaria, Canarias, Spain

Hospital Ntra Sra del Pino/Sabinal

🇪🇸

las Palmas de Gran Canaria, Canarias, Spain

Hospital Universitario de Canarias

🇪🇸

Tenerife, Canarias, Spain

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Hospital Central de Asturias
🇪🇸Oviedo, Asturias, Spain

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