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临床试验/NCT02670239
NCT02670239Unknown不适用

Pharmacokinetics of Imipenem During Ex Vivo Lung Perfusion (EVLP)

University of Turin, Italy1 个研究点 分布在 1 个国家目标入组 30 人开始时间: 2014年5月最近更新:
适应症

试验速览

阶段
不适用
发起方
入组人数
30
试验地点
1
主要终点
imipenem concentration

研究概览

简要总结

Ex vivo lung perfusion (EVLP) is an established strategy to evaluate and optimize high-risk donor lungs that would otherwise be rejected for transplantation mainly due to the presence of edema or infection. Extracorporeal circuits may negatively affects pharmacokinetic (PK) of several drugs including antibiotics, thus exposing patients to risk of therapeutic failure or drug toxicity. The investigators set out to examine the concentration of imipenem in lung perfusate and in lung biopsy during EVLP, and its clinical impact.

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Prospective

入排标准

性别
All
接受健康志愿者

入选标准

  • Best PaO2/FiO2 < 300 mmHg;
  • Pulmonary edema on chest X-Ray;
  • Poor inflation or deflation at visual inspection;
  • Need for blood transfusion of more than 10U;
  • Maastricht category III/IV

排除标准

  • Diagnosis of pneumonia;
  • severe mechanical injury;
  • gross gastric aspiration

结局指标

主要结局

imipenem concentration

时间窗: change from baseline in imipenem concentration at 6 hours

concentration of imipenem in lung perfusate and in lung biopsy during EVLP

次要结局

  • pathogens isolated from donors(48 hours before lung procurement)
  • Primary graft dysfunction(at 72 hours after lung transplantation)
  • Days of mechanical ventilation(at 28 days)
  • Clinical Pulmonary Infection Score(at 72 hours after lung transplantation)
  • pathogens isolated from recipients(48 hours after lung transplantation)
  • Intensive Care Unit length of stay(at day 28)

研究者

发起方
University of Turin, Italy
申办方类型
Other
责任方
Principal Investigator
主要研究者

Vito Fanelli MD, PhD

MD, PhD

University of Turin, Italy

研究点 (1)

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