EUCTR2018-000492-32-DE进行中(未招募)1 期
Effects of antibiotics on micobiota, pulmonary immune response and incidence of ventilator-associated infections - AMIII
适应症
试验速览
- 阶段
- 1 期
- 状态
- 进行中(未招募)
- 入组人数
- 40
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional clinical trial of medicinal product
入排标准
- 性别
- All
入选标准
- •patients informed consent
- •age = 18 years
- •negative result of pregnany test in women of childbearing potential (WOCBP)
- •no participation in other clinical trials 30 days prior and after
- •on the day of enrolment at least intermittendly mechanical ventilation via tracheostomy
- •on the day of enrolment, hospitalization at Charité University hospital for at least 24hrs
- •state of clinical stability or state of clinical improvement with very high likelihood of development of a state of clinical stability
- •=90 no antibiotic therapy
- •on the day of inclusion completed course of antibiotic therapy that fulfills all of the following criteria:
- •7-10 days of antibiotic therapy with antimicrobial activity against Gram-negative, Gram-positive and anaerobic bacteria
- •Treatment according to marketing authorisation
- •Treatment according to SmPC
- •Treatment with trade product holding a marketing authorisation in original package
- •Treatment ended = 5x elimination half-time of the trade product prior AND not more than 72hrs prior to inclusion
- •Treatment with at least one of the following active substances (alphabetic order, same order as in Modul 1)
- •Amoxicillin/Clavulansäure p.o.
- •Ampicillin/Sulbactam i.v.
- •Cefazolin i.v.
- •Cefepim i.v.
- •Ceftazidim i.v.
- •Ceftazidim/Avibactam i.v.
- •Ceftolozan/Tazobactam i.v.
- •Ceftriaxon i.v.
- •Ciprofloxacin p.o. oder i.v.
- •Clarithromycin p.o. oder i.v.
- •Clindamycin p.o. oder i.v.
- •Daptomycin i.v.
- •Ertapenem i.v.
- •Flucloxacillin i.v.
- •Gentamicin i.v.
- •Imipenem i.v.
- •Linezolid p.o. und i.v.
- •Meropenem i.v.
- •Metronidazol p.o. oder i.v.
- •Piperacillin/Tazobactam i.v.
- •- Tigecyclin i.v.
- •Tobramycin i.v.
- •Trimethoprim/ Sulfamethoxazol (Cotrimoxazol) p.o. und i.v.
- •Vancomycin i.v.
- •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 30
- •F.1.3 Elderly (>=65 years) yes
- •F.1.3.1 Number of subjects for this age range 10
排除标准
- •pregnancy and breastfeeding
- •instable clinical Situation
- •use of IMP not according to SmPC
- •active pneumonia, that is not fully treated on day of inclusion
- •current acute exacerbation of Asthma bronchiale or COPD
- •confirmed diagnosis on day of enrolment of congenital or acquired immune deficiency
- •current immunosuppressive therapy and/or = 3 months prior to enrolment (in case of corticosteroids = 20mg prednisolone/d or equivalent)
- •current chemotherapy and/or = 3 months prior to enrolment
- •confirmed diagnosis or high clinical suspicion of hematological malignancy including myelodisplastic syndrome, chronic lymphocytic leukaemia or multiple myeloma
- •Crohn's disease or ulcerative colitis
- •confirmed diagnosis of Clostridium difficile Enteritis
- •confirmed diagnosis on day of enrolment of cystic fibrosis
- •confirmed diagnosis on day of enrolment of open lung tuberculosis
- •confirmed diagnosis on day of enrolment of advanced stage lung cancer (stage III/IV)
- •middle or high risk of bronchoskopy as judged by investigating physician
- •all contraindications against medication or adjuvants used for analdosedation during bronchoscopy, in detail
- •against midazolam:
- •hypersensitivity against midazolam
- •acute respiratory failure
- •against propofol:
- •hypersensitivity against propofol or one of the adjuvants, such as soy allergy
- •against lidocain:
- •hypersensitivity against lidocain
- •acute heart failure
- •severe uncontrolled cardiac arrythmia
- •missing consent for storage and transfer of data within the clinical study
- •participation in another clinical trial within 30 days prior or currently
- •previous participation in this study
- •hospitalisation ordered by court
研究者
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