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临床试验/EUCTR2016-004486-37-NL
EUCTR2016-004486-37-NL进行中(未招募)1 期

FOsfomycin Randomised controlled trial for E.coli Complicated urinary tract infections as Alternative Stepdown Treatment - FORECAST

niversity Medical Centre Utrecht0 个研究点开始时间: 2017年8月14日最近更新:
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试验速览

阶段
1 期
状态
进行中(未招募)
发起方

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
Female

入选标准

  • -Hospitalised
  • -Competent women (=18 years), able to give informed consent
  • -AF-UTI as presumptive diagnosis and primary reason for hospitalisation*
  • -Adequate intravenous antibiotic therapy for =48 - =120 hours**
  • -Candidate for safe iv to oral switch as judged by the attending physician
  • -Urine (=104 CFU/ml) OR blood culture obtained within 24 hours before or after admission: Escherichia coli , ciprofloxacin S AND fosfomycin S***
  • * Acute Febrile Urinary Tract Infections (AF-UTI) are UTI with at least one of the forthcoming systemic symptoms: fever or low temperature (=38.0 C ? or <36 C ?), rigors, delirium or hemodynamic instability as a result of sepsis requiring intravenous fluids AND at least one of the following local symptoms: lower abdominal pain, low back pain, flank pain or costo-vertebral angle pain or tenderness on physical examination, any of the following symptoms of UTI (dysuria, urinary urgency, urinary frequency, suprapubic/pelvic discomfort, macroscopic hematuria, new urinary incontinence or worsening of pre-existing incontinence). The local study investigator determines the presumptive diagnosis as the primary reason for hospitalisation with consultation of the attending physician.
  • **Amoxicillin+/-clavulanic acid / 2nd or 3rd cephalosporin/ aminoglycoside/ carbapenem/ fluoroquinolones/ trimethoprim-sulfamethoxazole OR a combination AND in vitro susceptibility of the causative E.coli to at least one of the used agents
  • *** If a participating microbiological laboratory only processes urine cultures = 105 CFU/ml, only these will be included. If an urine or blood culture results in another non-E.coli bacteria that requires antibiotic treatment, the patient should be excluded.
  • 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 140
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 100

排除标准

  • -Pregnant or nursing women
  • -Glomerular filtration rate < 30 ml/min/1,73 m3 or renal replacement therapy
  • -Concomitant systemic antibacterial treatment #
  • -Ascertained or presumptive hypersensitivity to the active compounds and/or any excipient of the products or to any quinole
  • -Participation to any trial with an investigational product involved in the 30 days before the screening visit
  • -Every other laboratory result, clinical condition, disease or treatment that, in investigator’s opinion, make the subject non suitable for the study
  • -Specific comorbidity or diagnosis##
  • -Contraindications/interactions for any of the active compounds or medication ###
  • -Patients with inadequate understanding of the study risks or its requirements or unwilling to plan a follow-up visit
  • # If prophylactic antibiotic therapy could not be paused during study therapy, the patient should be excluded Except for continuation of prophylactic antibacterial therapy
  • ## Renal transplant patients, polycystic kidney disease, neutropenia (<500 /µl), paraplegia, long-term indwelling catheters (placed =24 hours before admission), urostomy, ileal loops, double-J catheter, nephrostomy catheter, suprapubic catheter, suspicion/presence of renal abscess, suspicion of septic metastatic foci/endocarditis
  • ### Concurrent use of Tizanidin, Clozapin or Theophylline. If pausing or conversion of this medicine disadvantages the participant, she will be excluded. Patients with a history of tendon disease/disorder related to quinolone treatment. Patients with known risk factors for prolongation of the QT interval. Glucose-6-phosphate dehydrogenase deficiency

研究者

发起方
niversity Medical Centre Utrecht

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