Study on Costs and Safety of Early Conversion From Intravenous to Oral Antibiotic Treatment in Patients With Severe Community-Acquired Pneumonia
Costs and Effects of Early Switch of Intravenous to Oral Antibiotics in Severe Community-Acquired Pneumonia: a Multicenter Randomized Trial
1 other identifier
interventional
500
1 country
1
Brief Summary
Patients with severe community-acquired pneumonia are included Half of the patients are treated with a 3 day course of intravenous antibiotics, followed, when clinical stable, by a course of oral antibiotics. Efficacy of this treatment is compared to a standard course of 7 days of intravenous antibiotics, which treatment is assigned to the other half of patients. Outcomes measured are clinical cure and costs.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4
Started Jul 2000
Longer than P75 for phase_4
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2000
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2004
CompletedFirst Submitted
Initial submission to the registry
January 5, 2006
CompletedFirst Posted
Study publicly available on registry
January 9, 2006
CompletedJanuary 9, 2006
January 1, 2006
January 5, 2006
January 5, 2006
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Clinical cure at day 28 of the study
Secondary Outcomes (2)
Costs for treatment both inside and outside the hospital
Quality of life
Interventions
Eligibility Criteria
You may not qualify if:
- Patients with cystic fibrosis, a history of colonization with Gram negative bacteria due to structural damage to the respiratory tract, malfunction of the digestive tract, life expectancy of less than 1 month due to underlying diseases, infections other than pneumonia needing antibiotic treatment, severe immunosuppression (neutropenia (\<0,5 x 109 / l) or a CD4 count \< 200 / mm3) and needing mechanical ventilation in an intensive care unit were excluded.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- UMC Utrechtlead
- Dutch Health Care Insurance Boardcollaborator
Study Sites (1)
University Medical Center
Utrecht, Utrecht, 3508 GA, Netherlands
Related Publications (1)
Oosterheert JJ, Bonten MJ, Schneider MM, Buskens E, Lammers JW, Hustinx WM, Kramer MH, Prins JM, Slee PH, Kaasjager K, Hoepelman AI. Effectiveness of early switch from intravenous to oral antibiotics in severe community acquired pneumonia: multicentre randomised trial. BMJ. 2006 Dec 9;333(7580):1193. doi: 10.1136/bmj.38993.560984.BE. Epub 2006 Nov 7.
PMID: 17090560DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Andy IM Hoepelman, Professor of Medicine
University Medical Center, Department of Internal Medicine and Infectious Diseases, Utrecht, The Netherlands
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
January 5, 2006
First Posted
January 9, 2006
Study Start
July 1, 2000
Study Completion
March 1, 2004
Last Updated
January 9, 2006
Record last verified: 2006-01