NCT00462878

Brief Summary

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

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
392

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Nov 2002

Longer than P75 for all trials

Geographic Reach
1 country

64 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

November 1, 2002

Completed
4.5 years until next milestone

First Submitted

Initial submission to the registry

April 18, 2007

Completed
1 day until next milestone

First Posted

Study publicly available on registry

April 19, 2007

Completed
2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2009

Completed
Last Updated

May 12, 2009

Status Verified

May 1, 2009

First QC Date

April 18, 2007

Last Update Submit

May 11, 2009

Conditions

Keywords

Febrile neutropenia

Interventions

antibiotic

Antibiotic

Antibiotic

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Patients submitted to allogenic transplant with 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)

You may qualify if:

  • 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.

You may not qualify if:

  • 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

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (64)

Hospital Son Dureta

Palma de Mallorca, Balearic Islands, Spain

Location

Hospital U. Germans Trias i Pujol

Badalona, Barcelona, Spain

Location

Hospital C. de Barcelona

Barcelona, Barcelona, Spain

Location

Hospital del Mar

Barcelona, Barcelona, Spain

Location

Hospital Durant y Reynals

Barcelona, Barcelona, Spain

Location

Hospital Sant Pau

Barcelona, Barcelona, Spain

Location

Hospital U. Vall D'Hebron

Barcelona, Barcelona, Spain

Location

Hospital General de Manresa

Manresa, Barcelona, Spain

Location

Hospital Niño Jesus

Sabadell, Barcelona, Spain

Location

Hospital Mutua Tarrasa

Terrassa, Barcelona, Spain

Location

Hospital Insular de Las Palmas

Las Palmas de Gran Canaria, Canary Islands, Spain

Location

Hospital Materno-Infantil de Las Palmas

Las Palmas de Gran Canaria, Canary Islands, Spain

Location

Hospital Ntra Sra del Pino/Sabinal

Las Palmas de Gran Canaria, Canary Islands, Spain

Location

Hospital Universitario de Canarias

Santa Cruz de Tenerife, Canary Islands, Spain

Location

Hospital Aránzazu

Santander, Cantabria, Spain

Location

Hospital U. Marques de Valdecilla

Santander, Cantabria, Spain

Location

Hospital General de Castellón

Castellon, Castellón, Spain

Location

Hospital Puerta del Mar

Cadiz, Cádiz, Spain

Location

Hospital Doctor Josep Trueta

Girona, Girona, Spain

Location

H. Xeral de Galicia

A Coruña, La Coruña, Spain

Location

Hospital Juan Canalejo

A Coruña, La Coruña, Spain

Location

Hospital Virgen Blanca

León, León, Spain

Location

Hospital Principe de Asturias

Alcalá de Henares, Madrid, Spain

Location

Hospital Severo Ochoa

Leganés, Madrid, Spain

Location

Clínica Puerta de Hierro

Madrid, Madrid, Spain

Location

Hospital 12 de Octubre

Madrid, Madrid, Spain

Location

Hospital Gregorio Marañón

Madrid, Madrid, Spain

Location

Hospital La Paz

Madrid, Madrid, Spain

Location

Hospital La Princesa

Madrid, Madrid, Spain

Location

Hospital Ramón y Cajal

Madrid, Madrid, Spain

Location

Hospital General de Murcia

Murcia, Murcia, Spain

Location

Hospital Reina Sofia

Murcia, Murcia, Spain

Location

Hospital U. Virgen de la Arrixaca

Murcia, Murcia, Spain

Location

H. Universitario Virgen de la Victoria

Málaga, Málaga, Spain

Location

Hospital Carlos Haya

Málaga, Málaga, Spain

Location

Hospital Central de Asturias

Oviedo, Principality of Asturias, Spain

Location

Hospital Vírgen del Rocío

Seville, Sevilla, Spain

Location

Hospital de Tarragona "Joan XXIII"

Tarragona, Tarragona, Spain

Location

Hospital Verge de la Cinta

Tortosa, Tarragona, Spain

Location

Hospital de Sagunto

Sagunto, Valencia, Spain

Location

Hospital Arnao de Vilanova

Valencia, Valencia, Spain

Location

Hospital Dr. Peset

Valencia, Valencia, Spain

Location

Hospital General U. de Valencia

Valencia, Valencia, Spain

Location

Hospital U. La Fe

Valencia, Valencia, Spain

Location

Instituto Valenciano de Oncología

Valencia, Valencia, Spain

Location

Hospital Luis Alcañiz de Xátiva

Xàtiva, Valencia, Spain

Location

Hospital C. de Valladolid

Valladolid, Valladolid, Spain

Location

Hospital do Meixoeiro

Vigo, Vigo, Spain

Location

Hospital C.U. De Zaragoza

Zaragoza, Zaragoza, Spain

Location

Miguel Servet

Zaragoza, Zaragoza, Spain

Location

Hospital G. de Alicante

Alicante, Spain

Location

Hospital de la Ribera

Alzira, Spain

Location

Basurtuko Ospitalea

Basurto, Spain

Location

Hospital de Cruces

Bilbao, Spain

Location

Hospital San Millan

Cáceres, Spain

Location

Hospital Francesc de Borja

Gandia, Spain

Location

Hospital Virgen de Las Nieves

Granada, Spain

Location

Complexo H. Xeral-Calde

Lugo, Spain

Location

Hospital Clínico San Carlos

Madrid, Spain

Location

Hospital Universitario Salamanca

Salamanca, Spain

Location

Hospital Clínico Universitario de Santiago

Santiago de Compostela, Spain

Location

Hospital Clínico Universitario de Valencia

Valencia, Spain

Location

Hospital U. La Fe (H. Infantil)

Valencia, Spain

Location

Hospital Rio Hortega

Valladolid, Spain

Location

Related Publications (8)

  • Cometta A, Glauser MP. Empiric antibiotic monotherapy with carbapenems in febrile neutropenia: a review. J Chemother. 1996 Oct;8(5):375-81. doi: 10.1179/joc.1996.8.5.375.

    PMID: 8957718BACKGROUND
  • Jarque I, Sanz MA. [Application of the concepts of evidence-based medicine to the evidence on the treatment of febrile neutropenia]. Enferm Infecc Microbiol Clin. 1999;17 Suppl 2:95-102. Spanish.

    PMID: 10605194BACKGROUND
  • Klastersky J. Current attitudes for therapy of febrile neutropenia with consideration to cost-effectiveness. Curr Opin Oncol. 1998 Jul;10(4):284-90. doi: 10.1097/00001622-199807000-00002.

    PMID: 9702394BACKGROUND
  • Hughes WT, Armstrong D, Bodey GP, Bow EJ, Brown AE, Calandra T, Feld R, Pizzo PA, Rolston KV, Shenep JL, Young LS. 2002 guidelines for the use of antimicrobial agents in neutropenic patients with cancer. Clin Infect Dis. 2002 Mar 15;34(6):730-51. doi: 10.1086/339215. Epub 2002 Feb 13. No abstract available.

    PMID: 11850858BACKGROUND
  • Koya R, Andersen J, Fernandez H, Goodman M, Spector N, Smith R, Hanlon J, Cassileth PA. Analysis of the value of empiric vancomycin administration in febrile neutropenia occurring after autologous peripheral blood stem cell transplants. Bone Marrow Transplant. 1998 May;21(9):923-6. doi: 10.1038/sj.bmt.1701201.

    PMID: 9613785BACKGROUND
  • Celebi H, Akan H, Akcaglayan E, Ustun C, Arat M. Febrile neutropenia in allogeneic and autologous peripheral blood stem cell transplantation and conventional chemotherapy for malignancies. Bone Marrow Transplant. 2000 Jul;26(2):211-4. doi: 10.1038/sj.bmt.1702503.

    PMID: 10918433BACKGROUND
  • Smith TL, Pearson ML, Wilcox KR, Cruz C, Lancaster MV, Robinson-Dunn B, Tenover FC, Zervos MJ, Band JD, White E, Jarvis WR. Emergence of vancomycin resistance in Staphylococcus aureus. Glycopeptide-Intermediate Staphylococcus aureus Working Group. N Engl J Med. 1999 Feb 18;340(7):493-501. doi: 10.1056/NEJM199902183400701.

    PMID: 10021469BACKGROUND
  • Dompeling EC, Donnelly JP, Deresinski SC, Feld R, Lane-Allman EF, De Pauw BE. Early identification of neutropenic patients at risk of grampositive bacteraemia and the impact of empirical administration of vancomycin. Eur J Cancer. 1996 Jul;32A(8):1332-9. doi: 10.1016/0959-8049(96)00050-0.

    PMID: 8869095BACKGROUND

MeSH Terms

Conditions

Febrile Neutropenia

Interventions

MeropenemVancomycinTeicoplanin

Condition Hierarchy (Ancestors)

NeutropeniaAgranulocytosisLeukopeniaCytopeniaHematologic DiseasesHemic and Lymphatic DiseasesLeukocyte Disorders

Intervention Hierarchy (Ancestors)

ThienamycinsCarbapenemsbeta-LactamsLactamsAmidesOrganic ChemicalsHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsGlycopeptidesGlycoconjugatesCarbohydratesPeptidesAmino Acids, Peptides, and ProteinsLipoglycopeptides

Study Officials

  • Sanz Miguel Angel, Doctor

    Hospital La Fe

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
CASE ONLY
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER

Study Record Dates

First Submitted

April 18, 2007

First Posted

April 19, 2007

Study Start

November 1, 2002

Study Completion

April 1, 2009

Last Updated

May 12, 2009

Record last verified: 2009-05

Locations