NCT00848809

Brief Summary

This study is an observational analysis that monitors the effect of different dialysis methods on vancomycin levels when patients are critically ill. No changes are made to therapy based on levels, but levels are checked more frequently than normal. The primary dialysis methods being studied are SLED (slow-low efficiency daily) dialysis and intermittent hemodialysis. Vancomycin is the only medication being evaluated in this study. This study will provide detailed information on how to dose vancomycin in patients that are on dialysis in the intensive care unit.

Trial Health

30
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Timeline
Completed

Started Dec 2008

Shorter than P25 for all trials

Geographic Reach
1 country

1 active site

Status
withdrawn

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

December 1, 2008

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

February 19, 2009

Completed
1 day until next milestone

First Posted

Study publicly available on registry

February 20, 2009

Completed
1 month until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2009

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2009

Completed
Last Updated

April 22, 2015

Status Verified

April 1, 2015

Enrollment Period

4 months

First QC Date

February 19, 2009

Last Update Submit

April 21, 2015

Conditions

Keywords

Acute kidney injuryVancomycin therapySlow-low efficiency daily dialysisIntermittent HemodialysisKidneyVancomycinHemofiltration

Outcome Measures

Primary Outcomes (1)

  • To determine the effect of different types of renal replacement therapies on the elimination and volume of distribution of vancomycin.

    4 months

Study Arms (2)

1

Slow-low efficiency daily dialysis group

Procedure: Blood sample

2

Intermittent Hemodialysis group

Procedure: Blood sample

Interventions

Blood samplePROCEDURE

9 blood samples will be sent to the laboratory for the subjects in the SLED cohort

Also known as: Vancomycin level
1

Eligibility Criteria

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

Patients must be admitted to the intensive care unit at Avera McKennan Hospital in Sioux Falls, SD.

You may qualify if:

  • \> 18 years of age
  • One of the following types of dialysis modalities implemented:
  • Slow-low efficiency daily dialysis Intermittent hemodialysis
  • Use of study medication (vancomycin)

You may not qualify if:

  • Inability to give informed consent

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Avera McKennan Hospital and University Health Center

Sioux Falls, South Dakota, 57117, United States

Location

Related Publications (3)

  • Kielstein JT, Czock D, Schopke T, Hafer C, Bode-Boger SM, Kuse E, Keller F, Fliser D. Pharmacokinetics and total elimination of meropenem and vancomycin in intensive care unit patients undergoing extended daily dialysis. Crit Care Med. 2006 Jan;34(1):51-6. doi: 10.1097/01.ccm.0000190243.88133.3f.

    PMID: 16374156BACKGROUND
  • Trotman RL, Williamson JC, Shoemaker DM, Salzer WL. Antibiotic dosing in critically ill adult patients receiving continuous renal replacement therapy. Clin Infect Dis. 2005 Oct 15;41(8):1159-66. doi: 10.1086/444500. Epub 2005 Sep 12.

    PMID: 16163635BACKGROUND
  • Pai AB, Pai MP. Vancomycin dosing in high flux hemodialysis: a limited-sampling algorithm. Am J Health Syst Pharm. 2004 Sep 1;61(17):1812-6. doi: 10.1093/ajhp/61.17.1812.

    PMID: 15462252BACKGROUND

Biospecimen

Retention: NONE RETAINED

Whole blood

MeSH Terms

Conditions

Acute Kidney Injury

Interventions

Blood Specimen CollectionVancomycin

Condition Hierarchy (Ancestors)

Renal InsufficiencyKidney DiseasesUrologic DiseasesFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesMale Urogenital Diseases

Intervention Hierarchy (Ancestors)

Specimen HandlingClinical Laboratory TechniquesDiagnostic Techniques and ProceduresDiagnosisPuncturesSurgical Procedures, OperativeInvestigative TechniquesGlycopeptidesGlycoconjugatesCarbohydratesPeptidesAmino Acids, Peptides, and Proteins

Study Officials

  • Bradley Beck, Pharm.D.

    Avera McKennan Hospital and University Health Center

    PRINCIPAL INVESTIGATOR
0

Study Design

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

Study Record Dates

First Submitted

February 19, 2009

First Posted

February 20, 2009

Study Start

December 1, 2008

Primary Completion

April 1, 2009

Study Completion

April 1, 2009

Last Updated

April 22, 2015

Record last verified: 2015-04

Locations