Pharmacokinetics of Carbapenem Antibiotics in Obese Patients.
Offene, Monozentrische, Nicht Kontrollierte Und Nicht Randomisierte Phase IV-Studie Zur Bestimmung Der Pharmakokinetik Von Carbapenemen in adipösen Patienten.
2 other identifiers
interventional
13
1 country
2
Brief Summary
Tissue kinetics of ertapenem and meropenem in fatty tissue, intraperitoneal fluid and plasma.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_4 obesity
Started Apr 2012
Typical duration for phase_4 obesity
2 active sites
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
First Submitted
Initial submission to the registry
July 26, 2011
CompletedFirst Posted
Study publicly available on registry
August 2, 2011
CompletedStudy Start
First participant enrolled
April 1, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2015
CompletedOctober 17, 2016
October 1, 2016
3.2 years
July 26, 2011
October 14, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Unbound concentration of ertapenem and meropenem in fatty tissue and peritoneal fluid
within 24 h after administration
Secondary Outcomes (3)
Number of Adverse Events (total and per patient)
Participants will be followed for the duration of hospital stay, an expected average of 3 weeks
Number of Serious Adverse Events (total and per patient)
Participants will be followed for the duration of hospital stay, an expected average of 3 weeks
Number of Suspected Unexpected Serious Adverse Reactions (SUSARs)
Participants will be followed for the duration of hospital stay, an expected average of 3 weeks
Study Arms (2)
Ertapenem
EXPERIMENTALFree tissue kinetics of ertapenem in fatty tissue and intraperitoneal fluid in mg/L Free and bound plasma concentration of ertapenem or meropenem in mg/L
Meropenem
EXPERIMENTALFree tissue kinetics of meropenem in fatty tissue and intraperitoneal fluid in mg/L up to 24 hours after administration. Free and bound plasma concentration of meropenem in mg/L.
Interventions
Placing of microdialysis catheter in fatty tissue and in the peritoneal cavity
Eligibility Criteria
You may qualify if:
- Hospitalized patients 18 years or older requiring elective surgical intervention (open or laparoscopic surgery) at intraabdominal organs
- BMI more or even 40
- written informed consent
You may not qualify if:
- BMI \< 40
- pregnancy or lactation in women
- emergency surgery
- history of serious allergy or intolerance to β-lactam antibiotics
- systemic antimicrobial therapy with ceftazidime (internal standard of high-performance liquid chromatography / mass spectrometry) within a 7 days period prior to study entry
- ongoing intraabdominal infections
- terminal illness
- severe diseases of the liver, e.g. cirrhosis of the liver with ALT or AST \> 6 x upper limit of normal (ULN) and bilirubin \> 3 x ULN
- severe renal insufficiency with a creatinine clearance ≤30 mL/min.
- neutrophil count \< 1000 cells/mm3
- platelets \< 75000 cells/mm3
- coagulation studies (INR) \> 1.5 x ULN
- ongoing chemotherapy and/or radiotherapy
- ongoing therapy with valproin acid (in case of ertapenem administration).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
University of Ulm, Dept. of Visceral Surgery
Ulm, 89075, Germany
University of Ulm
Ulm, 89075, Germany
Related Publications (2)
Wittau M, Paschke S, Kurlbaum M, Scheele J, Ly NS, Hemper E, Kornmann M, Henne-Bruns D, Bulitta JB. Population Pharmacokinetics and Target Attainment of Ertapenem in Plasma and Tissue Assessed via Microdialysis in Morbidly Obese Patients after Laparoscopic Visceral Surgery. Antimicrob Agents Chemother. 2016 Dec 27;61(1):e00952-16. doi: 10.1128/AAC.00952-16. Print 2017 Jan.
PMID: 27795367DERIVEDWittau M, Scheele J, Kurlbaum M, Brockschmidt C, Wolf AM, Hemper E, Henne-Bruns D, Bulitta JB. Population Pharmacokinetics and Target Attainment of Meropenem in Plasma and Tissue of Morbidly Obese Patients after Laparoscopic Intraperitoneal Surgery. Antimicrob Agents Chemother. 2015 Oct;59(10):6241-7. doi: 10.1128/AAC.00259-15. Epub 2015 Jul 27.
PMID: 26248353DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Doris Henne-Bruns, PhD
University of Ulm
- PRINCIPAL INVESTIGATOR
Mathias Wittau, Dr.
University of Ulm
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- BASIC SCIENCE
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- MD
Study Record Dates
First Submitted
July 26, 2011
First Posted
August 2, 2011
Study Start
April 1, 2012
Primary Completion
July 1, 2015
Study Completion
July 1, 2015
Last Updated
October 17, 2016
Record last verified: 2016-10