NCT03922451

Brief Summary

This study will measure plasma concentrations of piperacillin-tazobactam and cefazolin in pediatric patients supported with extracorporeal membrane oxygenation (ECMO) aiming to better understand the pharmacokinetics of these medications in this in vivo setting.

Trial Health

57
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Trial Health Score

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

Enrollment
4

participants targeted

Target at below P25 for all trials

Timeline
Completed

Started Aug 2019

Typical duration for all trials

Geographic Reach
1 country

1 active site

Status
terminated

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

First Submitted

Initial submission to the registry

April 15, 2019

Completed
7 days until next milestone

First Posted

Study publicly available on registry

April 22, 2019

Completed
4 months until next milestone

Study Start

First participant enrolled

August 27, 2019

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2020

Completed
1.9 years until next milestone

Study Completion

Last participant's last visit for all outcomes

February 28, 2022

Completed
Last Updated

March 21, 2022

Status Verified

March 1, 2022

Enrollment Period

7 months

First QC Date

April 15, 2019

Last Update Submit

March 7, 2022

Conditions

Outcome Measures

Primary Outcomes (2)

  • Plasma concentration: piperacillin-tazobactam

    Drug levels will be checked at baseline followed by additional measurements after the dose based on the dosing intervals but anticipated to be 30, 60, 120, 360, 480 minutes after the dose. Dosing regime will be q8-12 hourly pending end organ function (at the discretion of the treating team). The study will be continued for the duration of the Antibiotic therapy whilst on ECMO support and for one set of samples following decannulation.

    Peri drug dose administration until cessation of antibiotic therapy or cessation of ECMO support up to a maximum of 4 weeks.

  • Plasma concentration: cefazolin

    Drug levels will be checked at baseline followed by additional measurements after the dose based on the dosing intervals but anticipated to be 30, 60, 120, 360, 480 minutes after the dose. Dosing regime will be q8-12 hourly pending end organ function (at the discretion of the treating team). The study will be continued for the duration of the Antibiotic therapy whilst on ECMO support and for one set of samples following decannulation.

    Peri drug dose administration until cessation of antibiotic therapy or cessation of ECMO support up to a maximum of 4 weeks.

Study Arms (1)

Pediatric patients supported on ECMO

Drug: piperacillin-tazobactamDrug: Cefazolin

Interventions

Administered for infection treatment or prophylaxis per hospital protocol

Pediatric patients supported on ECMO

Administered for infection treatment or prophylaxis per hospital protocol

Pediatric patients supported on ECMO

Eligibility Criteria

AgeUp to 18 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)
Sampling MethodNon-Probability Sample
Study Population

All pediatric patients who are supported on ECMO at Boston Children's Hospital Cardiac Intensive Care Unit (CICU) and receive piperacillin-tazobactam or cefazolin as part of routine care or infection management.

You may qualify if:

  • supported on ECMO
  • receive piperacillin-tazobactam or cefazolin as part of routine care or infection management

You may not qualify if:

  • \>= 18 years
  • No Consent provided

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Boston Children's Hospital

Boston, Massachusetts, 02115, United States

Location

MeSH Terms

Interventions

Piperacillin, Tazobactam Drug CombinationCefazolin

Intervention Hierarchy (Ancestors)

TazobactamPenicillanic AcidPenicillinsbeta-LactamsLactamsAmidesOrganic ChemicalsPiperacillinAmpicillinPenicillin GSulfur CompoundsSulfonesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsDrug CombinationsPharmaceutical PreparationsCephalosporinsThiazines

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Cardiac Intensivist

Study Record Dates

First Submitted

April 15, 2019

First Posted

April 22, 2019

Study Start

August 27, 2019

Primary Completion

April 1, 2020

Study Completion

February 28, 2022

Last Updated

March 21, 2022

Record last verified: 2022-03

Locations