NCT04895657

Brief Summary

Continuous-infusion of piperacillin/tazobactam over 4 hrs instead of 30-minute intermittent dosage regimen has shown observable outcomes. Our objective is to assess whether continuous infusion of piperacillin/tazobactam is superior in terms of efficacy, safety and cost to the intermittent regimen to treat suspected or proved infections due to gram negative bacteria. The setting is Critical Care Medicine Department at Cairo University Hospitals. Methods A prospective randomized comparative study.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
56

participants targeted

Target at P25-P50 for phase_4

Timeline
Completed

Started Jul 2018

Geographic Reach
1 country

1 active site

Status
completed

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 27, 2018

Completed
1.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 26, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 26, 2020

Completed
1.2 years until next milestone

First Submitted

Initial submission to the registry

April 19, 2021

Completed
1 month until next milestone

First Posted

Study publicly available on registry

May 20, 2021

Completed
Last Updated

May 20, 2021

Status Verified

May 1, 2021

Enrollment Period

1.5 years

First QC Date

April 19, 2021

Last Update Submit

May 18, 2021

Conditions

Keywords

AntibioticsBeta-lactamsContinuous administration

Outcome Measures

Primary Outcomes (2)

  • Clinical cure

    Clinical cure, expressed in percentage, will be considered fulfilled if all the following criteria are met : Cure or improvement of clinical signs and symptoms caused by the infection, normalized WBCs and body temperature.

    ICU length of stay, assessed up to 30 days

  • Total cost

    Cost in Dollars (prices of drugs ,supplies prices, preparation, administration, daily hospital stay cost )

    ICU length of stay, assessed up to 30 days

Secondary Outcomes (4)

  • ICU Length of stay

    ICU length of stay, assessed up to 30 days

  • Mortality

    ICU length of stay, assessed up to 30 days

  • Readmission within 30- days

    30 days

  • Adverse drug events

    ICU length of stay, assessed up to 30 days

Study Arms (2)

Piperacillin/Tazobactam Intermittent infusion

OTHER

4.5 gm Piperacillin/Tazobactam I.V intermittent over 30 min. every 8 hours.

Drug: Piperacillin/Tazobactam Intermittent infusion

Piperacillin/Tazobactam Continuous infusion

OTHER

4.5 gm Piperacillin/Tazobactam I.V extended infusion over 4 hours every 8 hours.

Drug: Piperacillin/Tazobactam Continuous infusion

Interventions

Continuous infusion

Also known as: Piprataz injection
Piperacillin/Tazobactam Continuous infusion

Intermittent infusion

Also known as: Piprataz injection
Piperacillin/Tazobactam Intermittent infusion

Eligibility Criteria

Age18 Years - 74 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Adults aged 18-74 years
  • Expected ICU stay more than 24 hours

You may not qualify if:

  • Allergy or potential allergy to the study medications
  • Pregnancy
  • Patients with CrCl\< 20 ml/min or on dialysis
  • Cancer patients

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Cairo University Hospitals

Cairo, Egypt

Location

MeSH Terms

Interventions

Piperacillin

Intervention Hierarchy (Ancestors)

AmpicillinPenicillin GPenicillinsbeta-LactamsLactamsAmidesOrganic ChemicalsSulfur CompoundsHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic Compounds

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Teaching assistant

Study Record Dates

First Submitted

April 19, 2021

First Posted

May 20, 2021

Study Start

July 27, 2018

Primary Completion

January 26, 2020

Study Completion

January 26, 2020

Last Updated

May 20, 2021

Record last verified: 2021-05

Data Sharing

IPD Sharing
Will not share

Locations