Ignite Creation Date:
2024-05-06 @ 12:57 PM
Last Modification Date:
2024-10-26 @ 1:06 PM
Study NCT ID:
NCT03891433
Status:
UNKNOWN
Last Update Posted:
2019-04-23
First Post:
2019-03-11
Brief Title:
PiperacillinTazobactam Versus Carbapenems in Non-bacteremic UTI Due to -ESBL-producing Enterobacteriaceae
Sponsor:
Universidad del Norte
Organization:
Universidad del Norte
Study Overview
Official Title:
PiperacillinTazobactam Versus Carbapenems in Non-bacteremic Urinary Tract Infections Due to Extended-spectrum β-lactamase ESBL-Producing Escherichia Coli or Klebsiella Pneumoniae - CAPITIS Study
Status:
UNKNOWN
Status Verified Date:
2019-04
Last Known Status:
RECRUITING
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
CAPITIS
Brief Summary:
This study evaluates the efficacy in achieving clinical cure in non-bacteremic urinary tract infections UTI caused by Escherichia coli or Klebsiella pneumoniae producers of extended-spectrum β-lactamases ESBL in adult patients Half of participants will receive PiperacillinTazobactam as treatment while the other half will receive Carbapenems
The investigators will verify that PiperacillinTazobactam is not inferior in achieving clinical cure and that is not associated with a higher risk of adverse events in the directed treatment of non-bacteremic UTI compared to Carbapenems
The researchers hope to improve the use of antibiotics in the non-bacteremic UTI reducing the collateral damage related to a deterioration in the prognosis of patients and the generation of resistant germs caused by the use of broad-spectrum antibiotics as carbapenems
The investigators will verify that PiperacillinTazobactam is not inferior in achieving clinical cure and that is not associated with a higher risk of adverse events in the directed treatment of non-bacteremic UTI compared to Carbapenems
The researchers hope to improve the use of antibiotics in the non-bacteremic UTI reducing the collateral damage related to a deterioration in the prognosis of patients and the generation of resistant germs caused by the use of broad-spectrum antibiotics as carbapenems
Detailed Description:
Urinary tract infection UTI is a common cause of hospitalization worldwide the prevalence throughout the life of UTI has been reported in about 50000 cases per 100000 women and 13000 per 100000 men in the United States Hospitalization for community-acquired UTI is about 33 Furthermore the UTI related to bladder catheterization during hospitalization is the most common type of infection acquired representing 40 of all nosocomial infections UTI hospitalization is associated with a high cost to the healthcare system
The diagnosis of UTI is based on demonstrating the presence of bacteria urine in patients with suggestive clinical manifestations and verifying the hosts inflammatory response to infection The most common etiological agents include Escherichia coli Klebsiella spp and Proteus spp with different prevalence and antibiotic susceptibility profiles among different populations
Currently the appropriate treatment of UTI is a growing concern in the medical community because Gram-negative specifically Enterobacteriaceae bacteria have acquired genes encoding antibiotic resistance mechanisms The β-lactamase spread spectrum ESBL are documented with increasing frequency among microorganisms causing UTI Current treatment options for ESBL bacteria include nitrofurantoin fosfomycin piperacillin-tazobactam carbapenems and aminoglycosides
Carbapenems and piperacillin-tazobactam are antibiotics used in medical practice for many years both therapies are licensed for the treatment of non-bacteremic UTI however so far there is not enough evidence to discriminate the best choice for the treatment of non-bacteremic UTI although carbapenems are considered drugs of choice for infections caused by these microorganisms but carbapenems use has been associated with an increased risk of collateral damage related to the generation of resistant germs
The investigators will compare between piperacillintazobactam and carbapenems the effectiveness in achieving clinical cure for non-bacteremic UTI caused by ESBL microorganisms Researchers principal hypothesis is that Piperacillintazobactam is not inferior to carbapenems in achieving clinical cure in the targeted treatment of UTI caused by non-bacteremic due to E coli or K pneumoniae ESBL in adults requiring hospitalization Researchers will verify too if PiperacillinTazobactam is not associated with increased risk of adverse events during the targeted treatment of non-bacteremic ITU caused by E coli or K pneumoniae ESBL in adults requiring hospital admission compared with Carbapenems therapy
To perform the protocol researchers follows the recommendations for the design of trials investigating treatment options for resistant bacteria multidrug Uncomplicated Urinary Tract Infections Developing Drugs for Treatment of the United States Agency for Food and Drug Administration FDA
Participants will be included in the study with informed consent The study variables will be obtained by patient interview and review of medical history Variables will be recorded in a computerized database developed specifically for this study with exclusive access for the researchers
The estimated project duration is 2 years expected to begin in april of 2019
The diagnosis of UTI is based on demonstrating the presence of bacteria urine in patients with suggestive clinical manifestations and verifying the hosts inflammatory response to infection The most common etiological agents include Escherichia coli Klebsiella spp and Proteus spp with different prevalence and antibiotic susceptibility profiles among different populations
Currently the appropriate treatment of UTI is a growing concern in the medical community because Gram-negative specifically Enterobacteriaceae bacteria have acquired genes encoding antibiotic resistance mechanisms The β-lactamase spread spectrum ESBL are documented with increasing frequency among microorganisms causing UTI Current treatment options for ESBL bacteria include nitrofurantoin fosfomycin piperacillin-tazobactam carbapenems and aminoglycosides
Carbapenems and piperacillin-tazobactam are antibiotics used in medical practice for many years both therapies are licensed for the treatment of non-bacteremic UTI however so far there is not enough evidence to discriminate the best choice for the treatment of non-bacteremic UTI although carbapenems are considered drugs of choice for infections caused by these microorganisms but carbapenems use has been associated with an increased risk of collateral damage related to the generation of resistant germs
The investigators will compare between piperacillintazobactam and carbapenems the effectiveness in achieving clinical cure for non-bacteremic UTI caused by ESBL microorganisms Researchers principal hypothesis is that Piperacillintazobactam is not inferior to carbapenems in achieving clinical cure in the targeted treatment of UTI caused by non-bacteremic due to E coli or K pneumoniae ESBL in adults requiring hospitalization Researchers will verify too if PiperacillinTazobactam is not associated with increased risk of adverse events during the targeted treatment of non-bacteremic ITU caused by E coli or K pneumoniae ESBL in adults requiring hospital admission compared with Carbapenems therapy
To perform the protocol researchers follows the recommendations for the design of trials investigating treatment options for resistant bacteria multidrug Uncomplicated Urinary Tract Infections Developing Drugs for Treatment of the United States Agency for Food and Drug Administration FDA
Participants will be included in the study with informed consent The study variables will be obtained by patient interview and review of medical history Variables will be recorded in a computerized database developed specifically for this study with exclusive access for the researchers
The estimated project duration is 2 years expected to begin in april of 2019
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None