Renal Impairment Associated With Colistin Levels

NCT ID: NCT01023087

Last Updated: 2011-07-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

70 participants

Study Classification

OBSERVATIONAL

Study Start Date

2009-12-31

Study Completion Date

2011-01-31

Brief Summary

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Colistin is a relatively old antibiotic drug which its use has been abandoned through the 1970s because it was considered nephrotoxic.

Recently ( the last decade) it has been reappraised because multidrug resistant Gram negative bacteria have emerged causing life threatening infections with no other good enough treatment. Moreover, more controlled studies from the recent years show less toxic effect of the drug.

The investigators' study is a prospective study comparing renal function in a group of hospitalized patients with sepsis (infection) receiving intravenous treatment with Colistin (antibiotics) with a control group which its patients receive other non nephrotoxic antibiotics.

The investigators' study hypothesis is that patients receiving Colistin would have renal function decline in higher rates than those seen usually in hospitalized patients in the Internal medicine wards with sepsis.

Another goal of the study is to find correlation between Colistin levels in the plasma (after Colistin reaches steady state) and nephrotoxicity seen during or after use of this drug.

Detailed Description

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Colistin is a relatively old antibiotic drug which its use has been abandoned through the 1970s because it was considered nephrotoxic.

Recently ( the last decade) it has been reappraised because multidrug resistant Gram negative bacteria have emerged causing life threatening infections with no other good enough treatment. Moreover, more controlled studies from the recent years show less toxic effect of the drug.

The investigators' study is a prospective study comparing renal function in a group of hospitalized patients with sepsis (infection) receiving intravenous treatment with Colistin (antibiotics) with a control group which its patients receive other non nephrotoxic antibiotics.

The investigators' study hypothesis is that patients receiving Colistin would have renal function decline in higher rates than those seen usually in hospitalized patients in the Internal medicine wards with sepsis.

Another goal of the study is to find correlation between Colistin levels in the plasma (after Colistin reaches steady state) and nephrotoxicity seen during or after use of this drug.The measurement of the Colistin levels are planned to be done by immunological methods, by developing specific antibodies to Colistin in a laboratory in France.

Conditions

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Sepsis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Treatment

Patients with sepsis treated with polymyxin E (colistin)

Polymyxin E (Colistin)

Intervention Type DRUG

Antibiotic medication; dosage to be decided according to infectious disease consultant recommendation.

Control

Patients with sepsis treated with other, non-nephrotoxic antibiotic medication

Non-nephrotoxic antibiotics

Intervention Type DRUG

To be decided by the infectious disease consultant

Interventions

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Polymyxin E (Colistin)

Antibiotic medication; dosage to be decided according to infectious disease consultant recommendation.

Intervention Type DRUG

Non-nephrotoxic antibiotics

To be decided by the infectious disease consultant

Intervention Type DRUG

Other Intervention Names

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Coliracin Non-nephrotoxic antibiotics, as required

Eligibility Criteria

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Inclusion Criteria

* Hospitalized patients diagnosed with sepsis requiring antibiotic treatment
* Age 18 years old and above
* Gender - male or female

Exclusion Criteria

* Anticipated antibiotic treatment of less than 7 consecutive days
* Concurrent treatment with other nephrotoxic antibiotic drug
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shaare Zedek Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Shaare Zedek Medical Center, Jerusalem, Israel

Principal Investigators

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Moshe Hersch, MD; MSc.

Role: STUDY_CHAIR

Shaare Zedek Medical Center, Jerusalem

Locations

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Shaare Zedek Medical Center

Jerusalem, , Israel

Site Status

Countries

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Israel

Other Identifiers

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COLISTIN.RF.10

Identifier Type: -

Identifier Source: org_study_id

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