A Study Evaluating the Role of Oral Antibiotics in an Aim to Eradicate Carrier State of Carbapenem- Resistant Klebsiella Pneumonia (KPC).

NCT ID: NCT01266499

Last Updated: 2017-04-28

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

Clinical Phase

NA

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-07-31

Study Completion Date

2012-01-31

Brief Summary

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Klebsiella pneumonia, inhabitant of the digestive tract, is a frequent nosocomial pathogen. It is currently the fourth most common cause of pneumonia and fifth most common cause of bacteremia in intensive care patients (1-3).

The aim of the present randomized controlled trial is to assess the efficacy of non-absorbable oral antibiotics in the eradication of the KPC carrier state.

Detailed Description

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Conditions

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Klebsiella Pneumoniae Carbapenemase Resistant Associated Bacteremia or Pneumonia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Group 1: will receive PO Garamycin 80mg x 4/d

will receive PO Garamycin 80mg x 4/d

Group Type ACTIVE_COMPARATOR

PO Garamycin 80mg x 4/d

Intervention Type DRUG

PO Garamycin 80mg x 4/d

Group 2 : will receive PO Colistin (Polymyxin E) 100mg x 4/d

Group Type ACTIVE_COMPARATOR

Colistin (Polymyxin E) 100mg x 4/d

Intervention Type DRUG

Colistin (Polymyxin E) 100mg x 4/d

Group 3: will receive both medications

Group Type ACTIVE_COMPARATOR

both medications

Intervention Type DRUG

PO Garamycin 80mg x 4/d +PO Colistin (Polymyxin E) 100mg x 4/d

Group 4: will not receive PO treatment

Group Type PLACEBO_COMPARATOR

will not receive PO treatment

Intervention Type DRUG

will not receive PO treatment - will receive plecebo treatment

Interventions

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Colistin (Polymyxin E) 100mg x 4/d

Colistin (Polymyxin E) 100mg x 4/d

Intervention Type DRUG

both medications

PO Garamycin 80mg x 4/d +PO Colistin (Polymyxin E) 100mg x 4/d

Intervention Type DRUG

will not receive PO treatment

will not receive PO treatment - will receive plecebo treatment

Intervention Type DRUG

PO Garamycin 80mg x 4/d

PO Garamycin 80mg x 4/d

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Patient identified as a KPC carrier.
2. Patient capable to understand and sign informed consent
3. Age \> 18
4. Patient capable to receive oral medication

Exclusion Criteria

1. Patient unable to sign informed consent
2. Age ≤ 18
3. Pregnant/lactating female
4. Patient not expected to survive \> 2 weeks.
5. Patient unable or not allowed to receive oral medications
6. A known allergy to study drugs.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Rambam Health Care Campus

OTHER

Sponsor Role lead

Responsible Party

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rambam68

prof

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Tsila Zuckerman, DR

Role: PRINCIPAL_INVESTIGATOR

rambam mc

ILANA OREN, Dr

Role: PRINCIPAL_INVESTIGATOR

Site Sub Investigator

Jacob M Rowe, Prof

Role: PRINCIPAL_INVESTIGATOR

Site Sub-Investigator

RENATO FINKELSTEIN, Prof

Role: PRINCIPAL_INVESTIGATOR

Site Sub-Investigator

Norberto Krivoy, Prof

Role: PRINCIPAL_INVESTIGATOR

Site Sub-Investigator

HANA Shprecher, Dr

Role: PRINCIPAL_INVESTIGATOR

Site Sub-Investigator

Noam Benyamini, Dr

Role: PRINCIPAL_INVESTIGATOR

Site Sub-Investigator

Salim Hadad, Dr

Role: PRINCIPAL_INVESTIGATOR

Site Sub-Investigator

Ami Neuberger, Dr

Role: PRINCIPAL_INVESTIGATOR

Site Sub-Investigator

Eyal Braun, Dr

Role: PRINCIPAL_INVESTIGATOR

Site Sub-Investigator

Ayelet Raz, Dr

Role: PRINCIPAL_INVESTIGATOR

Site Sub-Investigator

Locations

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Rambam Mc

Haifa, , Israel

Site Status

Countries

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Israel

References

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1. Center for Disease control and prevention. National Nosocomial Infections Surveillance 9NNIS0 System report, data summary from January 1992 through June 2003. Am J Infect Control 2003:31:481-98 2. Woodford N, Tierno PM Jr, Young K, Tysall L, Palepou MF, Ward E, Painter RE, Suber DF, Shungu D, Silver LL, Inglima K, Kornblum J, Livermore DM. Antimicrobial Agents Chemother. Outbreak of Klebsiella pneumonia producing a new carbapenem-hydrolyzing class a beta-lactamase, KPC-3, in a New York Medical Center.2004;48(12):4793-9. 3. Bradford PA, Bratu S, Urban C, Visalli M, Mariano N, Landman D, Rahal JJ, Brooks S, Cebular S, Quale J Emergence of carbapenem-resistant Klebsiella species possessing the class A carbapenem-hydrolyzing KPC-2 and inhibitor-resistant TEM-30 beta-lactamases in New York City. Clin Infect Dis. 2004 1;39(1):55-60.

Reference Type RESULT

Other Identifiers

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KPCCTIL

Identifier Type: -

Identifier Source: org_study_id

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