Pharmacokinetics of Carbapenem Antibiotics in Obese Patients.

NCT ID: NCT01407965

Last Updated: 2016-10-17

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

PHASE4

Total Enrollment

13 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-04-30

Study Completion Date

2015-07-31

Brief Summary

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Tissue kinetics of ertapenem and meropenem in fatty tissue, intraperitoneal fluid and plasma.

Detailed Description

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The purpose of this study is to determine the free tissue kinetics of ertapenem and meropenem in fatty tissue and intraperitoneal fluid up to 24 hours after administration of the IMP.

Conditions

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Obesity

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Ertapenem

Free tissue kinetics of ertapenem in fatty tissue and intraperitoneal fluid in mg/L

Free and bound plasma concentration of ertapenem or meropenem in mg/L

Group Type EXPERIMENTAL

microdialysis catheter

Intervention Type PROCEDURE

Placing of microdialysis catheter in fatty tissue and in the peritoneal cavity

Meropenem

Free tissue kinetics of meropenem in fatty tissue and intraperitoneal fluid in mg/L up to 24 hours after administration. Free and bound plasma concentration of meropenem in mg/L.

Group Type EXPERIMENTAL

microdialysis catheter

Intervention Type PROCEDURE

Placing of microdialysis catheter in fatty tissue and in the peritoneal cavity

Interventions

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microdialysis catheter

Placing of microdialysis catheter in fatty tissue and in the peritoneal cavity

Intervention Type PROCEDURE

microdialysis catheter

Placing of microdialysis catheter in fatty tissue and in the peritoneal cavity

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Hospitalized patients 18 years or older requiring elective surgical intervention (open or laparoscopic surgery) at intraabdominal organs
* BMI more or even 40
* written informed consent

Exclusion Criteria

* BMI \< 40
* pregnancy or lactation in women
* emergency surgery
* history of serious allergy or intolerance to β-lactam antibiotics
* systemic antimicrobial therapy with ceftazidime (internal standard of high-performance liquid chromatography / mass spectrometry) within a 7 days period prior to study entry
* ongoing intraabdominal infections
* terminal illness
* severe diseases of the liver, e.g. cirrhosis of the liver with ALT or AST \> 6 x upper limit of normal (ULN) and bilirubin \> 3 x ULN
* severe renal insufficiency with a creatinine clearance ≤30 mL/min.
* neutrophil count \< 1000 cells/mm3
* platelets \< 75000 cells/mm3
* coagulation studies (INR) \> 1.5 x ULN
* ongoing chemotherapy and/or radiotherapy
* ongoing therapy with valproin acid (in case of ertapenem administration).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Ulm

OTHER

Sponsor Role lead

Responsible Party

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M. Wittau

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Doris Henne-Bruns, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Ulm

Mathias Wittau, Dr.

Role: PRINCIPAL_INVESTIGATOR

University of Ulm

Locations

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University of Ulm, Dept. of Visceral Surgery

Ulm, , Germany

Site Status

University of Ulm

Ulm, , Germany

Site Status

Countries

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Germany

References

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Wittau M, Paschke S, Kurlbaum M, Scheele J, Ly NS, Hemper E, Kornmann M, Henne-Bruns D, Bulitta JB. Population Pharmacokinetics and Target Attainment of Ertapenem in Plasma and Tissue Assessed via Microdialysis in Morbidly Obese Patients after Laparoscopic Visceral Surgery. Antimicrob Agents Chemother. 2016 Dec 27;61(1):e00952-16. doi: 10.1128/AAC.00952-16. Print 2017 Jan.

Reference Type DERIVED
PMID: 27795367 (View on PubMed)

Wittau M, Scheele J, Kurlbaum M, Brockschmidt C, Wolf AM, Hemper E, Henne-Bruns D, Bulitta JB. Population Pharmacokinetics and Target Attainment of Meropenem in Plasma and Tissue of Morbidly Obese Patients after Laparoscopic Intraperitoneal Surgery. Antimicrob Agents Chemother. 2015 Oct;59(10):6241-7. doi: 10.1128/AAC.00259-15. Epub 2015 Jul 27.

Reference Type DERIVED
PMID: 26248353 (View on PubMed)

Other Identifiers

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2010-024094-39

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

Adip-2010

Identifier Type: -

Identifier Source: org_study_id

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