Prophylactic Piperacillin/Tazobactam in Hematopoietic Stem Cell Transplantation

NCT ID: NCT01714557

Last Updated: 2012-10-26

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-09-30

Study Completion Date

2014-11-30

Brief Summary

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Neutropenia is very common in patients received hematopoietic stem cell transplantation, with median duration of about 14 days. Almost all neutropenia will suffer from febrile without prophylactic antibiotics. IDSA recommended fluoroquinolones as prophylaxis in neutropenia patients of high risks, while in China, major pathogens possess high resistance to fluoroquinolones. It is not clear whether prophylaxis is of benefit, nor the appropriate prophylaxis regimen.

The current study will evaluate the three different regimen:

1. No prophylaxic antibiotic
2. Piperacillin as prophylaxis for neutropenia patients. Piperacillin has anti-pseudomonas activity.
3. Piperacillin/tazobactam as prophylaxis for neutropenia patients. Piperacillin/tazobactam has highest susceptibility rate among common anti-pseudomonas antibiotics.

Detailed Description

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1. Swab culture (skin, pharyngeal, nasal, anus) when administered into laminar flow room after transplantation.
2. Randomize the neutropenia patients into 3 groups.
3. Receive 3 regimen.
4. Full record of clinical data, including background diseases, previous antibiotics within 90 days, febrile or not at the TOC.
5. For patients developed febrile, imipenem will be prescribed, even if the patient received no prophylaxis. At the same time, the follow-up ended.

Conditions

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Neutropenia Hematopoietic Stem Cell Transplantation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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No prophylaxis

Group Type NO_INTERVENTION

No interventions assigned to this group

piperacillin

Group Type ACTIVE_COMPARATOR

Piperacillin

Intervention Type DRUG

4.0g q8h 3-5 days

piperacillin/tazobactam

Group Type EXPERIMENTAL

Piperacillin-tazobactam combination product

Intervention Type DRUG

4.5g q8h 3-5 days

Interventions

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Piperacillin

4.0g q8h 3-5 days

Intervention Type DRUG

Piperacillin-tazobactam combination product

4.5g q8h 3-5 days

Intervention Type DRUG

Other Intervention Names

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Tazocin

Eligibility Criteria

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Inclusion Criteria

* Age 13-65 years
* Received Autologous or Allogeneic hematopoietic stem cell transplantation.
* ECOG score 0-1.
* ICF is available.

Exclusion Criteria

* Allergic to any therapy drug.
* Documented infection before neutropenia.
* Renal dysfunction.
* Suffering from central nervous system or mental disease.
Minimum Eligible Age

13 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chinese PLA General Hospital

OTHER

Sponsor Role lead

Responsible Party

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Wenrong Huang

Associate director, Hematology, Chinese PLA General hospital

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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wenrong huang, Doctor

Role: PRINCIPAL_INVESTIGATOR

Employee

Locations

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Chinese PLA general hospital

Beijing, Beijing Municipality, China

Site Status

Countries

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China

Facility Contacts

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Wenrong Huang, Doctor

Role: primary

Other Identifiers

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TZP-HEM-20120608

Identifier Type: -

Identifier Source: org_study_id