Sitafloxacin and Ertapenem Treatment for Acute Pyelonephritis Caused by Escherichia Coli

NCT ID: NCT02537847

Last Updated: 2015-09-02

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

PHASE2

Total Enrollment

96 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-11-30

Study Completion Date

2016-05-31

Brief Summary

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The aim of the investigators' study was to evaluate oral and non carbapenem antimicrobial agents which can be used in outpatient for the treatment of non-bacteremic acute pyelonephritis caused by Extended Spectrum Beta Lactamase Escherichia coli. This study was conducted to compare the clinical and bacteriological outcomes of patients with non-bacteremic acute pyelonephritis caused by Extended Spectrum Beta Lactamase Escherichia coli who were treated with intravenous (IV) carbapenems followed by oral sitafloxacin or IV ertapenem.

Detailed Description

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A prospective randomized controlled trial of patients with a presumptive diagnosis of acute pyelonephritis caused by Extended Spectrum Beta Lactamase-producing pathogen was performed. Carbapenems was initially given to all patients. After day 3, patients were randomized to receive either oral sitafloxacin (100 mg twice daily) or intravenous ertapenem. The regular course of treatment was completed within 10 days.

Conditions

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Infection Due to Escherichia Coli Acute Pyelonephritis

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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Sitafloxacin group

The first third days of treatment was open label and all patients were given intravenous carbapenems. After day 3, the patients were randomized to either sitafloxacin group or ertapenem group by the use of a computer-generated random number allocation schedule and block size of four. The patients were allocated to the sitafloxacin group or ertapenem group using the sealed envelope method.

Group Type EXPERIMENTAL

Sitafloxacin

Intervention Type DRUG

The patients in intervention group will receive carbapenem for the first 3 days then sitafloxacin for 7 days. Total of treatment duration is 10 days.

control group

Intervention was prescribed ertapenem for patients.

Group Type ACTIVE_COMPARATOR

Ertapenem

Intervention Type DRUG

Control group will be given ertapenem only for 10 days.

Interventions

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Sitafloxacin

The patients in intervention group will receive carbapenem for the first 3 days then sitafloxacin for 7 days. Total of treatment duration is 10 days.

Intervention Type DRUG

Ertapenem

Control group will be given ertapenem only for 10 days.

Intervention Type DRUG

Other Intervention Names

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fluoroquinolone carbapenem

Eligibility Criteria

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Inclusion Criteria

* Age \>18 years
* Acute pyelonephritis by definition
* Positive urine culture for Extended Spectrum Beta Lactamase Escherichia coli ≥105 colony forming unit/mL
* Voluntarily consented to be enrolled in the study

Exclusion Criteria

* Severe sepsis or septic shock
* Mixed organism of urine culture
* Positive blood culture
* Has other source of infection
* Has mechanical abnormality of urinary tract
* Immunocompromised conditions
* Retained Foley's catheter
* Pregnancy or lactation
* Previous urinary tract infections within 4 weeks
* Contraindicated for fluoroquinolones and carbapenems
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mahidol University

OTHER

Sponsor Role lead

Responsible Party

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Chitprasong Malaisri

Ramathibodi Hospital

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sasisopin Kiertiburanakul

Role: STUDY_DIRECTOR

Ramathibodi Hospital Mahidol University

Locations

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Faculty of Medicine Ramathibodi Hospital

Bangkok, Bangkok, Thailand

Site Status RECRUITING

Countries

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Thailand

Central Contacts

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Chitprasong Malaisri, MD

Role: CONTACT

+66 89 466 5043

Facility Contacts

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Chitprasong Malaisri, MD

Role: primary

++66 89 466 5043

Other Identifiers

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Sitafloxacin123

Identifier Type: -

Identifier Source: org_study_id

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