Sitafloxacin and Ertapenem Treatment for Acute Urinary Tract Infection Caused by E. Coli or K. Pneumoniae in Post-kidney Transplantation Patients

NCT ID: NCT02729116

Last Updated: 2023-03-08

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/PHASE3

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-07-31

Study Completion Date

2024-01-31

Brief Summary

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This study evaluates oral antimicrobial agents for the treatment of non-bacteremic acute urinary tract infection caused by Extended Spectrum Beta Lactamase producing Escherichia coli or Klebsiella pneumoniae in Post-kidney transplantation. Patients are treated with intravenous (IV) antibiotics follow 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 urinary tract infection caused by Extended Spectrum Beta Lactamase-producing Escherichia coli or Klebsiella pneumoniae in Post-kidney transplantation. Intravenous (IV) antibiotic is initially given to all patients. After day 3, patients were randomized to receive either oral sitafloxacin (100 mg twice daily) or intravenous ertapenem. The course of treatment will complete within 14 days.

Conditions

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Anti-Infective Agents, Urinary Escherichia Coli Infections Klebsiella Infections Kidney Transplantation Urinary Tract Infections

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

Sitafloxacin 100 mg oral twice daily

Group Type EXPERIMENTAL

Sitafloxacin

Intervention Type DRUG

Patients are given intravenous empirical antibiotics for 3 days. The patients are allocated to the sitafloxacin group or ertapenem group using of a computer-generated random number allocation schedule and block size of four.

Ertapenem group

Ertapenem 1 gm IV every 24 h

Group Type ACTIVE_COMPARATOR

Ertapenem

Intervention Type DRUG

Patients are given IV ertapenem for 14 days

Interventions

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Sitafloxacin

Patients are given intravenous empirical antibiotics for 3 days. The patients are allocated to the sitafloxacin group or ertapenem group using of a computer-generated random number allocation schedule and block size of four.

Intervention Type DRUG

Ertapenem

Patients are given IV ertapenem for 14 days

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age \>18 years
* Acute urinary infection by definitions
* Positive urine culture for Extended Spectrum Beta Lactamase E. coli or K. pneumoniae ≥105 colony forming unit/mL
* Post-kidney transplantation
* Voluntarily consented to be enrolled in the study

Exclusion Criteria

* Sepsis
* Positive blood culture
* Mixed organism of urine culture
* Immunocompromised conditions other than post-kidney transplantation
* 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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Khon Kaen University

OTHER

Sponsor Role lead

Responsible Party

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Atibordee Meesing, MD

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Khon Kaen University

Ban Khanaen, Khonkaen, Thailand

Site Status

Khon Kaen University

Ban Khanaen, Khonkaen, Thailand

Site Status

Countries

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Thailand

References

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Thamlikitkul V, Tiengrim S. In vitro susceptibility test of sitafloxacin against resistant gram-negative bacilli isolated from Thai patients by disk diffusion method. J Med Assoc Thai. 2014 Mar;97 Suppl 3:S7-12.

Reference Type BACKGROUND
PMID: 24772575 (View on PubMed)

Nakamura T, Komatsu M, Yamasaki K, Fukuda S, Higuchi T, Ono T, Nishio H, Sueyoshi N, Kida K, Satoh K, Toda H, Toyokawa M, Nishi I, Sakamoto M, Akagi M, Mizutani T, Nakai I, Kofuku T, Orita T, Zikimoto T, Natsume S, Wada Y. Susceptibility of various oral antibacterial agents against extended spectrum beta-lactamase producing Escherichia coli and Klebsiella pneumoniae. J Infect Chemother. 2014 Jan;20(1):48-51. doi: 10.1016/j.jiac.2013.08.004. Epub 2013 Dec 11.

Reference Type BACKGROUND
PMID: 24462425 (View on PubMed)

Tiengrim S, Phiboonbanakit D, Thunyaharn S, Tantisiriwat W, Santiwatanakul S, Susaengrat W, Srisurat N, Malithong A, Srisangchan P, Thamlikitkul V. Comparative in vitro activity of sitafloxacin against bacteria isolated from Thai patients with urinary tract infections and lower respiratory tract infections. J Med Assoc Thai. 2012 Feb;95 Suppl 2:S6-17.

Reference Type BACKGROUND
PMID: 22574524 (View on PubMed)

Other Identifiers

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HE581520

Identifier Type: -

Identifier Source: org_study_id

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