Determining Drug Levels of Beta-lactam Antibiotics in Severe Burned Patients

NCT ID: NCT03335137

Last Updated: 2017-11-07

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

Total Enrollment

35 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-05-01

Study Completion Date

2016-12-31

Brief Summary

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At antibiotic stewardship of the University Hospital of Schleswig-Holsten it was noticed that there are much less studies measuring drug levels in severe burned patients than are required. Especially, severe burned patient developing a capillary leak might show lower drug levels than patients without a capillary leak. To compare drug levels of beta-lactam antibiotics, it is the aim of this study to measure pharmacokinetics of Piperacillin/Tazobactam in ICU patients with and without severe burns.

Detailed Description

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Conditions

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Antibiotics Severe Burn Intensive Care

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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ICU Patients with Severe Burns

Patients suffering from severe burns treated on a burn unit - Drug Level Monitoring Piperacillin/Tazobactam

Drug Level Monitoring

Intervention Type DIAGNOSTIC_TEST

Free (unbound) drug concentration 1 hour, 4 hours and 7.5 hours after primary load of piperacillin/tazobactam on day 1 and day 3 after admission

ICU Patients without Burns - Drug Level Monitoring

Patient suffering from disease treated on an ICU - Drug Level Monitoring Piperacillin/Tazobactam

Drug Level Monitoring

Intervention Type DIAGNOSTIC_TEST

Free (unbound) drug concentration 1 hour, 4 hours and 7.5 hours after primary load of piperacillin/tazobactam on day 1 and day 3 after admission

Interventions

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Drug Level Monitoring

Free (unbound) drug concentration 1 hour, 4 hours and 7.5 hours after primary load of piperacillin/tazobactam on day 1 and day 3 after admission

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

General

* Adult
* Receiving beta-lactam antibiotic Piperacillin/Tazobactam
* Antibiotic therapy of 3 or more days
* Given informed consent Group 1
* Severe Burn Group 2
* No Severe Burn

Exclusion Criteria

* Already in another Study
* No useful blood sample
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medical Clinic III

UNKNOWN

Sponsor Role collaborator

Dezernat Apotheke

UNKNOWN

Sponsor Role collaborator

University Hospital Schleswig-Holstein

OTHER

Sponsor Role lead

Responsible Party

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Tobias Kisch

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Peter Mailänder, PhD

Role: STUDY_DIRECTOR

Plastic and Reconstructive Surgery, Hand Surgery, Burn Unit

Walter Raasch, PhD

Role: STUDY_CHAIR

Institute for experimental and clinical pharmacology and toxicology

Tobias Kisch, MD

Role: PRINCIPAL_INVESTIGATOR

Plastic and Reconstructive Surgery, Hand Surgery, Burn Unit

Locations

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University Hospital Schleswig-Holstein

Lübeck, Schleswig-Holstein, Germany

Site Status

Countries

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Germany

References

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Rafla K, Tredget EE. Infection control in the burn unit. Burns. 2011 Feb;37(1):5-15. doi: 10.1016/j.burns.2009.06.198. Epub 2010 Jun 18.

Reference Type BACKGROUND
PMID: 20561750 (View on PubMed)

Roberts JA. Using PK/PD to optimize antibiotic dosing for critically ill patients. Curr Pharm Biotechnol. 2011 Dec;12(12):2070-9. doi: 10.2174/138920111798808329.

Reference Type BACKGROUND
PMID: 21554211 (View on PubMed)

Blanchet B, Jullien V, Vinsonneau C, Tod M. Influence of burns on pharmacokinetics and pharmacodynamics of drugs used in the care of burn patients. Clin Pharmacokinet. 2008;47(10):635-54. doi: 10.2165/00003088-200847100-00002.

Reference Type BACKGROUND
PMID: 18783295 (View on PubMed)

Patel BM, Paratz J, See NC, Muller MJ, Rudd M, Paterson D, Briscoe SE, Ungerer J, McWhinney BC, Lipman J, Roberts JA. Therapeutic drug monitoring of beta-lactam antibiotics in burns patients--a one-year prospective study. Ther Drug Monit. 2012 Apr;34(2):160-4. doi: 10.1097/FTD.0b013e31824981a6.

Reference Type BACKGROUND
PMID: 22406650 (View on PubMed)

Olbrisch K, Kisch T, Thern J, Kramme E, Rupp J, Graf T, Wicha SG, Mailander P, Raasch W. After standard dosage of piperacillin plasma concentrations of drug are subtherapeutic in burn patients. Naunyn Schmiedebergs Arch Pharmacol. 2019 Feb;392(2):229-241. doi: 10.1007/s00210-018-1573-6. Epub 2018 Oct 27.

Reference Type DERIVED
PMID: 30368548 (View on PubMed)

Other Identifiers

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13-275

Identifier Type: -

Identifier Source: org_study_id