Temocillin vs Meropenem for the Targeted Treatment of Bacteraemia Resistant to Third Gen Cephalosporins

NCT ID: NCT04478721

Last Updated: 2024-08-28

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

334 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-12-15

Study Completion Date

2025-12-31

Brief Summary

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A Phase 3, Multicenter, Randomised, Controlled, Open-Label Study to demonstrate noninferiority of temocillin (unauthorized investigational medicinal product IMP in Spain, but authorized in Belgium and UK) vs a carbapenem antibiotic (meropenem) in adults with bacteraemia due to third-generation cephalosporin-resistant Enterobacteriaceae.

The duration of treatment will be between 7 and 14 days. From the 5th day of intravenous treatment, the sequential oral treatment is permitted if the patient meets appropriate conditions.

Detailed Description

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The objective of the trial is to demonstrate the non-inferiority of temocillin (2g each 8 hours, intravenous) to carbapenems (meropenem 1g each 8 hours, intravenous) in terms of efficacy and safety in the targeted treatment of bacteraemia due to Enterobacteriaceae resistant to third-generation cephalosporins, and therefore provide evidence for the use of temocillin in these infections.

The duration of treatment will be between 7 and 14 days. From the 5th day of intravenous treatment, the sequential oral treatment is permitted if the patient meets appropriate conditions.

Conditions

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Bacteremia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized 1.1 to temocillin: meropenem
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Temocillin

Patients enrolled in this arm, will receive 2g each 8 hours of intravenous temocillin.

Group Type EXPERIMENTAL

Temocillin

Intervention Type DRUG

The intervention of experimental arm will be Intravenous administration of temocillin.

Meropenem

Patients enrolled in this arm, will receive 1g each 8 hours of intravenous meropenem.

Group Type ACTIVE_COMPARATOR

Meropenem

Intervention Type DRUG

The intervention of comparator arm will be intravenous administration of meropenem.

Interventions

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Temocillin

The intervention of experimental arm will be Intravenous administration of temocillin.

Intervention Type DRUG

Meropenem

The intervention of comparator arm will be intravenous administration of meropenem.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Adult patients with monomicrobial bacteremia due to Enterobacteriaceae showing resistance to cefotaxime, ceftriaxone (MIC \>2 mg/L) and/or ceftazidime (MIC \>4 mg/L), and sensible to temocillin (MIC ≤8 mg/L, except in bacteremia only of urinary origin, for which the criterion is MIC ≤16 mg/L ) and meropenem (MIC ≤2 mg/L).
* Duration of intravenous treatment is planned to be at least 4 days.
* The patient signed informed consent form.

Exclusion Criteria

* \<18 years
* Pregnancy
* Breastfeeding
* Palliative care
* Allergy to betalactams
* Polymicrobial bacteraemia
* Infections typically needing prolonged \>14 days of therapy (e.g., endocarditis, prosthetic joint infection, vascular graft infection, empyema, chronic prostatitis) or meningitis
* Active empirical treatment\> 96 hours after initial blood culture extraction
* Delay in inclusion\> 48 h
* Recruited in another clinical trial with active treatment
* Peritoneal dialysis or continuous hemofiltration
* extreme gravity or imminent death
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Spanish Network for Research in Infectious Diseases

OTHER

Sponsor Role collaborator

Spanish Clinical Research Network - SCReN

NETWORK

Sponsor Role collaborator

Fundación Pública Andaluza para la gestión de la Investigación en Sevilla

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jesús Rodriguez Baño

Role: PRINCIPAL_INVESTIGATOR

Hospital Universitario Virgen Macarena

Locations

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Hospital Clínico Universitario de Santiago

Santiago de Compostela, A Coruña, Spain

Site Status WITHDRAWN

Hospital ParcTaulí

Sabadell, Barcelona, Spain

Site Status RECRUITING

Hospital Universitario Mútua Terrassa

Terrassa, Barcelona, Spain

Site Status RECRUITING

Hospital Universitario de Cruces

Barakaldo, Bizkaia, Spain

Site Status RECRUITING

Hospital Marqués de Valdecilla

Santander, Cantabria, Spain

Site Status RECRUITING

Hospital Universitario de Jerez de la Frontera

Jerez de la Frontera, Cádiz, Spain

Site Status RECRUITING

Hospital Universitario de Puerto Real

Puerto Real, Cádiz, Spain

Site Status RECRUITING

Complejo Hospitalario San Millán-San Pedro De La Rioja

Autol, La Rioja, Spain

Site Status RECRUITING

Complejo Hospitalario de Navarra

Pamplona, Navarre, Spain

Site Status RECRUITING

Complejo Hospitalario Universitario La Coruña

A Coruña, , Spain

Site Status RECRUITING

Hospital General Universitario de Alicante

Alicante, , Spain

Site Status RECRUITING

Hospital Universitario Torrecárdenas

Almería, , Spain

Site Status RECRUITING

Hospital del Mar

Barcelona, , Spain

Site Status RECRUITING

Hospital Clínic de Barcelona

Barcelona, , Spain

Site Status WITHDRAWN

Hospital Sant Pau

Barcelona, , Spain

Site Status RECRUITING

Hospital Universitario Reina Sofía

Córdoba, , Spain

Site Status RECRUITING

Hospital Universitario Virgen de las Nieves

Granada, , Spain

Site Status ACTIVE_NOT_RECRUITING

Hospital Universitario Clínico San Cecilio

Granada, , Spain

Site Status RECRUITING

Hospital Universitario Juan Ramón Jiménez

Huelva, , Spain

Site Status RECRUITING

Complejo Hospitalario de Jaén

Jaén, , Spain

Site Status ACTIVE_NOT_RECRUITING

Hospital Universitario Locus Augusti, Lugo

Lugo, , Spain

Site Status RECRUITING

Hospital Universitario de la Princesa

Madrid, , Spain

Site Status RECRUITING

Hospital General Universitario Gregorio Marañón

Madrid, , Spain

Site Status RECRUITING

Hospital Universitario Ramón y Cajal

Madrid, , Spain

Site Status RECRUITING

Hospital Universitario La Paz

Madrid, , Spain

Site Status WITHDRAWN

Hospital Regional de Málaga

Málaga, , Spain

Site Status RECRUITING

Hospital Universitario Virgen de la Victoria

Málaga, , Spain

Site Status RECRUITING

Hospital Clínico Universitario Virgen de la Arrixaca

Murcia, , Spain

Site Status RECRUITING

Hospital Universitari Son Espases

Palma, , Spain

Site Status RECRUITING

Hospital Universitario Virgen Macarena

Seville, , Spain

Site Status RECRUITING

Hospital Universitario Virgen del Rocío

Seville, , Spain

Site Status RECRUITING

Hospital Universitario Virgen de Valme

Seville, , Spain

Site Status RECRUITING

Complejo Hospitalario Universitario de Vigo

Vigo, , Spain

Site Status RECRUITING

Hospital Clínico Universitario Lozano Blesa

Zaragoza, , Spain

Site Status WITHDRAWN

Countries

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Spain

Central Contacts

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Clara Rosso

Role: CONTACT

+34955013414

Irene Borreguero

Role: CONTACT

+34955007609

Facility Contacts

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Oriol Gasch Blasi

Role: primary

Esther Calbo Sebastián

Role: primary

Ane Josune Goikoetxea Agirre, Clínico

Role: primary

M. Carmen Fariñas Álvarez

Role: primary

Salvador López Cárdenas

Role: primary

Alberto Romero Palacios

Role: primary

José Antonio Oteo Revuelta

Role: primary

941298993

José Ramón Yuste Ara

Role: primary

Dolores Sousa Regueiro

Role: primary

Esperanza Merino de Lucas

Role: primary

M. Ángeles Esteban Moreno

Role: primary

Juan Pablo Horcajada Gallego

Role: primary

932483251

Joaquín López-Contreras González López-Contreras González

Role: primary

Ángela Cano Yuste

Role: primary

Andrés Ruiz Sancho

Role: primary

Francisco Javier Martínez Marcos

Role: primary

954765204

Mª José García País

Role: primary

Ana Barrios Blandino

Role: primary

María Olmedo Samperio

Role: primary

Rosa Escudero

Role: primary

Lucía Valiente de Santis

Role: primary

Enrique Nuño Álvarez

Role: primary

Elisa García Vázquez, Clinico

Role: primary

María Peñaranda Vera

Role: primary

871205371

Jesús Rodríguez Baño

Role: primary

Manuel Enrique Jiménez Mejías

Role: primary

Juan Corzo Delgado

Role: primary

María Teresa Pérez Rodríguez

Role: primary

References

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Marin-Candon A, Rosso-Fernandez CM, Bustos de Godoy N, Lopez-Cerero L, Gutierrez-Gutierrez B, Lopez-Cortes LE, Barrera Pulido L, Borreguero Borreguero I, Leon MJ, Merino V, Camean-Fernandez M, Retamar P, Salamanca E, Pascual A, Rodriguez-Bano J; ASTARTE Study Group. Temocillin versus meropenem for the targeted treatment of bacteraemia due to third-generation cephalosporin-resistant Enterobacterales (ASTARTE): protocol for a randomised, pragmatic trial. BMJ Open. 2021 Sep 27;11(9):e049481. doi: 10.1136/bmjopen-2021-049481.

Reference Type DERIVED
PMID: 34580096 (View on PubMed)

Provided Documents

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Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2020-000064-39

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

ASTARTÉ

Identifier Type: -

Identifier Source: org_study_id

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