Efficacy and Safety of 7 Versus 14 Days of Antibiotic Treatment for Pseudomonas Aeruginosa Bacteraemia

NCT ID: NCT05210439

Last Updated: 2024-06-21

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

PHASE4

Total Enrollment

306 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-04-28

Study Completion Date

2025-09-30

Brief Summary

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Phase IV, open-labeled, randomized and multicenter clinical trial to demonstrate the superiority of antibiotics with authorized indication for 7 days versus 14 days in the treatment of bloodstream infections produced by P. aeruginosa (BSI-PA).

Detailed Description

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The project is designed to determine the optimal duration of antibiotic treatment for Pseudomonas aeruginosa bacteremia, by comparing an adequate antibiotic treatment regimen of 7 days (experimental arm) with another of 14 days (control arm). The evaluation of infection recurrences, mortality, number of free days of antibiotic treatment, adverse events and superinfections are included as secondary objectives.

Active antibiotic treatment will be considered any treatment with proven in vitro activity against the strain responsible for the patient's bacteremia, regardless of the administered dose.

Clinical rules are included in order to stop antibiotic treatment or continuation and re-evaluation in each arm of treatment.

This is a pragmatic study as the number or visits performed for the study are similar to the normal clinical follow-up for this patients. Final contact and final visit for the study will be performed at 90 days after the first positive blood culture.

Conditions

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Bloodstream Infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Parallel Assignment Randomized 1:1 to experimental group (short-treatment arm):control group (long-treatment arm)
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Short-treatment of any active antibiotic regimen

7 days of any active antibiotic treatment from the date of the last positive blood culture

Group Type EXPERIMENTAL

Short-treatment of any active antibiotic regimen

Intervention Type DRUG

7 days of any active antibiotic treatment for BSI-PA

Long-treatment of any active antibiotic regimen

14 days of any active antibiotic treatment from the date of the last positive blood culture

Group Type ACTIVE_COMPARATOR

Long-treatment of any active antibiotic regimen

Intervention Type DRUG

14 days of any active antibiotic treatment for BSI-PA

Interventions

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Short-treatment of any active antibiotic regimen

7 days of any active antibiotic treatment for BSI-PA

Intervention Type DRUG

Long-treatment of any active antibiotic regimen

14 days of any active antibiotic treatment for BSI-PA

Intervention Type DRUG

Other Intervention Names

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Any active antibiotic with treatment with proven in vitro activity from a pre-stablished list of antibiotics included Any active antibiotic with treatment with proven in vitro activity a pre-stablished list of antibiotics included

Eligibility Criteria

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Inclusion Criteria

* Adult patients with diagnosis of BSI-PA who have received 6 days (+/- 1) of active antibiotic treatment from the date of extraction of the first positive blood culture and until the moment of randomization.
* Informed consent signed.

Exclusion Criteria

* Bacteremia source not adequately controlled at least 72h before randomization.
* Bacteremia secondary to an infection that necessarily requires prolonged antibiotic treatment more than 7 days
* Coexistence of a different infection at the time of diagnosis of bacteremia that also requires antibiotic treatment.
* Bacteremic pneumonia in severely immunosuppressed patients
* Bacteremia of any origin in patients with severe neutropenia (\<500 cells / mm3) at the time of randomization.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Spanish Clinical Research Network - SCReN

NETWORK

Sponsor Role collaborator

CIBER (Infectious diseases)

UNKNOWN

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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José Miguel Cisneros Herreros, MD-PhD

Role: PRINCIPAL_INVESTIGATOR

Hospitales Universitarios Virgen del Rocío

Locations

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Hospital Universitario Son Espases

Palma de Mallorca, Balearic Islands, Spain

Site Status RECRUITING

Hospital Universitario de Bellvitge

L'Hospitalet de Llobregat, Barcelona, Spain

Site Status RECRUITING

Hospital Universitario Parc Taulí

Sabadell, Barcelona, Spain

Site Status RECRUITING

Hospital Universitario de Cruces

Barakaldo, Bizkaia, 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

Hospital Universitario de Donostia

Donostia / San Sebastian, Gipuzkoa, Spain

Site Status RECRUITING

Hospital San Pedro

Logroño, La Rioja, Spain

Site Status RECRUITING

Hospital Costa del Sol

Marbella, Málaga, Spain

Site Status RECRUITING

Clínica Universidad de Navarra

Pamplona, Navarre, Spain

Site Status RECRUITING

Complexo Hospitalario Universitario de Vigo

Vigo, Pontevedra, Spain

Site Status RECRUITING

Hospital Universitario Central de Asturias

Oviedo, Principality of Asturias, Spain

Site Status RECRUITING

Hospital Universitario de A Coruña

A Coruña, , Spain

Site Status RECRUITING

Hospital General Universitario Dr. Balmis

Alicante, , Spain

Site Status RECRUITING

Complejo Hospitalario Torrecárdenas

Almería, , Spain

Site Status RECRUITING

Hospital Universitario Vall d'Hebron

Barcelona, , Spain

Site Status RECRUITING

Hospital de la Santa Creu i Sant Pau

Barcelona, , Spain

Site Status RECRUITING

Hospital Universitario de Burgos

Burgos, , Spain

Site Status RECRUITING

Hospital Universitario Puerta del Mar

Cadiz, , Spain

Site Status RECRUITING

Hospital Universitario Reina Sofía

Córdoba, , Spain

Site Status RECRUITING

Hospital Universitario Virgen de las Nieves

Granada, , Spain

Site Status RECRUITING

Hospital Universitario Clínico San Cecilio

Granada, , Spain

Site Status RECRUITING

Hospital Universitario Juan Ramón Jiménez

Huelva, , Spain

Site Status RECRUITING

Complejo Hospitalario Ciudad de Jaén

Jaén, , Spain

Site Status RECRUITING

Hospital Universitario Lucus Augusti

Lugo, , Spain

Site Status RECRUITING

Hospital Universitario Ramón y Cajal

Madrid, , Spain

Site Status RECRUITING

Hospital Universitario Fundación Jiménez Díaz

Madrid, , Spain

Site Status NOT_YET_RECRUITING

Hospital Universitario La Paz

Madrid, , Spain

Site Status RECRUITING

Hospital Universitario Regional de Málaga

Málaga, , Spain

Site Status RECRUITING

Hospital Universitario Marqués de Valdecilla

Santander, , 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

Hospital General Universitario de Valencia

Valencia, , Spain

Site Status RECRUITING

Hospital Universitario La Fe

Valencia, , Spain

Site Status RECRUITING

Hospital Clínico Universitario de Valladolid

Valladolid, , Spain

Site Status NOT_YET_RECRUITING

Hospital Universitario Lozano Blesa

Zaragoza, , Spain

Site Status RECRUITING

Countries

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Spain

Central Contacts

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Clara M Rosso Fernández, MD-PhD

Role: CONTACT

+34955013414

Jose Molina Bermejo, MD-PhD

Role: CONTACT

Facility Contacts

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Helem Haydee Vílchez Rueda, Dr.

Role: primary

Mireia Puig Asensio, Dr.

Role: primary

Aina Gomila Grange, Dr.

Role: primary

Ane Josune Goikoetxea Agirre, Dr.

Role: primary

Itziar Rasines Delgado

Role: backup

+34946006000 ext. 2330

Antonio Jesús Hidalgo, Dr.

Role: primary

Patricia Jiménez Aguilar, Dr.

Role: primary

Maialen Ibarguren Pinilla, Dr.

Role: primary

José Antonio Oteo Revuelta, Dr.

Role: primary

Alfonso del Arco Jiménez, Dr.

Role: primary

Idoia Bilbao del Olmo, Dr.

Role: primary

Adrián Sousa Domínguez, Dr.

Role: primary

Emilio García Prieto, Dr.

Role: primary

Dolores Sousa Regueiro, Dr.

Role: primary

Esperanza Merino de Lucas, Dr.

Role: primary

María Ángeles Esteban Moreno, Dr.

Role: primary

Ibai Los Arcos Bertiz, Dr.

Role: primary

Joaquín López -Contreras González, Dr.

Role: primary

Carolina Navarro San Francisco, Dr.

Role: primary

Fátima Galán Sánchez, Dr.

Role: primary

Juan José Castón Osorio, Dr.

Role: primary

Miguel Ángel López Zúñiga, Dr.

Role: primary

Francisco Anguita Santos, Dr.

Role: primary

María Franco Huerta, Dr.

Role: primary

Carmen Herrero Rodríguez, Dr.

Role: primary

Eva Romay Lema, Dr.

Role: primary

Role: backup

Pilar Martín Dávila, Dr.

Role: primary

Nerea Carrasco Antón, Dr.

Role: primary

Belén Loeches Yagüe, Dr.

Role: primary

Juan Diego Ruiz Mesa, Dr.

Role: primary

Claudia González

Role: primary

Luis Eduardo López Cortés, Dr.

Role: primary

Rocío Álvarez, MD

Role: primary

Nicolás Merchante Gutiérrez, Dr.

Role: primary

Vicente Abril López de Medrano, Dr.

Role: primary

Paula Ramírez Galleymore, Dr.

Role: primary

María Antonia Miguel Gómez, Dr.

Role: primary

José Ramón Paño Pardo, Dr.

Role: primary

References

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Molina J, Rosso-Fernandez CM, Montero-Mateos E, Pano-Pardo JR, Solla M, Guisado-Gil AB, Alvarez-Marin R, Pachon-Ibanez ME, Gimeno A, Martin-Gutierrez G, Lepe JA, Cisneros JM; SHORTEN-2 trial team. Study protocol for a randomized clinical trial to assess 7 versus 14-days of treatment for Pseudomonas aeruginosa bloodstream infections (SHORTEN-2 trial). PLoS One. 2022 Dec 22;17(12):e0277333. doi: 10.1371/journal.pone.0277333. eCollection 2022.

Reference Type BACKGROUND
PMID: 36548225 (View on PubMed)

Other Identifiers

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2021-003847-10

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

SHORTEN II

Identifier Type: -

Identifier Source: org_study_id

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