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Bacterial Infections clinical trials

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NCT ID: NCT05123755 Recruiting - Pneumonia Clinical Trials

Phase 2a Multiple Ascending Dose Study in Hospitalized Patients With Pneumonia.

Start date: December 20, 2021
Phase: Phase 2
Study type: Interventional

A Phase 2a, randomized, double-blind, placebo-controlled, multiple ascending dose study in patients who are hospitalized with presumed pneumonia requiring supplemental oxygen therapy. The purpose of this study is to examine the safety, tolerability and efficacy of AV-001 Injection administration daily to the earlier of day 28 or EOT (day prior to hospital discharge). A total of 120 eligible patients (20 patients in each of cohort 1, 2 and 3 and 60 patients in cohort 4) will be recruited from up to 25 participating institutions/hospitals. Patients will be randomized in a 1:1 ratio to receive either AV-001 Injection or AV-001 placebo Injection, together with standard of care (SOC).

NCT ID: NCT05090319 Recruiting - Clinical trials for Infection, Bacterial

Micro-hematology Analyzer for Viral/Bacterial Description

Start date: July 25, 2021
Phase:
Study type: Observational

The purpose of the study is to evaluate the reliability and accuracy of a newly developed point-of-care analyzer, theCytoTracker, to measure complete blood count (CBC) parameters and discriminate between viral and bacterial infections.

NCT ID: NCT05082909 Recruiting - Clinical trials for Infection, Bacterial

Addition of Probenecid to Penicillin-V Therapy

ADDPROPEN
Start date: December 21, 2021
Phase: Phase 1/Phase 2
Study type: Interventional

This study aims to build on previous work characterising the PK of penicillin-V to explore the potential impact of probenecid on PK-PD target attainment. Achievement of the aims of this study would provide data to support the design of experimental studies exploring the clinical impact of probenecid on treatment outcomes and also provide a rationale for exploration of probenecid's effects on a larger number of beta-lactam antibiotics. Hypothesis: Addition of probenecid to oral phenoxymethylpenicillin (penicillin-V) has a clinically relevant effect on pharmacokinetic-pharmacodynamic (PK-PD) target attainment.

NCT ID: NCT04981860 Recruiting - Clinical trials for Eye Infections, Bacterial

Comparison of Conjunctival Antimicrobial Activity and Patient Comfort Between Topical Hypochlorous Acid (Avenova) and Betadine

Start date: August 6, 2021
Phase: Phase 4
Study type: Interventional

The purpose of this research study is to find out how Avenova (0.01 % hypochlorous acid) works compared to Betadine (Povidone iodide) for reducing bacteria and patient discomfort in the eyes.

NCT ID: NCT04864873 Recruiting - Clinical trials for Bacterial Infections

Evaluation of a mNGS Workflow for Infection Diagnosis Using Oxford Nanopore Sequencing.

Start date: May 1, 2021
Phase: N/A
Study type: Interventional

This is a laboratory evaluation of a new testing methodology for microbiological diagnosis, whereby participant samples received as part of routine care will be divided between the standard diagnostic pathway and this new pathway: metagenomic next generation sequencing (mNGS). Results obtained from the mNGS pathway will be compared against the standard diagnostic pathway in terms of sensitivity, specificity, accuracy and clinical impact. The samples will be identified at Wellington Southern Community Laboratories (WSCL), which provides laboratory services for Capital and Coast District Health Board, and forwarded to the Institute of Environmental Science and Research (ESR) to undergo mNGS testing.

NCT ID: NCT04861922 Recruiting - Sepsis Clinical Trials

Unfractioned Heparin for Treatment of Sepsis Caused by Abdominal Infection

Start date: May 11, 2021
Phase: Phase 3
Study type: Interventional

Sepsis is the leading cause of death in intensive care units and a major public health concern in the world. Heparin, a widely used anticoagulant medicine to prevent or treat thrombotic disorders, has been demonstrated to prevent organ damage and lethality in experimental sepsis models. However, the efficacy of heparin in the treatment of clinical sepsis is not consistent. Caspase-11, a cytosolic receptor of LPS, triggers lethal immune responses in sepsis. Recently, we have revealed that heparin prevents cytosolic delivery of LPS and caspase-11 activation in sepsis through inhibiting the heparanase-mediated glycocalyx degradation and the HMGB1- LPS interaction, which is independent of its anticoagulant properties. In our study, it is found that heparin treatment could prevent lethal responses in endotoxemia or Gram-negative sepsis, while caspase-11 deficiency or heparin treatment failed to confer protection against sepsis caused by Staphylococcus aureus, a type of Gram-positive bacterium. It is probably that other pathogens such as Gram-positive bacteria might cause death through mechanisms distinct from that of Gram-negative bacteria. Peptidoglycan, a cell-wall component of Gram-positive bacteria, can cause DIC and impair survival in primates by activating both extrinsic and intrinsic coagulation pathways, which might not be targeted by heparin. We speculate that the discrepancy between the previous clinical trials of heparin might be due to the difference in infected pathogens. Thus, stratification of patients based on the type of invading pathogens might improve the therapeutic efficiency of heparin in sepsis, and this merits future investigations.

NCT ID: NCT04800575 Recruiting - Clinical trials for Infection, Bacterial

Comparison of Sterile Gauze and Semi-permeable Film Dressing for Hemodialysis Central Venous Catheter

Start date: May 17, 2021
Phase: N/A
Study type: Interventional

This prospective single center RCT aims to compare sterile gauze and tape versus Semi-permeable film dressing on the incidence of exit-site infection, CRBSIs (catheter-related bloodstream infections), skin irritation, total bacterial count, dressing intactness and cost-benefit, nursing workload in hemodialysis patients with a non-tunneled hemodialysis catheter.

NCT ID: NCT04609384 Recruiting - Clinical trials for Bacterial Infections

Nudging Effect of Timer on Surgical Rub

Start date: January 1, 2020
Phase:
Study type: Observational

To study whether a device has a nudging effect on the time spend on surgical rub.

NCT ID: NCT04546815 Recruiting - Antibiotic Clinical Trials

The Efficacy and Safety of Daptomycin in the Treatment of Gram-positive Bacterial Infection.

Start date: August 25, 2020
Phase:
Study type: Observational

This study aims to collect and analyze clinical data of daptomycin to explore the efficacy and safety of daptomycin in the treatment of Gram-positive bacterial infections. And optimize the dosing regimen based on these data.

NCT ID: NCT04479657 Recruiting - Bacterial Infection Clinical Trials

Qingfei Granule for the Treatment of the Pediatric Acute Upper Respiratory Tract Infection With Bacterial Infection

Start date: October 17, 2020
Phase: Early Phase 1
Study type: Interventional

The study aims to assess the antibacterial effect and symptoms-relief of Qingfei Granule in the patients with pediatric acute upper respiratory tract infection with bacterial infection.