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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT05981079
Other study ID # SDU-2023-NeoPIP-002
Secondary ID
Status Recruiting
Phase Phase 4
First received
Last updated
Start date July 31, 2023
Est. completion date May 31, 2025

Study information

Verified date July 2023
Source Shandong University
Contact Wei Zhao, Ph.D
Phone +8653188383308
Email zhao4wei2@hotmail.com
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This study aims to compare the clinical outcomes, safety and PD target attainment of the model-based dose and empirical dose of piperacillin/tazobactam in the treatment of LOS in premature neonates, so as to optimize the piperacillin/tazobactam dose regimen.


Recruitment information / eligibility

Status Recruiting
Enrollment 332
Est. completion date May 31, 2025
Est. primary completion date December 31, 2024
Accepts healthy volunteers No
Gender All
Age group 72 Hours and older
Eligibility Inclusion Criteria: - Preterm neonates: gestational age <34 weeks; - Postnatal age > 72h; - Postmenstrual age <36 weeks; - Newly diagnosed as late-onset sepsis; - Parental written consent. Exclusion Criteria: - Patient with bacterial meningitis, osteomyelitis, septic arthritis or necrotizing enterocolitis requiring surgery. - High suspicion of/confirmed fungal infection. - Severe congenital malformations and/or severe organ failure. - Administration of any systemic antibiotic regimen 24 h before screening. - Administration of other systemic trial drug therapy. - Other factors that the researcher considers unsuitable for inclusion. - Post-randomization Exclusion: ?Patients with a positive baseline blood culture and the pathogen resistant to PIP/TAZO. ?Patients with bacterial meningitis, fungal infection, osteomyelitis, septic arthritis or necrotizing enterocolitis requiring surgery after randomization.

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Piperacillin/tazobactam
Piperacillin Sodium and Tazobactam Sodium for Injection

Locations

Country Name City State
China Shengli Oilfield Hospital Dongying
China Jinan Maternity and Child Care Hospital Jinan
China Qianfoshan Hospital Jinan
China Shandong Provincial Hospital Jinan
China Jining Medical University Jining
China Hebei Petro China Center Hospital Langfang
China Liaocheng People's Hospital Liaocheng
China Taian City Central Hospital Tai'an
China W.F. Maternal and Child Health Hospital Weifang
China Yantai Yuhuangding Hospital Yantai

Sponsors (11)

Lead Sponsor Collaborator
Shandong University Hebei Petro China Center Hospital, Jinan Maternity and Child Care Hospital, Jining Medical University, Liaocheng People's Hospital, Qianfoshan Hospital, Shandong Provincial Hospital, Shengli Oilfield Hospital, Taian City Central Hospital, W.F. Maternal and Child Health Hospital, Yantai Yuhuangding Hospital

Country where clinical trial is conducted

China, 

Outcome

Type Measure Description Time frame Safety issue
Primary Successful outcome Successful outcome is defined as:
Participant is alive.
No need for replacing the antibiotic or adding new antibiotics.
At the end of actual piperacillin/tazobactam therapy, ?there is a significant improvement in the participant's overall clinical status, ?there is microbiological resolution or presumed eradication of bacteria and ?no new piperacillin/tazobactam-susceptible pathogens potentially associated with sepsis have been identified.
Participant does not have a clinically or microbiologically significant relapse or new infection within 10 days after the end of actual piperacillin/tazobactam therapy.
At the follow-up visit (10 ± 1 days after the end of actual piperacillin/tazobactam therapy )
Secondary Length of NICU stay Duration of hospital admission (days) From the date of randomization until date of discharge, assessed up to 2 months
Secondary All cause in-hospital mortality Death before discharge from NICU From the date of randomization until date of discharge, assessed up to 2 months
Secondary Proportion of patients switching to or adding another antibiotics. Proportion of patients switching to or adding another antibiotics by any reason. Through study completion, an average of 20 days.
Secondary Relapsed or new infection rate Proportion of patients with clinically or microbiologically significant relapsed or new infection. At the follow-up visit (10 ± 1 days after the end of actual piperacillin/tazobactam therapy )
Secondary PD target attainment 70%fT>MIC Through study completion, an average of 20 days.
Secondary Adverse events Drug-related adverse events and serious adverse events Through study completion, an average of 20 days.
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