Late-Onset Neonatal Sepsis Clinical Trial
— PIP/TAZOOfficial title:
Model-based Dose Versus Empirical Dose of Piperacillin/Tazobactam in the Treatment of Late-onset Sepsis in Preterm Neonates: a Multicentre, Randomised, Open-label, Non-inferiority Study.
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.
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. |
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 |
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 |
China,
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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