Pneumonia Clinical Trial
Official title:
Randomized, Double-Blind, Placebo-Controlled, Multinational Phase 3 Trial Of Iseganan In Prevention Of Ventilator-Associated Pneumonia
This is a multinational, double-blind, placebo-controlled trial designed to assess whether iseganan, applied topically to the oral cavity, can prevent ventilator-associated pneumonia among patients who are intubated and mechanically ventilated and survive for up to 14 days.
Patients will be randomized and receive their first dose of Study Drug within 24 hours of
oral/nasal intubation and the initiation of mechanical ventilation. The Study Period will
begin with the first administration of Study Drug (Study Day 1). Three mL of Study Drug (9
mg iseganan or matching placebo) will be applied to all visible surfaces in the oral cavity
and the oral portion of the endotracheal tube (for non-tracheostomy patients) every 4 hours
through Study Day 14, or until the diagnosis of microbiologically-confirmed pneumonia (based
on central laboratory results) or extubation, whichever occurs first.
All patients will be evaluated for clinically defined pneumonia at least once daily and, if
diagnosed, blood specimens will be collected and cultured, and a bronchoscopic alveolar
lavage (BAL) specimen (for intubated patients) or a respiratory secretion specimen (for
extubated patients) will be obtained PRIOR to initiating or changing any systemic
antimicrobial therapy.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Double-Blind, Primary Purpose: Prevention
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