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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02805049
Registration number
NCT02805049
Ethics application status
Date submitted
15/06/2016
Date registered
17/06/2016
Date last updated
25/01/2019
Titles & IDs
Public title
Pharmacokinetic Study on Echinocandins for Patients With Septic Shock Following Secondary Peritonitis
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Scientific title
Pharmacokinetic Study on Echinocandins for Patients With Septic Shock Following Secondary Peritonitis
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Secondary ID [1]
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LOCAL/2016/CR-01
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Septic Shock
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0
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Peritonitis
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Condition category
Condition code
Inflammatory and Immune System
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0
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Other inflammatory or immune system disorders
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Oral and Gastrointestinal
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0
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Cardiovascular
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0
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0
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Diseases of the vasculature and circulation including the lymphatic system
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Cardiovascular
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0
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0
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Other cardiovascular diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Echinocandins
Experimental: The study population - The study population consisted of patients admitted to the ICU for septic shock associated with secondary peritonitis and requiring antifungal therapy via echinocandins (micafungin or caspofungin).
Treatment: Drugs: Echinocandins
The patients included in this protocol require routine treatment with caspofungin or micafungin. Though this intervention is under study, it is not modified by this protocol.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Antifungal treatment plasmatic clearance (L/h)
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Assessment method [1]
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0
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Timepoint [1]
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Day 1
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Primary outcome [2]
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Antifungal treatment plasmatic clearance (L/h)
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Assessment method [2]
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0
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Timepoint [2]
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Days 3-5
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Primary outcome [3]
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The volume of distribution (L) corresponding to plasmatic antifungal treatment concentration
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Assessment method [3]
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0
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Timepoint [3]
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Day 1
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Primary outcome [4]
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The volume of distribution (L) corresponding to plasmatic antifungal treatment concentration
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Assessment method [4]
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0
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Timepoint [4]
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Days 3-5
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Primary outcome [5]
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Intercompartmental transfer constant for a bi-compartmental model for plasmatic antifungal treatment concentration
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Assessment method [5]
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0
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Timepoint [5]
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Day 1
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Primary outcome [6]
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Intercompartmental transfer constant for a bi-compartmental model for plasmatic antifungal treatment concentration
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Assessment method [6]
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0
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Timepoint [6]
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Days 3-5
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Primary outcome [7]
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The area under the curve for plasmatic antifungal treatment concentrations
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Assessment method [7]
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Timepoint [7]
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Day 1
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Primary outcome [8]
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The area under the curve for plasmatic antifungal treatment concentrations
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Assessment method [8]
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0
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Timepoint [8]
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Days 3-5
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Primary outcome [9]
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The maximum concentration for plasmatic antifungal treatment concentrations
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Assessment method [9]
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Timepoint [9]
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Day 1
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Primary outcome [10]
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The maximum concentration for plasmatic antifungal treatment concentrations
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Assessment method [10]
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0
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Timepoint [10]
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Days 3-5
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Primary outcome [11]
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The minimum concentration for plasmatic antifungal treatment concentrations
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Assessment method [11]
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0
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Timepoint [11]
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Day 1
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Primary outcome [12]
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The minimum concentration for plasmatic antifungal treatment concentrations
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Assessment method [12]
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0
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Timepoint [12]
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Days 3-5
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Secondary outcome [1]
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The target Pharmacokinetic/Pharmacodynamic ratio for caspofungin
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Assessment method [1]
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corresponds to: area under the curve / minimum inhibitory concentration \>865
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Timepoint [1]
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Day 1
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Secondary outcome [2]
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The target Pharmacokinetic/Pharmacodynamic ratio for caspofungin
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Assessment method [2]
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corresponds to: area under the curve / minimum inhibitory concentration \>865
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Timepoint [2]
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Days 3-5
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Secondary outcome [3]
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The target Pharmacokinetic/Pharmacodynamic ratio for micafungin
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Assessment method [3]
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corresponds to: area under the curve / minimum inhibitory concentration \>285 et 3000
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Timepoint [3]
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Day 1
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Secondary outcome [4]
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The target Pharmacokinetic/Pharmacodynamic ratio for micafungin
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Assessment method [4]
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0
corresponds to: area under the curve / minimum inhibitory concentration \>285 et 3000
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Timepoint [4]
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Days 3-5
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Secondary outcome [5]
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The area under the curve for peritoneal antifungal treatment concentrations
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Assessment method [5]
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0
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Timepoint [5]
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Day 1
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Secondary outcome [6]
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The area under the curve for peritoneal antifungal treatment concentrations
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Assessment method [6]
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0
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Timepoint [6]
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Days 3-5
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Secondary outcome [7]
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The maximum concentration for peritoneal antifungal treatment concentrations
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Assessment method [7]
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0
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Timepoint [7]
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Day 1
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Secondary outcome [8]
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The maximum concentration for peritoneal antifungal treatment concentrations
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Assessment method [8]
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0
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Timepoint [8]
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Days 3-5
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Secondary outcome [9]
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0
The minimum concentration for peritoneal antifungal treatment concentrations
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Assessment method [9]
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0
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Timepoint [9]
0
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Day 1
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Secondary outcome [10]
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The minimum concentration for peritoneal antifungal treatment concentrations
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Assessment method [10]
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0
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Timepoint [10]
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0
Days 3-5
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Secondary outcome [11]
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The probability of attaining the targeted Pharmacokinetic/Pharmacodynamic ratio
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Assessment method [11]
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0
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Timepoint [11]
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Day 1
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Secondary outcome [12]
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The probability of attaining the targeted Pharmacokinetic/Pharmacodynamic ratio
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Assessment method [12]
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Timepoint [12]
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Days 3-5
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Secondary outcome [13]
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The fraction of the probability of attaining the targeted Pharmacokinetic/Pharmacodynamic ratio
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Assessment method [13]
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Timepoint [13]
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Day 1
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Secondary outcome [14]
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The fraction of the probability of attaining the targeted Pharmacokinetic/Pharmacodynamic ratio
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Assessment method [14]
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0
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Timepoint [14]
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Days 3-5
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Eligibility
Key inclusion criteria
* The emergency inclusion procedure was correctly applied according to French law (signature of consent form by a patient-designated trusted person or a family member, or a medical decision to proceed with patient inclusion if the latter two persons are unavailable) ---- OR ---- signature of the consent form by the patient
* The patient must be insured or beneficiary of a health insurance plan
* The patient is 18 years of age or older
* The patient has beed admitted to the ICU for septic shock accompanying secondary peritonitis
* Patient requiring antifungal treatment via echinocandins (caspofungin or micafungin)
* A venous or arterial access for blood sampling is already in place for routine care
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* The patient is participating in an interventional study that may affect the results of the present study, or has participated in such a study within the past 3 months
* The patient is under judicial protection, or is an adult under guardianship
* The patient is pregnant, parturient or breastfeeding
* Moribund patient
* Known positive serology for human immunodeficiency virus (HIV)
* Known positive serology for hepatitis C
* Known diagnosis for tuberculosis
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 4
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
28/01/2017
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
23/06/2018
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Sample size
Target
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Accrual to date
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Final
24
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Royal Brisbane Women's Hospital - Herston
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Recruitment postcode(s) [1]
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4029 - Herston
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Recruitment outside Australia
Country [1]
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France
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State/province [1]
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Nîmes Cedex 09
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Funding & Sponsors
Primary sponsor type
Other
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Name
Centre Hospitalier Universitaire de Nimes
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The main objective of this study is to describe the pharmacokinetics of the prescribed echinocandins for septic shock with secondary peritonitis for which intra-abdominal fungal infection is suspected or proven.
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Trial website
https://clinicaltrials.gov/study/NCT02805049
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Trial related presentations / publications
Singer M, Deutschman CS, Seymour CW, Shankar-Hari M, Annane D, Bauer M, Bellomo R, Bernard GR, Chiche JD, Coopersmith CM, Hotchkiss RS, Levy MM, Marshall JC, Martin GS, Opal SM, Rubenfeld GD, van der Poll T, Vincent JL, Angus DC. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA. 2016 Feb 23;315(8):801-10. doi: 10.1001/jama.2016.0287.
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Public notes
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Contacts
Principal investigator
Name
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Claire Roger, MD
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Address
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Centre Hospitalier Universitaire de Nîmes
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT02805049
Download to PDF