UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000028155
Receipt number R000032225
Scientific Title The effectiveness of de-escalation to cefmetazole for bacteremia. Open-label randomized non-inferiority trial
Date of disclosure of the study information 2017/07/10
Last modified on 2017/07/10 09:40:14

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Basic information

Public title

The effectiveness of de-escalation to cefmetazole for bacteremia. Open-label randomized non-inferiority trial

Acronym

De-escalation to cefmetazole

Scientific Title

The effectiveness of de-escalation to cefmetazole for bacteremia. Open-label randomized non-inferiority trial

Scientific Title:Acronym

De-escalation to cefmetazole

Region

Japan


Condition

Condition

bacteremia

Classification by specialty

Infectious disease

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Cefmetazole, a cefamycin has activity against ESBL producing bacteria and preceding retrospective studies demonstrated its efficacy. It is a promising agent to spare carbapenems. However, there is no prospective studies to confirm its efficacy and safety. The current study examines the effectiveness of cefmetazole as an de-escalating agent for those with bacteremia diagnosed by blood cultures, comparing with those without de-escalation.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Mortality at 30 days after entry.

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

de-escalation to cefmetazole 1g every 6-8 hours for about 10-14 days, depending on renal function of the patients.

Interventions/Control_2

Continues current treatment for about 10-14 days, depending on renal function of the patients.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Bacteremic patients diagnosed by blood cultures, and those who were judged to be eligible for de-escalation to cefmetazole by infectious diseases doctors.

Key exclusion criteria

When the patient or the physician treating did not consent to the study participation. Those who had or are likely to have significant past history of cefmetazole side effects, such as anaphylaxis by beta-lactams.

Target sample size

184


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Kentaro Iwata

Organization

Kobe University

Division name

Division of Infectious Diseases

Zip code


Address

Kusunokicho 7-5-2, Chuoku, Kobe

TEL

078-382-6297

Email

kentaroiwata1969@gmail.com


Public contact

Name of contact person

1st name
Middle name
Last name Toko Nakata

Organization

Kobe University

Division name

Division of Infectious Diseases

Zip code


Address

Kusunokicho 7-5-2, Chuoku, Kobe

TEL

078-382-6297

Homepage URL


Email

kobeid@med.kobe-u.ac.jp


Sponsor or person

Institute

Kobe University

Institute

Department

Personal name



Funding Source

Organization

self funding

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2017 Year 07 Month 10 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2017 Year 07 Month 10 Day

Date of IRB


Anticipated trial start date

2017 Year 09 Month 01 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2017 Year 07 Month 10 Day

Last modified on

2017 Year 07 Month 10 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000032225


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name