Unique ID issued by UMIN | UMIN000030456 |
---|---|
Receipt number | R000034760 |
Scientific Title | Study on drug blood concentration, effectiveness, safety, and drug tolerance using residual samples of permission system and notification type antimicrobial drug |
Date of disclosure of the study information | 2018/01/10 |
Last modified on | 2019/11/30 18:53:28 |
Study on drug blood concentration, effectiveness, safety, and drug tolerance using residual samples of permission system and notification type antimicrobial drug
Specific antibacterial drug residual sample PK PD study
Study on drug blood concentration, effectiveness, safety, and drug tolerance using residual samples of permission system and notification type antimicrobial drug
Specific antibacterial drug residual sample PK PD study
Japan |
infectious disease
Not applicable |
Others
NO
In this study, five drugs, linezolid (internal injection, injection), daptomycin, colistin, tigecycline, quinupristin / dalfopristin, and antibiotic anti-MRSA With respect to the eight agents of carbapenems (meropenem, doripenem, imipenem / cilastatin, panipenem / betamipron), tazobactam / piperacillin, residual specimens of blood specimens sampled for diagnostic purposes such as biochemical tests are used , Measure blood concentration of antimicrobial drug mainly at the time of trough (specimen before administration) and consider the relation with antibiotic efficacy, safety, and susceptibility of antibiotic.
The findings obtained in this study clearly show the blood concentration range in which side effects of antibiotic drugs and admission control antibiotics are developed and the blood concentration range related to drug susceptibility of the causative organisms and are safe and effective for each patient It is thought that it can contribute to the establishment of the administration method which can maximally exert it and avoid drug resistant bacteria.
Safety,Efficacy
Key Evaluation Items: Clinical Effect
Based on the subjective symptoms / objective findings from the start of administration to the end of treatment (discontinuation), clinical examination, transition of X-ray shade / CT image, etc., or based on the effect judgment evaluation by the attending physician in the record description item Evaluate with "effective" or "invalid".
Also evaluate "with side effects" or "no side effects" either by fluctuation in clinical laboratory values after antibiotic administration or by safety assessment by the attending physician in the medical record entry.
At the same time, antibacterial agent blood concentration and drug susceptibility are evaluated by confirming the drug susceptibility of the detection bacteria before, during and after administration of the antibacterial agent.
Observational
Not applicable |
Not applicable |
Male and Female
It is judged by the attending physician that it is necessary to administer permission system or notification type antimicrobial agent, and the patient to whom the agent is administered
Patient receiving the subject antibacterial drug
Patients who are taking blood for diagnostic purposes such as biochemical examinations
1.subject licensing system and notification system Patients with a history of allergy to antibiotic drugs
2.Patients who are clinically judged to be unlikely to expect the efficacy of this drug in infections caused by this drug insensitive pathogen or resistant strain
3.Other patients judged inappropriate as subject of this study
3250
1st name | |
Middle name | |
Last name | Naoki Hsegawa |
Keio University School of Medicine
Center for Infectious Diseases and Infection Control
35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan
03-5363-3710
n-hasegawa@z8.keio.jp
1st name | |
Middle name | |
Last name | Osamu Iketani |
Keio University Hospital
Center for Infectious Disease and Infection Control
35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan
03-5363-3701
osamu.iketani@adst.keio.ac.jp
Keio University Hospital
Keio University Hospital
Self funding
NO
2018 | Year | 01 | Month | 10 | Day |
Unpublished
Enrolling by invitation
2017 | Year | 09 | Month | 20 | Day |
2017 | Year | 08 | Month | 10 | Day |
2018 | Year | 01 | Month | 15 | Day |
2023 | Year | 03 | Month | 31 | Day |
From clinical records, clinical progress including clinical course, age, height, body weight, major past history, subjective symptoms, clinical laboratory values, smoking history, drinking history, medication administration history, diagnosis grounds, complications during treatment, etc. are extracted , Chest X-ray, CT image and so on as long as it is being evaluated.
Approximately 3 mL of serum from the remaining specimens of blood specimens collected for medical treatment is used for the purpose of blood concentration measurement.
2017 | Year | 12 | Month | 18 | Day |
2019 | Year | 11 | Month | 30 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000034760