UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000032006
Receipt number R000036524
Scientific Title An open-label randomized controlled trial of ampicillin/cloxacillin and ceftriaxone for empirical treatment of infective endocarditis
Date of disclosure of the study information 2018/03/31
Last modified on 2020/10/02 13:42:18

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Basic information

Public title

An open-label randomized controlled trial of ampicillin/cloxacillin and ceftriaxone for empirical treatment of infective endocarditis

Acronym

Comparative trial of ampicillin/cloxacillin with ceftriaxone for empirical treatment of infective endocarditis

Scientific Title

An open-label randomized controlled trial of ampicillin/cloxacillin and ceftriaxone for empirical treatment of infective endocarditis

Scientific Title:Acronym

Comparative trial of ampicillin/cloxacillin with ceftriaxone for empirical treatment of infective endocarditis

Region

Japan


Condition

Condition

Infective endocarditis

Classification by specialty

Medicine in general Cardiology Infectious disease

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Recommendations of antimicrobials for empirical treatment of infective endocarditis are different in each guideline. In Japanese guideline, ampicillin/sulbactam or ceftriaxone are recommended for empirical treatment, whereas in European guideline, ampicillin/cloxacillin is recommended for empirical treatment. So, the aim of this study is to compare the ampicillin/cloxacillin-based regimen with ceftriaxone-based regimen as the empirical treatment of infective endocarditis for their efficacy, outcome and adverse events.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Outcome of infective endocarditis at the end of antimicrobial treatment

Key secondary outcomes

Days for defervescence less than 37 degrees Celsius, days of hospitalization, outcome at discharge, necessity of surgery during hospitalization, outcome of infective endocarditis 3 months after the end of antimicrobial treatment
Adverse events on skin, blood, liver and kidney


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

Intervention: Ampicillin/cloxacillin 4 g q4h div maximum for 6 weeks + gentamicin 3 mg/kg q24h div maximum for 2 weeks

Interventions/Control_2

Control: Ceftriaxone 2 g q24h div maximum for 6 weeks
+ gentamicin 3 mg/kg q24h div maximum for 2 weeks

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

Patients with confirmed or suspected diagnosis of infective endocarditis based on the modified Duke's criteria, who need to start empirical treatment waiting for the result of blood cultures.

Key exclusion criteria

Causative microorganism already confirmed, history of allergy or contraindication of penicillin, cepharosporins and aminoglycosides, history of prosthetic valve replacement within 1 year, eGFR less than 50 mL/min, WBC less than 1,000/microL, when physicians in charge chose another treatment regimens

Target sample size

30


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Toshio Naito

Organization

Juntendo University Faculty of Medicine

Division name

Department of General Medicine

Zip code


Address

2-1-1, Hongo, Bunkyo-ku, Tokyo Japan

TEL

03-3813-3111

Email

naito@juntendo.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Yuki Uehara

Organization

Juntendo University Faculty of Medicine

Division name

Department of General Medicine

Zip code


Address

2-1-1, Hongo, Bunkyo-ku, Tokyo Japan

TEL

03-3813-3111

Homepage URL


Email

yuuehara@juntendo.ac.jp


Sponsor or person

Institute

Juntendo University

Institute

Department

Personal name



Funding Source

Organization

Juntendo University

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

2018 Year 03 Month 31 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

Terminated

Date of protocol fixation

2018 Year 03 Month 23 Day

Date of IRB

2018 Year 03 Month 30 Day

Anticipated trial start date

2018 Year 04 Month 02 Day

Last follow-up date

2020 Year 02 Month 18 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2018 Year 03 Month 30 Day

Last modified on

2020 Year 10 Month 02 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000036524


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name