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 |
An open-label randomized controlled trial of ampicillin/cloxacillin and ceftriaxone for empirical treatment of infective endocarditis
Comparative trial of ampicillin/cloxacillin with ceftriaxone for empirical treatment of infective endocarditis
An open-label randomized controlled trial of ampicillin/cloxacillin and ceftriaxone for empirical treatment of infective endocarditis
Comparative trial of ampicillin/cloxacillin with ceftriaxone for empirical treatment of infective endocarditis
Japan |
Infective endocarditis
Medicine in general | Cardiology | Infectious disease |
Others
NO
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.
Safety,Efficacy
Outcome of infective endocarditis at the end of antimicrobial treatment
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
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
2
Treatment
Medicine |
Intervention: Ampicillin/cloxacillin 4 g q4h div maximum for 6 weeks + gentamicin 3 mg/kg q24h div maximum for 2 weeks
Control: Ceftriaxone 2 g q24h div maximum for 6 weeks
+ gentamicin 3 mg/kg q24h div maximum for 2 weeks
20 | years-old | <= |
Not applicable |
Male and Female
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.
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
30
1st name | |
Middle name | |
Last name | Toshio Naito |
Juntendo University Faculty of Medicine
Department of General Medicine
2-1-1, Hongo, Bunkyo-ku, Tokyo Japan
03-3813-3111
naito@juntendo.ac.jp
1st name | |
Middle name | |
Last name | Yuki Uehara |
Juntendo University Faculty of Medicine
Department of General Medicine
2-1-1, Hongo, Bunkyo-ku, Tokyo Japan
03-3813-3111
yuuehara@juntendo.ac.jp
Juntendo University
Juntendo University
Self funding
NO
2018 | Year | 03 | Month | 31 | Day |
Unpublished
Terminated
2018 | Year | 03 | Month | 23 | Day |
2018 | Year | 03 | Month | 30 | Day |
2018 | Year | 04 | Month | 02 | Day |
2020 | Year | 02 | Month | 18 | Day |
2018 | Year | 03 | Month | 30 | Day |
2020 | Year | 10 | Month | 02 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000036524