Clinical trial • Phase IV • Infectious Disease

CIPROFLOXACIN for VRE carriage | ESBL carriage

Phase IV trial of CIPROFLOXACIN for VRE carriage | ESBL carriage. 60 participants.

Overview

Trial Therapeutic Area
Infectious Disease
Trial Disease
VRE carriage | ESBL carriage
Trial Stage
Phase IV
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
15-10-2024
First CTIS Authorization Date
25-10-2024

Trial design

Phase IV trial across 2 sites in Sweden.

Target Sample Size
60

Eligibility

Recruits 60 No vulnerable populations selected. Participants must be adults (>18 years) and provide signed consent. Assent is not applicable..

Pregnancy Exclusion
pregnancy or breastfeeding
Vulnerable Population
No vulnerable populations selected. Participants must be adults (>18 years) and provide signed consent. Assent is not applicable.

Inclusion criteria

  • {"criterion_text":"- Signed consent, >18 years of age, Verified carriage of VRE/EPE in screening or clinical culture, Negativity in latest screening for VRE/EPE, For EPE carriers the isolate must be ressitant (R) to ciprofloxacin, Adquate contraception for fertile women (as recommended bythe CTFG)"}

Exclusion criteria

  • {"criterion_text":"- Known allergy to ciprofloxacin or contraindication for ciprofloxacin treatmen (for EPE arm), kidney failure as defined by creatinin clearance < 30 ml/min/1,73 m3 or serum creatinin > 168 µmol (for EPE arm), significant interaction with ciprofloxacin (EPE arm), known allergy or contraindication for vancomycin (VRE arm), pregnancy or breastfeeding, other morbidity or condition which makes the person ineligible for inklusion"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- 1 a) Transition from negative to positive fecal screen for VRE/EPE directly after antibiotic challenge.\n- 1b) Differences in the microbiota's composition and diversity compared to before antibitoic challenge.","definition_or_measurement_approach":""}

Secondary endpoints

  • {"endpoint_text":"- 2a) Time for participants who transitioned from negative to positive VRE/EPE carriage to transition back to negative.\n- 2b) Time for the intestinal microbiota's composition and diversity to return to baseline.\n- 2c) Differences regarding detection of resistance in with conventional methods compared to metagenomic methods, defined as discordant results.","definition_or_measurement_approach":""}

Recruitment

Planned Sample Size
60
Recruitment Window Months
43
Consent Approach
Signed informed consent required from participants (>18 years). Subject information and informed consent forms are listed in the trial documents. Assent not applicable. No details on languages provided.

Geography

Total Number Of Sites
2
Total Number Of Participants
60

Sweden

Earliest CTIS Part Ii Submission Date
11-10-2024
Latest Decision Or Authorization Date
25-10-2024
Processing Time Days
14
Number Of Sites
2
Number Of Participants
60

Sites

Site Name
Uppsala University Hospital
Department Name
Medical Sciences
Principal Investigator Name
Robin Razmi
Principal Investigator Email
r.razmi@gmail.com
Contact Person Name
Robin Razmi
Contact Person Email
r.razmi@gmail.com
Site Name
Region Gaevleborg
Department Name
Medical Sciences
Principal Investigator Name
Robin Razmi
Principal Investigator Email
r.razmi@gmail.com
Contact Person Name
Robin Razmi
Contact Person Email
r.razmi@gmail.com

Sponsor

Primary sponsor

Full Name
Region Uppsala
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Sweden

Third parties

  • {"country":"","full_name":"Gävleborg county","duties_or_roles":"Source of monetary support","organisation_type":""}

Investigational products

Investigational Product Name
CIPROFLOXACIN
Active Substance
CIPROFLOXACIN
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
Approved (phase IV trial using products that are already approved)
Maximum Dose
1000 mg (max daily dose)
Investigational Product Name
VANCOMYCIN
Active Substance
VANCOMYCIN
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
Approved (phase IV trial using products that are already approved)
Maximum Dose
500 mg (max daily dose); max total dose 2500 mg

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