Status:

COMPLETED

Cefepime vs. Ceftriaxone to Treat Nursing Home-Acquired Pneumonia

Lead Sponsor:

CPL Associates

Collaborating Sponsors:

Elan Pharmaceuticals

Conditions:

Pneumonia

Eligibility:

All Genders

60+ years

Phase:

PHASE4

Brief Summary

Randomized trial of nursing home residents with pneumonia to assess if intramuscular cefepime is a safe, efficacious, and cost-effective alternative to once daily intramuscular ceftriaxone for the tre...

Detailed Description

To compare the efficacy, safety, and pharmacoeconomics of cefepime versus ceftriaxone. Double-blind study of nursing home residents \>60 years of age with pneumonia. Patients were randomized to cefepi...

Eligibility Criteria

Inclusion

  • Residents of a nursing home for \>=30 days who were at least 60 years of age and developed pneumonia not amenable to oral antibiotics while not requiring hospitalization, a new infiltrate on chest Xray, estimated Clcr \<=60 mL/min, presence of standard clinical criteria, signed informed consent.

Exclusion

  • Allergy to cephalosporins, receipt of \>24 hours of an antibiotic (unless no improvement was evident), an existing infection due to a pathogen known resistant to either study drug; expected mortality within 48 hours, immunosuppression, hypotension or respiratory distress requiring ventilatory support, prior limited treatment or supportive care only directives, suspected or known Pseudomonas aeruginosa or MRSA infections, primary lung cancer or another malignancy metastatic to the lungs, bronchial obstruction or a history of post-obstructive pneumonia, or patients receiving renal dialysis.

Key Trial Info

Start Date :

March 1 2002

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

April 1 2006

Estimated Enrollment :

69 Patients enrolled

Trial Details

Trial ID

NCT00358202

Start Date

March 1 2002

End Date

April 1 2006

Last Update

October 31 2007

Active Locations (1)

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CPL Associates,LLC

Buffalo, New York, United States, 14226