Status:

NOT_YET_RECRUITING

Personalized Optimization of Antibiotic Therapy in Pulmonary Sepsis Critically Ill Patients Through Application of Rapid Microbiological Diagnostic Technologies and Pharmacokinetic/Pharmacodynamic Modelling

Lead Sponsor:

Assistance Publique - Hôpitaux de Paris

Conditions:

Pulmonary Sepsis

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

Severe community-acquired and nosocomial pneumonia are associated with substantial morbidity and mortality. Early and appropriate antimicrobial therapy (AAT) is consistently the most effective interve...

Eligibility Criteria

Inclusion

  • Patients hospitalized in ICU
  • 18 years of age or older
  • With a pulmonary sepsis defined a s documented or suspected acute pulmonary infection (nosocomial and community-acquired pneumonia) and a SOFA score \>2.
  • Written Informed consent from the patient whenever possible or written ascent from next of kin whenever present at inclusion. When a patient would not be capable of consenting prior to randomization, his/her deferred consent will be gotten.

Exclusion

  • COVID-19 patients
  • Severe anaphylactic beta-lactam allergy
  • First measurements of prescribed antibiotic concentration (TDM) not possible within 24 hr after randomization
  • Pregnancy or lactation
  • Any decision of limitation of care
  • Pre-existing medical condition with a life expectancy of less than 3 months
  • Absence of affiliation to social security
  • Patient under guardianship, curatorship and deprived of liberty

Key Trial Info

Start Date :

May 30 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

November 30 2028

Estimated Enrollment :

658 Patients enrolled

Trial Details

Trial ID

NCT06956053

Start Date

May 30 2025

End Date

November 30 2028

Last Update

May 2 2025

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Personalized Optimization of Antibiotic Therapy in Pulmonary Sepsis Critically Ill Patients Through Application of Rapid Microbiological Diagnostic Technologies and Pharmacokinetic/Pharmacodynamic Modelling | DecenTrialz