Actively Recruiting
Study of Fluorothiazinone for Preventing Nosocomial Bacterial Infections in Patients on Mechanical Ventilation
Led by Gamaleya Research Institute of Epidemiology and Microbiology, Health Ministry of the Russian Federation · Updated on 2025-06-24
234
Participants Needed
2
Research Sites
N/A
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are evaluating the clinical and antibacterial effects, safety, and pharmacokinetics of the drug Fluorothiazinone compared to a placebo for preventing hospital-acquired gram-negative bacterial infections in patients who are on mechanical ventilation. The study is a randomized, double-blind, placebo-controlled clinical trial conducted by the Gamaleya Research Institute of Epidemiology and Microbiology. Participants are randomly assigned to receive either Fluorothiazinone tablets or a matching placebo. Those in the treatment group take 2400 mg per day (4 tablets twice daily) for the first two days, then 1800 mg per day (3 tablets twice daily) from day three onward for up to 14 days or until ventilator-associated pneumonia caused by gram-negative bacteria develops. Tablets are taken twice daily, 12 hours apart, 30 minutes after meals. The placebo group follows the same dosing schedule with inactive tablets. During the study, participants are monitored for the development of pneumonia, bloodstream infections, and urinary tract infections associated with mechanical ventilation over a 14-day therapy period. Researchers track the time to infection onset, the proportion of patients affected by infections or septic complications, and any fatal outcomes. Safety, tolerability, and blood levels of Fluorothiazinone are also evaluated. The study includes adult patients in intensive care units who have been on mechanical ventilation for no more than 12 hours and are at high risk of requiring ventilation within 72 hours.
CONDITIONS
Brief Title
Clinical Trial to Study the Efficacy and Safety of Fluorothiazinone (N.F. Gamaleya NRCEM) in Prophylaxis of Nosocomial Bacterial Infections With Participation of Patients on MV
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Patient's written consent to participate according to current laws or board decision if unconscious
- Patients aged 18 years or older, male or female
- Patients currently in the intensive care unit (ICU)
- Patients with laboratory-confirmed COVID-19 and severe community-acquired pneumonia with respiratory failure, or acute stroke, or acute heart failure
- Patients on mechanical ventilation for no more than 12 hours
- Patients assessed as high risk to require mechanical ventilation within 72 hours
- Women of childbearing age and men with partners of childbearing age agreeing to use effective contraception during the study
You will not qualify if you...
- Patients not switched to mechanical ventilation within 72 hours after receiving the study drug
- Patients with bloodstream infections identified during screening
- Patients who choose to leave the study at any time for any reason
- Participation may be ended by investigator, sponsor, or regulator for safety or procedural reasons
- Withdrawal reasons include refusal to participate, adverse events preventing participation, or unrelated chronic disease exacerbation judged by the investigator
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Up to 14 days or until ventilator-associated pneumonia occurs
Participants receive Fluorothiazinone tablets or placebo twice daily for up to 14 days to prevent ventilator-associated pneumonia caused by gram-negative bacteria.
Daily visits during treatment
Trial Site Locations
Total: 2 locations
1
State Budgetary Healthcare Institution of Moscow City Clinical Hospital No. 1 named after N.I. Pirogov of the Moscow Department of Health (State Clinical Hospital No. 1 named after N.I. Pirogov)
Moscow, Moscow, Russia, 119049
Actively Recruiting
2
City Clinical Hospital No. 24 of the Moscow City Department of Health
Moscow, Moscow, Russia, 127015
Actively Recruiting
Research Team
N
Nailya A. Zigangirova, Doctor of Biological Sciences
How is the study designed?
Study Type
INTERVENTIONAL
Masking
TRIPLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
PREVENTION
Number of Arms
2
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