Actively Recruiting

Phase 4
Age: 1Year - 70Years
All Genders
NCT07314281

Meropenem vs Azithromycin Efficacy in Case XDR Enteric Fever

Led by Indus Hospital and Health Network · Updated on 2026-05-08

40

Participants Needed

1

Research Sites

90 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

1. Primary Objective: o To evaluate the efficacy of intravenous azithromycin compared with meropenem in the treatment of extensively drug-resistant (XDR) enteric fever. 2. Secondary Objectives: * To evaluate the fever defervescence and Salmonella Typhi eradication * To evaluate the cost-effectiveness of intravenous azithromycin versus meropenem in treating XDR enteric fever. 3. Exploratory Objectives: * To evaluate the drug resistance against intravenous azithromycin versus in treating XDR enteric fever.

CONDITIONS

Official Title

Meropenem vs Azithromycin Efficacy in Case XDR Enteric Fever

Who Can Participate

Age: 1Year - 70Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Voluntarily sign the written informed consent
  • Age between 1 and 70 years with clinically suspected or confirmed XDR enteric fever by blood culture and sensitivity
  • Married females must have a negative pregnancy test
  • No history of cardiac issues or ECG abnormalities and no cholestatic jaundice or liver problems linked to prior azithromycin use
  • No hypersensitivity to azithromycin or meropenem
  • Patients on medications without drug interactions with meropenem or azithromycin
Not Eligible

You will not qualify if you...

  • Pregnant or breastfeeding women, or women of childbearing age with a positive pregnancy test at baseline
  • Known hypersensitivity to azithromycin, meropenem, or other macrolide or carbapenem antibiotics
  • Blood culture positive for multidrug-resistant Salmonella typhi
  • History of cardiac disorders with ECG abnormalities or cholestatic jaundice/hepatic dysfunction linked to prior azithromycin use
  • Patients on continuous medications that interact with meropenem or azithromycin

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Indus Hospital & Health Network - Mian Campus

Karachi, Sindh, Pakistan

Actively Recruiting

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Research Team

M

muhammad hamid, PharmD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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