Clinical Evaluation of Daptomycin Bone Penetration (DAPTO-HUS)
Recruitment status was Recruiting
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Purpose
Bone and joint infections are commonly due to Gram-positive bacteria. Treatment of these infections is difficult because of the need of prolonged duration of antimicrobial agents in combination with surgical procedure. Moreover, in recent years, a growing resistance pattern to various antimicrobial agents has been observed for Gram-positive bacteria. Consequently, there is an urgent need for new drugs with high bone penetration for the treatment of those infections. The investigators hypothesized that daptomycin allow to achieve high concentrations in bone compartments.
| Condition |
|---|
|
Bone and Joint Infections |
| Study Type: | Observational |
| Study Design: | Observational Model: Case-Only Time Perspective: Prospective |
| Official Title: | Clinical Evaluation of Daptomycin Bone Penetration |
- Patients' percentage of which the intra-osseous daptomycin concentration is ≥ 8 times MIC (if available) or ≥ 8 times critical concentration (if Bacteriological documentation is unavailable) [ Time Frame: 5 min before started administration of daptomycin, 5 min after administration of daptomycin and at random after perfusion of daptomycin ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 15 |
| Study Start Date: | May 2011 |
| Estimated Study Completion Date: | August 2012 |
| Estimated Primary Completion Date: | August 2012 (Final data collection date for primary outcome measure) |
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Patient under treatment with daptomycin and undergoing imperative surgery with bone withdrawal
Inclusion criteria:
- Patient under treatment with daptomycin for more than 3 days with dosage at 6 mg/kg
- Patient undergoing imperative surgery with bone withdrawal
- Signed, and dated informed consent as defined by the Institutional Review Board
- Male and female patients older than 18 years of age
- Patients with social insurance
- Patient with information on previous mandatory medical examination
Exclusion criteria :
- Patient with no treatment by daptomycin or with a dosage < 6mg/kg or with less than 3 doses of daptomycine
- Patient with no need for surgery
- Patient younger than 18 years of age
- Pregnant and nursing women
- Patient refusal for inclusion
- Patients with deprived liberty
- Inability to complete the informed consent process because of problems with mental capacity
Contacts and Locations| Contact: Nicolas Lefebvre, MD | 33 3 69 55 05 45 | nicolas.lefebvre@chru-strasbourg.fr |
| France | |
| Service d'Orthopédie - Hôpital Centre de Chirurgie Orthopédie et de la Main (CCOM) - Hôpitaux Universitaires de Strasbourg - 10 av Achille Baumann - | Recruiting |
| Illkirch-Graffenstaden, France, 67400 | |
| Contact: Jeannot GAUDIAS, MD 33 3 88 55 23 45 jeannot.gaudias@chru-strasbourg.fr | |
| Principal Investigator: Jeannot GAUDIAS, MD | |
| Sub-Investigator: Cyril BOERI, MD | |
| Service des maladies infectieuses et tropicales - Nouvel Hôpital Civil - Hôpitaux Universitaires de Strasbourg | Recruiting |
| Strasbourg, France, 67091 | |
| Contact: Nicolas Lefebvre, MD 33 3 69 55 05 45 nicolas.lefebvre@chru-strasbourg.fr | |
| Principal Investigator: Nicolas Lefebvre, MD | |
| Sub-Investigator: Daniel CHRISTMANN Daniel, MD, PhD | |
| Sub-Investigator: Yves HANSMANN, MD, PhD | |
| Plateau Technique de Microbiologie - Hôpitaux Universitaires de Strasbourg - 1, rue Koeberlé | Recruiting |
| Strasbourg, France, 67000 | |
| Contact: JEHL François, PHARM D 33 3 68 85 37 81 francois.jehl@chru-strasbourg.fr | |
| Sub-Investigator: François JEHL, PARM D | |
| Study Director: | Nicolas Lefebvre, MD | Service des maladies infectieuses et tropicales - Nouvel Hôpital Civil - Hôpitaux Universitaires de Strasbourg |
More Information
No publications provided
| Responsible Party: | Christine GEILLER, directeur de la Direction de la Recherche Clinique et des Innovations, University Hospital, Strasbourg, France |
| ClinicalTrials.gov Identifier: | NCT01306825 History of Changes |
| Other Study ID Numbers: | 4683 |
| Study First Received: | February 25, 2011 |
| Last Updated: | August 24, 2011 |
| Health Authority: | France: Ministry of Health |
Keywords provided by University Hospital, Strasbourg, France:
|
Daptomycin Bone disease,infectious Osteomyelitis Diabetic foot Staphylococcus aureus |
Additional relevant MeSH terms:
|
Arthritis, Infectious Infection Arthritis Joint Diseases Musculoskeletal Diseases |
Daptomycin Anti-Bacterial Agents Anti-Infective Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 23, 2013