Pharmacokinetics of antibiotics in cerebrospinal fluid of children with external ventricular drain

2024-515791-12-00 Human pharmacology (Phase I) - Other Ended

Start 30 Aug 2018 · End 8 Jan 2026 · Status Ended · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Human pharmacology (Phase I) - Other
Status Ended
Participants planned 56
Countries 1
Sites 1

patients with external ventricular drain

To determine the pharmacokinetics of cefuroxime, vancomycin, gentamicin, ampicillin, linezolid, piperacillin/tazobactam and cefazolin in CSF of children with external ventricular drain.

Key facts

Sponsor
Medical University Of Vienna
Participant type
Pediatric, Patients
Age range
0-17 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Bacterial Infections and Mycoses [C01]
Trial duration
30 Aug 2018 → 8 Jan 2026
Decision date (initial)
2024-09-08
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes

External identifiers

EU CT number
2024-515791-12-00
EudraCT number
2018-002278-33

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacokinetic

To determine the pharmacokinetics of cefuroxime,
vancomycin, gentamicin, ampicillin, linezolid,
piperacillin/tazobactam and cefazolin in CSF of children with
external ventricular drain.

Secondary objectives 2

  1. Calculation of pharmacokinetic/pharmacodynamic (PK/PD) parameters considering currently established/discussed breakpoints
  2. Determination of target attainment analysis for different pathogens

Conditions and MedDRA coding

patients with external ventricular drain

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 7

  1. Female or male, aged between 3 days and 3 months (study groups C, V, A, P and CZ)
  2. Female or male, aged between 7 days and 3 months (study group G and L)
  3. External ventricular drain in place
  4. Hospitalisation on an intensive care or intermediate care unit
  5. Clinical diagnosis of infection, requiring antibiotic therapy or antibiotic therapy as infection prophylaxis
  6. Current or planned therapy with cefuroxime, gentamicin, vancomycin, ampicillin, linezolid , piperacillin/tazobactam or cefazolin as treatment or prophylaxis of a bacterial infection (any localisation).
  7. Signed informed consent by at least one parent or legal representative

Exclusion criteria 3

  1. Allergy or hypersensitivity against study drug.
  2. Severe renal impairment, defined by a serum creatinine level of more than 200% of age-specific reference values, or urinary output <0,5ml/kg/h for >12 hours
  3. Any disease considered a risk for proper performance of the study or risks to the patient, at the discretion of the investigator

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 4

  1. Maximum concentration (Cmax) in CSF
  2. time to maximum concentration (tmax) in CSF
  3. area under the concentration time curve from zero to last observed concentration (AUC0-τ) in CSF
  4. half-life (t1/2) in CSF

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 7

Cefuroxim „Astro“ - Trockenstechampulle

PRD4922276 · Product

Active substance
Cefuroxime Sodium
Pharmaceutical form
SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRAVENOUS INFUSION
Authorisation status
Authorised
ATC code
J01DC02 — -
Marketing authorisation
1-22175
MA holder
ASTRO-PHARMA GMBH
MA country
Austria
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Vancomycin Hikma 500 mg - Pulver für ein Konzentrat zur Herstellung einer Infusionslösung

PRD1183399 · Product

Active substance
Vancomycin
Substance synonyms
VANCOMYCINUM
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS INFUSION
Authorisation status
Authorised
ATC code
J01XA01 — VANCOMYCIN
Marketing authorisation
1-31669
MA holder
HIKMA FARMACÊUTICA (PORTUGAL), S.A.
MA country
Austria
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Gentamicin Sandoz 80 mg – Ampullen

PRD766741 · Product

Active substance
Gentamicin
Substance synonyms
2-[4,6-DIAMINO-3-[3-AMINO-6-(1-METHYLAMINOETHYL)OXAN-2-YL]OXY-2-HYDROXY-CYCLOHEXYL]OXY-5-METHYL-4-METHYLAMINO-OXANE-3,5-DIOL, 2-[4,6-DIAMINO-3-[3-AMINO-6-(1-METHYLAMINOETHYL)OXAN-2-YL]OXY-2-HYDROXYCYCLOHEXYL]OXY-5-METHYL-4-METHYLAMINOOXANE-3,5-DIOL
Pharmaceutical form
SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRAVENOUS INFUSION
Authorisation status
Authorised
ATC code
J01GB03 — GENTAMICIN
Marketing authorisation
1-18856
MA holder
SANDOZ GMBH
MA country
Austria
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Kefzol 1 g – Trockenstechampullen

PRD4852199 · Product

Active substance
Cefazolin
Pharmaceutical form
SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRAVENOUS INFUSION
Authorisation status
Authorised
ATC code
J01DB04 — -
Marketing authorisation
15.629
MA holder
ASTRO-PHARMA GMBH
MA country
Austria
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Linezolid Kabi 2 mg/ml Infusionslösung

PRD2479886 · Product

Active substance
Linezolid
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS INFUSION
Authorisation status
Authorised
ATC code
J01XX08 — LINEZOLID
Marketing authorisation
135944
MA holder
FRESENIUS KABI AUSTRIA GMBH
MA country
Austria
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Standacillin 1 g – Pulver zur Herstellung einer Injektions-/Infusionslösung

PRD910693 · Product

Active substance
Ampicillin Sodium
Pharmaceutical form
SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRAVENOUS INFUSION
Authorisation status
Authorised
ATC code
J01CA01 — AMPICILLIN
Marketing authorisation
17200
MA holder
SANDOZ GMBH
MA country
Austria
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Piperacillin/Tazobactam Kabi 4 g/0,5 g Pulver zur Herstellung einer Infusionslösung

PRD767217 · Product

Active substance
Piperacillin Sodium
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS INFUSION
Authorisation status
Authorised
ATC code
J01CR05 — PIPERACILLIN AND ENZYME INHIBITOR
Marketing authorisation
1-27840
MA holder
FRESENIUS KABI AUSTRIA GMBH
MA country
Austria
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Medical University Of Vienna

Sponsor organisation
Medical University Of Vienna
Address
Spitalgasse 23, Alsergrund Alsergrund
City
Vienna
Postcode
1090
Country
Austria

Scientific contact point

Organisation
Medical University Of Vienna
Contact name
Department of Clinical Pharmacology

Public contact point

Organisation
Medical University Of Vienna
Contact name
Department of Clinical Pharmacology

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Austria Ended 56 1
Rest of world 0

Investigational sites

Austria

1 site · Ended
Medical University Of Vienna
Department of Clinical Pharmacology, Waehringer Guertel 18-20, Alsergrund, Vienna

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Austria 2018-08-30 2018-10-04 2026-01-08

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-08-21 Austria Acceptable
2024-09-04
2024-09-08