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Pivmecillinam with Amoxicillin/Clavulanic acid for Step Down Oral Therapy in Febrile UTIs Caused by ESBL-producing Enterobacterales

Status
Recruiting
Phases
Phase 4
Study type
Interventional
Source
EU CTIS
Registry ID
CTIS2024-513294-41-00
Acronym
TPLBIS20
Enrollment
330
Registered
2024-10-28
Start date
2023-04-17
Completion date
Unknown
Last updated
2024-10-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Urinary tract infection and/or bacteremia caused by extended spectrum beta-lactamases-producing Enterobacterales

Brief summary

Clinical response 7 to 10 days (test of cure, TOC) after antibiotic treatment has been discontinued. The primary endpoint is met if the patient has no symptoms (i.e. resolution of fever and dysuria > 24 h) and no further antibiotic treatment is necessary, as determined by treating physician.

Detailed description

Growth of EPE in follow up urine culture (microbiological endpoint) at TOC., Faecal culture positive for EPE at follow up at TOC., Death from all causes within 28 days.

Interventions

DRUGAmoxicillin/Clavulanic acid Aurobindo 500 mg/125 mg filmdragerade tabletter
DRUGCiprofloxacin Orion 500 mg filmdragerade tabletter
DRUGEusaprim forte 160 mg/800 mg tabletter
DRUGErtapenem Fresenius Kabi 1 g pulver till koncentrat till infusionsvätska
DRUGlösning
DRUGSelexid 400 mg filmdragerade tabletter

Sponsors

Region Skane
Lead SponsorOTHER

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Design outcomes

Primary

MeasureTime frame
Clinical response 7 to 10 days (test of cure, TOC) after antibiotic treatment has been discontinued. The primary endpoint is met if the patient has no symptoms (i.e. resolution of fever and dysuria > 24 h) and no further antibiotic treatment is necessary, as determined by treating physician.

Secondary

MeasureTime frame
Growth of EPE in follow up urine culture (microbiological endpoint) at TOC., Faecal culture positive for EPE at follow up at TOC., Death from all causes within 28 days.

Countries

Sweden

Outcome results

None listed

Source: EU CTIS · Data processed: Feb 4, 2026