Septic Shock MedDRA version: 17.0 Level: LLT Classification code 10040050 Term: Sepsis NOS System Organ Class: 100000004862
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age >18 years and Clinical indication for therapy of one of the study antibiotics Meropenem or Ciprofloxacin in patients diagnosed at or during admission to ICU with septic shock. a. Sepsis will be defined as: i. Clinical suspicion of infection and/or Positive culture results ii. Systemic inflammatory response syndrome (SIRS) as defined by 2 or more of the following: iii. Core temperature 38o C iv. Tachycardia as defined by a heart rate > 90 beats per minute v. Tachypnoea as defined by a respiratory rate greater than 20 breaths per minute OR a PaCO2 less than 32 mmHg during spontaneous ventilation OR the requirement for mechanical ventilation. vi. A white blood cell count > 12 X 109 / L OR Normal renal function as defined by: i. Serum creatinine =65 years) yes F.1.3.1 Number of subjects for this age range 35
Exclusion criteria
Exclusion criteria: -Pre-existing renal impairment as defined by: Serum creatinine above normal limits ( defined as >500mmol/L) - Need for renal replacement therapy - History of allergy to study antibiotic - Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evaluate present meropenem and ciprofloxacin dosing and achieved plasma concentrations in relation to bacterial susceptibility in patients with septic shock.;Secondary Objective: N/A;Primary end point(s): Pharmacokinetic profiles of the studied antibiotics ;Timepoint(s) of evaluation of this end point: Sampling will be performed around one infusion period of the studied antibiotics at T0 (pre dose) and then at 30, 45, 60, 120, 240, and 480 minutes post infusion completion | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Between-subject variability will be modelled using an exponential variability model Influence of covariates defined as: Age BMI Total body weight Lean body weight Creatinine Clearence On the pharmacokinetic profiles of the analysed antibiotics.;Timepoint(s) of evaluation of this end point: When all data are available after analysis of the antibiotic concentration profiles. | — |
Countries
Denmark
Contacts
Dept. of Intensive Care Medicine