Life-threatening infection treated with trimethoprim-sulfametrole (Rokiprim) in critically ill patients on and off continuous veno-venous haemfiltration
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Indication for treatment with TMP-SMT. In patients with renal impairment requiring CVVH, the benefit of TMP-SMT must outweigh the potential nephrotoxicity of TMP-SMT. Approximately normal renal function (plasma creatinine concentration =65 years) yes F.1.3.1 Number of subjects for this age range 24
Exclusion criteria
Exclusion criteria: Age below 18 years Lacking indication or contraindication for treatment with TMP-SMP Renal impairment (plasma creatinine = 1.5 mg/dl) not requiring CVVH Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Potential effects of continuous veno-venous haemofiltration on single and multiple dose pharmacokinetics of sulfametrole and trimethoprim will be assessed. ;Secondary Objective: Assessment of haemofilter clearance (CLHF) of TMP and SMT;Primary end point(s): Plasma pharmacokinetics TMP and SMT (peak levels [Cmax], trough levels [Cmin], area under the concentration time curve [AUC], half-live [t1/2], volume of distribution [Vd] and clearance [CL]) on and off haemofiltration;Timepoint(s) of evaluation of this end point: Study day 1 and study day 3 or later | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Haemofilter clearance (CLHF) of TMP and SMT;Timepoint(s) of evaluation of this end point: Study day 1 and study day 3 or later | — |
Countries
Austria
Contacts
Medical University Innsbruck