Febrile Neutropenia MedDRA version: 20.0 Level: PT Classification code 10016288 Term: Febrile neutropenia System Organ Class: 10005329 - Blood and lymphatic system disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Have an oncology/haematology diagnosis. 2. 2 years and upwards. 3. Commenced on Piperacillin/Tazobactam as part of normal standard of care for the treatment of febrile neutropenia. 4. Administration of Piperacillin/Tazobactam is via elastomeric pump. 5. Have a central line with at least 1 lumen that bleeds back for sampling. 6. Written informed consent from parent/legal guardian if patient =65 years) no F.1.3.1 Number of subjects for this age range 0
Exclusion criteria
Exclusion criteria: 1. Age less than 2 years. 2. Central line that doesn’t bleed back. 3. A patient where treatment with Piperacillin/Tazobactam is not considered first line e.g. patient with known bacterial resistance. 4. Written consent not obtained. 5. An older competent participant (judged on case by case basis) declines assent to study. 6. The patient is deemed unsuitable at the discretion of the investigator.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary end point(s): To measure the serum concentration at set time points for Piperacillin/Tazobactam when delivered by elastomeric pump in stated population.;Main Objective: What plasma concentrations are achieved in continuous infusion administration of Piperacillin/Tazobactam via elastomeric device in paediatric patients being treated for febrile neutropenia?;Secondary Objective: Are there any adverse effects of administration of Piperacillin/Tazobactam via elastomeric pump?;Timepoint(s) of evaluation of this end point: Pharmacokinetic bloods will be taken at 0.5, 2 and 4 hours post intermittent dose of Piperacillin/Tazobactam, prior to starting the continuous infusion, and at 3 time points during an elastomeric pump (at least 3 hours apart). The bloods will be batched and sent for analysis after the first 5 patients and at completion of all study sample collection. Blood samples will be frozen and analysed as a batch within 3 months of the end of the study. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Are there any adverse effects of administration of Piperacillin/Tazobactam using an elastomeric pump?;Timepoint(s) of evaluation of this end point: This will be assessed as part of the ongoing study procedures. | — |
Countries
United Kingdom
Contacts
Alder Hey Children's NHS Foundation Trust