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Study of the absorption of oral antibiotics known for their good ability to cross the barrier of the stomach and intestine to reach the blood in patients with short bowel syndrome

Short bowel syndrome and study of the absorption of antibiotics with good oral bioavailability - GRAAL

Status
Not yet recruiting
Phases
Phase 4
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2021-001468-13-FR
Enrollment
10
Registered
2021-05-10
Start date
2021-07-12
Completion date
Unknown
Last updated
2024-07-15

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

Conditions

Patient with short bowel syndrome treated with antibiotics for urinary parenchymal infection MedDRA version: 20.1 Level: PT Classification code 10049416 Term: Short-bowel syndrome System Organ Class: 10017947 - Gastrointestinal disorders

Interventions

Trade Name: AMOXICILLINE Pharmaceutical Form: Powder for oral suspension INN or Proposed INN: AMOXICILLIN CAS Number: 26787-78-0 Concentration unit: mg/ml milligram(s)/millilitre Concentration type:

Sponsors

Centre Hospitalier Régional Universitaire de Nancy
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Male or female = 18 years of age ; ; 2. Patient with short bowel syndrome 3. Patient treated for urinary parenchymal infection (pyelonephritis / prostatitis) (documented with antibiogram) with SULFAMETHOXAZOLE/TRIMETHOPRIME / AMOXICILLINE (+/- acide clavulanique)/ OFLOXACINE / LEVOFLOXACINE 4. Patient hospitalized in the Nutritional Assistance Unit or in the Infectious and Tropical Diseases Department 5. Patient affiliated with to beneficiary of a social security system; 6. Patient having performed a preliminary clinical examination 7. Patient who signed informed consent Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 10 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range

Exclusion criteria

Exclusion criteria: 1. Patient at foreseeable risk of degrading their PO absorption capacity during follow-up; 2. Patient on dialysis; 3. Female of childbearing age without effective contraception; 4. Person with a known allergy to one of the components of the evaluated product; 5. Person with a contraindication to (or one of the) evaluated product (s); 6. Persons referred to in Articles L. 1121-5, L. 1121-7 and L1121-8 of the Public Health Code: o Pregnant women, parturient women or nursing mothers ; o Minor (non-emancipated) o Adult person subject to a legal protection measure (guardianship, curatorship, judicial safeguard); o Adults person who is unable to give consent and who is not subject to a legal protection measure; o Persons deprived of their liberty by a judicial or administrative decision; o Persons subject to psychiatric care pursuant to articles L. 3212-1 and L. 3213-1

Design outcomes

Primary

MeasureTime frame
Main Objective: Assessment of the absolute oral bioavailability of antibiotics in patients with short bowel;Secondary Objective: 1) Describe the absorption of antibiotics after PO administration in these patients. 2) Evaluate the link between remaining hail length and antibiotic absorption.;Primary end point(s): Measurement of the absolute bioavailability of the Per Os form calculated according to the following formula : F (%)=(AUC PO)/(AUC IV) x (Dose IV)/(Dose PO) AUC : Area under the curve (0h to 8h) NB: The intravenous data and the per os data are from the same patient, which makes it possible to match using this formula.;Timepoint(s) of evaluation of this end point: The bioavailability of antibiotics taken in oral form will be measured by assaying the antibiotics in blood samples taken at different times (at T- 0.5h; T + 0.5h, T + 1h, T + 1.5h T + 2h, T + 4h, T + 6h, T + 8h (T = time of oral intake of the PO antibiotic). i.e. 8 hours after the last oral intake

Secondary

MeasureTime frame
Secondary end point(s): 1) Describe the pharmacokinetic parameters after PO administration of antibiotics in these patients: • Maximum concentration after PO (Cmax) • Time required to obtain Cmax after PO (Tmax) 2) Evaluate the link between remaining hail length and antibiotic absorption: • Length of hail remaining • Carmine red test time • Maximum concentration after PO (Cmax) • Time required to obtain Cmax after PO (Tmax);Timepoint(s) of evaluation of this end point: Secondary end points will be assessed after taking oral antibiotics

Countries

France

Contacts

Public ContactStudy Project Manager

Centre Hospitalier Régional Universitaire de Nancy

dripromoteur@chru-nancy.fr+3303 83 15 52 78

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026