Health-Care-Associated Pneumonia, Hospital-Acquired Pneumonia, Ventilator-Associated Pneumonia
Conditions
Keywords
pneumonia, nosocomial pneumonia
Brief summary
The purpose of this study is to compare the clinical cure rates of two dosing regimens of iclaprim with vancomycin (every 12 hours \[q12h\]) in the treatment of patients with hospital-acquired pneumonia (HAP), ventilator-associated pneumonia (VAP), or health-care-associated pneumonia (HCAP) suspected or confirmed to be due to Gram-positive pathogens.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Suspected or confirmed acute bacterial pneumonia due to Gram-positive pathogens in one of the following subgroups: * hospital-acquired pneumonia (HAP), i.e., pneumonia that occurs 48 hours or more after admission, which was not incubating at the time of admission; or * ventilator-associated pneumonia (VAP), i.e., pneumonia that arises more than 48 hours after endotracheal intubation; or * health-care-associated pneumonia (HCAP), i.e., pneumonia diagnosed within 48 hours of hospital admission, in a patient who fulfills at least one of the following criteria: 1. hospitalization for at least two days within 90 days of the current infection, 2. residence in a nursing home or long-term care facility, 3. recipient of intravenous antibiotic therapy, chemotherapy, or wound care within 30 days of the current infection
Exclusion criteria
* Acute Physiology and Chronic Health Enquiry (APACHE) II score \< 8 or ≥ 25. * Pneumonia not requiring empiric or targeted treatment effective against Gram-positive pathogens. * Pulmonary infection due to Gram-positive organisms known to be resistant to either study medication prior to study entry.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Efficacy: Clinical cure rate - comparison of the two iclaprim dosing regimens versus vancomycin | at test of cure (TOC) visit |
| Efficacy: Iclaprim clinical cure rates | at TOC and end of therapy (EOT) |
| Safety | — |