Bacterial Infections
Conditions
Keywords
Prevention of infectious complications, transrectal needle biopsies of the prostate, TRNBP
Brief summary
The primary purpose of this clinical trial is to compare in a double-blind randomized trial, the efficacy and safety of ciprofloxacin MR 1000 mg tablets given as a single-dose or as a multiple-dose regimen for the prevention of infectious complications in patients undergoing transrectal needle biopsies of the prostate (TRNBP).
Interventions
Patients randomized to this regimen will receive a single-dose of ciprofloxacin MR 1000 mg PO approximately 2 to 3 hours prior to the TRNBP. Patients will also receive two doses of matching placebo approximately 24 hours prior to and approximately 24 hours after the TRNBP.
Patients randomized to this regimen will receive three doses of ciprofloxacin MR 1000 mg PO. The doses will be approximately 24 hours prior to the TRNBP, approximately 2 to 3 hours prior to the TRNBP, and approximately 24 hours after the TRNBP.
Sponsors
Study design
Eligibility
Inclusion criteria
* Transrectal needle biopsy of the prostate required. * A clean-catch midstream-urine (MSU) culture negative (\<104 CFU/mL) for possible pathogens at the Pre-Therapy Visit prior to the TRNBP. * Gastrointestinal absorption is adequate as evidenced by passage of gas or feces per rectum and patient can tolerate oral food, fluids, and medication without vomiting or diarrhea.
Exclusion criteria
* History of hypersensitivity to ciprofloxacin or other quinolone antibiotics * Valvular heart disease that requires antibiotic prophylaxis to prevent bacterial endocarditis * Concomitant use of theophylline, probenecid, or warfarin at any time during the entire study * Renal insufficiency * Known or suspected central nervous system disorder that may predispose to seizures or lower the seizure threshold * Absolute neutrophil count (ANC) \<1000/mm3 * Human immunodeficiency virus (HIV) infection with a CD4 count \<200 cells/micL. HIV testing is NOT required * Antibiotic administration within one week of the TRNBP * Severe hepatic insufficiency (Child-Pugh C)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Bacteriological Response (bacteriuria vs. no bacteriuria) | 10-14 days after last dose of study med |
Secondary
| Measure | Time frame |
|---|---|
| Clinical Response (patients without clinical symptoms or signs of bacteriuria vs. patients with clinical symptoms or signs of bacteriuria) | 10-14 days after last dose of study med. |
| Incidence of post-procedure GU tract infections other than bacteriuria | any time after the TRNBP |
Countries
Brazil, Canada, Italy, Mexico, Spain, United States