Pneumonia, Pneumocystis, Prevention & Control
Conditions
Keywords
Pneumocystis carinii pneumonia, prophylaxis, trimethoprim/sulfamethoxazole
Brief summary
Evaluation the efficacy and safety profile of trimethoprim/sulfamethoxazole as Pneumocystis carinii pneumonia (PCP) prophylaxis in Patients With Connective Tissue Diseases (CTD) treated with high-dose glucocorticoids and immunosuppressive agents. Open-labeled, randomized, prospective single-center clinical trial. Observation period of 12 weeks.
Interventions
Oral Trimethoprim/Sulfamethoxazole 80 mg/400mg once daily for 12 weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 18-65 years with informed consent * SLE, Sjögren syndrome, Polymyositis or Dermatomyositis, defined by consensus classification criteria * concomitant high dose glucocorticoid, defined as \>1mg/kg/d prednisone or equivalent * concomitant cyclophosphamide, cyclosporine or mycophenolate mofetil
Exclusion criteria
* Pregnant or lactating * WBC\< 4×10\^9/L,PLT\<100×10\^9/L * Serum ALT or AST \> 2 times upper limit of normal * Serum creatinine \> 1.5 mg/dL * Severe hepatic, hematological, gastrointestinal, pulmonary, cardiovascular, neurological, endocrine or cerebral disease * Active infection, including HIV, HCV, HBV, tuberculosis or PCP * concomitant antibiotics other than trimethoprim/sulfamethoxazole * Patient with malignancy * Drug allergy, especially trimethoprim/sulfamethoxazole
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Documented PCP infection | 12 weeks. | Documented Pneumocystis carinii pneumonia infection: defined as documentation of Pneumocystis from a properly obtained specimen (induced sputum, bronchoalveolar lavage, or biopsy) in a patient with clinical manifestations compatible with PCP. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| PCP-related mortality | 12 weeks | PCP-related mortality at the end of week 12. |
| All cause mortality | 12 weeks | All cause mortality at the end of week 12. |
| Other infections | 12 weeks | Infections other than PCP throughout the study period. |
| PCP-related hospitalization | 12 weeks | PCP-related hospitalization throughout the study period. |
Countries
China