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Pharmacokinetic Study of Antibiotics in Patients Assisted by Extracorporeal Membrane Oxygenation (PHARMECMO)

A Pilot Pharmacokinetic Study of Antibiotics in Patients Assisted by Extracorporeal Membrane Oxygenation in Intensive Care Unit

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT03131063
Acronym
PHARMECMO
Enrollment
45
Registered
2017-04-27
Start date
2014-05-31
Completion date
2017-03-31
Last updated
2017-04-27

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

Conditions

Antibiotics, Extracorporeal Membrane Oxygenation, Intensive Care Unit, Sepsis

Keywords

Extracorporeal Membrane Oxygenation, Sepsis, Antibiotics, Pharmacokinetic, Intensive Care Unit

Brief summary

The PHARMECMO study is a pilot, prospective, pharmacokinetic study, conducted in a cardiac surgery intensive care unit of 18 beds. Optimization of antibiotic therapy for extracorporeal membrane oxygenation (ECMO) patients remains a pharmacological challenge. Clinical studies suggest that individualized dosing strategies and therapeutic drug monitoring could facilitate the achievement of adequate antibiotic concentration. The objective of this pilot study was to observe the pharmacokinetic characteristics of commonly used antibiotics in intensive care for patients treated with extracorporeal membrane oxygenation.

Interventions

OTHERAntibiotic plasma dosage

Measurement of the concentration of antibiotics administered as part of the routine care of intensive care patients

Sponsors

Groupe Hospitalier Pitie-Salpetriere
Lead SponsorOTHER

Study design

Observational model
CASE_ONLY
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Age \> 18 years * Extra corporeal membrane oxygenation treatment * Parenteral antibiotherapy for known or suspected sepsis * Informed consent

Exclusion criteria

* Refusal of participation * Pregnancy * Burned patient * Steady state conditions not reached * Non-intravenous administration of antibiotherapy

Design outcomes

Primary

MeasureTime frameDescription
Minimum Antibiotics plasma concentration (Cmin) (C min)Up to 24 hoursDosage under steady state conditions of every antibiotics plasma concentration just before the next administration in patients with sepsis and treated by ECMO
Medium Antibiotics plasma concentration (CT 50)Up to 24 hoursDosage under steady state conditions of every antibiotic plasma concentration in the middle of the interval between two administration (CT 50) in patients with sepsis and treated by ECMO

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026