Neutropenic patients with hematological malignancies.
Conditions
Interventions
Conventional arm:
ciprofloxacin 500mg 2x/day and feniticilline 250mg 4x/day
Experimental arm:
levofloxacine 500mg 1x/day.
Both arms will be given from start chemotherapy until ANC recovery (>0,5x
Sponsors
Dept. of Hematology VUmc, Amsterdam, the Netherlands
Eligibility
Inclusion criteria
Inclusion criteria: 1. Men and women, aged 18-75 year; 2. Patients admitted to the department of hematology for remission induction chemotherapy for acute leukaemia and other hematological malignancies; 3. An anticipated granulocytopenic period of at least 10 days; 4. Written informed consent.
Exclusion criteria
Exclusion criteria: 1. A previous history of allergy to or known hypersensitivity to quinolone derivates or penicillin antibiotics; 2. Fever within the preceding 24 hours; 3. Infection requiring treatment at entry; 4. Treatment with any antibiotics, within48 hours prior to enrollment; 5. Therapy with any other investigational drug during the preceding month; 6. Concomitant experimental chemotherapy; 7. Concomitant antibiotic therapy other than mentioned in the protocol; 8. Known hepatic impairment as determined by elevation of any liver function test greater than three times the upper limit of normal, including: ASAT,ALAT,lacate dehydrogenase (LDH), or alkaline phosphatase (AP), and serum bilirubin over 50 micromol/L; 9. A creatinin clearance <15ml/min; 10. Patients with AIDS, ARC or known to be HIV positive; 11. Pregnacy or lactation; 12. WHO condition grade IV; 13. A history of alcoholism, drug abuse, psychosis, antagonistic personality, poor motivation or other emational or intellectual problems that are likely to invalidate informed consent, or limit the ability of the subject to comply with the protocol requirments; 14. Participation in other studies involving investigational products within one month prior to entry into this study or concommitantly with this study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The number of microbiologically documented bacterial infections will be established. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. The number of patients requiring initiation of emperical broa spectrum antibiotic therapy, time to infection, the number of antibiotocs/antibiotic days will be established; 2. The average values of these endpoints will be compared between the two treatment-groups by means of Wilcoxon's Rank-sum test; 3. Patients compliance and tolerability of the prophylactic regimen will be established from data of the patient questionnaire. | — |
Contacts
Public ContactM.E. Leidekker
VU Medical Center, Department of Hematology, BR 204, P.O. Box 7057
Outcome results
None listed