Status:

TERMINATED

Targeted AntiBiotics for Chronic Pulmonary Diseases

Lead Sponsor:

Chronic Obstructive Pulmonary Disease Trial Network, Denmark

Collaborating Sponsors:

Center for Genomic Medicine, Rigshospitalet, Denmark

Conditions:

COPD

Respiratory Tract Infections

Eligibility:

All Genders

40+ years

Phase:

PHASE4

Brief Summary

This is a prospective, randomized multi-center trial investigating the impact of lower airway infection with P. aeruginosa in COPD patients. The aim of the study is to evaluate if targeted antibiotic ...

Detailed Description

P. aeruginosa represents a potentially significant cause of acute exacerbation of chronic pulmonary diseases and is possibly associated with significant morbidity and mortality. Despite this, the role...

Eligibility Criteria

Inclusion

  • P. aeruginosa-positive lower respiratory tract sample.
  • COPD, non-CF bronchiectasis, or asthma verified by a respiratory specialist based on clinical assessment and additional tests: COPD: spirometry; Asthma: reversibility; Non-CF bronchiectasis: high-resolution computed tomography scan.
  • Minimum of two previous exacerbations, or one previous hospitalization-requiring or emergency room-demanding exacerbation, with the treatment of systemic prednisolone and/or antibiotics within the last 12 months.
  • Written informed consent

Exclusion

  • Immune-modulating therapy (except ≤ 10 mg prednisolone/day)
  • Men \< 40 years
  • Women \<= 55 years
  • Non- menopausal women \> 55 years
  • Life expectancy \< 90 days
  • Severe mental illness
  • Severe language difficulties or inability to provide informed consent
  • Known drug allergy to 1) Fluoroquinolones and 2) both Piperacillin/tazobactam, Cephalosporins and Carbapenems
  • Attempted eradication of P. aeruginosa x 2 within the last 12months, or completed eradication therapy within the last 14 days
  • The investigator 's opinion is that the participant requires antibiotic treatment. This exclusion criterion must be discussed with the coordinating investigator before the final decision on exclusion is taken.

Key Trial Info

Start Date :

January 10 2018

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

March 1 2023

Estimated Enrollment :

51 Patients enrolled

Trial Details

Trial ID

NCT03262142

Start Date

January 10 2018

End Date

March 1 2023

Last Update

May 25 2023

Active Locations (1)

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1

Herlev and Gentofte Hospital

Hellerup, Copenhagen, Denmark, 2900