A Pharmacokinetic Study of Cefepime After Administration Into Dialysate in Patients With Continuous Ambulatory Peritoneal Dialysis (CAPD) Peritonitis

This study has been completed.
Sponsor:
Information provided by:
Hospital Authority, Hong Kong
ClinicalTrials.gov Identifier:
NCT00497744
First received: July 6, 2007
Last updated: June 14, 2011
Last verified: June 2011
  Purpose

Cefepime is a broad-spectrum antibiotic used in treating CAPD peritonitis. However, medical knowledge has been lacking with regard to its pharmacokinetic profile after it has been administered intraperitoneally. The current study aims at determining the drug level at different time after the drug has been added into the peritoneal fluid in patients with CAPD peritonitis. The results of this study will finally leads to rational prescription of this drug at correct dosages.


Condition Intervention
Peritonitis
Drug: Intraperitoneal Cefepime

Study Type: Observational
Study Design: Observational Model: Case-Only
Time Perspective: Prospective
Official Title: Research Study on the Pharmacokinetic Profile of Intraperitoneal Cefepime in Patients With Continuous Ambulatory Peritoneal Dialysis (CAPD) Peritonitis

Resource links provided by NLM:


Further study details as provided by Hospital Authority, Hong Kong:

Estimated Enrollment: 6
Study Start Date: November 2005
Study Completion Date: December 2007
  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Sampling Method:   Non-Probability Sample
Study Population

4 males and 2 females, of age 57.83 +/-11.63 years with urinary creatinine clearance of 0.87+/-2.06ml/min/1.73m2 and admitted for CAPD peritonitis were enrolled. After collection of peritoneal dialysate for cell count and microbiological work-up, all subjects were loaded with 2g cefepime IP and dwelled for 6 hours. This was followed by 250mg cefepime in each subsequent 6-hourly peritoneal dialysis exchange. Plasma cefepime levels were determined at time 0, 1, 2, 4, 8, 12, 16, 24, 48, 72, 96, 120 hrs. Pharmacokinetic analyses were then performed.

Criteria

Inclusion Criteria:

  • Age >= 18 years & has been put on CAPD for >= 4 weeks before entering into the study

Exclusion Criteria:

  • Known hypersensitivity to cefepime or other cephalosporin; CAPD peritonitis <= 28 days before being enrolled into the study
  • Antibiotic treatment within 1 week prior to entry into the study
  • Severe exit site or tunnel infection on the day of presentation
  • Any conditions that prompt early removal of Tenckhoff catheter irrespective of clinical response to antibiotic treatment
  • Abdominal malignancy; Any surgical causes of peritonitis
  • Suspected or known fungal or tuberculous peritonitis
  • History of dementia or known mental incompetency
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00497744

Locations
China
Caritas Medical Centre
Hong Kong, China
Princess Margaret Hospital
Hong Kong, China
Sponsors and Collaborators
Hospital Authority, Hong Kong
Investigators
Principal Investigator: Sze Kit Yuen, Dr Department of Medicine and Geriatrics, Caritas Medical Centre
  More Information

Additional Information:
No publications provided

ClinicalTrials.gov Identifier: NCT00497744     History of Changes
Other Study ID Numbers: KW/EX/05-020, HARECCTR0500027
Study First Received: July 6, 2007
Last Updated: June 14, 2011
Health Authority: Hong Kong: Ethics Committee

Keywords provided by Hospital Authority, Hong Kong:
CAPD peritonitis
Peritoneal Dialysis, Continuous Ambulatory

Additional relevant MeSH terms:
Peritonitis
Peritoneal Diseases
Digestive System Diseases
Cefepime
Anti-Bacterial Agents
Anti-Infective Agents
Therapeutic Uses
Pharmacologic Actions

ClinicalTrials.gov processed this record on April 14, 2014