Comparison of Ertapenem Distribution in the Muscle of Six Healthy Volunteers and Six Critically Ill Patients by Microdialysis
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Purpose
Ertapenem is an antibiotic that is highly bound to plasma protein (> 95%). The effects of this high protein binding on tissue distribution of antibiotics have been few evaluated yet.
In this study, two groups of subjects will be compared: 6 healthy volunteers and 6 critically ill patients (patients with infection due to an Ertapenem susceptible bacteria). Indeed, these 2 populations show changes in binding capacity of drugs to plasma proteins due to a decrease of protidaemia and of the affinity of drugs to transport proteins.
It seems therefore important to clarify the consequences of a modification in protein binding on distribution of antibiotics. That's why we have decided to characterize tissue distribution of ertapenem in healthy volunteers and critically ill patients by assessing: free and total concentrations in plasma and free concentrations in muscle by microdialysis.
| Condition | Intervention | Phase |
|---|---|---|
|
Healthy |
Drug: Ertapeneme |
Phase 1 |
| Study Type: | Interventional |
Eligibility| Ages Eligible for Study: | 18 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Age: from 18 to 80 years
- Patients with infection due to ertapenem susceptible bacteria.
Exclusion Criteria:
- Patients who received ertapenem within 7 days prior to inclusion
- Known allergy to ertapenem or any excipients
- Neutropenia < 500/mm3
- Hemoglobin concentration < 9g/dl
- Renal failure (creatinin clearance < 30ml/min/1.73m²)
- Decompensated heart failure
- Patients receiving vasopressor (adrenalin, noradrenalin), > 0.5µg/kg/min
- Known hypersensitivity to Elma®
- Positive pregnancy test or currently lactating
Contacts and Locations
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT01061047 History of Changes |
| Other Study ID Numbers: | ERTAMUSCLE |
| Study First Received: | January 29, 2010 |
| Last Updated: | August 28, 2012 |
| Health Authority: | France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis) |
Keywords provided by Poitiers University Hospital:
|
patients infected with a bacteria sensible to ertapeneme |
ClinicalTrials.gov processed this record on May 16, 2013