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Prophylactic Piperacillin/Tazobactam in Hematopoietic Stem Cell Transplantation

The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.
Verified October 2012 by Wenrong Huang, Chinese PLA General Hospital.
Recruitment status was:  Not yet recruiting
Information provided by (Responsible Party):
Wenrong Huang, Chinese PLA General Hospital Identifier:
First received: July 4, 2012
Last updated: October 25, 2012
Last verified: October 2012

Neutropenia is very common in patients received hematopoietic stem cell transplantation, with median duration of about 14 days. Almost all neutropenia will suffer from febrile without prophylactic antibiotics. IDSA recommended fluoroquinolones as prophylaxis in neutropenia patients of high risks, while in China, major pathogens possess high resistance to fluoroquinolones. It is not clear whether prophylaxis is of benefit, nor the appropriate prophylaxis regimen.

The current study will evaluate the three different regimen:

  1. No prophylaxic antibiotic
  2. Piperacillin as prophylaxis for neutropenia patients. Piperacillin has anti-pseudomonas activity.
  3. Piperacillin/tazobactam as prophylaxis for neutropenia patients. Piperacillin/tazobactam has highest susceptibility rate among common anti-pseudomonas antibiotics.

Condition Intervention
Neutropenia Hematopoietic Stem Cell Transplantation Drug: Piperacillin Drug: Piperacillin-tazobactam combination product

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Piperacillin/Tazobactam for Prophylaxis in Patients of Neutropenia After Hematopoietic Stem Cell Transplantation - A Pilot Study

Resource links provided by NLM:

Further study details as provided by Wenrong Huang, Chinese PLA General Hospital:

Primary Outcome Measures:
  • febrile rate [ Time Frame: 3 weeks after beginning of prophylaxis ]
    In both group, how many patients developed febrile.

Secondary Outcome Measures:
  • Microbiologic efficacy in febrile patients [ Time Frame: 3 weeks after beginning of prophylaxis ]

    The success rate and failure rate will be calculated.

    1. The microbiologic culture is positive at 3 weeks of prophylaxis, showing pathogen sensitive to Piperacillin/tazobactam, the case will be evaluated as breakthrough infection, that means microbiologic failure.
    2. The microbiologic culture is negative at 3 weeks of prophylaxis,, or positive fungus or non-typical organisms, the case will be evaluated as microbiologic success.

  • Recovery rate from neutropenia [ Time Frame: 3 weeks after beginning of prophylaxis ]
    How many patients reached the ANC > 0.5×109/L more than 3 days.

  • AE [ Time Frame: 3 weeks after beginning of prophylaxis ]
    How many patients developed unexpected medical events.

  • Cost of drug and hospital-stay [ Time Frame: 3 weeks after beginning of prophylaxis ]

Estimated Enrollment: 150
Study Start Date: September 2012
Estimated Study Completion Date: November 2014
Estimated Primary Completion Date: September 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
No Intervention: No prophylaxis
Active Comparator: piperacillin Drug: Piperacillin
4.0g q8h 3-5 days
Experimental: piperacillin/tazobactam Drug: Piperacillin-tazobactam combination product
4.5g q8h 3-5 days
Other Name: Tazocin

Detailed Description:
  1. Swab culture (skin, pharyngeal, nasal, anus) when administered into laminar flow room after transplantation.
  2. Randomize the neutropenia patients into 3 groups.
  3. Receive 3 regimen.
  4. Full record of clinical data, including background diseases, previous antibiotics within 90 days, febrile or not at the TOC.
  5. For patients developed febrile, imipenem will be prescribed, even if the patient received no prophylaxis. At the same time, the follow-up ended.

Ages Eligible for Study:   13 Years to 65 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Age 13-65 years
  • Received Autologous or Allogeneic hematopoietic stem cell transplantation.
  • ECOG score 0-1.
  • ICF is available.

Exclusion Criteria:

  • Allergic to any therapy drug.
  • Documented infection before neutropenia.
  • Renal dysfunction.
  • Suffering from central nervous system or mental disease.
  Contacts and Locations
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Please refer to this study by its identifier: NCT01714557

China, Beijing
Chinese PLA general hospital Not yet recruiting
Beijing, Beijing, China
Contact: Wenrong Huang, Doctor   
Sponsors and Collaborators
Chinese PLA General Hospital
Principal Investigator: wenrong huang, Doctor Employee
  More Information

Responsible Party: Wenrong Huang, Associate director, Hematology, Chinese PLA General hospital, Chinese PLA General Hospital Identifier: NCT01714557     History of Changes
Other Study ID Numbers: TZP-HEM-20120608
Study First Received: July 4, 2012
Last Updated: October 25, 2012

Additional relevant MeSH terms:
Leukocyte Disorders
Hematologic Diseases
Penicillanic Acid
Piperacillin, tazobactam drug combination
Anti-Bacterial Agents
Anti-Infective Agents
beta-Lactamase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action processed this record on September 21, 2017