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Study to Evaluate the Duration of Treatment With Ertapenem in Acute Attacks of Sigmoid Diverticulitis

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 February 2006 by Klinikum Hanover-Siloah Hospital.
Recruitment status was:  Recruiting
Information provided by:
Klinikum Hanover-Siloah Hospital Identifier:
First received: November 29, 2004
Last updated: February 12, 2006
Last verified: February 2006
The purpose of this study is to compare the efficacy (by assessing the clinical success of treatment) of intravenous antibiotic therapy with ertapenem in patients with acute attacks of sigmoid diverticulitis for 4 vs. 7 days.

Condition Intervention Phase
Diverticulitis, Colonic Acute Disease Drug: ertapenem Phase 4

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Educational/Counseling/Training
Official Title: A Prospective, Multicenter, Open-Label, Randomized Clinical Study to Evaluate the Duration of Treatment With Ertapenem in Acute Attacks of Sigmoid Diverticulitis

Resource links provided by NLM:

Further study details as provided by Klinikum Hanover-Siloah Hospital:

Primary Outcome Measures:
  • Clinical therapeutic success (full regression)
  • Relapse rate
  • Operation rate

Secondary Outcome Measures:
  • Development of laboratory parameters
  • Duration of hospitalization
  • Duration of parenteral feeding
  • Incidence of surgical intervention and repeat surgery
  • Incidence and duration of intensive care

Estimated Enrollment: 540
Study Start Date: July 2004
Estimated Study Completion Date: June 2007

Ages Eligible for Study:   18 Years to 75 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • At least three of the following signs or symptoms of an acute attack of sigmoid diverticulitis must be present: *Fever (body temperature > 38°C, sublingual), *Abdominal tenderness, *Leukocytosis (leukocytes > 10,000/µl) and left shift of the differential blood count (>1% band forms), *Elevated CRP (> 20 mg/l)
  • Evidence of sigmoid diverticulitis by contrast enema
  • CT evidence of wall thickening in the sigmoid intestine
  • Decision in favor of conservative therapy on the basis of the case history and diagnosis

Exclusion Criteria:

  • Contraindication for the use of the study medication or other beta-lactam antibiotics, e.g. patients with advanced renal impairment or patients requiring hemodialysis
  • Antibiotic therapy in the two weeks prior to the start of the study
  • Patients with an advanced incurable disease
  • Patients with a hematologic/oncologic disease (leukemia, lymphoma)
  • Patients on immunosuppressants
  • Complications of sigmoid diverticulitis leading to an immediate indication for surgery
  • Patients who have hypersensitivity to beta-lactam antibiotics
  • Female patients who are pregnant or nursing or who could become pregnant during the study
  • Participation in another clinical study or use of another study drug within the four weeks prior to enrollment in the study or use of another drug during the study
  • Each patient can be enrolled only once in the study
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00097734

Contact: Ferdinand Koeckerling, Prof. Dr. 0049-511-927-2331
Contact: Omar Huegel, Dr. 0049-511-927-2331

Klinikum Hannover- Krankenhaus Siloah Recruiting
Hannover, Germany, 30449
Contact: Omar Huegel, Dr.    0049-511-927-2331      
Principal Investigator: Ferdinand Koeckerling, Prof. Dr.         
Sub-Investigator: Omar Huegel, Dr.         
Sub-Investigator: Pascal Geers, Dr.         
Sponsors and Collaborators
Klinikum Hanover-Siloah Hospital
Study Chair: Ferdinand Koeckerling, Prof. Dr. Klinikum Hanover-Siloah hospital and Nordstadt hospital- Surgical Department
  More Information

Publications: Identifier: NCT00097734     History of Changes
Other Study ID Numbers: mc317
Study First Received: November 29, 2004
Last Updated: February 12, 2006

Keywords provided by Klinikum Hanover-Siloah Hospital:
acute attacks
sigmoid diverticulitis
Acute attacks of sigmoid diverticulitis

Additional relevant MeSH terms:
Acute Disease
Diverticulitis, Colonic
Intraabdominal Infections
Gastrointestinal Diseases
Digestive System Diseases
Disease Attributes
Pathologic Processes
Diverticulosis, Colonic
Colonic Diseases
Intestinal Diseases
Anti-Bacterial Agents
Anti-Infective Agents processed this record on August 21, 2017