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The Use of Teicoplanin in the Treatment of Septicaemia Caused by Coagulase-Negative Staphylococci - A Randomized Study Comparing Bolus Injection With Infused and/or Line-Locked Teicoplanin


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Infection

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Trial Information

The Use of Teicoplanin in the Treatment of Septicaemia Caused by Coagulase-Negative Staphylococci - A Randomized Study Comparing Bolus Injection With Infused and/or Line-Locked Teicoplanin


OBJECTIVES:

- Compare the response and cure rate of coagulase-negative staphylococcal septicemia in
patients receiving chemotherapy through a central venous catheter treated with 2
different schedules of teicoplanin.

OUTLINE: This is a randomized, multicenter study. Patients are stratified according to
participating center and number of central venous catheter lumens (1 vs 2). Patients are
randomized to one of two treatment arms.

- Arm I: Patients receive teicoplanin IV bolus every 12 hours for 3 doses and then once
daily for 5 doses (total of 7 days).

- Arm II: Patients receive teicoplanin IV over 2 hours and/or by antibiotic lock every 12
hours for 3 doses and then once daily for 5 doses (total of 7 days).

PROJECTED ACCRUAL: Approximately 490-1,360 patients will be accrued for this study within
2.2-6.2 years.

Inclusion Criteria


DISEASE CHARACTERISTICS:

- Suspected septicemia caused by coagulase-negative staphylococci

- Single or double lumen (no triple lumen) central venous catheter (CVC) (including
subcutaneous ports) that can be flushed and aspirated

- Expected to remain in situ for at least 8 weeks

- No coagulase-negative septicemia associated with existing CVC within the past 12
weeks

- Receiving chemotherapy for neoplastic condition, aplastic anemia, Fanconi's anemia,
Langerhans' cell histiocytosis, or myelodysplasia

PATIENT CHARACTERISTICS:

Age:

- 2 months and over

Performance status:

- Not specified

Life expectancy:

- Not specified

Hematopoietic:

- Not specified

Hepatic:

- Not specified

Renal:

- Creatinine clearance at least 60 mL/min

PRIOR CONCURRENT THERAPY:

Biologic therapy

- Not specified

Chemotherapy

- See Disease Characteristics

Endocrine therapy

- Not specified

Radiotherapy

- Not specified

Surgery

- Not specified

Type of Study:

Interventional

Study Design:

Allocation: Randomized, Primary Purpose: Supportive Care

Principal Investigator

Barry Pizer, MD

Investigator Role:

Study Chair

Investigator Affiliation:

Royal Liverpool Children's Hospital, Alder Hey

Authority:

United States: Federal Government

Study ID:

CDR0000068944

NCT ID:

NCT00024453

Start Date:

February 1999

Completion Date:

Related Keywords:

  • Infection
  • infection
  • Sepsis

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