UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000001348
Receipt number R000001639
Scientific Title Open-label randomized comparative study of clindamycin vs. ampicillin/sulbactam in adults with mild aspiration pneumonia
Date of disclosure of the study information 2008/09/30
Last modified on 2021/09/12 11:32:43

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Basic information

Public title

Open-label randomized comparative study of clindamycin vs. ampicillin/sulbactam in adults with mild aspiration pneumonia

Acronym

clindamycin vs. ampicillin/sulbactam in mild aspiration pneumonia

Scientific Title

Open-label randomized comparative study of clindamycin vs. ampicillin/sulbactam in adults with mild aspiration pneumonia

Scientific Title:Acronym

clindamycin vs. ampicillin/sulbactam in mild aspiration pneumonia

Region

Japan


Condition

Condition

aspiration pneumonia

Classification by specialty

Pneumology Infectious disease Geriatrics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To compare clinical effectiveness between clindamycin and ampicillin/sulbactam in adult patient with mild aspiration pneumonia

Basic objectives2

Bio-equivalence

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase IV


Assessment

Primary outcomes

Clinical response at the end of therapy (days 11-14)

Key secondary outcomes

Early clinical response at days 4 and 7
Bacteriological response at days 11-14 (in bacteriologically evaluable patients)
Survival at day 30


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Pseudo-randomization


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

clindamycin 600mg dose parenteral infusion, every 12 hrs, for 4-14 days.
Dose may be adjusted when renal failure

Interventions/Control_2

ampicillin/sulbactam 3g dose parenteral infusion, every 12 hrs, for 4-14 days.
Dose may be adjusted when renal failure

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

15 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

(1) Hospital-admitted patients aged 15 yrs or more with a diagnosis of pneumonia and required initial parenteral treatment
(2) at least one of the following conditions (risk of aspiration): neurological disorders (cerebrovascular diseases, neuromuscular diseases, dementia, etc.), bed-ridden, oral/pharyngeal/throat disorder, gastro-esophageal disorder (esophageal diverticulum, achalasia, systemic sclerosis, esophageal cancer, GERD, post-gastrectomy (total or partial), hiatal hernia, etc.), usage of sedatives or hypnotics, insertion of a nasogastric tube, subjective or observed aspiration/choking/dysphagia, episode of vomiting.
(3) Radiological appearance of a new and/or progressive pulmonary infiltrate(s)
(4) At least two of the followings: cough, sputum or change of sputum character (increased volume and/or purulence), dyspnea, tachypnea, abnormal breathing sound (wheeze etc.), pleuritic chest pain, auscultatory findings on chest examination consistent with the lung infiltrate, documented body temperature > or =37.5C within the past 24hrs, rigors and/or chills, general malaise, and a WBC count of > or =10,000/mm3 or < 3,000/mm3.

Key exclusion criteria

(1) Hospital-acquired pneumonia
(2) Hospitalization within 60 days prior to the development of the symptom(s)
(3) Immunocompromising disease or receipt of immunopompromising therapy
(4) Active lung cancer
(5) Terminal illness
(6) Pregnancy or breast-feeding
(7) Known allergy to the indicated antibiotics
(8) Other infiltrative diseases (e.g. radiation pneumonitis, organizing pneumonia, drug-induced pneumonia, obstructive pneumonia etc.)
(9) Tuberculosis, fungal infection
(10) Empyema

Target sample size

80


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Isao Ito

Organization

Kyoto University

Division name

Department of Respiratory Medicine

Zip code


Address

Shogoin-kawaharacho, Sakyo, Kyoto, 606-8507, Japan

TEL

075-751-3884

Email



Public contact

Name of contact person

1st name
Middle name
Last name Seizo Kadowaki

Organization

Ono Municipal Hospital

Division name

Department of Internal Medicine

Zip code


Address

323 Nakamachi, Ono-city, 675-1332, Japan

TEL

0794-63-2020

Homepage URL


Email



Sponsor or person

Institute

Ono Municipal Hospital

Institute

Department

Personal name



Funding Source

Organization

Dainippon Sumitomo Pharma Co., Ltd.
Taisho Toyama Pharmaceutical Co., Ltd.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2008 Year 09 Month 30 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2008 Year 06 Month 13 Day

Date of IRB

2008 Year 09 Month 01 Day

Anticipated trial start date

2008 Year 09 Month 01 Day

Last follow-up date

2013 Year 04 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2008 Year 09 Month 02 Day

Last modified on

2021 Year 09 Month 12 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000001639


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name