Clinical trial

Retrospective Chart Review to Evaluate the Safety Profile of Ceftobiprole in Patients With Impaired Hepatic or Renal Function or Immunosuppression

Name
BPR-PAS-001
Description
In this observational study, data from patients treated with the antibiotic ceftobiprole in the past will be collected. The sponsor of the study is Correvio International Sárl, based in Switzerland. Correvio has committed to the health authorities to obtain further information on possible side effects especially in patients suffering from impaired liver or renal function or immune system deficiency and compare these effects to the ones observed in patients without these health problems. Patient data are collected from historic patient charts, patients will not be treated for the purpose of this data collection. All efforts are being made to capture the data of all patients who meet the inclusion criteria and have received at least one dose of ceftobiprole since this drug was first prescribed at the site.
Trial arms
Trial start
2020-03-30
Estimated PCD
2023-06-09
Trial end
2023-06-09
Status
Completed
Treatment
Ceftobiprole medocaril
Participants in whom treatment with Ceftobiprole medocaril has been completed
Arms:
With medical condition of interest, Without medical condition of interest
Size
428
Primary endpoint
Estimation of the proportion and relative frequency of treatment-emergent AEs and AEs of special interest
during and until 28 days after completion of ceftobiprole therapy
Assessment of hyponatraemia
during and until 28 days after completion of ceftobiprole therapy
Assessment of hepatobiliary disorders
during and until 28 days after completion of ceftobiprole therapy
Assessment of renal toxicity (including potential interactions with nephrotoxic drugs)
during and until 28 days after completion of ceftobiprole therapy
Assessment of Coombs test (DAT) positivity + clinical evidence of haemolysis
during and until 28 days after completion of ceftobiprole therapy
Assessment of hypersensitivity reactions, including anaphylactic reactions
during and until 28 days after completion of ceftobiprole therapy
Assessement of Pseudomembranous colitis / Clostridium difficile colitis
during and until 28 days after completion of ceftobiprole therapy
Assessment of convulsions
during and until 28 days after completion of ceftobiprole therapy
Eligibility criteria
The study will enroll participants in whom treatment with ceftobiprole has been completed (including both on-label and off-label use) plus at least one of the following criteria (more than one criterion may apply): * Participants with severe renal impairment / ESRD (end-stage renal disease, defined as calculated CLCr ( creatinine clearance) \< 30 mL/minute or oliguria \< 20 mL/hour unresponsive to fluid challenge or any form of dialysis) * Impaired baseline hepatic function (patients with liver failure/cirrhosis Child Pugh Grade A, B, C or existing non-cirrhotic liver disease associated with total bilirubin \> 2 mg/dL or alanine aminotransferase \[ALT\], or aspartate aminotransferase \[AST\] ≥ 3 times upper limit of the normal range \[ULN\]) * Participants with immunosuppression, i.e., * HIV-positive with CD4 (cluster of differentiation 4) counts of ≤ 0.2 × 10E9/L (≤ 200 cells/mm3) * Immunocompromised as determined by the investigator (any type or aetiology) * Baseline neutropenia or baseline myelosuppression, defined as presence of myelosuppression or neutropenia (absolute neutrophil count \[ANC\] ≤ 0.5 × 10E9/L \[\< 500 polymorphonuclear neutrophils (PMNs)/mm3\]), severe anaemia (haemoglobin \< 6.5 g/dL), or severe thrombocytopenia (\< 49.9 × 10E9/mm3) In addition, the study will enroll a control group of patients in whom treatment has been completed without any of the criteria listed above.
Protocol
{'studyType': 'OBSERVATIONAL', 'patientRegistry': False, 'designInfo': {'observationalModel': 'COHORT', 'timePerspective': 'RETROSPECTIVE'}, 'enrollmentInfo': {'count': 428, 'type': 'ACTUAL'}}
Updated at
2023-07-07

1 organization

1 product

3 indications

Organization
Advanz Pharma