ClinicalTrials.gg
CompletedNCT01484015Updated Jul 18, 2018

Prolonged or Standard Infusion of Cefepime Hydrochloride in Treating Patients With Febrile Neutropenia

A Phase 1 interventional study of cefepime hydrochloride in Adult Acute Lymphoblastic Leukemia, Adult Acute Myeloid Leukemia and Adult Burkitt Lymphoma, sponsored by Wake Forest University Health Sciences. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-07-18.

Sponsored by Wake Forest University Health Sciences · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Jun 2012, 14 years 5 months ago, and no results have been posted to the registry.

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Phase
Phase 1
Study type
Interventional
Enrollment
70
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 19 studies in Precursor Cell Lymphoblastic Leukemia-Lymphoma by Wake Forest University Health Sciences — 3 open to participants now, 3 under way, none of them phase 3. Precursor Cell Lymphoblastic Leukemia-Lymphoma · Wake Forest University Health Sciences.

Enrollment
3rd of 16
70 · median 40
Started
2011
with 1 other
Phase 1
6 of 19
1 open now
Registered
11th of 19
by date

Among the 19 studies in Precursor Cell Lymphoblastic Leukemia-Lymphoma by Wake Forest University Health Sciences, this one is the 3rd largest by enrollment of the 16 interventional ones that give a count, is one of 2 that started in 2011, is one of 6 in phase 1, and was the 11th registered.

Precursor Cell Lymphoblastic Leukemia-Lymphoma

2,584 studies on the registry are indexed under Precursor Cell Lymphoblastic Leukemia-Lymphoma; 473 are open to participants now.

Browse Precursor Cell Lymphoblastic Leukemia-Lymphoma studies →

Open to participants now

3 of the 19 studies in Precursor Cell Lymphoblastic Leukemia-Lymphoma by Wake Forest University Health Sciences are open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

All 3 open studies →

Where they have run

Who these studies take

Of the 370 Precursor Cell Lymphoblastic Leukemia-Lymphoma studies recruiting now, 96 (26%) set no upper age limit and 257 (69%) stop at 75 or younger; 247 take children under 18; 29 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

This randomized pilot clinical trial studies how well giving prolonged infusion compared to standard infusion of cefepime hydrochloride works in treating patients with febrile neutropenia. Giving cefepime hydrochloride over a longer period of time may be more effective than giving cefepime hydrochloride over the standard time.

Read the detailed description

OBJECTIVES:

I. The objective of this study is to describe outcomes associated with prolonged infusion (3 hours) compared to standard infusion (30 minutes) cefepime (cefepime hydrochloride) among patients being treated empirically for febrile neutropenia.

OUTLINE: Patients are randomized 1 of 2 treatment arms.

All patients receive cefepime hydrochloride intravenously (IV) over 30 minutes as their first dose.

ARM I: Patients receive cefepime hydrochloride intravenously (IV) over 30 minutes.

ARM II: Patients receive cefepime hydrochloride IV over 3 hours. Treatment repeats every 8 hours.

03

Conditions studied

  • Adult Acute Lymphoblastic Leukemia
  • Adult Acute Myeloid Leukemia
  • Adult Burkitt Lymphoma
  • Adult Diffuse Large Cell Lymphoma
  • Adult Diffuse Mixed Cell Lymphoma
  • Adult Diffuse Small Cleaved Cell Lymphoma
  • Adult Hodgkin Lymphoma
  • Adult Immunoblastic Large Cell Lymphoma
  • Adult Lymphoblastic Lymphoma
  • Atypical Chronic Myeloid Leukemia, BCR-ABL1 Negative
  • Breast Cancer
  • Chronic Eosinophilic Leukemia
  • Chronic Lymphocytic Leukemia
  • Chronic Myelogenous Leukemia
  • Chronic Myelomonocytic Leukemia
  • Chronic Neutrophilic Leukemia
  • Cutaneous T-cell Non-Hodgkin Lymphoma
  • Disseminated Neuroblastoma
  • Extranodal Marginal Zone B-cell Lymphoma of Mucosa-associated Lymphoid Tissue
  • Grade 1 Follicular Lymphoma
  • Grade 2 Follicular Lymphoma
  • Grade 3 Follicular Lymphoma
  • Malignant Testicular Germ Cell Tumor
  • Mantle Cell Lymphoma
  • Marginal Zone Lymphoma
  • Multiple Myeloma
  • Mycosis Fungoides/Sezary Syndrome
  • Myelodysplastic Syndromes
  • Myelodysplastic/Myeloproliferative Neoplasms
  • Neutropenia
  • Nodal Marginal Zone B-cell Lymphoma
  • Ovarian Epithelial Cancer
  • Ovarian Germ Cell Tumor
  • Plasma Cell Neoplasm
  • Poor Prognosis Metastatic Gestational Trophoblastic Tumor
  • Primary Myelofibrosis
  • Prolymphocytic Leukemia
  • Small Lymphocytic Lymphoma
  • Splenic Marginal Zone Lymphoma
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • \< 500 cells/mm\^3 or \< 1000 cells/mm\^3 with a predicted decrease to \< 500 cells/mm\^3
  • Temperature > 38.0 degrees Celsius
  • Received chemotherapy or stem-cell transplant as treatment for or myelodysplastic syndrome (MDS)
  • Cefepime prescribed at a dose of 2 grams IV every 8 hours

Exclusion criteria

Exclusion Criteria:

  • Allergy to a cephalosporin antibiotic
  • Estimated \< 50 milliliters/minute
  • Concurrent anti-gram negative antimicrobials
  • Diagnostic criteria suggestive of sepsis
  • Circumstances which may make 3 hour infusion impractical
  • Solid tumor
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
70 participants (actual)

Study arms

  • Experimental
    Arm I (standard infusion)

    Patients receive cefepime hydrochloride IV over 30 minutes.

    Drug: cefepime hydrochloride

  • Experimental
    Arm II (prolonged infusion)

    Patients receive cefepime hydrochloride IV over 3 hours. Treatment repeats every 8 hours.

    Drug: cefepime hydrochloride

Interventions

06

What researchers measure

Primary outcomes

  1. Defervescence (without hypothermia)

    Comparison between groups will be done using the chi square test. T-tests will be used for continues variables. Survival data will be estimated using the Kaplan-Meier method, with the formal test of group comparisons done using Cox's Proportional Hazards Model.

    Time frame: 72 hours

Secondary outcomes

  1. Clinical success or failure

    Time frame: approximately 24 days

  2. Need for additional antimicrobials

    Time frame: approximately 24 days

  3. Mortality (in-house)

    Time frame: approximately 24 days

  4. Time to defervescence

    Time frame: approximately 24 days

  5. Hospital length of stay

    Time frame: approximately 24 days

  6. Successful treatment of baseline infection

    Time frame: approximately 24 days

07

Study locations

1 site
  • Wake Forest University Health Sciences
    Winston-Salem, North Carolina 27157, United States
08

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Feb 2011, a primary completion of Jun 2012 and a completion of Oct 2012. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 21, 2011
First posted
Dec 2, 2011
Start
Feb 2011
Primary completionActual
Jun 2012
CompletionActual
Oct 2012
Last update
Jul 18, 2018
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 18, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01484015
Responsible party
Sponsor
First posted
Dec 2, 2011
Start date
Feb 2011
Primary completion
Jun 2012
Completion
Oct 2012
Last update
Jul 18, 2018

Study contacts

John Williamson
principal investigator · Wake Forest University Health Sciences

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2018. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Cefepime

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