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CompletedNCT02041767ERTAPROUpdated Sep 8, 2025

Assessment of Prostatic Tissue Concentration of Ertapenem After a Pre-operative Administration

A Phase 4 interventional study of Ertapenem in Benign Prostatic Hyperplasia (BPH) Requiring Surgical Resection, sponsored by Assistance Publique - Hôpitaux de Paris. Completed at 1 site in France. Open to male participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2025-09-08.

Sponsored by Assistance Publique - Hôpitaux de Paris · Phase 4, Interventional, and Prevention

Phase
Phase 4
Study type
Interventional
Enrollment
20
Allocation
Non-randomized
Ages
18 Years to 80 Years
Sex
Male
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Study summary

The purpose of this study is to demonstrate the prostatic diffusion in significant concentration of ertapenem achieved after a pre-operative single administration.

Read the detailed description

Ertapenem is an antibiotic belonging to carbapenems family and used in infections with Gram-negative bacilli with extended spectrum beta lactamase (ESBL). Its efficacy has been demonstrated in abdominal, soft tissue, pulmonary, skin and gynaecological infections. Recently it has been compared to ceftriaxone in urinary infections demonstrating his efficacy and tolerance.

The purpose of this study is to assess its benefit in probabilistic strategy by demonstrating its prostatic diffusion in significant concentration when administrated in a pre-operative single injection.

Patients were divided in two groups receiving a single injection of 1g of ertapenem 1h or 12h before endoscopic surgery of prostate hyperplasia.

Concentration of ertapenem was measuring on blood sample and on chips resection of prostate during endoscopic surgery.

To demonstrate the prostatic diffusion in significant amount of ertapenem, the prostatic concentration of ertapenem had to be higher than the minimal inhibitory concentration (MIC) for 40% of the time of injection interval.

02

Conditions studied

  • Benign Prostatic Hyperplasia (BPH) Requiring Surgical Resection

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Keywords

  • Ertapenem; prostatic diffusion; antibioprophylaxy; pharmacokinetics; benign prostatic hyperplasia
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In context

Prostatic Hyperplasia

783 studies on the registry are indexed under Prostatic Hyperplasia; 174 are open to participants now.

This study's planned enrollment of 20 is below the median of 97 across 593 interventional studies indexed under Prostatic Hyperplasia.

Browse Prostatic Hyperplasia studies →

Lead sponsor

Assistance Publique - Hôpitaux de Paris is the lead sponsor of 3,505 studies on the registry; 1,006 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Inclusion criteria

  • Acceptance and understanding of the consent form (signed)
  • 18-80 years old patients
  • BPH needing endoscopic resection according to French Urology Association recommendations
  • Procedure and follow up made in investigator center
  • normal digital rectal examination
  • PSA :
  • patient > 69 years old, not necessary
  • patient \< 69 years old, PSA\<20 and if 4\<PSA\<20, the ratio free PSA/total PSA must be >10%
  • patient with renal clearance >60 estimated with MDRD
  • patient affiliated to the social security

Exclusion criteria

Exclusion Criteria:

  • personal or familial history of prostatic or genito-urinary cancer
  • personal history of pelvic irradiation
  • personal history of hormone-therapy
  • personal history of prostatic adenomectomy by abdominal approach
  • personal history of allergy to beta-lactamines
  • urinary tract infection or bacterial colonisation at the time of procedure
  • carbapenems treatment in the two weeks before surgery
  • hyperresponsivness to ertapenem or other carbapenems antibiotic
  • patient with renal clearance estimated with MDRD \<60
  • patient with catheter or probe permanently
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Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    group A

    One single perfusion of 1g of ertapenem 1 hour prior to prostate surgical resection

    Drug: Ertapenem

  • Experimental
    group B

    One single perfusion of 1g of ertapenem 12 hour prior to prostate surgical resection

    Drug: Ertapenem

Interventions

  • DrugErtapenem

    One single injection of 1g of ertapenem before surgery

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What researchers measure

Primary outcomes

  1. Prostatic concentration of ertapenem

    To observe whether a significant intra-prostatic concentration of ertapenem can be obtained after a pre-operative single administration.

    Time frame: at the time of surgery

Secondary outcomes

  1. Prostatic concentration of ertapenem

    To observe the difusion of ertapenem by comparing 1h versus12h injection prior to surgery

    Time frame: at the time of surgery

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Study locations

1 site
  • HEGP Hospital
    Paris, 75908 Cedex 15, France
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References and documents

Publications

  • Alhambra A, Cuadros JA, Cacho J, Gomez-Garces JL, Alos JI. In vitro susceptibility of recent antibiotic-resistant urinary pathogens to ertapenem and 12 other antibiotics. J Antimicrob Chemother. 2004 Jun;53(6):1090-4. doi: 10.1093/jac/dkh218. Epub 2004 Apr 29. PubMed 15117925 ↗
  • Tomera KM, Burdmann EA, Reyna OG, Jiang Q, Wimmer WM, Woods GL, Gesser RM; Protocol 014 Study Group. Ertapenem versus ceftriaxone followed by appropriate oral therapy for treatment of complicated urinary tract infections in adults: results of a prospective, randomized, double-blind multicenter study. Antimicrob Agents Chemother. 2002 Sep;46(9):2895-900. doi: 10.1128/AAC.46.9.2895-2900.2002. PubMed 12183244 ↗
  • Jimenez-Cruz F, Jasovich A, Cajigas J, Jiang Q, Imbeault D, Woods GL, Gesser RM; Protocol 021 Study Group. A prospective, multicenter, randomized, double-blind study comparing ertapenem and ceftriaxone followed by appropriate oral therapy for complicated urinary tract infections in adults. Urology. 2002 Jul;60(1):16-22. doi: 10.1016/s0090-4295(02)01664-3. PubMed 12100914 ↗
  • Wells WG, Woods GL, Jiang Q, Gesser RM. Treatment of complicated urinary tract infection in adults: combined analysis of two randomized, double-blind, multicentre trials comparing ertapenem and ceftriaxone followed by appropriate oral therapy. J Antimicrob Chemother. 2004 Jun;53 Suppl 2:ii67-74. doi: 10.1093/jac/dkh208. PubMed 15150185 ↗
  • Dariane C, Amin A, Lortholary O, Lalli A, Michel C, Le Guilchet T, Treluyer J, Nguyen-Khoa T, De Toma C, Urien S, Mejean A, Bourget P, Timsit M. Concentrations plasmatiques et intra-prostatiques d'ertapeneme apres administration preoperatoire : experience prospective monocentrique - etude ERTAPRO. Prog Urol. 2015 Nov;25(13):775. doi: 10.1016/j.purol.2015.08.121. No abstract available. French. PubMed 26544316 ↗
  • Dariane C, Amin A, Lortholary O, Lalli A, Michel C, Le Guilchet T, Treluyer JM, Nguyen-Khoa T, De Toma C, Urien S, Mejean A, Bourget P, Timsit MO. Plasma and intraprostatic concentrations of ertapenem following preoperative single dose administration: a single-centre prospective experience and clinical implications-the ERTAPRO study. Int J Antimicrob Agents. 2016 Aug;48(2):168-74. doi: 10.1016/j.ijantimicag.2016.04.027. Epub 2016 Jun 2. PubMed 27324263 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 8, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02041767
Lead sponsor
Assistance Publique - Hôpitaux de Paris
Collaborators
Merck Sharp & Dohme LLC, URC-CIC Paris Descartes Necker Cochin
Responsible party
Sponsor
First posted
Jan 22, 2014
Start date
Dec 2013
Primary completion
Jan 2015
Completion
Jun 2015
Last update
Sep 8, 2025

Study contacts

Olivier Lortholary, Md, PhD
study chair · Service de Maladies Infectieuses et Tropicales, Hôpital Necker, 149 rue de Sèvres
Marc-Olivier Timsit, Md, PhD
principal investigator · Service d'Urologie, HEGP, 20 rue Leblanc, 75015 Paris, France.

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2025. You cannot join it, but the record below documents what was studied.

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