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CompletedNCT02169141Updated Jun 23, 2014

Pharmacokinetics of Levofloxacin and Capreomycin in Multidrug-Resistant Tuberculosis Patients

An observational study in Tuberculosis, sponsored by University Medical Center Groningen. Completed at 1 site in Belarus. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2014-06-23.

Sponsored by University Medical Center Groningen · Observational

Study type
Observational
Time perspective
Prospective
Enrollment
20
Ages
18 Years and older
Sex
All
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Study summary

This is an open label observational pharmacokinetic drug study to evaluate Levofloxacine and Capreomycin in patients with Multidrug-Resistant Tuberculosis (MDR-TB).

Read the detailed description

Patients receive MDR-TB treatment with o.a. Levofloxacin and Capreomycin. At least one week after start of treatment, the PK samples samples will be obtained via an intravenous catheter at 0, 1, 2, 3, 4, 7, and 12 hours after intake.

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Conditions studied

  • Tuberculosis

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Keywords

  • pharmacokinetics
  • pharmacodynamics
  • MDR-TB
  • Levofloxacin
  • Capreomycin
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In context

Tuberculosis

1,417 studies on the registry are indexed under Tuberculosis; 208 are open to participants now.

This study's enrollment of 20 is below the median of 250 across 421 observational studies indexed under Tuberculosis.

Browse Tuberculosis studies →

Lead sponsor

University Medical Center Groningen is the lead sponsor of 609 studies on the registry; 174 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 and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

MDR-TB patients

Inclusion criteria

  • age> 18yrs
  • culture positive
  • diagnosis of MDR-TB

Exclusion criteria

Exclusion Criteria:

  • DM2
  • Pregnancy
  • allergy to IV canula material
  • insertion of IV canula not possibele
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Study design

Time perspective
Prospective
Enrollment
20 participants (actual)
Patient registry
No

Groups and cohorts

  • PK of Levofloxacin-Capreomycin

    Pharmacokinetics (PK) in M/XDR-TB patients receiving at least Levofloxacin and Capreomycin as part of their WHO treatment for M/XDR-TB

    Other: Pharmacokinetics

Interventions

  • OtherPharmacokinetics

    multiple blood samples are obtained by means of an indwelling intravenous catheter for calculating PK parameters

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What researchers measure

Primary outcomes

  1. AUC/MIC ratio of Levofloxacin

    The primary outcome parameter is the ratio of the in vitro minimum inhibitory concentration (MIC) to the area under the serum concentration-time curve (AUC) over 24 hours (AUC0-24h ), \[AUC0-24h /MIC\], after administration of Levofloxacin.

    Time frame: after day 8 of treatment

  2. Cmax/MIC ratio of Capreomycin

    The primary outcome parameter is the ratio of the in vitro minimum inhibitory concentration (MIC) to the maximum serum concentration, \[Cmax/MIC\], after administration of Capreomycin.

    Time frame: after day 8 of treatment

Secondary outcomes

  1. Volume of Distribution

    Based on the measured drug concentration during the dosing interval and patient characteristics (height, bodyweight and age) the volume of distribution will be calculated

    Time frame: after day 8 of treatment

  2. Clearance

    Based on the drug concetrations during the dosing interval and patient characteristics (height, bodyweight, age) the drug clearance will be calculated

    Time frame: after day 8 of treatment

Other outcomes

  1. PK-model

    A population PK model will be developed using an iterative 2-stage Bayesian procedure.

    Time frame: after day 8 of treatment

  2. Limited sampling strategy

    Limited sampling strategies were investigated subsequently using a Bayesian analysis. The best possible strategies for will be evaluated by a Bland-Altman analysis for correlation of predicted and observed AUC0-24.

    Time frame: after day 8 of treatment

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Study locations

1 site
  • Republican Scientific and Practical Center for TB and Pulmonology
    Minsk, 220053, Belarus
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References and documents

Publications

  • Van't Boveneind-Vrubleuskaya N, Seuruk T, van Hateren K, van der Laan T, Kosterink JGW, van der Werf TS, van Soolingen D, van den Hof S, Skrahina A, Alffenaar JC. Pharmacokinetics of Levofloxacin in Multidrug- and Extensively Drug-Resistant Tuberculosis Patients. Antimicrob Agents Chemother. 2017 Jul 25;61(8):e00343-17. doi: 10.1128/AAC.00343-17. Print 2017 Aug. PubMed 28507117 ↗
  • Velasquez AMA, Ribeiro WC, Venn V, Castelli S, Camargo MS, de Assis RP, de Souza RA, Ribeiro AR, Passalacqua TG, da Rosa JA, Baviera AM, Mauro AE, Desideri A, Almeida-Amaral EE, Graminha MAS. Efficacy of a Binuclear Cyclopalladated Compound Therapy for Cutaneous Leishmaniasis in the Murine Model of Infection with Leishmania amazonensis and Its Inhibitory Effect on Topoisomerase 1B. Antimicrob Agents Chemother. 2017 Jul 25;61(8):e00688-17. doi: 10.1128/AAC.00688-17. Print 2017 Aug. PubMed 28507113 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 23, 2014, 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
NCT02169141
Lead sponsor
University Medical Center Groningen
Collaborators
Republican Scientific and Practical Centre for Pulmonology and TB, National Institute for Public Health and the Environment (RIVM)
Responsible party
JWC Alffenaar (PhD PharmD Clinical Pharmacologist Associate Professor, University Medical Center Groningen) — Principal investigator
First posted
Jun 23, 2014
Start date
Nov 2012
Primary completion
Feb 2013
Completion
Nov 2013
Last update
Jun 23, 2014

Study contacts

JW C Alffenaar, PhD PharmD
principal investigator · UMCG

Oversight

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

Not currently enrolling

This study is completed, as verified in Jun 2014. You cannot join it, but the record below documents what was studied.

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