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Status unknownNCT02537847SETAPUpdated Sep 2, 2015

Sitafloxacin and Ertapenem Treatment for Acute Pyelonephritis Caused by Escherichia Coli

A Phase 2 interventional study of Sitafloxacin and Ertapenem in Infection Due to Escherichia Coli and Acute Pyelonephritis, sponsored by Mahidol University. Status unknown at 1 site in Thailand. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2015-09-02.

Sponsored by Mahidol University · Phase 2, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Aug 2015), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 2
Study type
Interventional
Enrollment
96
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The aim of the investigators' study was to evaluate oral and non carbapenem antimicrobial agents which can be used in outpatient for the treatment of non-bacteremic acute pyelonephritis caused by Extended Spectrum Beta Lactamase Escherichia coli. This study was conducted to compare the clinical and bacteriological outcomes of patients with non-bacteremic acute pyelonephritis caused by Extended Spectrum Beta Lactamase Escherichia coli who were treated with intravenous (IV) carbapenems followed by oral sitafloxacin or IV ertapenem.

Read the detailed description

A prospective randomized controlled trial of patients with a presumptive diagnosis of acute pyelonephritis caused by Extended Spectrum Beta Lactamase-producing pathogen was performed. Carbapenems was initially given to all patients. After day 3, patients were randomized to receive either oral sitafloxacin (100 mg twice daily) or intravenous ertapenem. The regular course of treatment was completed within 10 days.

02

Conditions studied

  • Infection Due to Escherichia Coli
  • Acute Pyelonephritis

Keywords

  • Sitafloxacin
  • Extended-Spectrum ß-lactamase-producing Escherichia coli
  • Treatment for Acute Pyelonephritis
  • Ertapenem
03

In context

Escherichia coli Infections

96 studies on the registry are indexed under Escherichia coli Infections; 17 are open to participants now.

This study's planned enrollment of 96 is close to the median of 90 across 58 interventional studies indexed under Escherichia coli Infections.

Browse Escherichia coli Infections studies →

Lead sponsor

Mahidol University is the lead sponsor of 730 studies on the registry; 118 are open to participants now.

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

04

Who can participate

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

Inclusion criteria

  • Age >18 years
  • Acute pyelonephritis by definition
  • Positive urine culture for Extended Spectrum Beta Lactamase Escherichia coli ≥105 colony forming unit/mL
  • Voluntarily consented to be enrolled in the study

Exclusion criteria

Exclusion Criteria:

  • Severe sepsis or septic shock
  • Mixed organism of urine culture
  • Positive blood culture
  • Has other source of infection
  • Has mechanical abnormality of urinary tract
  • Immunocompromised conditions
  • Retained Foley's catheter
  • Pregnancy or lactation
  • Previous urinary tract infections within 4 weeks
  • Contraindicated for fluoroquinolones and carbapenems
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
96 participants (estimated)

Study arms

  • Experimental
    Sitafloxacin group

    The first third days of treatment was open label and all patients were given intravenous carbapenems. After day 3, the patients were randomized to either sitafloxacin group or ertapenem group by the use of a computer-generated random number allocation schedule and block size of four. The patients were allocated to the sitafloxacin group or ertapenem group using the sealed envelope method.

    Drug: Sitafloxacin

  • Active comparator
    control group

    Intervention was prescribed ertapenem for patients.

    Drug: Ertapenem

Interventions

  • DrugSitafloxacin

    The patients in intervention group will receive carbapenem for the first 3 days then sitafloxacin for 7 days. Total of treatment duration is 10 days.

    Also known as: fluoroquinolone

  • DrugErtapenem

    Control group will be given ertapenem only for 10 days.

    Also known as: carbapenem

06

What researchers measure

Primary outcomes

  1. no symptoms of urinary tract infection

    no fever, dysuria, back pain, nausea and vomiting

    Time frame: 30 days

Secondary outcomes

  1. no evidence of Extended Spectrum Beta Lactamase Escherichia coli in urine culture

    Time frame: 30 days

07

Study locations

1 of 1 sites recruiting
  • Faculty of Medicine Ramathibodi Hospital
    Bangkok, 10400, Thailand
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 2, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02537847
Lead sponsor
Mahidol University
Responsible party
Chitprasong Malaisri (Ramathibodi Hospital, Mahidol University) — Principal investigator
First posted
Sep 2, 2015
Start date
Nov 2012
Primary completion
Sep 2015 (estimated)
Completion
May 2016 (estimated)
Last update
Sep 2, 2015

Study contacts

Chitprasong Malaisri, MD
Contact
Mchitprasong@yahoo.com
+66 89 466 5043
Sasisopin Kiertiburanakul
study director · Ramathibodi Hospital Mahidol University

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Aug 2015. You cannot join it, but the record below documents what was studied.

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