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CompletedNCT03317093BASILEUpdated Sep 16, 2020

Open and Exploratory Trial to Investigate the Pharmacokinetic of Ceftobiprole Medocaril in Patients With CSF Device

A Phase 2 interventional study of Ceftobiprole Medocaril and Blood samples and cerebrospinal fluid in Inflamed Meninges, Suspected Meningitis and Ventriculitis, sponsored by Centre Hospitalier Universitaire Dijon. Completed at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-09-16.

Sponsored by Centre Hospitalier Universitaire Dijon · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
5
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 19 studies in Meningitis with a site in France — 3 open to participants now, 3 under way, none of them phase 3. Meningitis · France.

Enrollment
11th of 11
5 · median 151
Started
2018
with 2 others
Phase 2
2 of 19
none open now
Registered
10th of 19
by date
Lead sponsor
2 of 19
Centre Hospitalier Universitaire Dijon

Among the 19 studies in Meningitis with a site in France, this one is the 11th largest by enrollment of the 11 interventional ones, is one of 3 that started in 2018, is one of 2 in phase 2, and was the 10th registered.

By phase

19 studies; the count open now beside each. This study's row is marked.

Observational8 · 2 open
No phase6 · 1 open
Phase 2this study2 · 0 open
Phase 42 · 0 open
Phase 11 · 0 open

By the year they started

First in 2001; this study’s year is marked. 3 started in 2018.

Size and results

Median enrollment 151 across the 11 interventional studies, 390 across the 8 observational. Of the 14 that completed or were terminated, 1 (7%) have results posted.

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02

Study summary

Ceftobiprole is a very active new cephalosporin on staphylococci resistant to methicillin (SEMR: Staphylococcus epidermidis Resistant to Meticillin, SAMR: Staphylococcus aureus Resistant to Meticillin) and / or vancomycin; it is also very active on pneumococci resistant to penicillin and / or 3rd generation cephalosporins. This new drug has AMM in nosocomial respiratory infections, Animal work shows the efficacy of ceftobiprole in gram negative bacillus meningeal infections.

The rationale of this study is based on the antibacterial spectrum of ceftobiprole, which would therefore be useful in the treatment of staphylococcal bacterial meningitis resistant patients (SEMR or SAMR) encountered in intensive care and / or neurosurgery and in the treatment of pneumococcal meningitis.

To validate these possibilities, it is necessary to know the concentrations of ceftobiprole in the meningeal space.

03

Conditions studied

  • Inflamed Meninges
  • Suspected Meningitis
  • Ventriculitis

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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

  • Adult patients (> 18 years)

    • Provision of prior to any study specific procedures
    • Female patients of may be entered if pregnancy testing is negative and the patient agrees to abstain from procreational sexual intercourse or must use double-barrier measures for the duration of the study
  • Presence of an indwelling external CSF access device (ventriculostomy or lumbar drain)
  • Presence of inflamed meninges as a result of documented or suspected meningitis or ventriculitis. Patients with both clinical symptoms (fever, headache, meningismus, and altered mentation) and laboratory parameters (CSF leukocytosis, defined as a CSF white blood cell count [WBC] of >103, elevated CSF protein, defined as CSF protein of >1g/l, reduced CSF glucose, defined as CSF glucose of \<0.3g/l, or a positive CSF Gram stain or culture) indicative of CNS infection were deemed to have definitive bacterial meningitis/ventriculitis. Inflamed meninges were defined as the presence of >5 leukocytes/mm3 of CSF.
  • Person with antibacterial treatment (including treatment for the current meningitis or ventriculitis)
  • Glycemia above 3 mmol/l and below 10 mmol/l
  • Natremia below 145 mmol/l
  • Capnia below 45 mmHg
  • No other patient included within 72 hours from D0 (treatment period) of the previous patient
  • Agreement of the scientific committee

Exclusion criteria

Exclusion Criteria:

  • to MABELIO® (ceftobiprole) or to one of its or another 3rd cephalosporin
  • Hypersensitivity to cephalosporin
  • Immediate and severe hypersensitivity to β-lactam antimicrobial other than Mabelio and other cephalosporins
  • Pregnant or breast feeding women
  • Renal insufficiency defined as \< 50 mL/min
  • Patient with creatinine clearance > 150 mL/min
  • Patients with conditions known or suspected to alter pharmacokinetics (i.e., burn or cystic fibrosis patients)
  • Refusal to participate
  • Person not affiliated to the social security
  • Absolute necessity of immediate removing the device
Terms in these criteria, in plain language(6)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

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 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
5 participants (actual)

Interventions

  • 1 single intravenous dose of 500 mg of Mabelio (Ceftobiprole Medocaril) perfused for 2 hours at D0

  • OtherBlood samples and cerebrospinal fluid

    Before and immediately before the end of the perfusion and then at 0.5h, 1h, 3h, 6h, 12h and 24h.

06

What researchers measure

Primary outcomes

  1. Measurement of concentration of ceftobiprole in blood

    Time frame: Before and immediately the end of the perfusion and then at 0.5, 1, 3, 6, 12 and 24 hours

  2. Measurement of concentration of ceftobiprole in cerebrospinal fluid

    Time frame: Before and immediately the end of the perfusion and then at 0.5, 1, 3, 6, 12 and 24 hours

07

Study locations

1 site
  • CHU Dijon Bourgogne
    Dijon, 21079, France
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Mar 2018 to primary completion in Oct 2019, 18 months.

Of 13 phase 2 interventional studies under Meningitis, half reached primary completion within 10 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 18. This study's 18 months is above that.

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

Registered
Oct 18, 2017
First posted
Oct 23, 2017
StartActual
Mar 29, 2018
Primary completionActual
Oct 21, 2019
CompletionActual
Nov 4, 2019
Last update
Sep 16, 2020
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 Sep 16, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03317093
Responsible party
Sponsor
First posted
Oct 23, 2017
Start date
Mar 29, 2018
Primary completion
Oct 21, 2019
Completion
Nov 4, 2019
Last update
Sep 16, 2020

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2019. 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: Ceftobiprole medocaril

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