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CompletedNCT03748095OPT-TAZUpdated Jun 29, 2026

Population Pharmacokinetic Modeling to Optimize the Dosage of the Piperacillin / Tazobactam Combination in Patients With Sepsis in Intensive Care

An observational study in Resuscitation Patients With Sepsis, sponsored by University Hospital, Rouen. Completed at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-29.

Sponsored by University Hospital, Rouen · Observational

Study type
Observational
Model
Other
Time perspective
Prospective
Enrollment
91
Ages
18 Years and older
Sex
All
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Study summary

Population pharmacokinetic modeling mathematically describes the pharmacokinetics of a drug and the variables likely to influence it in a "typical" patient population. We propose to model a Bayesian estimator, taking into account the individual factors that influence exposure to the piperacillin / tazobactam combination in a target population of sepsis, to allow for early assessment of serum Piperacillin / Tazobactam concentration profiles. optimization of dosing regimens. Indeed, pharmacokinetic tools of this type are already regularly successfully applied for other classes of antibiotics or immunosuppressants whose therapeutic index is narrow. They reduce the toxic risk and optimize the effectiveness of these treatments.

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Conditions studied

  • Resuscitation Patients With Sepsis
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In context

Lead sponsor

University Hospital, Rouen is the lead sponsor of 410 studies on the registry; 104 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
Probability sample

Study population

Patient hospitalized in intensive care for sepsis, involving (i) a suspected or proven infection; (ii) a systemic inflammatory response; (iii) dysfunction of at least one organ, according to the international consensus "sepsis-3"

Inclusion criteria

  • Major patient (age ≥18 years) male or female.
  • Patient hospitalized in intensive care for sepsis, involving (i) a suspected or proven infection; (ii) a systemic inflammatory response; (iii) dysfunction of at least one organ, according to the international consensus "sepsis-3".
  • Patient with an arterial catheter that can be used for blood sampling by the time the first dose of piperacillin / tazobactam is administered.
  • Patient for whom treatment with piperacillin / tazobactam, alone or in combination with another antibiotic, is prescribed according to the following modalities (drug SPC): scheduled antibiotic treatment for at least 48 hours in IV infusion of 4 g of piperacillin and 0.5 g tazobactam over 3 hours, every 6 hours or every 8 hours.
  • Patient affiliated to a social security scheme.
  • Patient informed and given his non-opposition. If the patient is unable to do so (emergency situations) the non-opposition will be obtained from the patient's representative.

Exclusion criteria

Exclusion Criteria:

  • Treatment with piperacillin and / or tazobactam within 7 days prior to evaluation.
  • Patient with a history of allergy to penicillins or β-lactams.
  • Kidney function of Kdigo score = 3 (3 times baseline plasma creatinine or plasma creatinine ≥ 354μmol / L or extra-renal clearance, or diuresis \<0.3ml / kg / h for ≥ 24h or anuria for ≥ 12h) to not include patients at very high risk of extra-renal clearance within 48 hours.
  • Hypersensitivity to the active substances, to any other antibacterial agent of the penicillin class or to any of the excipients.
  • History of severe allergic reaction to any other β-lactam.
  • Patient being treated with extrarenal treatment.
  • Patient being treated with extracorporeal circulation (ECMO).
  • Hepatic insufficiency patient with Child C. cirrhosis.
  • Patient who refused to participate or refused participation by the representative.
  • Person deprived of liberty by an administrative or judicial decision.
  • Person under tutorship or curatorship.
  • Pregnant or nursing woman.
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Study design

Observational model
Other
Time perspective
Prospective
Enrollment
91 participants (actual)
Patient registry
No

Groups and cohorts

  • Intensive Pharmacokinetic Sampling Cohort

    Drug: Intensive Pharmacokinetic Sampling Cohort

  • Sparse Pharmacokinetic Sampling Cohort

    Drug: Sparse Pharmacokinetic Sampling Cohort

Interventions

  • DrugIntensive Pharmacokinetic Sampling Cohort

    For the first 60 patients, blood samples were collected in 2-mL dry tubes at T0, 90 min, 3 h, 4 h, 5 h, 6 h, 12 h, 24 h, 48 h, and 120 h if infusions are administered over 3 hours every 6 hours; or at T0, 90 min, 3 h, 4 h, 6 h, 8 h, 16 h, 24 h, 48 h, and 120 h if infusions are administered over 3 hours every 8 hours, for piperacillin/tazobactam concentration measurement.

  • DrugSparse Pharmacokinetic Sampling Cohort

    For the last 30 patients, blood samples of 2 mL collected in dry tubes at T0, T6h (if administered every 6 hours) or T8h (if administered every 8 hours), then T24h, T48h, and T120h after initiation of treatment via 3-hour infusions.

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What researchers measure

Primary outcomes

  1. The objective is to develop a Bayesian estimator of the area under the blood concentration curves of the piperacillin / tazobactam combination in resuscitation patients with sepsis.

    The primary endpoint of this study is the ability of the pharmacokinetic model developed to predict the AUC of the piperacillin / tazobactam combination at 24 hours after initiation of antibiotic therapy.

    Time frame: 24hours

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Study locations

1 site
  • CHU de Rouen
    Rouen, France, France
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 29, 2026, 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
NCT03748095
Lead sponsor
University Hospital, Rouen
Responsible party
Sponsor
First posted
Nov 20, 2018
Start date
Mar 12, 2019
Primary completion
Sep 12, 2023
Completion
Sep 12, 2023
Last update
Jun 29, 2026

Oversight

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

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This study is completed, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

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