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Not yet recruitingNCT06223100Updated Jan 25, 2024

Efficacy and Safety of the Combination Therapy Based on Eravacycline in Immunocompromised Hosts With MDROS Infection

An observational study in Immune Dysregulation Disorder, sponsored by Sichuan Provincial People's Hospital. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-01-25.

Sponsored by Sichuan Provincial People's Hospital · Observational

From the registry’s dates

  • Primary completion was expected by Dec 2025, 9 months ago, but the record still lists the study as not yet recruiting.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
100
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this observational study is to explore the treatment mode and clinical outcome of patients with immunocompromised who received the combined regimen of eraracycline in the treatment of multidrug-resistant bacterial infections, to evaluate the efficacy and safety of the combined regimen of eravacycline in the treatment of multidrug-resistant bacterial infections in immunocompromised host populations, and to provide data reference for the treatment of immunocompromised populations.

Read the detailed description

The goal of this observational study is to explore the treatment mode and clinical outcome of patients with immunocompromised who received the combined regimen of eraracycline in the treatment of multidrug-resistant bacterial infections, to evaluate the efficacy and safety of the combined regimen of eravacycline in the treatment of multidrug-resistant bacterial infections in immunocompromised host populations, and to provide data reference for the treatment of immunocompromised populations. The main questions it aims to answer are:

  • The 30-day all-cause mortality of multi-drug resistant bacterial infections in immunocompromised host populations treated with the combined regimen of eravacycline ;
  • Evaluate the clinical cure rate and symptom improvement rate of eravacycline treatment.

According to the clinical practice (symptoms, signs, imaging, culture and drug sensitivity, etc.), the doctor determines the combined regimen of eravacycline, and the combined drugs are used routinely according to their instructions or clinical diagnosis and treatment.

02

Conditions studied

  • Immune Dysregulation Disorder

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03

In context

Infections

6,687 studies on the registry are indexed under Infections; 807 are open to participants now.

This study's planned enrollment of 100 is below the median of 240 across 2,136 observational studies indexed under Infections.

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Lead sponsor

Sichuan Provincial People's Hospital is the lead sponsor of 76 studies on the registry; 43 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
Sampling method
Probability sample

Study population

People with low immune function are at high risk of multidrug-resistant bacterial infections, especially those who need long-term immunosuppressive therapy, such as patients with hematological malignancies, solid organ transplant recipients, etc.

Inclusion criteria

  • ≥ 18 years old.
  • Voluntary to participate in this study and signed informed consent. If the subject is unable to read and / or sign the informed consent due to incapacity or other reasons, the guardian of the subject is required to act as the agent of the informed process and sign the informed consent.
  • In a state of low immune function:
  • In this study, if the patient meets any of the following criteria, the patient 's immune function is considered to be low : 1 patients who have previously received solid organ transplantation ( liver, kidney, lung, heart ) ; 2 hematological malignancies ( leukemia, lymphoma ) ; 3 Patients received long-term immunosuppressive therapy, or used steroids that reached immunosuppressive doses within 21 months before screening ( ≥ 10 mg prednisone or > 15 mg / kg / d hydrocortisone or d > 3 mg / kg / d methylprednisolone, continuous d > 5 days ) [ 4,13 ]. 4 Severe infections occurred recently, leading to extremely low immune function.
  • Infections caused by known or highly suspected multidrug-resistant pathogens (MDR), or gram-negative bacteria that are sensitive to eravacycline in adult patients with limited treatment options. The high-risk factors and standards of MDR met the definition of " Chinese expert consensus on prevention and control of nosocomial infection of multidrug-resistant bacteria "; multidrug-resistant bacteria (MDR) refer to bacteria that are resistant to three or more types of commonly used antibiotics that are usually sensitive. Multidrug resistance also includes pan-drug resistance (XDR) and pan-drug resistance (PDR).
  • Patients treated with elastin ≥ 3 days.

Exclusion criteria

Exclusion Criteria:

  • Urinary tract infection.
  • Clear culture results showed that microbial pathogens were not sensitive to test drugs (such as Pseudomonas aeruginosa, etc.).
  • Patients whose expected survival time cannot exceed the study period.
  • The researchers believe that there is any medical history, current condition, treatment, abnormal laboratory examination or other conditions that may affect the test results, interrupt the test process (or the subject cannot complete all the operations and visits required by the test) or accept the test drugs that will increase the risk of the subject. Patients with end-stage diseases have immediate life-threatening disease evidence.
  • Patients with a history of allergic reactions to tetracyclines or any adjuvant contained in the study drug formula.
  • Vulnerable groups other than critically ill patients, including people with mental illness, cognitive impairment, pregnant women, etc.
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
100 participants (estimated)
Patient registry
No
Biospecimen retention
Samples without dna

Interventions

  • DrugEravacycline

    There is no other intervention.

    Also known as: XERAVA

06

What researchers measure

Primary outcomes

  1. 30-day all-cause mortality

    Evaluate the 30-day all-cause mortality of multi-drug resistant bacterial infections in immunocompromised host populations treated with the combined regimen of eravacycline.

    Time frame: during the treatment (1-14 days); the end of treatment(Day 14); 28-35 days after first dose

  2. Clinical cure rate

    Evaluate the clinical cure rate of eravacycline treatment.

    Time frame: during the treatment (1-14 days); the end of treatment(Day 14); 28-35 days after first dose

  3. Symptom improvement rate

    Evaluate the symptom improvement rate of eravacycline treatment.

    Time frame: during the treatment (1-14 days); the end of treatment(Day 14); 28-35 days after first dose

Secondary outcomes

  1. Safety and tolerance of eravacycline

    Safety evaluation was mainly based on the incidence of adverse events / adverse reactions in the two groups of patients.

    Time frame: during the treatment (1-14 days); the end of treatment(Day 14); 28-35 days after first dose

  2. Microbial clearance rate

    In patients who met all clinical evaluation criteria and had positive bacterial culture before treatment, the microbiological efficacy was evaluated at the end of treatment and after treatment (discharge). The results of follow-up (discharge) after treatment were the main evaluation endpoints, and the bacterial clearance rate was calculated. The microbiological efficacy was determined according to the following criteria: clearance, assumed clearance, non-clearance, assumed non-clearance, partial clearance, and others.

    Time frame: during the treatment (1-14 days); the end of treatment(Day 14); 28-35 days after first dose

  3. Impact of different treatment timing on eravacycline outcomes as assessed by 30-day all-cause mortality.

    The timing of treatment refers to the time when the patients with positive previous culture results start the treatment with eravacycline, one of which assessed the 30-day all-cause mortality of multi-drug resistant bacterial infections in immunocompromised host populations treated with the combined regimen of eravacycline.

    Time frame: during the treatment (1-14 days); the end of treatment(Day 14); 28-35 days after first dose

  4. Impact of different treatment timing on eravacycline outcomes as assessed by clinical cure rates.

    The timing of treatment refers to the time when the patients with positive previous culture results start the treatment with eravacycline, one of which assessed the clinical cure rate of eravacycline treatment.

    Time frame: during the treatment (1-14 days); the end of treatment(Day 14); 28-35 days after first dose

  5. Impact of different treatment timing on eravacycline outcomes as assessed by clinical improvement rates.

    The timing of treatment refers to the time when the patients with positive previous culture results start the treatment with eravacycline, one of which assessed the symptom improvement rate of eravacycline treatment.

    Time frame: during the treatment (1-14 days); the end of treatment(Day 14); 28-35 days after first dose

  6. The 30-day infection recurrence rate

    The 30-day infection recurrence rate

    Time frame: during the treatment (1-14 days); the end of treatment(Day 14); 28-35 days after first dose

07

Study locations

No study locations are listed for this record.

08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 25, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06223100
Lead sponsor
Sichuan Provincial People's Hospital
Responsible party
Lingai Pan (Associate Clinical Professor, Sichuan Provincial People's Hospital) — Principal investigator
First posted
Jan 25, 2024
Start date
Feb 1, 2024 (estimated)
Primary completion
Dec 31, 2025 (estimated)
Completion
Dec 31, 2025 (estimated)
Last update
Jan 25, 2024

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Jan 2024. You cannot join it, but the record below documents what was studied.

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