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Allogenic Blood Stem Cell TransplantationMERONEMNCT00462878

Meropenem Versus Meropenem Plus Glycopeptide in Patients With Febrile Neutropenia After Allogenic Blood Stem Cell Transplantation

An observational study of Allogenic Blood Stem Cell Transplantation and Febrile Neutropenia, run by PETHEMA Foundation at 64 sites in Spain.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Observational study to compare the treatment in neutropenic patients after allogenic blood stem cell transplantation, with meropenem or meropenem plus glycopeptide. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Meropenem, Vancomycin and Teicoplanin
How many people
392 participants
Where
64 sitesSpain
Study dates
Nov 2002to Apr 2009
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients submitted to allogenic transplant with neutropenia (neutrophils account < 500/mm3 or neutrophils account < 1000/mm3 with prevision to decrease until 500/mm3 at the next 24-48 h); Signs and symptoms to infection; Fever (Temperature> 38,3 ºC registered one time, or 38 ºC en two times separated 60 minutes in a period of 12 h)

Who may be able to join

  • Age > 18 years
  • Patients submitted to allogenic transplant
  • Neutropenia: neutrophils account < 500/mm3 or neutrophils account < 1000/mm3 with prevision to decrease until 500/mm3 at the next 24-48 h
  • Signs and symptoms to infection
  • Fever: Temperature> 38,3 ºC registered one time, or 38 ºC en two times separated 60 minutes in a period of 12 h.

Who cannot join

  • Medical history of meropenem or glycopeptides hypersensitivity
  • Renal failure or creatinine in serum > 2,25 mg/dl or creatinine clearance < 40 ml
  • Liver insufficiency
  • Childbearing potential or breast feeding period
  • Contraindications to meropenem, vancomycin or teicoplanin

Trial locations and contacts

64 sites in 1 country.

64 sites in 1 country

Spain64 sites
  • H. Xeral de Galicia

    A Coruña, La Coruña

  • Hospital Juan Canalejo

    A Coruña, La Coruña

  • Hospital Principe de Asturias

    Alcalá de Henares, Madrid

  • Hospital G. de Alicante

    Alicante

  • Hospital de la Ribera

    Alzira

  • Hospital U. Germans Trias i Pujol

    Badalona, Barcelona

  • Hospital C. de Barcelona

    Barcelona, Barcelona

  • Hospital del Mar

    Barcelona, Barcelona

  • Hospital Durant y Reynals

    Barcelona, Barcelona

  • Hospital Sant Pau

    Barcelona, Barcelona

  • Hospital U. Vall D'Hebron

    Barcelona, Barcelona

  • Basurtuko Ospitalea

    Basurto

  • Hospital de Cruces

    Bilbao

  • Hospital San Millan

    Cáceres

  • Hospital Puerta del Mar

    Cadiz, Cádiz

  • Hospital General de Castellón

    Castellon, Castellón

  • Hospital Francesc de Borja

    Gandia

  • Hospital Doctor Josep Trueta

    Girona, Girona

  • Hospital Virgen de Las Nieves

    Granada

  • Hospital Insular de Las Palmas

    Las Palmas de Gran Canaria, Canary Islands

  • Hospital Materno-Infantil de Las Palmas

    Las Palmas de Gran Canaria, Canary Islands

  • Hospital Ntra Sra del Pino/Sabinal

    Las Palmas de Gran Canaria, Canary Islands

  • Hospital Severo Ochoa

    Leganés, Madrid

  • Hospital Virgen Blanca

    León, León

  • Complexo H. Xeral-Calde

    Lugo

  • Clínica Puerta de Hierro

    Madrid, Madrid

  • Hospital 12 de Octubre

    Madrid, Madrid

  • Hospital Gregorio Marañón

    Madrid, Madrid

  • Hospital La Paz

    Madrid, Madrid

  • Hospital La Princesa

    Madrid, Madrid

  • Hospital Ramón y Cajal

    Madrid, Madrid

  • Hospital Clínico San Carlos

    Madrid

  • H. Universitario Virgen de la Victoria

    Málaga, Málaga

  • Hospital Carlos Haya

    Málaga, Málaga

  • Hospital General de Manresa

    Manresa, Barcelona

  • Hospital General de Murcia

    Murcia, Murcia

  • Hospital Reina Sofia

    Murcia, Murcia

  • Hospital U. Virgen de la Arrixaca

    Murcia, Murcia

  • Hospital Central de Asturias

    Oviedo, Principality of Asturias

  • Hospital Son Dureta

    Palma de Mallorca, Balearic Islands

  • Hospital Niño Jesus

    Sabadell, Barcelona

  • Hospital de Sagunto

    Sagunto, Valencia

  • Hospital Universitario Salamanca

    Salamanca

  • Hospital Universitario de Canarias

    Santa Cruz de Tenerife, Canary Islands

  • Hospital Aránzazu

    Santander, Cantabria

  • Hospital U. Marques de Valdecilla

    Santander, Cantabria

  • Hospital Clínico Universitario de Santiago

    Santiago de Compostela

  • Hospital Vírgen del Rocío

    Seville, Sevilla

  • Hospital de Tarragona "Joan XXIII"

    Tarragona, Tarragona

  • Hospital Mutua Tarrasa

    Terrassa, Barcelona

  • Hospital Verge de la Cinta

    Tortosa, Tarragona

  • Hospital Arnao de Vilanova

    Valencia, Valencia

  • Hospital Dr. Peset

    Valencia, Valencia

  • Hospital General U. de Valencia

    Valencia, Valencia

  • Hospital U. La Fe

    Valencia, Valencia

  • Instituto Valenciano de Oncología

    Valencia, Valencia

  • Hospital Clínico Universitario de Valencia

    Valencia

  • Hospital U. La Fe (H. Infantil)

    Valencia

  • Hospital C. de Valladolid

    Valladolid, Valladolid

  • Hospital Rio Hortega

    Valladolid

  • Hospital do Meixoeiro

    Vigo, Vigo

  • Hospital Luis Alcañiz de Xátiva

    Xàtiva, Valencia

  • Hospital C.U. De Zaragoza

    Zaragoza, Zaragoza

  • Miguel Servet

    Zaragoza, Zaragoza

Other trials in Spain

About this study

Official title: MERONEM: Observational Study About Efficacy of Meropenem in Comparison of Meropenem and Glycopeptide in Treatment of Neutropenia Febrile in Allogenic Blood Stem Cell Transplantation Patients

Observational study to compare the treatment in neutropenic patients after allogenic blood stem cell transplantation, with meropenem or meropenem plus glycopeptide.

Read the detailed description

Observational study cost-effectivity to compare the treatment in neutropenic patients after allogenic blood stem cell transplantation, with meropenem or meropenem plus glycopeptide.

The study will be done in two consecutive cohorts of patients. First cohort: meropenem 1g/8h ev Second cohort: meropenem 1g/8h and glycopeptide (vancomycin 1g/12 h or teicoplanin 400 mg/24h)

Being tested
Meropenem, Vancomycin, Teicoplanin
Keywords
Febrile neutropenia
Medical subject headings
Febrile Neutropenia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MeropenemDrug

    antibiotic

  • VancomycinDrug

    Antibiotic

  • TeicoplaninDrug

    Antibiotic

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Apr 2007 (estimated)
  2. Study startNov 2002
  3. Study completionApr 2009

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case only
Time perspective
Prospective
Enrolment
392 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00462878
Sponsor's protocol ID
03-2002-GTA
Acronym
MERONEM
Status last verified
May 2009
First submitted
18 Apr 2007
Last updated
12 May 2009
Results posted
No
Data monitoring committee
Yes

Publications

  • Cometta A, Glauser MP. Empiric antibiotic monotherapy with carbapenems in febrile neutropenia: a review. J Chemother. 1996 Oct;8(5):375-81. doi: 10.1179/joc.1996.8.5.375.

    PubMed 8957718
  • Jarque I, Sanz MA. [Application of the concepts of evidence-based medicine to the evidence on the treatment of febrile neutropenia]. Enferm Infecc Microbiol Clin. 1999;17 Suppl 2:95-102. Spanish.

    PubMed 10605194
  • Klastersky J. Current attitudes for therapy of febrile neutropenia with consideration to cost-effectiveness. Curr Opin Oncol. 1998 Jul;10(4):284-90. doi: 10.1097/00001622-199807000-00002.

    PubMed 9702394
  • Hughes WT, Armstrong D, Bodey GP, Bow EJ, Brown AE, Calandra T, Feld R, Pizzo PA, Rolston KV, Shenep JL, Young LS. 2002 guidelines for the use of antimicrobial agents in neutropenic patients with cancer. Clin Infect Dis. 2002 Mar 15;34(6):730-51. doi: 10.1086/339215. Epub 2002 Feb 13. No abstract available.

    PubMed 11850858
  • Koya R, Andersen J, Fernandez H, Goodman M, Spector N, Smith R, Hanlon J, Cassileth PA. Analysis of the value of empiric vancomycin administration in febrile neutropenia occurring after autologous peripheral blood stem cell transplants. Bone Marrow Transplant. 1998 May;21(9):923-6. doi: 10.1038/sj.bmt.1701201.

    PubMed 9613785
  • Celebi H, Akan H, Akcaglayan E, Ustun C, Arat M. Febrile neutropenia in allogeneic and autologous peripheral blood stem cell transplantation and conventional chemotherapy for malignancies. Bone Marrow Transplant. 2000 Jul;26(2):211-4. doi: 10.1038/sj.bmt.1702503.

    PubMed 10918433
  • Smith TL, Pearson ML, Wilcox KR, Cruz C, Lancaster MV, Robinson-Dunn B, Tenover FC, Zervos MJ, Band JD, White E, Jarvis WR. Emergence of vancomycin resistance in Staphylococcus aureus. Glycopeptide-Intermediate Staphylococcus aureus Working Group. N Engl J Med. 1999 Feb 18;340(7):493-501. doi: 10.1056/NEJM199902183400701.

    PubMed 10021469
  • Dompeling EC, Donnelly JP, Deresinski SC, Feld R, Lane-Allman EF, De Pauw BE. Early identification of neutropenic patients at risk of grampositive bacteraemia and the impact of empirical administration of vancomycin. Eur J Cancer. 1996 Jul;32A(8):1332-9. doi: 10.1016/0959-8049(96)00050-0.

    PubMed 8869095

Questions about this trial

What is this clinical trial studying?

An observational study of Allogenic Blood Stem Cell Transplantation and Febrile Neutropenia, run by PETHEMA Foundation at 64 sites in Spain.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 12 May 2009. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 64 sites in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00462878, which also lists 8 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 May 2009.

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