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.
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
- Conditions the study is for
- Allogenic Blood Stem Cell Transplantation, Febrile Neutropenia
- 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
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.
- First posted19 Apr 2007 (estimated)
- Study startNov 2002
- Study completionApr 2009
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (8)Papers the sponsor has linked to this study.
- Other trials for Allogenic Blood Stem Cell TransplantationStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- PETHEMA Foundation
- Sponsor type
- University, hospital or other
- Investigators
- Sanz Miguel Angel, Doctor, Principal investigator, Hospital La Fe
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 8957718Jarque 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 10605194Klastersky 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 9702394Hughes 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 11850858Koya 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 9613785Celebi 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 10918433Smith 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 10021469Dompeling 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
Study at a glance
From the registry record, last updated by the sponsor on 12 May 2009. Recruitment status is as the sponsor reported it: confirm with the study team.
- 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
- ClinicalTrials.gov ID
- NCT00462878
- Acronym / sponsor ID
- MERONEM / 03-2002-GTA
- Keywords
- Febrile neutropenia
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 392 participants (estimated)
- Lead sponsor
- PETHEMA FoundationUniversity, hospital or other
- Study start
- Nov 2002
- Study completion
- Apr 2009 (actual)
- First posted
- 19 Apr 2007 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Observational study to compare the treatment in neutropenic patients after allogenic blood stem cell transplantation, with meropenem or meropenem plus glycopeptide.
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)
Study design
- Observational model
- Case only
- Time perspective
- Prospective
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- 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)
Key inclusion criteria (5 listed)
- 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.
Key exclusion criteria (5 listed)
- 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
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Meropenemantibiotic | Drug | – |
| VancomycinAntibiotic | Drug | – |
| TeicoplaninAntibiotic | Drug | – |
Primary outcome
Not reported in the source record.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 May 2009.
- Background: PubMed 8957718Cometta 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.
- Background: PubMed 10605194Jarque 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.
- Background: PubMed 9702394Klastersky 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.
- Background: PubMed 11850858Hughes 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.
- Background: PubMed 9613785Koya 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.
- Background: PubMed 10918433Celebi 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.
- Background: PubMed 10021469Smith 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.
- Background: PubMed 8869095Dompeling 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.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Sanz Miguel Angel, Doctor principal investigator
Hospital La Fe
64 sites in 1 country: see every site and its status.
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.