Accelerated Treatment of Endocarditis

Who is this study for? Patients with endocarditis
What treatments are being studied? Accelerated antibiotic treatment
Status: Recruiting
Location: See all (2) locations...
Intervention Type: Other
Study Type: Interventional
Study Phase: Phase 4
SUMMARY

Existing guidelines recommend a duration of antibiotic treatment of endocarditis of 4-6 weeks one or more types of intravenously administered antibiotics. The long hospitalization increases several risks for the patient, including mental strain and increased loss of function. Furthermore, it poses a significant financial burden on the health systems. Current guidelines fail to use available clinical and paraclinical, data collected from patients (echo, temperature, CRP, leukocytes, procalcitonin etc.) to determine duration of treatment. A strategy including these data in treatment algorithms ensures an individualized treatment, targeting the individual patient's course and response to treatment. Thus, the purpose of this open-label, prospective, non-inferiority, RCT study is to investigate the safety and effectiveness of shortening treatment of endocarditis based on the individual patient's initial treatment response, sampling 475 patients, approx. 125 patients with each type of bacteria (Streptococci; Enterococcus faecalis; Staphylococcus aureus).

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Admitted with left-sided infectious endocarditis (duke criteria)

• \< 14 days of relevant antibiotic treatment for endocarditis

• One of the following bacteria: Streptococci, enterococcus faecalis, staphylococcus aureus

• \> 18 years old

Locations
Other Locations
Denmark
Rigshositalet
RECRUITING
Copenhagen
Herlev Hospital
RECRUITING
Herlev
Time Frame
Start Date: 2019-04-01
Estimated Completion Date: 2026-12-31
Participants
Target number of participants: 475
Treatments
Experimental: Accelerated antibiotic treatment
Patients are treated shorter than usual
Other: Standard length of antibiotic treatment
Patients are receiving the standard length of antibiotic treatment
Related Therapeutic Areas
Sponsors
Leads: Herlev Hospital

This content was sourced from clinicaltrials.gov