Beta-lactam Plus Levofloxacin to Enhance Therapy in Streptococcal Septicemia

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18+
SponsorMahidol University

About this trial

A double-blind randomized controlled trial comparing beta-lactam plus levofloxacin versus beta-lactam monotherapy for the treatment of Streptococcal bacteremia

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adults age>18 years

Blood culture positive for Streptococcus (<72 hours before enrollment)

at least 1 bottle of S. pyogenes, S. agalactiae, S. pneumoniae, S. suis

at least 2 bottle of other Streptococci

Disqualifiers

Known allergy to beta-lactam or fluroquinolone antibiotics

Pregnancy or lactating mother

EKG with QT prolongation

Diagnosis of infective endocarditis

Trial design

Design model

Parallel

Treatments tested in this trial

  • Beta-lactam monotherapy

    Drug

    Normal saline placebo

  • Beta-lactam plus levofloxacin combination therapy

    Drug

    IV Levofloxacin

Treatment groups

165 Participants
are divided into 2 treatment groups
Group A: Beta-lactam monotherapyPlacebo comparator 1 intervention
Group B: Levofloxacin combination therapyExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Composite endpointof unfavorable outcome

a composite endpoint comprising persistent bacteremia lasting more than 5 days, 28-day all-cause mortality, and the development of new metastatic foci within 28 days from infection onset

Time frame
28 days after the onset of infection

Secondary outcomes

1

Duration of bacteremia

Duration of bacteremia

Time frame
28 days after the onset of infection

Other outcomes

Sponsors and contacts

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