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CTRI Number  CTRI/2012/04/002558 [Registered on: 10/04/2012] Trial Registered Retrospectively
Last Modified On: 09/04/2012
Post Graduate Thesis  No 
Type of Trial  PMS 
Type of Study   Drug
Other (Specify) 
Study Design  Single Arm Study 
Public Title of Study   A post marketing surveillance study to evaluate safety and efficacy of fixed dose combination of Ceftriaxone + Sulbactam (Sulbactomax) in patients with various bacterial infections  
Scientific Title of Study   A open label, observational, multicenter, prospective, post marketing surveillance study (PMS) to evaluate safety and efficacy of sulbactomax (FDC of Ceftriaxone + Sulbactam) in patients with various bacterial infections  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Mahip Saluja 
Designation  Principal Investigator  
Affiliation  Subharti medical college 
Address  Associate Professor, department of pulmonary medicine, Subharti medical college Meerut

Meerut
UTTAR PRADESH
250001
India 
Phone  09837360657  
Fax    
Email  drmahip@hotmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Mufti Suhail Sayeed 
Designation  Vice President(R &D) 
Affiliation  Venus Remedies Limited  
Address  Venus Remedies Limited Hill Top Industrial Area, EPIP Phase-1 Ex.Jharmajri Village Bhatoli Kalan,Baddi (Dist Solan),Himachal Pradesh:173205 India
Venus Remedies Limited Plot No: 51-52 Industrial Area Phase-1 Panchkula (Haryana):134113, India
Solan
HIMACHAL PRADESH
173205
India 
Phone  09318989301  
Fax  01795271272  
Email  vp.vmrc@venusremedies.com  
 
Details of Contact Person
Public Query
 
Name  Mr Pushpraj Singh 
Designation  A.M. (VCRS-R&D) 
Affiliation  Venus Clinical Research Services  
Address  Venus Remedies Limited Hill Top Industrial Estate Near Jharmajri, E.P.I.P., Phase-I, (Extention) Village Bhatoli Kalan Baddi, Himachal Pradesh
Venus Remedies Limited, Plot no-51-52 Phase-1 Industrial Area, Panchkula
Solan
HIMACHAL PRADESH
173205
India 
Phone  01795302024  
Fax  01795271272  
Email  cra3@venusremedies.com  
 
Source of Monetary or Material Support  
Venus Remedies Limited Hill Top Industrial Estate Near Jharmajri, E.P.I.P., Phase-I, (Extention) Village Bhatoli Kalan Baddi, Himachal Pradesh Pin code: 173 205, India  
 
Primary Sponsor  
Name  Venus Remedies Limited  
Address  Plot No-51-52 Industrial Area Phase-1 Panchkula -134113 Haryana (India)  
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 5  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Vikram Singh  Aarvy Hospital  Dr. Vikram Singh Dpartment of Surgery Aarvy Hospital, 530/18, Civil Lines, Opp. Nehru Stadium, Gurgaon (Haryana)
Gurgaon
HARYANA 
09810869543

vikram@aarvyhospital.com 
Dr Parag Sharma  Devnandani Hospital  Dr. Parag Sharma Department of Medicine, Devnandani Hospital, Garh Road, Hapur (U.P.)
Ghaziabad
UTTAR PRADESH 
09258041987

drparagsharma@gmail.com 
Dr Arvind Jain   Dr. Arvind Jain Clinic   Dr. Arvind Jain Consultant Physician, 4/18, Bhag Farzana, Civil Lines, Agra (U.P.)
Agra
UTTAR PRADESH 
09837500610

arvindjain16@hotmail.com 
Dr Dharmendra Kumar Singh  Pushpanjali Hospital  Dr. Dharmendra Kumar Singh Pushpanjali Hospital, John Hall Road, Civil Lines, Gurgaon (Haryana).
Gurgaon
HARYANA 
09910061615

dkdharmu35@rediffmail.com 
Dr Mahip Saluja  Subharti Medical College & Hospital  Dr. Mahip Saluja Professor, Department of Respiratory Medicine Subharti Medical College and Hospital, Meerut (U.P)
Meerut
UTTAR PRADESH 
09837360657

drmahip@hotmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 5  
Name of Committee  Approval Status 
EC_CKTRI_Approval1  Approved 
EC_CKTRI_Approval3  Approved 
EC_CKTRI_Approval4  Approved 
EC_CKTRI_Approval6  Approved 
EC_CKTRI_Approval8  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  LRTI, UTI, BACTERIAL MENINGITIS, BACTERIAL SEPSIS, SKIN AND SOFT TISSUE INFECTION, GONORRHOEA, OTITIS MEDIA, SURGICAL PROPHYLAXIS, ENTERIC FEVER (TYPHOID FEVER), BONE AND JOINT INFECTIONS,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  SULBACTOMAX  1.5 GM BD I.V. Total Duration of Therapy for 3-10 days  
 
Inclusion Criteria  
Age From  1.00 Day(s)
Age To  99.00 Year(s)
Gender  Both 
Details  Inclusion criteria for LRTI:
•All age groups included (Pediatric, Adult and Geriatric)
•Subject is willing to participate as evidenced by signing the written informed
consent form. LAR shall sign the ICF in case of illiterate subjects.
•New or increased respiratory signs or symptoms (i.e., cough, sputum
production, dyspnea, auscultatory findings of abnormal breath sounds and
rales, pleuritic chest pain) with or without inflammatory signs
•Presence of an abnormal chest x-ray (CXR)
•Acute exacerbations of Chronic obstructive pulmonary disease (COPD) due
to infection
Inclusion criteria for UTI:
•All age groups included (Pediatric, Adult and Geriatric)
•Subject is willing to participate as evidenced by signing the written informed
consent form. LAR shall sign the ICF in case of illiterate subjects.
•Subject has a clinically suspected and /or bacteriologically documented
urinary tract infections (upper or lower) with or without complications.
•Clinical signs with one or more symptoms of UTI (e.g., dysuria, frequency,
urgency, suprapubic / flank pain, pyuria).
Inclusion criteria for bacterial meningitis:
•All age groups included (Pediatric, Adult and Geriatric)
•Subject is willing to participate as evidenced by signing the written informed
consent form. LAR shall sign the ICF in case of illiterate subjects or subjects
with impaired consciousness.
•Clinical history, signs and symptoms of acute or sub-acute bacterial
meningitis, judged by the treating physician empirically or on the basis of CSF
culture to be requiring treatment with Sulbactomax.
Inclusion criteria for Bacterial Sepsis:
•All age groups included (Pediatric, Adult and Geriatric)
•Subject is willing to participate as evidenced by signing the written informed
consent form. LAR shall sign the ICF in case of illiterate subjects or subjects
with impaired consciousness.
•Clinical history, signs, symptoms and laboratory investigations suggestive of
symptomatic bacteremia, with or without organ dysfunction, judged by the
treating physician empirically or on the basis of blood culture to require
treatment with Sulbactomax.
Inclusion criteria for skin and soft tissue infection:
•All age groups included (Pediatric, Adult and Geriatric)
•Subject is willing to participate as evidenced by signing the written informed
consent form. LAR shall sign the ICF in case of illiterate subjects or subjects
with impaired consciousness.
•Clinical history, signs, symptoms and laboratory investigations suggestive of
skin and soft tissue infection, judged by the treating physician empirically or
on the basis of blood culture to require treatment with Sulbactomax.
Inclusion criteria for Gonorrhoea:
•All age groups included (Pediatric, Adult and Geriatric)
•Subject is willing to participate as evidenced by signing the written informed
consent form. LAR shall sign the ICF in case of illiterate subjects or subjects
with impaired consciousness.
•Clinical history, signs, symptoms and laboratory investigations suggestive of
gonorrhoea, judged by the treating physician empirically or on the basis of
culture to require treatment with Sulbactomax.
Inclusion criteria for otitis media:
•All age groups included (Pediatric, Adult and Geriatric)
•Subject is willing to participate as evidenced by signing the written informed
consent form. LAR shall sign the ICF in case of illiterate subjects or subjects
with impaired consciousness.
•Clinical history, signs, symptoms and laboratory investigations suggestive of
otitis media, judged by the treating physician empirically or on the basis of
culture to require treatment with Sulbactomax.
Inclusion criteria for surgical prophylaxis:
•All age groups included (Pediatric, Adult and Geriatric)
•Subject is willing to participate as evidenced by signing the written informed
consent form. LAR shall sign the ICF in case of illiterate subjects or subjects
with impaired consciousness.
•Pre-, peri-, or postoperative antibiotic prophylaxis
Inclusion criteria for Enteric fever (Typhoid fever)
•All age groups included (Pediatric, Adult and Geriatric)
•Subject is willing to participate as evidenced by signing the written informed
consent form. LAR shall sign the ICF in case of illiterate subjects or subjects
with impaired consciousness.
•Clinical history, signs, symptoms and laboratory investigations suggestive of
enteric fever, judged by the treating physician empirically or on the basis of
culture to require treatment with Sulbactomax.
Inclusion criteria for bone and joint infections:
•All age groups included (Pediatric, Adult and Geriatric)
•Subject is willing to participate as evidenced by signing the written informed
consent form. LAR shall sign the ICF in case of illiterate subjects or subjects
with impaired consciousness.
•Clinical history, signs, symptoms and laboratory investigations suggestive of
bone and joint infections (osteomyelitis, septic arthritis, etc.), judged by the
treating physician empirically or on the basis of culture to require treatment
with Sulbactomax.
 
 
ExclusionCriteria 
Details  Exclusion criteria for LRTI:
•Any known hypersensitivity to active ingredients of SulbactomaxTM.
•Subject undergoing treatment with other active drug.
•Pulmonary embolism
•Active pulmonary tuberculosis
•Aspiration pneumonia
•Acute bronchial asthma without signs of lower respiratory tract infection
•Pulmonary oedema
•Subdiaphragmatic collection
•Cryptogenic Organising Pneumonitis (COP) and BOOP (Bronchiolitis
Obliterans Organising Pneumonia)
•Occupational lung diseases
•Lung Neoplasms
Exclusion criteria for UTI:
•Subject has complete obstruction of any portion of the urinary tract.
•Any known hypersensitivity to active ingredients of SulbactomaxTM.
•Subject undergoing treatment with other active drug.
•Sexually transmitted diseases (STDs).
•Sterile pyuria.
•Pelvic inflammatory disease.
•Chemical cystitis.
•Neoplasms of the Urinary tract.
Exclusion criteria for bacterial meningitis:
•Any known hypersensitivity to active ingredients of SulbactomaxTM.
•Subject undergoing treatment with other active drug of the cephalosporin
class
•Noninfectious meningitis, including medication-induced meningeal
inflammation
•Meningeal carcinomatosis
•Brain Neoplasms
•CNS vasculitis
•Stroke
•Encephalitis
•Leptospirosis
•Subdural empyema
•Subarachnoid Hemorrhage
•Brain Abscess
•Delirium tremens (DT)
•All causes of altered mental status and coma except meningitis
Exclusion criteria for Bacterial Sepsis:
•Any known hypersensitivity to active ingredients of SulbactomaxTM.
•Subject undergoing treatment with other active drug of the cephalosporin
class
•Pseudosepsis
Exclusion criteria for skin and soft tissue infection:
•Any known hypersensitivity to active ingredients of SulbactomaxTM.
•Subject undergoing treatment with other active drug
•Cutaneous neoplasms
Exclusion criteria for Gonorrhoea:
•Any known hypersensitivity to active ingredients of SulbactomaxTM.
•Subject undergoing treatment with other active drug
Exclusion criteria for otitis media:
•Any known hypersensitivity to active ingredients of Sulbactomax.
•Subject undergoing treatment with other active drug
Exclusion criteria for surgical prophylaxis:
•Any known hypersensitivity to active ingredients of Sulbactomax.
•Subject undergoing treatment with other active drug
Exclusion criteria for Enteric fever (Typhoid fever) :
•Any known hypersensitivity to active ingredients of Sulbactomax.
•Subject undergoing treatment with other active drug
Exclusion criteria for bone and joint infections:
•Any known hypersensitivity to active ingredients of Sulbactomax.
•Subject undergoing treatment with other active drug of the cephalosporin class. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To obtain safety information on the use of SulbactomaxTM (ceftriaxone + sulbactam) in subjects with Lower respiratory tract, Urinary tract infections, Bacterial meningitis, Bacterial Sepsis, Skin and soft tissue infection, Gonorrhoea, Otitis media, Surgical prophylaxis, Enteric fever (Typhoid fever), Bone and joint infections.   the safety data will be gather from each patients receiving sulbactomax as per study calender. Study outcome will be measured on yearly basis or completion of specified patients in the PMS study. 
 
Secondary Outcome  
Outcome  TimePoints 
To monitor the therapeutic outcome of SulbactomaxTM (FDC of ceftriaxone + sulbactam) in subjects with Lower respiratory tract ,Urinary tract infections, Bacterial meningitis, Bacterial Sepsis, Skin and soft tissue infection, Gonorrhoea, Otitis media, Surgical prophylaxis, Enteric fever (Typhoid fever), Bone and joint infections.  Observed of Clinical Cure rate at the end of treatment  
 
Target Sample Size   Total Sample Size="2500"
Sample Size from India="2500" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Post Marketing Surveillance 
Date of First Enrollment (India)   31/03/2011 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary   The study is open labeled, observational, multicenter, prospective, post marketing surveillance study (PMS) to evaluate safety and efficacy of Sulbactomax in patients suffering from various bacterial infections. Primary out come measures will be  obtain safety information on the use of SulbactomaxTM (ceftriaxone + sulbactam) in subjects with Lower respiratory tract, Urinary tract infections, Bacterial meningitis, Bacterial Sepsis, Skin and soft tissue infection, Gonorrhoea, Otitis media, Surgical prophylaxis, Enteric fever (Typhoid fever), Bone and joint infections. i.e. Number of patients cured on completion of treatment. Secondary Outcome shall measure to monitor the therapeutic outcome of SulbactomaxTM (FDC of ceftriaxone + sulbactam) in subjects with Lower respiratory tract ,Urinary tract infections, Bacterial meningitis, Bacterial Sepsis, Skin and soft tissue infection, Gonorrhoea, Otitis media, Surgical prophylaxis, Enteric fever (Typhoid fever), Bone and joint infections.

Primary end point will measure to Incidence of adverse events (AEs) and incidence of discontinuation due to AEs. Secondary end point will measure  to Observed of Clinical Cure rate at the end of treatment.



 
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