| CTRI Number |
CTRI/2024/02/062846 [Registered on: 19/02/2024] Trial Registered Prospectively |
| Last Modified On: |
07/02/2025 |
| Post Graduate Thesis |
No |
| Type of Trial |
Observational |
|
Type of Study
|
Cohort Study |
| Study Design |
Other |
|
Public Title of Study
|
To assess the effectiveness of different antibiotics in lung and blood infections caused by carbapenem resistant bacteria |
|
Scientific Title of Study
|
A retrOspective, multi-centre study to evalUate the effecTiveness of different antibiotics/ Combinations being used in patients with bloOd stream infection and/ or hospital acquired pneuMonia caused by CRE (Klebsiella pneumoniae, Escherichia coli), CRAB & CRPA. |
| Trial Acronym |
OUTCOME |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| OUTCOME STUDY, Version 2.0, Dated 3rd January 2024 |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Dr Deepak Govil |
| Designation |
Vice Chairman - Critical Care Medicine |
| Affiliation |
Medanta The Medicity, Gurgaon, |
| Address |
ICU 9, 10, and 11
Medanta the medicity
Sector 38 Gurgaon Haryana 122001
Gurgaon HARYANA 122001 India |
| Phone |
9818056688 |
| Fax |
|
| Email |
drdeepak_govil@yahoo.co.in |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Deepak Govil |
| Designation |
Vice Chairman - Critical Care Medicine |
| Affiliation |
Medanta, The Medicity, Gurgaon |
| Address |
ICU 9, 10, and 11
Medanta the medicity
Sector 38 Gurgaon Haryana 122001
Gurgaon HARYANA 122001 India |
| Phone |
9818056688 |
| Fax |
|
| Email |
drdeepak_govil@yahoo.co.in |
|
Details of Contact Person Public Query
|
| Name |
Dr Deepak Govil |
| Designation |
Vice Chairman - Critical Care Medicine |
| Affiliation |
Medanta, The Medicity, Gurgaon |
| Address |
ICU 9, 10, and 11
Medanta the medicity
Sector 38 Gurgaon Haryana 122001
Gurgaon HARYANA 122001 India |
| Phone |
9818056688 |
| Fax |
|
| Email |
drdeepak_govil@yahoo.co.in |
|
|
Source of Monetary or Material Support
|
| Medanta the medicity
sector 38 Gurgaon Haryana |
|
|
Primary Sponsor
|
| Name |
Dr Deepak Govil |
| Address |
Medanta the medicity
Sector 38 Gurgaon Haryana 122001 |
| Type of Sponsor |
Other [Self] |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
Sites of Study
Modification(s)
|
| No of Sites = 17 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Neeraj Kumar |
All India Institute of Medical Sciences Patna |
Phulwarisharif Patna Bihar 801507 India Patna BIHAR |
8210104972
drneerajk@aiimspatna.org |
| Dr Anand Gupta |
Asian Institute of Gastroenterology |
6 3 661 Somajiguda Hyderabad 500082 Hyderabad TELANGANA |
9313392757
drandygrmc@gmail.com |
| Dr Sarita Kumari |
Banaras Hindu University Institute of Medical Sciences |
Banaras Hindu University Institute of Medical Sciences Varanasi 221005 Varanasi UTTAR PRADESH |
7217647725
drsarita.anesthesia@gmail.com |
| Dr Neeraj Tulara |
Dr L H Hiranandani Hospital |
Hillside Avenue Hiranandani Garden Powai Mumbai 400076 Mumbai MAHARASHTRA |
9833552955
drntulara@rediffmail.com |
| Dr Vaibhav Bhargava |
Fortis Escorts Hospital |
Jawhar Lal Nehru Marg Malviya Nagar Jaipur 302017 Jaipur RAJASTHAN |
9928787788
drvaibhav79@gmail.com |
| Dr Akshay H M |
JSS Medical College |
Sri Shivarathreeshwara Nagara, Mysuru 570 015 Karnataka Mysore KARNATAKA |
988622812
hmmakshay@gmail.com |
| Dr Subhash Todi |
Manipal Hospitals East India Private Limited |
P 4 and 5 CIT Scheme LXXII Block A Gariahat Road Dhakuria Kolkata 700029 Kolkata WEST BENGAL |
9831202040
drsubhashtodi@gmail.com |
| Dr Y P Singh |
Max Super Speciality Hospital |
108 A Indraprastha Ext Patparganj Delhi 110092 East DELHI |
8800531155
ypsinghmrt@gmail.com |
| Dr Vivek Nangia |
Max Super Speciality Hospital Saket |
Max Super Speciality Hospital West Block Saket 1 Press Enclave Road Saket New Delhi 110017 New Delhi DELHI |
9810048885
Vivek.Nangia@maxhealthcare.com |
| Dr Smita Jain |
Medanta Hospital, Indore |
Plot No. 8, PU4, Scheme no. 54, Vijay Nagar Square, A B Road, Indore, 452010, India Indore MADHYA PRADESH |
9425900760
Smita.Jain@medanta.org |
| Dr Deepak Govil |
Medanta the medicity |
Medanta the medicity
Sector 38 Gurgaon Haryana 122001 Gurgaon HARYANA |
9818056688
drdeepak_govil@yahoo.co.in |
| Dr Ritu Chopra |
O.P JINDAL INSTITUTE OF CANCER AND CARDIAC AND RESEARCH |
O.P JINDAL INSTITUTE OF CANCER AND CARDIAC AND RESEARCH
MODEL TOWN
HISAR
HARYANA 125005 Hisar HARYANA |
9896539130
rituchopra3@yahoo.com |
| Dr Kapil Zirpe |
Ruby Hall Clinic |
40 Sassoon Road Pune 411001 Pune MAHARASHTRA |
9822844212
kapilzirpe@gmail.com |
| Dr Sanjith Saseedharan |
S L Raheja Hospital |
Raheja Rugnalaya Marg Mahim West Mahim Mumbai Maharashtra 400016 Mumbai MAHARASHTRA |
9004479549
docsanjith@rediffmail.com |
| Dr Subhal Dixit |
Sanjeevan Hospital |
Plot No 23 Off Karve Road Erandwane Pune Maharashtra 411011 Pune MAHARASHTRA |
9822050240
subhaldixit@yahoo.com |
| Dr Atul Kulkarni |
Tata Memorial Hospital |
Department of Anaesthesia Critical Care and Pain Tata Memorial Hospital Dr E Borges Road Parel Mumbai 400012 Mumbai MAHARASHTRA |
9869077526
kaivalyaak@yahoo.co.in |
| Dr Madhusudan R Jaju |
Yashoda Academy of Medical Education and Research |
Yashoda Hospital Behind Harihara Kala Bhavan Secunderabad 500003 Hyderabad TELANGANA |
8668459383
madhu_jaju123@rediffmail.com |
|
Details of Ethics Committee
Modification(s)
|
| No of Ethics Committees= 17 |
| Name of Committee |
Approval Status |
| Institutional Ethics Committee Biomedical and Health Research PMRF |
Approved |
| Institutional Ethics Committee Institute of Medical Sciences Banaras Hindu University |
Approved |
| Institutional Ethics Committee Yashoda Academy of Medical Education and Research |
Approved |
| Institutional Ethics Committee AIIMS Patna |
Approved |
| Institutional Ethics Committee AMRI HOSPITALS |
Approved |
| Institutional Ethics Committee Asian Institute of Gastroenterology IEC AIG |
Approved |
| Institutional Ethics Committee Balaji Medical & Diagnostic Research Center |
Approved |
| Institutional Ethics Committee Dr. L H Hiranandani Hospital |
Approved |
| Institutional Ethics Committee Fortis Hospital, Jaipur |
Approved |
| Institutional Ethics Committee J.S.S Medical College |
Approved |
| Institutional Ethics Committee OPJICACRE HISAR |
Approved |
| Institutional Review Board S L Raheja Hospital |
Approved |
| Integrity Ethics Committee Care CHL Hospitals |
Approved |
| Jivanrekha Institutional Ethics Committee |
Approved |
| Max Healthcare Ethics Committee |
Approved |
| Medanta Institutional Ethics Committee |
Approved |
| Tata Memorial Hospital Institutional Ethics Committee |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: A415||Sepsis due to other Gram-negativeorganisms, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
NA |
NA |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
90.00 Year(s) |
| Gender |
Both |
| Details |
Adult more than 18 years of age with confirmed culture based diagnosis of hospital acquired pneumonia (HAP) (pneumonia developing at least 48 hours after hospital admission) and / or blood stream infection caused by CRE (Klebsiella pneumoniae, Escherichia coli) CRAB & CRPA
Received antibiotic mono and or combination therapy for at-least 48 hours as per clinician’s discretion |
|
| ExclusionCriteria |
| Details |
Culture positive from any site other than blood stream/ pneumonia.
Any organism other than CRE (Klebsiella pneumoniae, Escherichia coli), CRAB & CRPA isolated within 14 days of initiation/ EOT of antibiotic therapy
|
|
|
Method of Generating Random Sequence
|
Not Applicable |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
1. Clinical outcomes of patient with BSI
2. Clinical outcomes of patient with HAP
3. Clinical outcomes of patient with HAP plus BSI
4. Microbiological outcome in patients with BSI
5. Microbiological outcome in patients with HAP
6. Microbiological outcome in patients with HAP plus BSI |
Day 7 and day 14 or EOT from the initiation of antibiotic mono-/ combination therapy
|
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
1. Duration of invasive mechanical ventilation (hours)
2. Duration of vasopressor requirement (hours)
3. Need for RRT (Yes/No)
4. Length of hospital stay
5. Length of ICU stay
6. ICU outcome
7. Hospital outcome
|
7 days and 14 days or end of treatment |
|
|
Target Sample Size
|
Total Sample Size="3000" Sample Size from India="3000"
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
|
N/A |
|
Date of First Enrollment (India)
|
29/02/2024 |
| 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="0" Days="0" |
Recruitment Status of Trial (Global)
Modification(s)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Open to Recruitment |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
|
Brief Summary
|
This
is a retrospective, multi-centre study
to evaluate the effectiveness of different antibiotics/ combinations being used
in patients with blood stream infection and/ or hospital acquired pneumonia caused by CRE (carbapenem resistant
enterobacterales-Klebsiella pneumoniae, Escherichia coli), CRAB (Carbapenem
resistant Acinetobacter baumanii) & CRPA (carbapenem resistant Pseudomonas
aeruginosa). Inclusion criteria for the study includes, adults (≥18
years of age inclusive) with confirmed culture based diagnosis of hospital
acquired pneumonia (HAP) (pneumonia developing
at least 48 hours after hospital admission) and or blood stream infection caused
by CRE (Klebsiella pneumoniae, Escherichia coli), CRAB & CRPA, and those
who have received antibiotic mono-/ combination therapy for at-least 48hours as
per clinician’s discretion. Exclusion criteria includes, culture positive from
any site other than blood stream/ pneumonia; any organism other than CRE
(Klebsiella pneumoniae, Escherichia coli), CRAB & CRPA isolated within 14
days of initiation/ EOT of antibiotic therapy. Primary outcomes of the study are
‘clinical outcomes of patient with BSI at Day 7 and day 14/EOT from the
initiation of antibiotic mono-/ combination therapy’; ‘clinical outcomes of
patient with HAP at Day 7 and day 14/EOT from the initiation of antibiotic
mono-/ combination therapy’; clinical outcomes of patient with HAP plus BSI at
Day 7 and day 14/EOT from the initiation of antibiotic mono-/ combination
therapy’; ‘microbiological outcome in patients with BSI at Day 7 and day 14/EOT
from the initiation of antibiotic mono-/ combination therapy, (if available)’; ‘microbiological outcome in patients with HAP at
Day 7 and day 14/EOT from the initiation of antibiotic mono-/ combination
therapy, (if available)’; ‘microbiological
outcome in patients with HAP plus BSI at Day 7 and day 14/EOT from the
initiation of antibiotic mono-/ combination therapy, (if available)’. Secondary
outcomes of the study are duration of invasive mechanical ventilation, duration
of vasopressor requirement, need for renal replacement therapy, length of
hospital stay, length of ICU stay, ICU outcome, and hospital outcome. |