a safety and efficacy study of doripenem in participants with nosocomial pneumonia, complicated intra-abdominal infections and urinary tract infections

Conditions: Infection; Cross Infection; Bacterial Infections; Pneumonia, Ventilator-Associated; Intra-abdominal Infections; Urinary Tract Infections

Summary: the purpose of this study is to assess the safety and efficacy of doripenem in participants with nosocomial pneumonia (inflammation of the lungs in which the lungs become heavy; pneumonia occurring at least 48 hours after hospital admission), complicated intra-abdominal (in belly) infections and complicated urinary tract infections (bladder infections).

this is an open-label (all people involved know the identity of the intervention), multi-center (conducted in more than 1 center) study, to evaluate the safety and effectiveness of doripenem in treating thai participants with nosocomial pneumonia, complicated intra-abdominal and urinary tract infections. the study consists of 4 visits: visit 1 (baseline), visit 2 (end-of-treatment \[eot\], up to day 14), visit 3 (phone visit, test-of-cure \[toc\], up to day 14 after eot) and visit 4 (phone visit, day 90). participants will receive 500 milligram (mg) of doripenem as intravenous infusion (directly into the vein) every 8 hours for at least 3 days after clinical response and extended up to 14 days. efficacy will primarily be evaluated by determination of clinical response. participants' safety will be monitored throughout the study.

Eligibility criteria:
eligibility criteria: inclusion criteria: * male or female participants with 18 years old age and above * diagnosed nosocomial pneumonia, complicated intra-abdominal infections and complicated urinary tract infections * must have evidence of a systemic inflammatory response syndrome with at least one of the these: fever (body temperature greater than 38 degree celcius) or hypothermia (body temperature less than 36 degree celcius) or elevated total peripheral white blood cell count greater than or equal to 12,000 cells per cubic millimeter or leukopenia with less than 4,000 cells per cubic millimeter or decrease in blood pressure relative to baseline of greater than 15 millimeter of mercury systolic or increased pulse greater than 100 beats per minute (bpm) and respiratory rates greater than 20 bpm * candidate for treatment with carbapenems, with at least one of these conditions: empirical therapy; suspected infection caused by carbapenem susceptible p. aeruginosa or carbapenem-susceptible a. baumannii or mdr gram negative bacteria or nosocomial infection with failure of previous treatment or modified therapy; known pathogens with resistance to cephalosporins,aminoglycosides, fluoroquinolones or beta-lactam/ batalactamase intibitor and susceptible to carbapenem or known infection caused by gram negative bacteria * signed informed consent exclusion criteria: * pregnant or lactating female participants * history of severe allergies to antibiotics such as penicillins, cephalosporins and carbapenems * hypersensitivity to doripenem and/or excipients * previous use of carbapenems within 7 days of study entry * participants in terminal stage of malignancy

Keywords: pneumonia, ventilator-associated intra-abdominal infections urinary tract infections doripenem doribax