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NCT06596096

Risk Factors for Beta-lactam Target Non Attainment in Critically Ill Patients BETALACTACRIT

Completed Last updated 9 July 2025
What this trial tests

trial in Sepsis in 300 participants. Completed in 30 June 2025.

Timeline
12 June 2023
Primary endpoint
11 June 2025
30 June 2025

Quick facts

Lead sponsorCentre Hospitalier de Saint-Brieuc
StatusCompleted
Study typeOBSERVATIONAL
Enrollment300
Start date12 June 2023
Primary completion11 June 2025
Estimated completion30 June 2025
Sites1 location across France

Conditions studied

Sponsor

Centre Hospitalier de Saint-Brieuc

Who can join

18 and older, any sex, with Sepsis. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Beta-lactams agents are time-dependent antibiotics. Their bactericidal effects are associated with the time spent above the minimal inhibitory concentration (MIC) of the bacteria. In ICU patients, many pathophysiological changes may occur, which significantly alter beta-lactam pharmacokinetics (increasing in distribution volume, hypoalbuminemia or change in glomerular filtration rate…), leading to antibiotic underexposure, which may explain some treatment failures and risk of emergence of a multi-resistant bacteria. Many guidelines advocate to reach a fixed target for the steady-state free plasma concentration of beta-lactam between 4 and 8 times of the MIC. However, clinical evidences supporting that septic patients in ICU would benefit from such optimization remain low and contradictory, and use of surrogate MICs based on critical breakpoints instead of actual MICs are significant limitations in the description of beta-lactam exposure among ICU patients with sepsis. In this study, the investigators aim to indentify profiles of intensive care unit patients which are more likely to be associated with pharmacological failure (\< 4 time the MIC of the bacteria). The investigators also aim to identify association between failure and poor clinical outcome.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

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Other recruiting trials for Sepsis

Currently open trials in the same condition.

Other Centre Hospitalier de Saint-Brieuc trials

Trials by the same sponsor.

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Data sources for this page

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