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Multicentric, randomized, comparative, open-labeled trial of a fixed dose combination of cefepime and amikacin versus cefepime alone in nosocomial pneumonia
ISRCTN ISRCTN65171867
ClinicalTrials.gov identifier
Public title Multicentric, randomized, comparative, open-labeled trial of a fixed dose combination of cefepime and amikacin versus cefepime alone in nosocomial pneumonia
Scientific title
Acronym RCCT
Serial number at source 06-PLCT-CT-00037
Study hypothesis The objective of the trial was to compare the efficacy and safety of cefepime and amikacin fixed dose combination with cefepime alone in patients with nosocomial pneumonia.
Lay summary
Ethics approval Approval given by Institutional Ethics Committee, reference number: Ct/ca/01
Study design Open-labeled, randomized controlled clinical trial
Countries of recruitment India
Disease/condition/study domain Nosocomial pneumonia
Participants - inclusion criteria Participants included were 200 patients infected with nosocomial pneumonia showing presence of pus cells more than 25 high power fields (HPF) and buccal epithelial cells less than 10 HPF
Participants - exclusion criteria 1. Hypersensitivity to cefepime, amikacin or related drugs
2. Children or adolescents less than 18 years of age
3. Pregnant women
4. Patients with renal or hepatic insufficiency
5. Patients not willing to give written informed consent
Anticipated start date 01/11/2005
Anticipated end date 31/03/2006
Status of trial Completed
Patient information material
Target number of participants 200
Interventions 100 Patients were treated with cefepime and amikacin fixed-dose combination (FDC) 2.5 g twice a day (bid) and 100 patients received cefepime 2 g bid for 7-10 days
Primary outcome measure(s) Outcome of therapy was based on clinical evaluation and bacteriological evaluation. Bacteriological evaluation was in terms of presence or absence of bacteria in sputum.
Secondary outcome measure(s) The cure rate was 65% in the cefepime and amikacin FDC group while clinical improvement was noticed in 24% of the patients. In the group treated with cefepime alone, the cure rate was 44%, while 27% showed clinical improvement. Mild adverse reactions were noticed in both groups.
Sources of funding Venus Remedies Limited
Trial website
Publications
Contact name Prof  K.C  Mohanty
  Address Professor and Head
K.J.Somaiya Medical Hospital and Research Centre
Department of Chest Medicine
  City/town Mumbai
  Zip/Postcode 400022
  Country India
Sponsor Venus Remedies Limited (India)
  Address Intellectual Scientific Division
Research and Development Centre
51-52 Industrial Area
Phase-1
Panchkula
  City/town Haryana
  Zip/Postcode 134113
  Country India
  Tel +91 17 22561244
  Fax +91 17 22565566
  Email operations@venusremedies.com
  Sponsor website: http://www.venusremedies.com
Date applied 06/06/2006
Last edited 26/06/2006
Date ISRCTN assigned 23/06/2006
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