PILA trial: Levofloxacin vs piperacillin/sulbactam and sultamicillin in patients with acute cholecystitis

ISRCTN ISRCTN88750971
DOI https://doi.org/10.1186/ISRCTN88750971
Secondary identifying numbers PIL-629-WEB-0128-I
Submission date
17/03/2008
Registration date
12/06/2008
Last edited
22/05/2012
Recruitment status
Stopped
Overall study status
Stopped
Condition category
Digestive System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Andreas Weber
Scientific

Klinikum rechts der Isar
II. Medizinische Klinik
Ismaninger Str. 22
Munich
81675
Germany

Phone +49 89 4140 6323
Email Andreas.Weber@lrz.tu-muenchen.de

Study information

Study designDouble-blind, randomised, single-centre trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific title
Study acronymPILA
Study objectivesIn patients with acute cholecystitis the use of broad spectrum penicillin is generally accepted. However, due to increasing resistance and allergic reactions, other antibacterial agents may become necessary. Levofloxacin is characterized by an enhanced activity against pathogens of acute cholecystitis and by a sufficient concentration in the bile and gallbladder tissue. To evaluate the clinical efficacy of levofloxacin we perform this prospective randomised trial.

As of 22/05/2012, the anticipated end date of trial has been updated from 30/04/2010 to 16/05/2012.
Ethics approval(s)Ethics Committee of the Technical University of Munich. Date of approval: 04/03/2008.
Health condition(s) or problem(s) studiedAcute cholecystitis
InterventionControl group: Piperacillin 4 g or sulbactam 1 g intravenously (i.v.) 3 x daily for 2 days, then sultamicillin 0.75 g orally (p.o.) 2 x daily for 2 - 8 days.

Experimental group: Levofloxacin 0.5 g i.v. 1 x daily + 2 x daily placebo capsule (0.9% NaCl) for 2 days, then levofloxacin 0.5 g p.o. 1 x daily + 1 x daily placebo capsule for 2 - 8 days.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)Levofloxacin, piperacillin, sulbactam and sultamicillin.
Primary outcome measureNumber of days in hospital (in-patient)
Secondary outcome measuresThe following will be monitored during the treatment:
1. Change of antibiotic therapy
2. Duration of antibiotic therapy
3. Fever
4. Laboratory parameters
5. Complications of antibiotic therapy
Overall study start date01/04/2008
Completion date16/05/2012
Reason abandoned (if study stopped)Participant recruitment issue

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
Upper age limit90 Years
SexBoth
Target number of participants142
Key inclusion criteria1. Clinical signs of acute cholecystitis
2. Acute cholecystitis identified by transabdmonial ultrasound
3. Elevated infection parameters
4. Age 18-90 years
Key exclusion criteria1. Potential other cause of infection
2. Pregnancy
3. Psychiatric disease
4. Penicillin incompatibility
5. Fluorochinolon incompatibility
6. Renal failure
7. AIDS
8. Liver cirrhosis
9. Seizure disorder
Date of first enrolment01/04/2008
Date of final enrolment16/05/2012

Locations

Countries of recruitment

  • Germany

Study participating centre

Klinikum rechts der Isar
Munich
81675
Germany

Sponsor information

Technical University of Munich (Germany)
University/education

Ismaninger Str. 22
Munich
81675
Germany

Email Andreas.Weber@lrz.tu-muenchen.de
Website http://www.dekanat.med.tum.de
ROR logo "ROR" https://ror.org/02kkvpp62

Funders

Funder type

Industry

Sanofi Aventis (France)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan