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Trial registered on ANZCTR
Registration number
ACTRN12613001205729
Ethics application status
Not yet submitted
Date submitted
29/10/2013
Date registered
4/11/2013
Date last updated
4/11/2013
Type of registration
Prospectively registered
Titles & IDs
Public title
Effect of probenecid on boosting cephalexin pharmacokinetics in healthy volunteers
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Scientific title
Effect of probenecid on cephalexin pharmacokinetics in healthy volunteers
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Secondary ID [1]
283472
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nil
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Universal Trial Number (UTN)
U1111-1149-5732
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Antibiotic pharmacokinetics
290387
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Condition category
Condition code
Infection
290780
290780
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0
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Other infectious diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
A single simultaneous dose of probenecid 500 mg orally and cephalexin 1 g orally. Treatment will be directly observed by the lead investigator
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Intervention code [1]
288182
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Treatment: Drugs
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Comparator / control treatment
A single dose of cephalexin 1 g orally. Treatment will be directly observed by the lead investigator. The intervention and control treatments will be 7 days apart.
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Control group
Active
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Outcomes
Primary outcome [1]
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Serum concentration of free and protein-bound cephalexin, measured by liquid chromatography-mass spectrometry
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Assessment method [1]
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Timepoint [1]
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Tests at baseline, 30 min, 1 hour, 90 min, 2 hours, 150 min, 3 hours, 4 hours, 6 hours, 8 hours and 12 hours
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Secondary outcome [1]
305263
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Side effects (e.g., nausea, rash, headache), measured by questionnaire and direct observation by lead investigator
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Assessment method [1]
305263
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Timepoint [1]
305263
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Monitored continually for 12 hours
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Eligibility
Key inclusion criteria
Adult
Healthy
Taking no other medication
Normal renal function
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Minimum age
18
Years
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Maximum age
40
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Allergy to cephalosporins, penicillins
Pregnant
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Subjects are volunteers
Each subject will be screened to make sure he or she meets the study criteria
The intervention treatment (probenecid and cephalexin) will be given on one study day and the control treatment (cephalexin alone) will be given on another study day
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
There is no randomisation
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people administering the treatment/s
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Intervention assignment
Crossover
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Other design features
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Phase
Phase 1
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Type of endpoint/s
Pharmacokinetics
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Statistical methods / analysis
Repeated measures1 way ANOVA
post-hoc Tukey’s test
(bio)equivalence testing if no differences
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
19/01/2014
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
10
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
5541
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New Zealand
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State/province [1]
5541
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Funding & Sponsors
Funding source category [1]
288179
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Charities/Societies/Foundations
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Name [1]
288179
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Nelson Hospital Research and Education Trust Fund
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Address [1]
288179
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c/o Bruce King
Medical Outpatient Clinic
Nelson Hospital
Private Bag 18
Nelson 7010
New Zealand
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Country [1]
288179
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New Zealand
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Primary sponsor type
Individual
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Name
Richard Everts
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Address
Infectious Diseases Physician and Medical Microbiologist
Nelson Bays Primary Health
PO Box 1776
Nelson 7040
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Country
New Zealand
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Secondary sponsor category [1]
286902
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None
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Name [1]
286902
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Address [1]
286902
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Country [1]
286902
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Other collaborator category [1]
277670
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Individual
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Name [1]
277670
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Professor Steve Chambers
Infectious Diseases Specialist
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Address [1]
277670
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Department of Infectious Diseases
Christchurch Hospital
Private Bag 4710
Christchurch 8140
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Country [1]
277670
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New Zealand
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Other collaborator category [2]
277671
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Individual
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Name [2]
277671
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Professor Evan Begg
Clinical Pharmacologist
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Address [2]
277671
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Clinical Pharmacology Department
Canterbury DHB
PO Box 4345
Christchurch 8140
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Country [2]
277671
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New Zealand
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Other collaborator category [3]
277672
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Individual
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Name [3]
277672
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Professor John Turnidge
Microbiologist and Infectious Diseases Specialist
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Address [3]
277672
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SA Pathology
Women's and Children's Hospital
72 King William Rd
North Adelaide, SA, 5006
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Country [3]
277672
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Australia
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
290095
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NZ Health and Disability Ethics Committee
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Ethics committee address [1]
290095
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Ministry of Health PO Box 5013 Wellington 6145
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Ethics committee country [1]
290095
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New Zealand
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Date submitted for ethics approval [1]
290095
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01/11/2013
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Approval date [1]
290095
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Ethics approval number [1]
290095
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Summary
Brief summary
The effect of probenecid on cephalexin has already been studied in the late 1960s and early 1970s, but with less accurate methods and fewer volunteers. We wish to repeat the study using highly accurate methods and 10 volunteers. The boosting effect of probenecid on cephalexin may have very widespread positive medical, social and economic consequences. For example, it may allow cephalexin (with probenecid) to be given only twice daily rather than three or four times daily (on its own) for people in the community with mild infections, improving convenience and compliance. In addition, probenecid-boosted oral cephalexin may be as powerful as intravenous antibiotics, meaning that fewer patients with moderate infections will need admission to hospital, selected patients will be able to be discharged from hospital earlier, and commonly prescribed outpatient intravenous antibiotic programmes will no longer be needed in many situations. This could save NZ up to $4 million in health-care costs per year and improve patient outcomes. I was approved an almost identical study by the NZ Ethics Committee last year (NZ HDEC # NZ/1/4C71012), which I did not register as a clinical trial with ANZCTR but was completed with very clear and positive results. I am in the process of applying for approval of the probenecid and cephalexin study with the NZ Ethics Committee.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Richard Everts
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Address
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Infectious Diseases Specialist and Medical Microbiologist
Nelson Bays Primary Health
PO Box 1776
Nelson 7040
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Country
43922
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New Zealand
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Phone
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(+64) 3 5391170
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Fax
43922
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(+64) 4 5394958
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Email
43922
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[email protected]
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Contact person for public queries
Name
43923
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Richard Everts
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Address
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Infectious Diseases Specialist and Medical Microbiologist
Nelson Bays Primary Health
PO Box 1776
Nelson 7040
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Country
43923
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New Zealand
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Phone
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(+64) 3 5391170
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Fax
43923
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(+64) 4 5394958
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Email
43923
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[email protected]
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Contact person for scientific queries
Name
43924
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Richard Everts
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Address
43924
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Infectious Diseases Specialist and Medical Microbiologist
Nelson Bays Primary Health
PO Box 1776
Nelson 7040
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Country
43924
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New Zealand
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Phone
43924
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(+64) 3 5391170
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Fax
43924
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(+64) 4 5394958
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Email
43924
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Probenecid effects on cephalexin pharmacokinetics and pharmacodynamics in healthy volunteers.
2021
https://dx.doi.org/10.1016/j.jinf.2021.05.037
N.B. These documents automatically identified may not have been verified by the study sponsor.
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