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NOT YET RECRUITING
NCT07267624
NA

EARLY Antibiotics aDAptation in Severe Pneumonia(The EARLY ADAPT Study)

Sponsor: University Hospital, Geneva

View on ClinicalTrials.gov

Summary

The objective of the study is to determine whether rapid multiplex PCR testing of respiratory samples can reduce exposure to broad-spectrum antibiotics in intensive care unit patients with suspected or confirmed ventilator-associated pneumonia, compared to standard diagnostic methods. As secondary objectives, the investigators will study antibiotic management and overall antibiotic consumption, as well as escalation or de-escalation events. The investigators will study the potential clinical impact of using multiplex PCR to see if the length of stay in the intensive care unit is reduced, as well as the duration of mechanical ventilation.

Official title: EARLY Antibiotics aDaptation in Ventilator-Acquired-Pneumonia Treatment After Implementation of a Broad-Panel Respiratory Multiplex PCR Test: A Multicenter Randomized Control Trial Conducted In Swiss Intensive Care Units. The EARLY ADAPT Study.

Key Details

Gender

All

Age Range

18 Years - Any

Study Type

INTERVENTIONAL

Enrollment

170

Start Date

2026-01-05

Completion Date

2027-11-30

Last Updated

2025-12-05

Healthy Volunteers

No

Interventions

DEVICE

PCR multiplex BioFire Pneumonia plus

In the intervention arm, in addition to traditional cultures for identifying pathogens and their resistance, multiplex PCR will be performed on the patient's respiratory samples. Empirical antibiotic therapy will be directly adapted to the results of multiplex PCR according to the guidelines provided.

Locations (5)

University hospitals of Geneva, Division of Intensive Care

Geneva, Canton of Geneva, Switzerland

Dept. of Intensive Care Medicine, University hospital of Lausanne

Lausanne, Switzerland

Division of Intensive care, Hospital of Lugano

Lugano, Switzerland

Division of Intensive care, Hospital of Neuchâtel

Neuchâtel, Switzerland

Division of Intensive care, University hospital of Sion

Sion, Switzerland