New test aims to get the right antibiotics to ICU pneumonia patients faster
NCT ID NCT07403474
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether a rapid test (multiplex PCR) combined with a treatment algorithm can help doctors choose the best antibiotics sooner for patients on ventilators who develop pneumonia. About 124 adults in intensive care will be randomly assigned to either the new strategy or standard care. The goal is to see if more patients get effective, tailored antibiotics within 24 hours, reducing unnecessary broad-spectrum drug use.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 124 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jun 2026
An estimate. Start dates often move.
- Expected to finish
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Jul 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adults (≥18 years) with VAP (mechanical ventilation and hospitalization ≥ 48 hours) and deep respiratory sample by mini BAL \< 12 hours. The diagnosis of pneumonia includes two clinical criteria among fever (≥38.3°C), purulent sputum or aspiration, hyperleukocytosis (\>12,000 WBC/mm³) or leukopenia (\<4,000 WBC/mm³), hypoxemia, auscultatory signs in the affected area, and a newly-appeared parenchymal infiltrate * Patient receiving initial probabilistic antibiotic therapy for VAP suspicion * Informed consent or emergency procedure * Patient affiliated with or beneficiary of a health insurance plan. Non inclusion Criteria: * Pregnancy * Congenital immunodeficiency; * HIV infection with the lymphocyte CD4 count below 200/mm3 or unknown in the last year; * Acute hematologic malignancy; * Neutropenia (\<1 leucocyte/mL or \< 0.5 neutrophil/mL); * Immunosuppressive drugs within the previous 30 days, including anti-cancer - Chemotherapy and anti-rejection drugs for organ/bone marrow transplant * Corticosteroids ≥ 20 mg/d of prednisone equivalent for more than 14 days * Known allergy to beta-lactams * Moribund patient or death expected from underlying disease during the current admission; * Patient deprived of liberty or under legal protection measure; * Participation in another interventional trial. Exclusion criteria : * mPCR non available
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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CHU Nîmes
Nîmes, 34070, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- A mist of antibiotic could stop a deadly ICU infection
- Can better nurse training reduce ICU complications?
- Lung germ shifts may predict pneumonia in brain surgery ICU patients
- Can a simple inhaled antibiotic stop ventilator pneumonia?
- Elderly ICU Patients' immune paralysis linked to pneumonia risk