Can personalized antibiotics outsmart resistant bacteria in liver transplants?
NCT ID NCT07759453
First seen Aug 12, 2026 · Last updated Aug 13, 2026 · Updated 1 time
Summary
This trial tests whether giving liver transplant patients antibiotics tailored to the specific resistant bacteria they carry (CPE) can prevent infections better than standard antibiotics. It involves adults colonized with CPE who are undergoing a liver transplant. Researchers will compare the two approaches to see which reduces early infections and how they affect gut bacteria.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Targeted antibiotic prophylaxis using ceftazidime-avibactam or meropenem-vaborbactam, chosen based on the specific resistant bacteria each patient carries
- What this could lead to
- If effective, this approach could reduce dangerous infections after liver transplant in patients carrying resistant bacteria, potentially improving survival and recovery.
- What could go wrong
- The trial is relatively small and early, and results may not apply to all patients. There are also risks of antibiotic side effects and disruption of gut bacteria.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
-
About 168 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
-
Oct 2026
An estimate. Start dates often move.
- Expected to finish
-
Sep 2029
An estimate. End dates often move.
- Lead sponsor
-
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
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
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: * Adult (≥18 years) patients colonized with Carbapenemase-Producing Enterobacterales (CPE) undergoing liver transplantation (LT) * Informed consent signed by the enrolled patients Exclusion Criteria: * Active infection from any Gram-negative bacteria at the time of LT * High risk of donor-derived CPE infection (e.g., donors known to be colonized or infected with CPE at the time of death, or CPE isolated from donor blood or preservation fluid samples) * Hypersensitivity to the active substance or to any of the excipients * Pregnancy and breastfeeding * Participation in a clinical trial in which an investigational drug was administered within 30 days of screening or within the 5 half-lives of the study drug, whichever is longer. * History of severe immediate hypersensitivity reactions (e.g., anaphylaxis) to beta-lactam agents (e.g., cephalosporins, carbapenems, or monobactams). * Colonization by strains resistant to all Investigational Medicinal Products (IMPs)
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Carbapenem-resistant enterobacterales are added.
Genom att skicka in godkänner du våra Användarvillkor
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.
-
The places running it
3 sites. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
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
-
Azienda Ospedaliera Universitaria Citta Della Salute E Della Scienza Di Torino
Torino, TO, 10126, Italy
-
Azienda Ospedaliero Universitaria Pisana
Pisa, PI, 56126, Italy
-
Irccs Azienda Ospedaliero-Universitaria Di Bologna
Bologna, BO, 40138, Italy
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Could organs from HIV-Positive donors be safe for recipients with HIV?
- Could smarter scores save lives on the liver transplant waitlist?
- Blood-Clotting showdown: which device best guides bleeding care in High-Risk patients?
- Could a daily pill shield transplant patients from a common virus?
- Which liver biopsy needle delivers the best tissue? a Head-to-Head comparison
- Transplant breakdown? new study checks organ fluid for hidden germs