New antibiotic match for tough UTIs?
NCT ID NCT03543436
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested if the antibiotic temocillin works as well as a stronger antibiotic (carbapenem) for treating urinary tract infections caused by resistant bacteria. 29 hospitalized adults took part. The goal was to see if both treatments could clear the infection and symptoms. The study was completed and results may help guide future treatment choices.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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29 people
The number who actually took part.
- Started
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Jan 2019
- Finished
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Dec 2020
- 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.
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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) * Hospitalized patient with clinically significant monomicrobial UTI * Complicated UTI due to ESBL producing enterobacteriaceae (pyelonephritis, prostatitis or renal abscess) requiring parenteral antimicrobial therapy * Susceptibility to temocillin and carbapenem as evidenced by testing results * For woman able to procreate: negative pregnancy test and use of an effective method of contraception (abstinence, oral contraceptives, intra-uterine device, diaphragm with spermicide and condom). All forms of hormonal contraception are acceptable * Signed informed consent by patient himself (able or under curatorship) or his legal representative (patient unable to give his consent or under tutorship) * Patient affiliated to the social security system Exclusion Criteria: * Patient infected with a bacteria which is not an ESBL-producing enterobacteriaceae. * Polymicrobial infection. * Hypersensitivity and/or previous intolerance to carbapenem or temocillin, or penicillins or any other beta-lactam. * Patient with a contraindication to any of the drugs to be used in research * Patient presenting another site of infection than urinary (except onset of bacteraemia from urinary tract origin due to Gram negative bacteria). * Woman who is pregnant, breastfeeding, or expecting to conceive at any time during the study (pregnancy test will be conducted for woman without menopause). * Palliative care of life expectancy \< 90 days. * Ongoing empirical treatment of the urinary tract infections with carbapenem or temocillin \> 24 hours before randomization * Delay in randomization \> 48 hours after identification of ESBL producing enterobacteriaceae in urinary and/or blood culture. * Participation in other clinical trial for the infection.
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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.
Contacts and locations
Locations
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APHP - Beaujon Hospital
Paris, France
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APHP - Cochin Hospital
Paris, 75014, France
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APHP - Georges Pompidou European Hospital
Paris, France
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APHP - Necker-Enfants maladies Hospital
Paris, 75015, France
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APHP - Saint-Antoine Hospital
Paris, France
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Bichat hospital
Paris, 75018, France
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CHRU La Cavale Blanche
Brest, 29000, France
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CHU Pontchaillou
Rennes, 35000, France
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CHU de Grenoble Hospital
Grenoble, France
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CHU de Martinique
Fort-de-france, Martinique, France
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CHU de Pau
Pau, France
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CHU de Poitiers
Poitiers, France
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Groupe Hospitalier Diaconesses Croix Saint Simon
Paris, 75020, France
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Melun Hospital - CHU Sud
Melun, 77, France
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Saint-Joseph Hospital
Paris, France
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Tenon Hospital
Paris, 75020, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Gut bacteria transplant tested against Antibiotic-Resistant urinary infections
- Why do some complicated UTIs resist treatment? massive study aims to find out
- Could removing catheters sooner after kidney transplant cut infections?
- Can better school toilets and peer support boost girls' health and grades? a madagascar trial aims to find out.
- Antibiotic levels in breast milk under the microscope
- Can antibiotic wash and suction stop Post-Surgery infections?