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NCT06954129 · ClinicalTrials.gov registry record · Phase 4

A Pragmatic Clinical Trial Comparing the Risk of Acute Kidney Injury During Treatment With Vancomycin and Piperacillin-Tazobactam vs. Vancomycin and Cefepime in Hospitalized Patients

A Phase 4 study of Acute Kidney Injury, sponsored by University of Pennsylvania.

Recruiting
Registry status
Phase 4
Development phase
750
Enrollment target
1
Study location

NCT06954129: Recruiting Phase 4 study of Acute Kidney Injury, sponsored by University of Pennsylvania.

NCT06954129 is a Phase 4 study of Acute Kidney Injury that is actively recruiting participants, run by University of Pennsylvania. The registered enrollment target is 750 participants, below the 2,321-participant average among 74 other Acute Kidney Injury trials with a reported enrollment target (68% lower). The trial reports 1 study location across 1 state. According to ClinicalTrials.gov, the official US trial registry.

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The verdict

NCT06954129, a Phase 4 study of Acute Kidney Injury, is actively recruiting participants, sponsored by University of Pennsylvania.

RECRUITING
Registry status
Phase 4
Development phase
750 participants
Enrollment target
1
Study location

Study Summary

Hospitalized patients with suspected or confirmed infection are commonly treated with vancomycin (VN) in combination with either piperacillin-tazobactam (PT) or cefepime (CP). Although these regimens have similar effectiveness, recent observational evidence suggests they may differ in terms of the risk for acute kidney injury (AKI). Interpretation of existing evidence is complicated by the limitations of creatinine, the standard biomarker used to monitor kidney function, which has poor sensitivity and specificity for drug induced AKI. To address this important knowledge gap, the investigators propose to conduct a pragmatic, open-label, non-inferiority trial that will examine the comparative risk of AKI between these standard-of-care antibiotic combinations using sensitive and specific markers of drug-induced AKI. We hypothesize that the regimen of VN in combination with PT (VN+PT) is noninferior to the regimen of VN in combination with CP (VN+CP) in terms of AKI risk.

Primary Outcome

Change in serum cystatin c concentration through Day 5 after antibiotic initiation.

Conditions Studied

Interventions

  • DRUG Vancomycin
  • DRUG Piperacillin-tazobactam
  • DRUG Cefepime

Study Locations (1)

Pennsylvania

  • University of Pennsylvania Health System - Philadelphia

Trial Details

FieldValue
Enrollment Target 750 participants
Start Date 2026-01-28
Est. Completion 2029-07
Phase Phase 4
University of Pennsylvania

1,423 total trials

What NCT06954129 shows while recruiting

NCT06954129 is an interventional study that assigns participants to a tested intervention. The registered 750 participants enrollment target is mid-sized for trials with a published cap, below the 2,321-participant average among 74 other Acute Kidney Injury trials with a reported enrollment target (68% lower).

The record links to 1 condition, with Acute Kidney Injury appearing as the primary indexed condition, and to 3 interventions - of which Vancomycin is the first listed.

NCT06954129 reports a single indexed study location in Pennsylvania.

Frequently Asked Questions

What is clinical trial NCT06954129 about?

NCT06954129 is a clinical study titled "A Pragmatic Clinical Trial Comparing the Risk of Acute Kidney Injury During Treatment With Vancomycin and Piperacillin-Tazobactam vs. Vancomycin and Cefepime in Hospitalized Patients". Hospitalized patients with suspected or confirmed infection are commonly treated with vancomycin (VN) in combination with either piperacillin-tazobactam (PT) or cefepime (CP). Although these regimens have similar effectiveness, recent observational evidence suggests they may differ in terms of the r...

What is the current status of trial NCT06954129?

This trial is currently recruiting. It is a Phase 4 study. The enrollment target is 750 participants. The study started on 2026-01-28. Estimated completion is 2029-07.

What conditions does trial NCT06954129 study?

This clinical trial studies the following conditions: Acute Kidney Injury.

What interventions are being tested in trial NCT06954129?

The interventions under investigation include: Vancomycin (DRUG), Piperacillin-tazobactam (DRUG), Cefepime (DRUG).

Who is sponsoring clinical trial NCT06954129?

This trial is sponsored by University of Pennsylvania, which has 1,423 total clinical trials registered on ClinicalTrials.gov.

Where is trial NCT06954129 being conducted?

This trial has 1 study location across Pennsylvania. Contact the study sites directly through ClinicalTrials.gov for enrollment availability.

Similar trials for Acute Kidney Injury

Matched on the same primary condition, ranked to surface studies in the same phase first, then by recruiting status, no relevance scoring or editorial curation.

Where NCT06954129's enrollment target sits among peer trials

750 17th of 74 higher than 58 of 74 other Acute Kidney Injury trials

participants (enrollment target), bucketed by value

Each bar is a band; taller bars hold more other Acute Kidney Injury trials. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count and share, and where it sits relative to this entry.

Source ClinicalTrials.gov registry export · 2026-08-08

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Source: ClinicalTrials.gov NCT06954129, the US trial registry maintained by the National Library of Medicine. NCT06954129 (mid enrollment · single site footprint · recruiting) retrieved and formatted by PlainTrial, see methodology.