Sepsis & infection

Empirical meropenem versus piperacillin/tazobactam for adult patients with sepsis (EMPRESS) trial: Protocol

Acta Anaesthesiol ScandPublished Randomised controlled trial protocol

Study context

Population
Adult, critically ill patients with sepsismaximum 14,000 planned
Planned comparison
Empirical meropenem vs piperacillin/tazobactam
Primary endpoint
All-cause mortality
Follow-up
Up to 30 days
Methodological detailsinvestigator-initiated, international, parallel-group, open-label, adaptive, integrated feasibility phase, Bayesian, response-adaptive randomisation, Adaptive analyses after the first 400 participants and after every 300 subsequent participants; stopping for superiority/inferiority and practical equivalence (absolute risk difference <2.5%-points), Expected sample sizes 5189, 5859 and 2570 (no, small or large differences); ≥99% probability of conclusiveness
  • Investigator-initiated
  • International
  • Parallel-group
  • Open-label
  • Adaptive
  • Integrated feasibility phase
  • Bayesian
  • Response-adaptive randomisation
  • Adaptive analyses after the first 400 participants and after every 300 subsequent participants; stopping for superiority/inferiority and practical equivalence (absolute risk difference <2.5%-points)
  • Expected sample sizes 5189, 5859 and 2570 (no, small or large differences); ≥99% probability of conclusiveness

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

Empirical meropenem versus piperacillin/tazobactam for adult patients with sepsis (EMPRESS) trial: Protocol. Acta Anaesthesiol Scand. Published 20 May 2024. doi:10.1111/aas.14441

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