Population Pharmacokinetics of Anti-infectious Drugs in Children

NCT ID: NCT01344512

Last Updated: 2015-03-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

214 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-06-30

Study Completion Date

2014-09-30

Brief Summary

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The Pharm A project is a French national collaborative project aiming to determine the population pharmacokinetics of ceftazidime, ciprofloxacin, and voriconazole in paediatric patients aged one month to five years.

Detailed Description

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The licensing process was introduced in order to ensure that medicines are safe, effective and of high quality. However, over 50% of children admitted to hospital in France and Europe will receive an unlicensed or off-label medicine. This occurs for most drugs in children less than 6 years of age. They represent a particularly vulnerable subgroup of the paediatric population.

There are major practical and ethical issues in relation to studying medicines in paediatric patients aged 5 years or less.

* They represent only a small part of the population as compared to older children and adults, and the variation of specific types of diseases in this young subpopulation is higher than in the paediatric counterpart. There are major differences in drug disposition in the different age groups.
* There is a need for suitable methodological approaches for clinical trials
* There are major ethical issues It is essential, therefore, to recruit children from various regions in France in order to obtain a critical sample size of sufficient magnitude and to conduct scientific sound studies. This will be achieved by performing Pharm A, a population pharmacokinetic study of three different anti infectious agents (ceftazidime, ciprofloxacin, voriconazole) and identify covariates including pharmacogenetic biomarkers that explain pharmacokinetic variability.

After parental informed consent, sampling strategy will be randomized depending on the drug and the age group (2 samples in patients below 2 years and 3 samples in patients from 2 to 5 years).

Conditions

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Pediatrics Ceftazidime Ciprofloxacin Voriconazole

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Patients treated with Ceftazidime

Group Type EXPERIMENTAL

Ceftazidime

Intervention Type DRUG

Bloods sampling on patient treated with Ceftazidime between 48 hours and 4 days after beginning of treatment.

Patients treated with Ciprofloxacin

Group Type EXPERIMENTAL

Ciprofloxacin

Intervention Type DRUG

Bloods sampling on patient treated with Ciprofloxacin between 48 hours and 4 days after beginning of treatment.

Patients treated with Voriconazole

Group Type EXPERIMENTAL

Voriconazole

Intervention Type DRUG

Bloods sampling on patient treated with Voriconazole between 48 hours and 4 days after beginning of treatment.

Interventions

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Ceftazidime

Bloods sampling on patient treated with Ceftazidime between 48 hours and 4 days after beginning of treatment.

Intervention Type DRUG

Ciprofloxacin

Bloods sampling on patient treated with Ciprofloxacin between 48 hours and 4 days after beginning of treatment.

Intervention Type DRUG

Voriconazole

Bloods sampling on patient treated with Voriconazole between 48 hours and 4 days after beginning of treatment.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Children aged 28 days to 11 years (\< 12 years)
* Receiving one of the following drugs for therapeutic reasons : ceftazidime, ciprofloxacin, voriconazole
* Representative for the clinician, a condition requiring the use of these molecules
* Informed consent signed by the two parents or legal representative
* Child affiliated to the national social security system

Exclusion Criteria

Not Applicable
Minimum Eligible Age

28 Days

Maximum Eligible Age

6 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Bordeaux

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Stéphanie Bui, Dr

Role: PRINCIPAL_INVESTIGATOR

University Hospital Bordeaux, France

Locations

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CHU de Bordeaux, Hôpital Pellegrin

Bordeaux, , France

Site Status

Hospices Civils de Lyon

Bron, , France

Site Status

CHU Clermont Ferrand

Clermont-Ferrand, , France

Site Status

CHU de Dijon

Dijon, , France

Site Status

CHU de Grenoble

Grenoble, , France

Site Status

CHRU Lille

Lille, , France

Site Status

AP-HM, Hôpital La Timone

Marseille, , France

Site Status

CHU Montpellier

Montpellier, , France

Site Status

APHP - Hôpital NEcker

Paris, , France

Site Status

AP-HP - Hôpital Robert Debré

Paris, , France

Site Status

CHU Poitiers

Poitiers, , France

Site Status

CHU Rouen

Rouen, , France

Site Status

CHU Toulouse

Toulouse, , France

Site Status

CHU tours

Tours, , France

Site Status

Countries

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France

References

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Bui S, Facchin A, Ha P, Bouchet S, Leroux S, Nacka F, Fayon M, Jacqz-Aigrain E. Population pharmacokinetics of ceftazidime in critically ill children: impact of cystic fibrosis. J Antimicrob Chemother. 2020 Aug 1;75(8):2232-2239. doi: 10.1093/jac/dkaa170.

Reference Type DERIVED
PMID: 32457995 (View on PubMed)

Other Identifiers

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CHUBX 2010/36

Identifier Type: -

Identifier Source: org_study_id

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