Antibiotic Dosing in Pediatric Intensive Care

NCT ID: NCT02456974

Last Updated: 2023-12-15

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

RECRUITING

Total Enrollment

640 participants

Study Classification

OBSERVATIONAL

Study Start Date

2012-05-31

Study Completion Date

2025-04-28

Brief Summary

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Pharmacokinetics of antibiotics in critically ill neonates, infants and children

Detailed Description

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Conditions

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Pharmacokinetics Amoxicillin-clavulanate Piperacillin-tazobactam Vancomycin Teicoplanin Meropenem Ciprofloxacin Amikacin

Study Design

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Observational Model Type

OTHER

Study Time Perspective

PROSPECTIVE

Study Groups

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amoxicillin-clavulanate

Patients receiving amoxicillin-clavulanate as part of routine clinical care.

blood sampling in patients receiving amoxicillin-clavulanate as part of routine clinical care

Intervention Type PROCEDURE

piperacilline-tazobactam

Patients receiving piperacilline-tazobactam as part of routine clinical care.

blood sampling in patients receiving piperacilline-tazobactam as part of routine clinical care.

Intervention Type PROCEDURE

vancomycin

Patients receiving vancomycin as part of routine clinical care.

blood sampling in patients receiving vancomycin as part of routine clinical care.

Intervention Type PROCEDURE

teicoplanin

Patients receiving teicoplanin as part of routine clinical care.

blood sampling in patients receiving teicoplanin as part of routine clinical care.

Intervention Type PROCEDURE

meropenem

Patients receiving meropenem as part of routine clinical care.

blood sampling in patients receiving meropenem as part of routine clinical care.

Intervention Type PROCEDURE

ciprofloxacin

Patients receiving ciprofloxacin as part of routine clinical care.

blood sampling and urine smapling in patients receiving ciprofloxacin as part of routine clinical care.

Intervention Type PROCEDURE

amikacin

Patients receiving amikcain as part of routine clinical care.

blood sampling in patients receiving amikacin as part of routine clinical care.

Intervention Type PROCEDURE

Interventions

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blood sampling in patients receiving amoxicillin-clavulanate as part of routine clinical care

Intervention Type PROCEDURE

blood sampling in patients receiving piperacilline-tazobactam as part of routine clinical care.

Intervention Type PROCEDURE

blood sampling in patients receiving vancomycin as part of routine clinical care.

Intervention Type PROCEDURE

blood sampling in patients receiving teicoplanin as part of routine clinical care.

Intervention Type PROCEDURE

blood sampling in patients receiving meropenem as part of routine clinical care.

Intervention Type PROCEDURE

blood sampling and urine smapling in patients receiving ciprofloxacin as part of routine clinical care.

Intervention Type PROCEDURE

blood sampling in patients receiving amikacin as part of routine clinical care.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* patients admitted to the pediatric intensive care unit
* patient age/weight : 1,8 kg-15 years
* patient receiving antibiotic treatment (piperacillin-tazobactam, amoxicillin-clavulanate, vancomycin, teicoplanin, meropenem, ciprofloxacin, amikacin) via intermittent infusion regimen or continuous infusion according to institutional treatment guidelines
* intra-arterial or intravenous access other than the drug infusion line available for blood sampling (arterial line is preferred)

Exclusion Criteria

* no catheter in place for blood sampling
* absence of parental/patient consent
* known hypersensitivity to beta-lactam antibiotics, glycopeptides, fluoroquinolones, aminoglycosides
* extracorporeal circuit (haemodialysis, ECMO, peritoneal dialysis )
Minimum Eligible Age

1 Day

Maximum Eligible Age

16 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Antwerp

OTHER

Sponsor Role collaborator

Queen Fabiola Children's University Hospital, Brussels

UNKNOWN

Sponsor Role collaborator

University Hospital, Ghent

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pieter De Cock

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Ghent

Locations

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Ghent University Hospital, Hospital Pharmacy

Ghent, , Belgium

Site Status RECRUITING

Countries

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Belgium

Central Contacts

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Pieter De Cock, PharmD

Role: CONTACT

Phone: +32 9 332 29 69

Email: [email protected]

Facility Contacts

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Pieter De Cock, PharmD

Role: primary

References

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Dhont E, Standing JF, Beel E, Nguyen TVA, Herck I, Peperstraete H, Vandenberghe W, Bove T, Vandekerckhove K, Verougstraete N, Stove V, Vande Walle J, De Paepe P, De Cock PA. Individualised amoxicillin-clavulanate dosing recommendations for critically ill children with augmented clearance after cardiac surgery. Int J Antimicrob Agents. 2025 Aug;66(2):107513. doi: 10.1016/j.ijantimicag.2025.107513. Epub 2025 Apr 15.

Reference Type DERIVED
PMID: 40239747 (View on PubMed)

Van Der Heggen T, Dhont E, Willems J, Herck I, Delanghe JR, Stove V, Verstraete AG, Vanhaesebrouck S, De Paepe P, De Cock PAJG. Suboptimal Beta-Lactam Therapy in Critically Ill Children: Risk Factors and Outcome. Pediatr Crit Care Med. 2022 Jul 1;23(7):e309-e318. doi: 10.1097/PCC.0000000000002951. Epub 2022 Apr 15.

Reference Type DERIVED
PMID: 35426861 (View on PubMed)

Aulin LBS, De Paepe P, Dhont E, de Jaeger A, Vande Walle J, Vandenberghe W, McWhinney BC, Ungerer JPJ, van Hasselt JGC, De Cock PAJG. Population Pharmacokinetics of Unbound and Total Teicoplanin in Critically Ill Pediatric Patients. Clin Pharmacokinet. 2021 Mar;60(3):353-363. doi: 10.1007/s40262-020-00945-4. Epub 2020 Oct 8.

Reference Type DERIVED
PMID: 33030704 (View on PubMed)

De Cock PA, Desmet S, De Jaeger A, Biarent D, Dhont E, Herck I, Vens D, Colman S, Stove V, Commeyne S, Vande Walle J, De Paepe P. Impact of vancomycin protein binding on target attainment in critically ill children: back to the drawing board? J Antimicrob Chemother. 2017 Mar 1;72(3):801-804. doi: 10.1093/jac/dkw495.

Reference Type DERIVED
PMID: 27999035 (View on PubMed)

De Cock PA, Standing JF, Barker CI, de Jaeger A, Dhont E, Carlier M, Verstraete AG, Delanghe JR, Robays H, De Paepe P. Augmented renal clearance implies a need for increased amoxicillin-clavulanic acid dosing in critically ill children. Antimicrob Agents Chemother. 2015 Nov;59(11):7027-35. doi: 10.1128/AAC.01368-15. Epub 2015 Sep 8.

Reference Type DERIVED
PMID: 26349821 (View on PubMed)

Other Identifiers

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2012/172

Identifier Type: -

Identifier Source: org_study_id