Clinical trial • Phase IV • Infectious Disease|Respiratory
Amoxicillin trihydrate for Community-acquired pneumonia|Lower respiratory tract infection
Phase IV trial of Amoxicillin trihydrate for Community-acquired pneumonia|Lower respiratory tract infection.
Overview
- Trial Therapeutic Area
- Infectious Disease|Respiratory
- Trial Disease
- Community-acquired pneumonia|Lower respiratory tract infection
- Trial Stage
- Phase IV
- Drug Modality
- Small molecule
- Paediatric Trial
- Yes
Key dates
- Initial CTIS Submission Date
- 12-11-2024
- First CTIS Authorization Date
- 10-12-2024
Trial design
Randomised, active: infectomox® 500 saft 500 mg/5 ml (amoxicillin trihydrate), oral suspension; product info indicates max daily dose 18 ml, max total dose 126 ml, max treatment period 7 days. comparator: placebo (placebo formulation listed including amylum solani, sugar, titandioksyd, silica colloid.anhydr., sodium citrate, acid. citric, mg-stearas, strawberry aroma, raspberry aroma, xantan gum, gentiana lutea). detailed dosing schedule/starting dose not specified in available data.-controlled Phase IV trial across 10 sites in Norway.
- Randomised
- Yes
- Comparator
- Active: INFECTOMOX® 500 Saft 500 mg/5 ml (amoxicillin trihydrate), oral suspension; product info indicates max daily dose 18 ml, max total dose 126 ml, max treatment period 7 days. Comparator: Placebo (placebo formulation listed including Amylum solani, Sugar, Titandioksyd, Silica colloid.anhydr., Sodium citrate, Acid. citric, Mg-stearas, Strawberry aroma, Raspberry aroma, Xantan gum, Gentiana lutea). Detailed dosing schedule/starting dose not specified in available data.
- Target Sample Size
- 500
- Trial Duration For Participant
- 21
Eligibility
Recruits 500 paediatric patients.
- Vulnerable Population
- Children aged 12-59 months are included and isVulnerablePopulationSelected is true. Subject information and informed consent forms are listed for 0-5 yr and 1-5 years (documents: "L1_SIS and ICF 0-5 yr AHUS" and "L1_ SIS and ICF 1-5 years"). Consent is therefore handled via parent/guardian informed consent (no specific assent or language details provided).
Inclusion criteria
- {"criterion_text":"- Age 12-59 months"}
- {"criterion_text":"- Fever. Temperature ≥38.0 at inclusion or reported within the last 24 hours"}
- {"criterion_text":"- Tachypnoe, age specific"}
- {"criterion_text":"- ≥1 sign of lower airway inflammation; Cough (at inclusion or reported within the last 6 hours), Chest retractions (jugular, intercostally or subcoastally), grunting respiration, nasal flaring, crepitations by pulmonary auscultation, hypoxia (SpO2 ≤90%)"}
- {"criterion_text":"- Weight between 6.0 and 28.0 kg"}
Exclusion criteria
- {"criterion_text":"- Clinical suspicion of bacterial pneumonia based upon a temperature ≥39.0 C and at least one of the following: bronchial breathing sounds, unilaterally decreased breth sounds or unilateral percussion dullness, pulmonary lobar consilidation and/or radiological suspicion of empyema on chest x-ray if this is obtained prior to inclusion in the trial."}
- {"criterion_text":"- Evidence of any bacterial infection requiring systemic antibiotics, including, but not exclusively: clinical septicaemia, urinary tract infection, meningitis"}
- {"criterion_text":"- Systemic antibiotics received within the last 7 days"}
- {"criterion_text":"- History of ant serious underlying disease including: haematolocigal or oncological: immunodeficiency, congenital heart disease, neuromuscular impairment, development disorder, including Dwns syndrome, bronchopulmonary dysplasia, cystic fibrosis, primary ciliary dyskinesia, poorly controlled asthma or severe chronic lung diseases"}
- {"criterion_text":"- Acute lower obstructive airways (prolonged expiration and generalised expiratory wheeze)"}
- {"criterion_text":"- Stridor (inspiratory)"}
- {"criterion_text":"- Known or suspected allergy against the investigational product or any of the constituents"}
Endpoints
Primary endpoints
- {"endpoint_text":"- Determined by 21 days after treatment start as:\tTherapy failure","definition_or_measurement_approach":"Determined 21 days after treatment start; endpoint assessed as occurrence of therapy failure by day 21."}
Secondary endpoints
- {"endpoint_text":"- Therapy failure leading to intravenous antibiotic therapy","definition_or_measurement_approach":"Occurrence of therapy failure resulting in initiation of intravenous antibiotic therapy (event-based)."}
- {"endpoint_text":"- Duration of fever","definition_or_measurement_approach":"Measured as duration (time) of fever; specific measurement approach not detailed in available data."}
- {"endpoint_text":"- Duration of symptoms, assessed by parent/guardian","definition_or_measurement_approach":"Measured as duration of symptoms as reported by parent/guardian; specific instruments not specified."}
- {"endpoint_text":"- Bacterial presence in airways","definition_or_measurement_approach":"Presence of bacteria in airway samples; specific sampling and laboratory methods not provided in available data."}
- {"endpoint_text":"- Presence of resistant bacteria","definition_or_measurement_approach":"Assessment of resistance in detected bacterial isolates; detailed methods not provided."}
- {"endpoint_text":"- Resistance genes (bacteria)","definition_or_measurement_approach":"Detection of bacterial resistance genes; specific molecular methods not provided."}
Recruitment
- Planned Sample Size
- 500
- Recruitment Window Months
- 100
- Consent Approach
- Informed consent is handled for parents/guardians of the vulnerable paediatric population (children aged 12-59 months). Subject information and informed consent forms are available for age groups 0-5 years and 1-5 years (documents listed: "L1_SIS and ICF 0-5 yr AHUS" and "L1_ SIS and ICF 1-5 years"). No details on assent, specific consent signatories beyond parent/guardian, or available languages are provided in the available data.
Geography
- Total Number Of Sites
- 10
- Total Number Of Participants
- 500
Norway
- Earliest CTIS Part Ii Submission Date
- 01-12-2024
- Latest Decision Or Authorization Date
- 10-12-2024
- Processing Time Days
- 9
- Number Of Sites
- 10
- Number Of Participants
- 500
Sites
- Site Name
- St. Olavs Hospital HF
- Department Name
- Pediatrics
- Contact Person Name
- Henrik Døllner
- Contact Person Email
- henrik.dollner@ntnu.no
- Site Name
- Universitetssykehuset Nord-Norge HF
- Department Name
- Pediatrics
- Contact Person Name
- Claus Klingenberg
- Contact Person Email
- claus.klingenberg@unn.no
- Site Name
- Helse Bergen HF
- Department Name
- Pediatrics
- Contact Person Name
- Håvard Trønnes
- Contact Person Email
- havard.tronnes@ihelse.net
- Site Name
- Nordlandssykehuset HF
- Department Name
- Pediatrics
- Contact Person Name
- Bjørg Evjenth
- Contact Person Email
- bjorg.evjenth@gmail.com
- Site Name
- Helse Stavanger HF
- Department Name
- Pediatrics
- Contact Person Name
- Knut Øymar
- Contact Person Email
- knut.asbjorn.alexander.oymar@sus.no
- Site Name
- Sykehuset Oestfold HF Kalnes
- Department Name
- Pediatrics
- Contact Person Name
- Jon Olav Gjengsto Hunderi
- Contact Person Email
- jon.olav.gjengsto.hunderi@so-hf.no
- Site Name
- Akershus University Hospital
- Department Name
- Pediatrics
- Contact Person Name
- Christopher Inchley
- Contact Person Email
- chris.inchley@gmail.com
- Site Name
- Helse Moere Og Romsdal HF
- Department Name
- Pediatrics
- Contact Person Name
- Torbjørn Nag
- Contact Person Email
- torbjorn.nag@helse-mr.no
- Site Name
- Oslo University Hospital HF
- Department Name
- Department of pediatric allergy and pulmonary diseases
- Contact Person Name
- Håvard Ove Skjerven
- Contact Person Email
- h.o.skjerven@medisin.uio.no
- Site Name
- Oslo University Hospital HF
- Department Name
- Pediatrics
- Contact Person Name
- Håvard O. Skjerven
- Contact Person Email
- h.o.skjerven@medisin.uio.no
Sponsor
Primary sponsor
- Full Name
- Oslo University Hospital HF
- Organisation Type
- Hospital/Clinic/Other health care facility
- Country Of Registered Address
- Norway
Third parties
- {"country":"","full_name":"Clinical therapy research in the specialist health services,South-Eastern Norway Regional Health Au","duties_or_roles":"Monetary support","organisation_type":""}
Investigational products
- Investigational Product Name
- INFECTOMOX® 500 Saft 500 mg/5 ml Pulver zur Herstellung einer Suspension zum Einnehmen
- Active Substance
- Amoxicillin trihydrate
- Modality
- Small molecule
- Routes Of Administration
- ORAL USE
- Route
- ORAL
- Authorisation Status
- Authorised (marketing authorisation present)
- Maximum Dose
- Max daily dose 18 ml; max total dose 126 ml
- Investigational Product Name
- Placebo for IMP including Amylum solani Sugar Titandioksyd Silica colloid.anhydr. Sodium citrate Acid. citric Mg-stearas Strawberry aroma Raspberry aroma Xantan gum Gentiana lutea
- Modality
- Other
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