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
Site Name
Sykehuset Oestfold HF Kalnes
Department Name
Pediatrics
Contact Person Name
Jon Olav Gjengsto Hunderi
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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