Clinical trial • Phase IV • Gastroenterology

Ampicillin for Acute non-complicated appendicitis

Phase IV trial of Ampicillin for Acute non-complicated appendicitis. 60 participants.

Overview

Trial Therapeutic Area
Gastroenterology
Trial Disease
Acute non-complicated appendicitis
Trial Stage
Phase IV
Drug Modality
Small molecule
Paediatric Trial
Yes

Key dates

Initial CTIS Submission Date
09-01-2025
First CTIS Authorization Date
30-01-2025

Trial design

Phase IV trial across 1 site in Latvia.

Target Sample Size
60
Trial Duration For Participant
365

Eligibility

Recruits 60 paediatric patients.

Pregnancy Exclusion
Positive pregnancy test
Vulnerable Population
Children aged 7-18 are included and 'isVulnerablePopulationSelected' is true; subject information and informed consent form documents are provided (Pacienta informeta piekrisana_LV_Timurs_Zurmutai1 and Pacienta informeta piekrisana_RU_Timurs_Zurmutai). Specific parental consent or child assent procedures are not explicitly described in the available record.

Inclusion criteria

  • {"criterion_text":"- Age: 7-18 years\n- Dg. Primary acute non-complicated appendicitis\n- ALVORADO score ≥ 7\n- Pain in right lower quadrant of abdomen\n- Blood tests: C-reactive protein ≤ 10 mg/L\n- *If performed: *Il-6 ≤ 39,2 pg/mL\n- *Ultrasound - acute appendicitis signs"}

Exclusion criteria

  • {"criterion_text":"- Positive pregnancy test\n- Diffuse peritonitis\n- Previous abdominal surgery\n- Use of antibiotic drugs in previous 7 days\n- Inflammatory bowel disease\n- Immunosuppresive condition"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- 3 days in-patient treatment; 7 days out-patient treatment","definition_or_measurement_approach":"Measured as duration of in-patient treatment (3 days) and out-patient treatment (7 days) as stated in endpoint text."}

Secondary endpoints

  • {"endpoint_text":"- 1 month follow-up; 1 year follow-up","definition_or_measurement_approach":"Follow-up assessments scheduled at 1 month and 1 year."}

Recruitment

Planned Sample Size
60
Recruitment Window Months
60
Consent Approach
Subject information and informed consent form documents are provided; forms available in Latvian and Russian (Pacienta informeta piekrisana_LV_Timurs_Zurmutai1, Pacienta informeta piekrisana_RU_Timurs_Zurmutai). Specific details on who provides consent (e.g., parental consent, child assent) and languages beyond LV/RU are not explicitly detailed in the available record.

Geography

Total Number Of Sites
1
Total Number Of Participants
60

Latvia

Earliest CTIS Part Ii Submission Date
07-01-2025
Latest Decision Or Authorization Date
30-01-2025
Processing Time Days
23
Number Of Sites
1
Number Of Participants
60

Sites

Site Name
Bernu Kliniska Universitates Slimnica VSIA
Department Name
Bernu kirurgijas klinika
Contact Person Name
Arnis Engelis
Contact Person Email
arnis.engelis@rsu.lv

Sponsor

Primary sponsor

Full Name
Riga Stradins University
Organisation Type
Educational Institution
Country Of Registered Address
Latvia

Investigational products

Investigational Product Name
Pamecil 1 g pulveris injekciju/infūziju šķīduma pagatavošanai
Active Substance
Ampicillin
Modality
Small molecule
Routes Of Administration
INTRAVENOUS USE
Route
Intravenous
Authorisation Status
Authorised (marketing authorisation 98-0048, LV)
Maximum Dose
8000 mg/day (max total 24000 mg)
Investigational Product Name
Medoclav 500 mg/125 mg apvalkotās tabletes
Active Substance
Amoxicillin; Clavulanic acid
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
Oral
Authorisation Status
Authorised (marketing authorisation 02-0324, LV)
Maximum Dose
1250 mg/day (max total 8750 mg)
Investigational Product Name
Metronidazole Unifarma 5 mg/ml šķidums infūzijām
Active Substance
Metronidazole
Modality
Small molecule
Routes Of Administration
INTRAVENOUS USE
Route
Intravenous
Authorisation Status
Authorised (marketing authorisation 05-0168, LV)
Maximum Dose
1500 mg/day (max total 4500 mg)
Investigational Product Name
Ceftazidime Fresenius Kabi 1000 mg pulveris injekciju šķīduma pagatavošanai
Active Substance
Ceftazidime pentahydrate
Modality
Small molecule
Routes Of Administration
INTRAVENOUS USE
Route
Intravenous
Authorisation Status
Authorised (marketing authorisation 08-0388, LV)
Maximum Dose
3000 mg/day (max total 9000 mg)
Investigational Product Name
Amoksiklav 875 mg/125 mg apvalkotās tabletes
Active Substance
Amoxicillin; Clavulanic acid
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
Oral
Authorisation Status
Authorised (marketing authorisation 99-0267, LV)
Maximum Dose
2000 mg/day (max total 14000 mg)

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