Duration of Antimicrobial Therapy for Paediatric Pneumonia

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01707485
Recruitment Status : Completed
First Posted : October 16, 2012
Last Update Posted : March 17, 2017
Information provided by (Responsible Party):
Jeffrey Pernica, Hamilton Health Sciences Corporation

Brief Summary:
This study will investigate the feasibility of testing whether a 5-day course of antibiotics is as effective as a 10-day course for the treatment of uncomplicated community-acquired pneumonia (CAP) in children. To accomplish this, previously well children aged 1-10 years who present to McMaster Children's Hospital (MCH) emergency department (ED) with CAP will, if they consent, be randomly chosen to be given either a 5 day or 10 day course of amoxicillin. Neither the child, the child's caregiver, nor the researchers will know whether the child is in the 5- or 10-day antibiotic group. Once the child has received the medication and for two weeks after that, caregivers of children will be asked to complete a daily symptom diary for their child, and will come to MCH at the end of the two week period (between day 14-18) to be assessed by one of the researchers. This information will then be used to compare both groups of children to determine if a 5 days of treatment is non-inferior to 10 days. The investigators hypothesize that running such a trial is feasible.

Condition or disease Intervention/treatment Phase
Pneumonia Drug: amoxicillin Phase 4

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 60 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Short Course Antimicrobial Therapy for Paediatric Community-Acquired Pneumonia: A Pilot Study
Study Start Date : November 2012
Actual Primary Completion Date : April 2014
Actual Study Completion Date : May 2014

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Experimental: Short course
amoxicillin. high-dose, 5 days
Drug: amoxicillin
dosed 75-100 mg/kg/day (standardized dosing)

Active Comparator: Standard therapy
amoxicillin, high-dose, 10 days
Drug: amoxicillin
dosed 75-100 mg/kg/day (standardized dosing)

Primary Outcome Measures :
  1. clinical cure [ Time Frame: 14-18 days post-randomization ]
    Resolution of symptoms and signs of pneumonia.

Secondary Outcome Measures :
  1. absentee days [ Time Frame: 14 d post-randomization ]
  2. number of days of adverse reactions [ Time Frame: 14 d post randomization ]

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Ages Eligible for Study:   1 Year to 10 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • children aged 1-10 y presenting to the emergency department
  • must fulfil definition of 'pneumonia', ie.

    1) any one of:

  • fever in the ED,
  • a recorded fever at home in the 48h prior to presentation, or
  • WBC > 12 or WBC < 5 in the ED;

    2) any one of:

  • tachypnoea on exam;
  • cough on exam or by history;
  • increased work of breathing on exam; or
  • auscultatory findings consistent with pneumonia; 3) a lobar consolidation on chest radiograph as judged by the ED physician; and 4) the attending ED physician diagnoses the child with primary CAP
  • well enough to be discharged home from the emergency

Exclusion Criteria:

  • 2 or more episodes of emesis in the emergency
  • history of CF, anatomic lung disease, bronchiectasis, congenital heart disease, repeated aspirations, malignancy, immune suppression, recent prolonged admission to hospital, pneumonia diagnosed within the last month, lung abscess within the past six months, > 24 hours of beta-lactam antibiotic therapy prior to presentation, allergy to penicillin, allergy to food colouring
  • evidence of empyaema or necrotizing pneumonia on chest radiograph

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01707485

Canada, Ontario
McMaster Children's Hospital
Hamilton, Ontario, Canada, L8S 4K1
Sponsors and Collaborators
Hamilton Health Sciences Corporation
Principal Investigator: Jeffrey Pernica, MD Hamilton Health Sciences Corporation

Responsible Party: Jeffrey Pernica, Head, Division of Pediatric Infectious Disease, Hamilton Health Sciences Corporation Identifier: NCT01707485     History of Changes
Other Study ID Numbers: NIF-12303
First Posted: October 16, 2012    Key Record Dates
Last Update Posted: March 17, 2017
Last Verified: February 2017

Keywords provided by Jeffrey Pernica, Hamilton Health Sciences Corporation:

Additional relevant MeSH terms:
Lung Diseases
Respiratory Tract Diseases
Respiratory Tract Infections
Anti-Bacterial Agents
Anti-Infective Agents