Actively Recruiting

Age: 1Day - 18Years
All Genders
NCT02539407

Population Pharmacokinetics of Anti-infectives in Critically Ill Children

Led by Assistance Publique - Hôpitaux de Paris · Updated on 2025-11-20

3000

Participants Needed

1

Research Sites

690 weeks

Total Duration

On this page

Sponsors

A

Assistance Publique - Hôpitaux de Paris

Lead Sponsor

U

URC-CIC Paris Descartes Necker Cochin

Collaborating Sponsor

AI-Summary

What this Trial Is About

Concentrations and effects of anti-infectives in critically ill children are unpredictable and the risk of under-exposure may be associated with poor clinical outcomes. In addition, between-subject variability (BSV) is known to be substantial in critically ill children. Rationalisation of anti-infectives in children is therefore desirable. The investigators aim to investigate, using a population approach, the pharmacokinetics (PK) and pharmacodynamics (PD) of anti-infectives including PK/PD targets (fT(%) \> minimal inhibitory concentration (MIC)) and PD endpoints (clinical outcomes) in critically ill children. Covariates The effects of covariates on anti-infectives PK and PK/PDs are investigated in order to better explain the BSV and to ultimately suggest individualized dosage regimens. It will be a prospective PK study including 11 anti-infectives antibiotics. Six blood samples were taken from each patient during dosing interval. The primary PK/ PD targets were anti-infectives concentrations above the MIC of the pathogen at both 50% (50% f T\>MIC) and 100% (100% f T\>MIC) of the dosing interval. The investigators used skewed logistic regression to describe the effect of anti-infectives exposure on patient outcome.

CONDITIONS

Official Title

Population Pharmacokinetics of Anti-infectives in Critically Ill Children

Who Can Participate

Age: 1Day - 18Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Minor patient requiring the administration of an anti-infective belonging to the following classes: beta-lactam antibiotics; aminoglycosides; glycopeptides; fluoroquinolones; other antibiotics (daptomycin, rifampin, trimethoprim, sulfamethoxazole, clarithromycin); antifungals; antivirals during follow-up or hospitalization
Not Eligible

You will not qualify if you...

  • Patient and parents have notified the doctor that they refuse data recovery

AI-Screening

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Trial Site Locations

Total: 1 location

1

Hospital Necker - Enfants Malades (Public Hospitals of Paris)

Paris, France, 75015

Actively Recruiting

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Research Team

O

Oualha Mehdi, MD,PhD

CONTACT

L

Laure Choupeaux

CONTACT

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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