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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02210169
Registration number
NCT02210169
Ethics application status
Date submitted
5/08/2014
Date registered
6/08/2014
Date last updated
2/11/2018
Titles & IDs
Public title
RCT of Continuous Versus Intermittent Infusion of Vancomycin in Neonates
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Scientific title
A Randomised Controlled Trial (RCT) of Continuous and Intermittent Infusion of Vancomycin in Neonates
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Secondary ID [1]
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Vanc_IIV vs CIV
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Sepsis
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0
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Infection
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0
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Bacteremia
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0
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Condition category
Condition code
Blood
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0
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Other blood disorders
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Infection
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0
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0
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Other infectious diseases
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Infection
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0
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Studies of infection and infectious agents
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Continuous infusion of vancomycin
No intervention: Intermittent infusion of vancomycin - Vancomycin will be administered intravenously over 1 hour. Doses will be given from one to four times a day according to corrected gestational age.
Active comparator: Continuous infusion of vancomycin - A loading dose of vancomycin will be given over 1 hour followed by a continuous infusion of vancomycin over a 24 hour period.
Treatment: Drugs: Continuous infusion of vancomycin
Continuous infusion of vancomycin will be given as a loading dose over 1 hour then as a continuous infusion over a 24-hours period.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Proportion of neonates achieving target vancomycin concentrations in blood at steady state (24-48 hours)
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Assessment method [1]
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Timepoint [1]
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2 years
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Secondary outcome [1]
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Drug-related adverse effects
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Assessment method [1]
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the proportion of drug-related adverse effects with CIV compared to IIV
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Timepoint [1]
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2 years
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Secondary outcome [2]
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Time to achieve target levels
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Assessment method [2]
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the time to and number of dose adjustments required to achieve target therapeutic vancomycin levels in blood
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Timepoint [2]
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2 years
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Secondary outcome [3]
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Clearance of vancomycin in young infants
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Assessment method [3]
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Population pharmacokinetic modelling of vancomycin in young infants using NONMEM
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Timepoint [3]
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2 years
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Secondary outcome [4]
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Volume of distribution of vancomycin in young infants
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Assessment method [4]
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Population pharmacodynamics modelling of vancomycin in young infants using NONMEM
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Timepoint [4]
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2 years
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Secondary outcome [5]
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Area under the concentration-time curve of vancomycin in young infants
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Assessment method [5]
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Population pharmacodynamics modelling of vancomycin in young infants using NONMEM
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Timepoint [5]
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2 years
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Secondary outcome [6]
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Time above the minimum inhibitory concentration of the bacteria for vancomycin in young infants
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Assessment method [6]
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Population pharmacodynamics modelling of vancomycin in young infants using NONMEM
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Timepoint [6]
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2 years
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Eligibility
Key inclusion criteria
- Neonates in the neonatal unit with an infection requiring treatment with vancomycin as determined by the treating physician.
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Minimum age
No limit
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Maximum age
90
Days
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Infants with a corrected gestational age < 25 weeks.
* Allergy to vancomycin or other glycopeptide antibiotic
* Vancomycin administered within the previous 72 hours
* Renal impairment
* Prior enrolment in the study
* Need for drug that is incompatible with vancomycin (if no other IV line is available)
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/09/2014
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/05/2018
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Sample size
Target
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Accrual to date
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Final
111
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Recruitment in Australia
Recruitment state(s)
NSW,VIC
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Recruitment hospital [1]
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Royal Hospital for Women - Sydney
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Recruitment hospital [2]
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The Royal Children's Hospital - Melbourne
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Recruitment postcode(s) [1]
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2031 - Sydney
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Recruitment postcode(s) [2]
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3052 - Melbourne
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Funding & Sponsors
Primary sponsor type
Other
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Name
Murdoch Childrens Research Institute
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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Royal Children's Hospital
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Address [1]
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Country [1]
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Other collaborator category [2]
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Other
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Name [2]
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Royal Hospital For Women
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Address [2]
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Country [2]
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Ethics approval
Ethics application status
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Summary
Brief summary
Babies aged 0 to 90 days with a suspected infection requiring treatment with vancomycin will be recruited. They will be randomised to receive vancomycin as an intermittent infusion (over 1 hour) or as a continuous infusion (over 24 hours). The hypothesis is that administering vancomycin as a continuous infusion will result in improved attainment of target concentrations in blood at steady state (when the drug is in equilibrium) compared to intermittent infusion.
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Trial website
https://clinicaltrials.gov/study/NCT02210169
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Trial related presentations / publications
Gwee A, Cranswick N, McMullan B, Perkins E, Bolisetty S, Gardiner K, Daley A, Ward M, Chiletti R, Donath S, Hunt R, Curtis N. Continuous Versus Intermittent Vancomycin Infusions in Infants: A Randomized Controlled Trial. Pediatrics. 2019 Feb;143(2):e20182179. doi: 10.1542/peds.2018-2179. Gwee A, Cranswick N, Donath SM, Hunt R, Curtis N. Protocol for a randomised controlled trial of continuous infusions of vancomycin to improve the attainment of target vancomycin levels in young infants: The VANC trial. BMJ Open. 2018 Nov 3;8(11):e022603. doi: 10.1136/bmjopen-2018-022603.
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Public notes
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Contacts
Principal investigator
Name
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Amanda Gwee, MBBS
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Address
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Murdoch Children's Research Institute
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT02210169
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