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Penicillin Antibiotic

Antibiotics for Neonatal Infections (NANO Trial)

Phase 4
Recruiting
Research Sponsored by Michael Morowitz
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
We will enroll newborn infants with gestational age of 23-30 weeks 6 days infants at participating study sites will be eligible.
Be younger than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up weekly stool samples will be collected for the first 8 weeks of life and then monthly through death or discharge from the subject's birth hospital , assessed up to 50 weeks.
Awards & highlights

NANO Trial Summary

This trial is testing whether it's better to give antibiotics to extremely low birthweight babies right away or wait to see if they get an infection.

Who is the study for?
The trial is for newborns born at 23-30 weeks gestation, who are clinically stable without signs of infection or severe respiratory issues. It excludes those with major congenital anomalies, infants expected not to survive beyond 72 hours, and babies whose mothers had infections like GBS disease or chorioamnionitis.Check my eligibility
What is being tested?
This study tests whether giving antibiotics (Ampicillin and Gentamycin) to extremely low birthweight infants in their first week affects the rates of sepsis, necrotizing enterocolitis, or death compared to a placebo (Normal saline).See study design
What are the potential side effects?
Potential side effects may include reactions to antibiotics such as rash or diarrhea. Long-term use might lead to antibiotic resistance or affect the development of the baby's gut microbiome.

NANO Trial Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
Select...
My newborn is between 23 and 30 weeks old.

NANO Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~weekly stool samples will be collected for the first 8 weeks of life and then monthly through death or discharge from the subject's birth hospital , assessed up to 50 weeks.
This trial's timeline: 3 weeks for screening, Varies for treatment, and weekly stool samples will be collected for the first 8 weeks of life and then monthly through death or discharge from the subject's birth hospital , assessed up to 50 weeks. for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Composite incidence of NEC, LOS, or death
Secondary outcome measures
Death
LOS
NEC
Other outcome measures
Microbial diversity within infant fecal samples

NANO Trial Design

2Treatment groups
Active Control
Placebo Group
Group I: Empiric antibioticsActive Control2 Interventions
Infants will receive standard antibiotic coverage of ampicillin and gentamycin at site approved dosing guidelines while completing an evaluation for early-onset neonatal sepsis.
Group II: PlaceboPlacebo Group1 Intervention
Infants will receive a volume matched placebo of normal saline while completing an evaluation for early-onset neonatal sepsis.

Find a Location

Who is running the clinical trial?

Michael MorowitzLead Sponsor
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)NIH
1,964 Previous Clinical Trials
2,673,928 Total Patients Enrolled
5 Trials studying Neonatal Sepsis
5,865 Patients Enrolled for Neonatal Sepsis

Media Library

Ampicillin (Penicillin Antibiotic) Clinical Trial Eligibility Overview. Trial Name: NCT03997266 — Phase 4
Neonatal Sepsis Research Study Groups: Empiric antibiotics, Placebo
Neonatal Sepsis Clinical Trial 2023: Ampicillin Highlights & Side Effects. Trial Name: NCT03997266 — Phase 4
Ampicillin (Penicillin Antibiotic) 2023 Treatment Timeline for Medical Study. Trial Name: NCT03997266 — Phase 4

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What criteria must potential participants satisfy to be accepted into this research project?

"This clinical study aims to recruit 802 participants between 23 weeks and 4 hours who were born prematurely. Eligible patients must have been gestated for a period of 23-28 weeks in utero by mothers aged 18 or above, and be inborn at corresponding sites."

Answered by AI

What is the overall enrollment size for this clinical trial?

"Affirmative, the information posted on clinicaltrials.gov suggests that this medical trial is currently looking for participants. It was initially made available to the public on August 5th 2020 and its parameters have been updated as recently as July 28th 2022. This research requires 802 patients to be recruited from 13 different healthcare facilities."

Answered by AI

What types of illnesses does Empiric antibiotics generally target?

"Empiric antibiotics are primarily prescribed to treat listeriosis, but can also provide relief from bacterial infections such as those in the respiratory or gastrointestinal system."

Answered by AI

What other empirical antibiotic experiments have been conducted?

"Empiric antibiotics were initially researched at Hadassah Medical Organisation in 2014. Since then, a total of 275 trials have concluded and seven are currently running, primarily located in Pittsburgh, Pennsylvania."

Answered by AI

How many medical facilities are participating in this research endeavor?

"Patients for this medical study are being enrolled at Magee Womens Hospital in Pittsburgh, Pennsylvania, Penn State Medical College in Hershey, Missouri, Children's Mercy in Kansas City and 13 other sites."

Answered by AI

Does the age limit for eligibility extend beyond 30 years old?

"This medical trial is recruiting participants aged between 23 weeks and 4 hours."

Answered by AI

Is the research team currently accepting participants for this experiment?

"According to the clinical trials registry, this medical study is actively recruiting. It was initially posted on August 5th 2020 and most recently updated on July 28th 2022."

Answered by AI

Has the FDA sanctioned the use of Empiric antibiotics?

"The safety of empiric antibiotics can be rated 3 out of 3 due to it being in a Phase 4 trial, which indicates that the drug has been approved."

Answered by AI
~214 spots leftby Sep 2025