Computerized Dosing Tool for Bacterial Infections in Children

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AT
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Overseen BySiddhartha A Dante, MD
Age: < 65
Sex: Any
Trial Phase: Academic
Sponsor: University of Maryland, Baltimore
Must be taking: Intravenous vancomycin
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to improve the administration of intravenous vancomycin, an antibiotic, to children with bacterial infections. The focus is on a new computer tool, called Lyv, which helps determine the optimal dose for each child based on individual needs. The trial compares children using this tool to past cases where doses were adjusted by older methods. It is suitable for children who are hospitalized and require IV vancomycin for the first time during their stay. As an unphased trial, this study offers participants a unique opportunity to contribute to advancements in personalized medicine for children.

Will I have to stop taking my current medications?

The trial information does not specify if you need to stop taking your current medications. However, it does mention that participants should not have received vancomycin in the previous two weeks.

What prior data suggests that the Lyv computerized dosing tool is safe for pediatric patients?

Research has shown that using a computerized tool like Lyv to determine the right dose of vancomycin for children is a new and promising method. However, specific information about the safety of the Lyv tool itself is not yet available. This study is labeled as "Not Applicable" for its phase, likely indicating a focus on determining correct dosing rather than testing safety.

Vancomycin, a well-known antibiotic used in hospitals, is generally safe when used correctly. Incorrect dosing, however, can lead to side effects such as kidney problems. The Lyv tool aims to improve dosing accuracy by adjusting to each patient's needs.

As the Lyv tool is new, extensive safety data may not yet be available. Nonetheless, its inclusion in a study suggests researchers see potential in it. Safety will be carefully monitored during the study. If the Lyv tool aids in dosing without increasing side effects, it could become a valuable addition to current treatment methods.12345

Why are researchers excited about this trial?

Researchers are excited about this trial because it introduces a computerized decision support tool to optimize dosing for bacterial infections in children. Unlike traditional methods that adjust doses based on vancomycin trough levels, this tool uses the AUC24/MIC ratio to determine the appropriate dosing of IV vancomycin. This approach aims to improve precision in medication dosages, potentially enhancing treatment effectiveness and minimizing side effects. By refining how vancomycin is administered, the tool could lead to more personalized and effective care for pediatric patients.

What evidence suggests that the Lyv computerized dosing tool is effective for bacterial infections in children?

Research has shown that computerized tools like Lyv, which participants in this trial will use, can help patients reach optimal antibiotic levels more quickly. One study found that this software speeds up the process of achieving these target levels, potentially leading to better outcomes for patients with serious infections. For children with bacterial infections, this means more accurate dosing of vancomycin, which might result in fewer side effects and improved treatment results. Although more research is needed, early findings are promising for using these tools to enhance antibiotic treatment in children.678910

Are You a Good Fit for This Trial?

This trial is for hospitalized newborns to teenagers up to 19 years old who need IV vancomycin but haven't started treatment. They must not have taken vancomycin in the last two weeks, don't have end-stage kidney disease or are on dialysis, and aren't pregnant or brain dead. Consent from a parent or guardian is required.

Inclusion Criteria

Parent or legally authorized representative is willing to provide permission and sign the informed consent document; subjects assent, when appropriate
My child needs but hasn't started IV vancomycin treatment.
My child, aged 0-19 years, needs IV vancomycin in the hospital.

Exclusion Criteria

I have taken vancomycin in the last 2 weeks.
I will receive only one dose of vancomycin.
Known to be pregnant
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Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1 day

Treatment

Participants receive individualized vancomycin dosing based on the Clinical Decision Support tool for up to 7 days

7 days
Daily monitoring and dose adjustments

Follow-up

Participants are monitored for safety and effectiveness after treatment

1 week

What Are the Treatments Tested in This Trial?

Interventions

  • Lyv
Trial Overview The study tests a new computer tool called Lyv that helps doctors decide how much vancomycin kids should get based on their body's response to the drug. The results will be compared with past data from similar patients who didn’t use this tool.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Group I: Matched Historical ControlsExperimental Treatment1 Intervention
Group II: Intervention Group- Computer Decision Support ToolExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Maryland, Baltimore

Lead Sponsor

Trials
729
Recruited
540,000+

Center for Translational Medicine at the School of Pharmacy

Collaborator

Trials
1
Recruited
80+

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Collaborator

Trials
2,103
Recruited
2,760,000+

Citations

Clinical Decision Support Tool for Vancomycin Dosing in ...This study will evaluate the pharmacokinetic and pharmacodynamic dosing properties of intravenous vancomycin in pediatric patients using a ...
Achievement of therapeutic antibiotic exposures using ...Dosing software reduced the time to achieve effective antibiotic concentrations and may improve clinical outcomes in critically ill patients ...
3.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/38478027/
Achievement of therapeutic antibiotic exposures using ...Dosing software may reduce the time to achieve target antibiotic exposures. It should be evaluated further in trials to establish its impact on clinical ...
Using procalcitonin to guide duration of antibioticsParticipants will be helping to provide information that will help treat children and young people with bacterial infections in the future. They will be given a ...
Pediatric Invasive Meningococcal Disease, Auckland, New ...The vaccine effectiveness of MeNZB against the epidemic strain was estimated at 68%–77% and was associated with the waning of the epidemic (4,11) ...
The safety of live attenuated influenza vaccine in children ...Abstract. Purpose: To evaluate the safety of live attenuated influenza vaccine (LAIV) in children 2 through 17 years of age.
New database transforms evidence-based care for children ...By integrating data from diverse hospitals, this database enables clinicians to better understand disease patterns, assess treatment ...
OCE PublicationsFDA's Oncology Center of Excellence publishes numerous articles in peer-reviewed scientific journals, including original research papers, drug approval ...
World health statistics 2016World Health Organization 2016. All rights reserved. Publications of the World Health Organization are available on the WHO website ...
Viral bacterial interactions in children: Impact on clinical ...Respiratory viral infections are associated with significant morbidity and mortality in children < 5 years of age worldwide.
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