The SANT-study - A randomized controlled clinical trial of Streptococcus group A-negative acute tonsillitis in primary health care - a comparison of phenoxymethylpenicillin and no antibiotic treatment

2023-508542-18-00 Protocol SANT-trial Therapeutic use (Phase IV) Ongoing, recruiting

Start 2 Sep 2019 · Status Ongoing, recruiting · 1 EU/EEA countries · 9 sites · Protocol SANT-trial

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruiting
Participants planned 390
Countries 1
Sites 9

Tonsilitis

Determine if PcV compared to no antibiotic treatment (care as usual) reduces the duration of symptoms in patients with severe (Centor score 3-4), GAS-negative AT

Key facts

Sponsor
Region Joenkoepings Laen
Participant type
Pediatric, Patients
Age range
0-17 years, 18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Respiratory Tract Diseases [C08]
Trial duration
2 Sep 2019 → ongoing
Decision date (initial)
2023-11-01
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2023-508542-18-00
EudraCT number
2019-000756-34

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy

Determine if PcV compared to no antibiotic treatment (care as usual) reduces the duration of symptoms in patients with severe (Centor score 3-4), GAS-negative AT

Conditions and MedDRA coding

Tonsilitis

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. Adult and young adult persons ages 15 years and older with symptoms of sore throat and or pain on swallowing
  2. Centor score 3-4: absence of cough, anamnestic fever (temperature above 38.5°C), tender lymphadenitis, and tonsillar exudates (one or both tonsils)
  3. Duration of symptoms < 8 days
  4. A RADT for GAS taken
  5. Willing and able to give informed consent. Subjects under 18 years of age must in addition have the consent from both parents/caretakers

Exclusion criteria 4

  1. Ongoing antibiotic treatment
  2. Known or suspected allergies to penicillin
  3. Strong suspicion of mononucleosis and positive point of care test
  4. Suspicion of PTA or indication for admittance

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Differences in number of days from inclusion to resolution of symptoms. Student t-test will be used to determine differences in number of days from inclusion to resolution of all symptoms between study group 1 and study group 2.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

SCP968089 · ATC

Route of administration
ORAL USE
Max daily dose
3 g gram(s)
Max total dose
30 g gram(s)
Max treatment duration
10 Day(s)
Authorisation status
Authorised
ATC code
J01CE02 — PHENOXYMETHYLPENICILLIN
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Region Joenkoepings Laen

Sponsor organisation
Region Joenkoepings Laen
Address
Futurum Verksamhetsnara Funktion, Lanssjukhuset Ryhov Hus B 4 Lanssjukhuset Ryhov Hus B 4
City
Jonkoping
Postcode
551 85
Country
Sweden

Scientific contact point

Organisation
Region Joenkoepings Laen
Contact name
Katarina Hedin

Public contact point

Organisation
Region Joenkoepings Laen
Contact name
Katarina Hedin

Locations

1 EU/EEA country · 9 investigational sites

By country

CountryMS statusPlanned subjectsSites
Sweden Ongoing, recruiting 390 9
Rest of world 0

Investigational sites

Sweden

9 sites · Ongoing, recruiting
Region Joenkoepings Laen
Bra Liv Rosenhälsan vårdcentral, Futurum Verksamhetsnara Funktion, Lanssjukhuset Ryhov Hus B 4, Jonkoping
Wetterhälsan
Wetterhälsan, Batterigatan 9, 55305, Futurum, Jönköping
Region Kronoberg
Vårdcentralen Skärvet, Nygatan 20, Vaxjo Stads- Och Domkyrkofors., Vaxjo
Vårdcentralen Capio Hovshaga
Vårdcentralen Capio Hovshaga, Pomonavägen 2, 35261, Växjö
Region Oestergoetland
Vårdcentralen Kärna, S S:t Lars, S:t Larsgatan 49 B, Linkoping
Region Vaesterbotten
Backens hälsocentral, Koksvagen 11, Alidhem, Umea
Region Vaesterbotten
Vindelns hälsocentral, Koksvagen 11, Alidhem, Umea
Region Norrbotten
Laponia hälsocentral, Robertsviksgatan 7, Lulea Domkyrkofors., Lulea
Region Skane
Vårdcentralen Lundsbergsgatan, Dockplatsen 26, Malmo S:t Petri, Malmo

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Sweden 2019-09-02 2019-09-09

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-10-23 Sweden Acceptable
2023-10-31
2023-11-01