Preventive antibiotic treatment during childbirth for the prevention of Group G and C Streptococcal infections

2024-519263-18-00 Therapeutic use (Phase IV) Ongoing, recruiting

Start 26 Nov 2024 · Status Ongoing, recruiting · 1 EU/EEA countries · 3 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruiting
Participants planned 696
Countries 1
Sites 3

Participants are pregnant women found to carry Group G or C Streptococcus as part of their vaginal-rectal flora in the late pregnancy vaginal-rectal culture routinely taken for GBS screening

To evaluate the efficacy of intrapartum antibiotic profylaxis for the prevention of Group G/C infections of the mother and the newborn

Key facts

Sponsor
University Of Oulu
Participant type
Patients
Age range
18-64 years
Gender
Female
Therapeutic area
Diseases [C] - Female Urogenital Diseases and Pregnancy Complications [C13]
Trial duration
26 Nov 2024 → ongoing
Decision date (initial)
2024-11-26
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes

External identifiers

EU CT number
2024-519263-18-00
EudraCT number
2020-002696-34

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Prophylaxis

To evaluate the efficacy of intrapartum antibiotic profylaxis for the prevention of Group G/C infections of the mother and the newborn

Secondary objectives 1

  1. To clarify the role of group G/C streptococcus as a causative pathogen in the infections of the mother and the newborn during labour and postpartum/neonatal period

Conditions and MedDRA coding

Participants are pregnant women found to carry Group G or C Streptococcus as part of their vaginal-rectal flora in the late pregnancy vaginal-rectal culture routinely taken for GBS screening

VersionLevelCodeTermSystem organ class
20.1 LLT 10004038 Bacterial infection due to streptococcus group C 10021881
20.1 LLT 10004040 Bacterial infection due to streptococcus group G 10021881

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. All pregnant women who are shown by late pregnancy culture (taken at 35+0-38+0 gestational weeks) to carry group G or C Streptococcus in their vaginal-rectal flora are asked to participate

Exclusion criteria 1

  1. Exclusion criteria are as follows: The expectant mother carries both Group B Streptococcus (GBS) and group G/C Strptococcus; the expectant mother has had a urinary infection caused by Group B streptococcus at any time during her pregnancy or a previous child with GBS infection, as these women will routinely recieve antibiotic profylaxis;

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. A postpartum infection of the mother requiring antibiotic treatment up to 3 months after delivery

Secondary endpoints 1

  1. Positive blood culture of the mother, mode of delivery, need for blood culture from the newborn, antibiotic treatment of the newborn, transfer to NICU, days in the hospital for the mother and the newborn (lenght of stay after birth/delivery)

Investigational products

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

Test 2

Benzylpenicillin Panpharma 3 g injektio-/infuusiokuiva-aine, liuosta varten

PRD2715127 · Product

Active substance
Benzylpenicillin Sodium
Pharmaceutical form
SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRAVENOUS
Max daily dose
30 g gram(s)
Max total dose
210 g gram(s)
Max treatment duration
1 Week(s)
Authorisation status
Authorised
ATC code
J01CE01 — BENZYLPENICILLIN
Marketing authorisation
16595
MA holder
PANPHARMA
MA country
Finland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Clindamycin Fresenius Kabi 150 mg/ml injektioneste, liuos / infuusiokonsentraatti, liuosta varten

PRD715223 · Product

Active substance
Clindamycin Phosphate
Pharmaceutical form
SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRAVENOUS
Max daily dose
2700 mg milligram(s)
Max total dose
18900 mg milligram(s)
Max treatment duration
1 Week(s)
Authorisation status
Authorised
ATC code
J01FF01 — CLINDAMYCIN
Marketing authorisation
24305
MA holder
FRESENIUS KABI AB
MA country
Finland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

University Of Oulu

5 Total trials 2 Recruiting
Academic / Non-commercial
Sponsor organisation
University Of Oulu
Address
P. O. Box 23
City
Oulu
Postcode
90029
Country
Finland

Scientific contact point

Organisation
University Of Oulu
Contact name
Liisa Laatio

Public contact point

Organisation
University Of Oulu
Contact name
Liisa Laatio

Locations

1 EU/EEA country · 3 investigational sites

By country

CountryMS statusPlanned subjectsSites
Finland Ongoing, recruiting 696 3
Rest of world 0

Investigational sites

Finland

3 sites · Ongoing, recruiting
Tampere University Hospital
Dept of OB/GYN, Elamanaukio 2, 33520, Tampere
University Of Oulu
Department of OB&GYN, P. O. Box 23, 90029, Oulu
Etela-Pohjanmaan Sairaanhoitopiiri
Department of OB&GYN, Hanneksenrinne 7, 60220, Seinajoki

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Finland 2024-11-26 2024-11-26

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 5 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) POGSI - Tutkimussuunnitelma versio 1 1
Recruitment arrangements (for publication) Selvitys tutkittavan rekrytoinnista 1
Subject information and informed consent form (for publication) POGSI - Tiedote tutkittavalle ja tutkittavan suostumusasiakirja 2
Subject information and informed consent form (for publication) Tiedote tutkittavalle versio 2_ 2
Synopsis of the protocol (for publication) Yhteenveto tutkimussuunnitelmasta 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-10-26 Finland Acceptable
2024-11-26
2024-11-26