Continuous antibiotic infusion in children

2025-522809-38-00 Therapeutic confirmatory (Phase III) Authorised, recruitment pending

Status Authorised, recruitment pending · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Authorised, recruitment pending
Participants planned 150
Countries 1
Sites 1

Infection disease

To evaluate the efficacy, safety and cost-efficiency of continuous (24 h) antibiotic infusion in children

Key facts

Sponsor
Pirkanmaan hyvinvointialue
Participant type
Pediatric, Patients
Age range
0-17 years
Gender
Male and Female
Therapeutic area
Diseases [C] - Bacterial Infections and Mycoses [C01]
Decision date (initial)
2026-02-16
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Pharmacoeconomic, Therapy, Safety

To evaluate the efficacy, safety and cost-efficiency of continuous (24 h) antibiotic infusion in children

Secondary objectives 1

  1. To assess the perceived quality of life of children and their parents using a validated quality of life questionnaire and iv-route problems

Conditions and MedDRA coding

Infection disease

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 8

  1. Iv-antibiotic treatment is necessary
  2. Clinically stable
  3. No need to stay in hospital
  4. Pump or cassette can be changed at the hospital or at home
  5. Care givers are able to contact hospital if needed
  6. Clinical diagnose is not uncertain
  7. No allergy for the used antibiotic
  8. The continuous antibiotic infusion hasn’t been started yet or it has been initiated no more than 24 hours prior to study enrolment

Exclusion criteria 3

  1. The pump cannot be carried with the child
  2. The child must stay at the hospital for monitoring or other reason
  3. Unclear diagnose

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 3

  1. Duration of hospital stay / fever / antibiotic treatment
  2. Readmission to hospital
  3. Possible relapse (defined separately for each patient case)

Investigational products

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

Test 4

Benzylpenicillin Fresenius Kabi 1,2 g (2 milj. IU) injektio-/infuusiokuiva-aine liuosta varten

PRD11236215 · Product

Active substance
Benzylpenicillin Sodium
Substance synonyms
PENICILLIN G SODIUM, SODIUM PENICILLIN
Pharmaceutical form
SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
20000000 IU international unit(s)
Max total dose
840000000 IU international unit(s)
Max treatment duration
6 Week(s)
Authorisation status
Authorised
ATC code
J01CE01 — BENZYLPENICILLIN
Marketing authorisation
41612
MA holder
FRESENIUS KABI AB
MA country
Finland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Cloxacillin Navamedic 2 g injektio-/infuusiokuiva-aine liuosta varten

PRD10369206 · Product

Active substance
Cloxacillin
Pharmaceutical form
SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
12 g gram(s)
Max total dose
504 g gram(s)
Max treatment duration
6 Week(s)
Authorisation status
Authorised
ATC code
J01CF02 — CLOXACILLIN
Marketing authorisation
41658
MA holder
NAVAMEDIC ASA
MA country
Finland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Piperacillin/Tazobactam Kalceks 2 g/0,25 g infuusiokuiva-aine, liuosta varten

PRD10276998 · Product

Active substance
Piperacillin
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
12 g gram(s)
Max total dose
504 g gram(s)
Max treatment duration
6 Week(s)
Authorisation status
Authorised
ATC code
J01CR05 — PIPERACILLIN AND ENZYME INHIBITOR
Marketing authorisation
40130
MA holder
KALCEKS
MA country
Finland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Vancosan 500 mg, Infuusiokuiva-aine, liuosta varten

PRD11818669 · Product

Active substance
Vancomycin Hydrochloride
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
3 g gram(s)
Max total dose
126 g gram(s)
Max treatment duration
6 Week(s)
Authorisation status
Authorised
ATC code
J01XA01 — VANCOMYCIN
Marketing authorisation
28525
MA holder
MIP PHARMA GMBH
MA country
Finland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Pirkanmaan hyvinvointialue

Sponsor organisation
Pirkanmaan hyvinvointialue
Address
Elamanaukio 2
City
Tampere
Postcode
33520
Country
Finland

Scientific contact point

Organisation
Pirkanmaan hyvinvointialue
Contact name
Maria Pohjanpää

Public contact point

Organisation
Pirkanmaan hyvinvointialue
Contact name
Maria Pohjanpää

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Finland Authorised, recruitment pending 150 1
Rest of world 0

Investigational sites

Finland

1 site · Authorised, recruitment pending
Pirkanmaan hyvinvointialue
Department of Pediatrics, Elamanaukio 2, 33520, Tampere

Results and documents

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

Documents 16 files

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

TypeTitleVersion
Protocol (for publication) D1__Protocol_EU CT 2025-522809-38-00 2
Recruitment arrangements (for publication) K1_Recruitment arrangements 2
Subject information and informed consent form (for publication) L1_SIS and ICF 12-14 yr_redacted 2
Subject information and informed consent form (for publication) L1_SIS and ICF 12-14_redacted 3
Subject information and informed consent form (for publication) L1_SIS and ICF 15-16 yr redacted 2
Subject information and informed consent form (for publication) L1_SIS and ICF_12-14y 1
Subject information and informed consent form (for publication) L1_SIS and ICF_15-16y 1
Subject information and informed consent form (for publication) L1_SIS and ICF_Guardian 1
Subject information and informed consent form (for publication) L1_SIS and ICF_Guardian_redacted 2
Subject information and informed consent form (for publication) L1_SIS and ICF_Notfication Guardian_redacted 1
Subject information and informed consent form (for publication) L1_SIS and ICF_under 12 yr_redacted 3
Subject information and informed consent form (for publication) L1_SIS and ICF_under 12v 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Bentsyylipenisilliini 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Kloksasilliini 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Piperasilliini-tatsobaktaami 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Vankomysiini 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-11-12 Finland Acceptable
2026-01-29
2026-02-16
2 NON SUBSTANTIAL MODIFICATION NSM-1 2026-02-18 Finland Acceptable
2026-01-29
2026-02-18
3 SUBSTANTIAL MODIFICATION SM-1 2026-02-20 Finland Acceptable 2026-03-16