Antibiotic Dosing in Pediatric Intensive Care (ADIC)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
- Procedure: blood sampling in patients receiving amoxicillin-clavulanate as part of routine clinical care
- Procedure: blood sampling in patients receiving piperacilline-tazobactam as part of routine clinical care.
- Procedure: blood sampling in patients receiving vancomycin as part of routine clinical care.
- Procedure: blood sampling in patients receiving teicoplanin as part of routine clinical care.
- Procedure: blood sampling in patients receiving meropenem as part of routine clinical care.
- Procedure: blood sampling and urine smapling in patients receiving ciprofloxacin as part of routine clinical care.
- Procedure: blood sampling in patients receiving amikacin as part of routine clinical care.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Pieter De Cock, PharmD
- Phone Number: +32 9 332 29 69
- Email: pieter.decock@uzgent.be
Study Locations
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-
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Ghent, Belgium, 9000
- Recruiting
- Ghent University Hospital, Hospital Pharmacy
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Contact:
- Pieter De Cock, PharmD
- Phone Number: +3293322969
- Email: pieter.decock@uzgent.be
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Principal Investigator:
- Pieter De Cock, PharmD
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Principal Investigator:
- Annick de Jaeger, MD
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Principal Investigator:
- Dominique Biarent, MD
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Principal Investigator:
- Jozef De Dooy, MD
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- patients admitted to the pediatric intensive care unit
- patient age/weight : 1,8 kg-15 years
- patient receiving antibiotic treatment (piperacillin-tazobactam, amoxicillin-clavulanate, vancomycin, teicoplanin, meropenem, ciprofloxacin, amikacin) via intermittent infusion regimen or continuous infusion according to institutional treatment guidelines
- intra-arterial or intravenous access other than the drug infusion line available for blood sampling (arterial line is preferred)
Exclusion Criteria:
- no catheter in place for blood sampling
- absence of parental/patient consent
- known hypersensitivity to beta-lactam antibiotics, glycopeptides, fluoroquinolones, aminoglycosides
- extracorporeal circuit (haemodialysis, ECMO, peritoneal dialysis )
Study Plan
How is the study designed?
Design Details
- Observational Models: Other
- Time Perspectives: Prospective
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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amoxicillin-clavulanate
Patients receiving amoxicillin-clavulanate as part of routine clinical care.
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|
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piperacilline-tazobactam
Patients receiving piperacilline-tazobactam as part of routine clinical care.
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|
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vancomycin
Patients receiving vancomycin as part of routine clinical care.
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|
|
teicoplanin
Patients receiving teicoplanin as part of routine clinical care.
|
|
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meropenem
Patients receiving meropenem as part of routine clinical care.
|
|
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ciprofloxacin
Patients receiving ciprofloxacin as part of routine clinical care.
|
|
|
amikacin
Patients receiving amikcain as part of routine clinical care.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
To investigate if first-dose blood concentrations with maximum antimicrobial activity are achieved with current dosing regimens.
Time Frame: 2 years (expected)
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2 years (expected)
|
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To investigate if steady-state blood concentrations with maximum antimicrobial activity are achieved with current dosing regimens.
Time Frame: 2 years (expected)
|
2 years (expected)
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
To compare measured first-dose blood concentrations with predefined pharmacodynamic targets (Time above MIC)
Time Frame: 2 years (expected)
|
2 years (expected)
|
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To compare measured steady-state blood concentrations with predefined pharmacodynamic targets (Time above MIC)
Time Frame: 2 years (expected)
|
2 years (expected)
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Pieter De Cock, University Hospital, Ghent
Publications and helpful links
General Publications
- Van Der Heggen T, Dhont E, Willems J, Herck I, Delanghe JR, Stove V, Verstraete AG, Vanhaesebrouck S, De Paepe P, De Cock PAJG. Suboptimal Beta-Lactam Therapy in Critically Ill Children: Risk Factors and Outcome. Pediatr Crit Care Med. 2022 Jul 1;23(7):e309-e318. doi: 10.1097/PCC.0000000000002951. Epub 2022 Apr 15.
- Aulin LBS, De Paepe P, Dhont E, de Jaeger A, Vande Walle J, Vandenberghe W, McWhinney BC, Ungerer JPJ, van Hasselt JGC, De Cock PAJG. Population Pharmacokinetics of Unbound and Total Teicoplanin in Critically Ill Pediatric Patients. Clin Pharmacokinet. 2021 Mar;60(3):353-363. doi: 10.1007/s40262-020-00945-4. Epub 2020 Oct 8.
- De Cock PA, Desmet S, De Jaeger A, Biarent D, Dhont E, Herck I, Vens D, Colman S, Stove V, Commeyne S, Vande Walle J, De Paepe P. Impact of vancomycin protein binding on target attainment in critically ill children: back to the drawing board? J Antimicrob Chemother. 2017 Mar 1;72(3):801-804. doi: 10.1093/jac/dkw495.
- De Cock PA, Standing JF, Barker CI, de Jaeger A, Dhont E, Carlier M, Verstraete AG, Delanghe JR, Robays H, De Paepe P. Augmented renal clearance implies a need for increased amoxicillin-clavulanic acid dosing in critically ill children. Antimicrob Agents Chemother. 2015 Nov;59(11):7027-35. doi: 10.1128/AAC.01368-15. Epub 2015 Sep 8.
- Dhont E, Standing JF, Beel E, Nguyen TVA, Herck I, Peperstraete H, Vandenberghe W, Bove T, Vandekerckhove K, Verougstraete N, Stove V, Vande Walle J, De Paepe P, De Cock PA. Individualised amoxicillin-clavulanate dosing recommendations for critically ill children with augmented clearance after cardiac surgery. Int J Antimicrob Agents. 2025 Aug;66(2):107513. doi: 10.1016/j.ijantimicag.2025.107513. Epub 2025 Apr 15.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- BC-00828 (EC 2012/172)
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