2세 이상 12세 미만 소아 참가자를 대상으로 한 세균 감염 의심 또는 확진 또는 예방 항생제 투여 환자 연구
2세 이상 12세 미만의 소아 참가자에서 의심되거나 확진된 세균 감염 또는 항생제 예방 요법을 받는 경우 항균 표준 치료에 경구 게포티다신 단일 용량을 추가 투여한 약동학 및 안전성을 평가하기 위한 제1상, 개방형, 단일 군(비교군 없음) 연구
The study will be conducted to evaluate how a single oral dose of Gepotidacin is processed in the body over time along with safety monitoring in hospitalized pediatric participants who are receiving a standard of care treatment with antibacterials for a confirmed or suspected infection or for its prevention.
연구 개요
상태
상태
정황
정황
개입 / 치료
개입 / 치료
연구 유형
연구 유형
등록 (추정된)
등록
단계
단계
- 1단계
연락처 및 위치
연구 연락처
연구 연락처
- 이름: US GSK Clinical Trials Call Center
- 전화번호: 877-379-3718
- 이메일: GSKClinicalSupportHD@gsk.com
연구 연락처 백업
- 이름: EU GSK Clinical Trials Call Center
- 전화번호: +44 (0) 20 89904466
- 이메일: GSKClinicalSupportHD@gsk.com
연구 장소
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California
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Orange, California, 미국, 92868
- GSK Investigational Site
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연락하다:
- US GSK Clinical Trials Call Center
- 전화번호: 877-379-3718
- 이메일: GSKClinicalSupportHD@gsk.com
-
연락하다:
- EU GSK Clinical Trials Call Centre
- 전화번호: +44 (0) 20 8990 4466
- 이메일: GSKClinicalSupportHD@gsk.com
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수석 연구원:
- Antonio Arrieta
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Louisiana
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Shreveport, Louisiana, 미국, 71101
- GSK Investigational Site
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연락하다:
- US GSK Clinical Trials Call Center
- 전화번호: 877-379-3718
- 이메일: GSKClinicalSupportHD@gsk.com
-
연락하다:
- EU GSK Clinical Trials Call Centre
- 전화번호: +44 (0) 20 8990 4466
- 이메일: GSKClinicalSupportHD@gsk.com
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수석 연구원:
- Patricia Pichilingue-Reto
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Maryland
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Baltimore, Maryland, 미국, 21827
- GSK Investigational Site
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연락하다:
- US GSK Clinical Trials Call Center
- 전화번호: 877-379-3718
- 이메일: GSKClinicalSupportHD@gsk.com
-
연락하다:
- EU GSK Clinical Trials Call Centre
- 전화번호: +44 (0) 20 8990 4466
- 이메일: GSKClinicalSupportHD@gsk.com
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수석 연구원:
- Allison Agwu
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Missouri
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St Louis, Missouri, 미국, 63110-1010
- GSK Investigational Site
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연락하다:
- US GSK Clinical Trials Call Center
- 전화번호: 877-379-3718
- 이메일: GSKClinicalSupportHD@gsk.com
-
연락하다:
- EU GSK Clinical Trials Call Centre
- 전화번호: +44 (0) 20 8990 4466
- 이메일: GSKClinicalSupportHD@gsk.com
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수석 연구원:
- David Hunstad
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참여기준
자격 기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
- Participants having ≥2 to <12 years of age at the time of signing the informed consent/assent and have a body weight >=10 kilograms (kg).
- Participants receiving SoC antibacterial therapy for a confirmed/suspected infection or for prophylaxis AND is able to take a single dose of the powder for oral suspension formulation of gepotidacin after a meal.
- Participants either hospitalized or in an overnight clinic. Participant is expected to be in hospital/clinic for at least 24 hours post administration of study intervention.
Participant has an indwelling venous catheter in place as part of the clinical SoC.
- Male or female according to their reproductive organs at birth.
- Pregnancy testing is required as appropriate for the age, sexual activity, and sexual maturity of pediatric participants and as required by local regulations. Investigator should apply clinical judgment.
- A female participant is eligible to participate if she is a WOCBP who is not pregnant as confirmed by a high sensitivity serum or urine pregnancy test at baseline (Day 1) regardless of current or prior contraception use or abstinence, is not breastfeeding, or is not a WOCBP.
- Participant LAR(s) who has the ability to understand, agree to, and sign the informed consent form before initiation of any protocol-related procedures; participant has the ability to give documented assent.
- Participant and participant's LAR are willing and able to comply with study instructions, study visits, and procedures.
Exclusion Criteria:
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Participants having a BMI-for-age that is less than the 5th percentile or greater than the 95th percentile based on the CDC percentiles [CDC NCHS Growth Charts].
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Participants having a clinically significant medical history, including malignancy, significant chromosome abnormality, neurological disorder or history of seizure (excluding simple febrile seizure), chronic immunosuppressive disease, active tuberculosis or acute hepatitis.
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Participants with serious disease/condition that could be imminently life-threatening (e.g. is clinically/hemodynamically unstable, is septicemic, has severe sepsis, organ failure, requiring ITU care or has clinical laboratory tests either nonstable or anticipated to be nonstable) or the participant is unlikely to survive for the duration of the study period.
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The participant has severe renal organ dysfunction or has known anuria, oliguria, or significant impairment of renal function (creatinine clearance <60 mL/min or clinically significant elevated serum creatinine as determined by the investigator).
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The participant has a significant CV history or based on investigator judgment any clinically significant abnormal ECG reading at Screening/baseline (e.g., prolonged QT syndrome).
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The participant is immunocompromised or has altered immune defenses that may predispose the participant to a higher risk of complications (e.g., uncontrolled diabetes in the judgment of the investigator, transplant recipients (with the exception of cornea and autologous BMT), participants with clinically significant persistent granulocytopenia [absolute neutrophil count <1000/μL], and participants receiving immunosuppressive therapy, including corticosteroid therapy at a dose of >1 mg/kg/day of prednisolone or equivalent for >1 week or 0.5-<1 mg/kg/day prednisolone or equivalent for >2 weeks). Participants aged ≥6 years with a known CD4 count of <200 cells/mm3 and participants aged <6 years with a known CD4 count of <500 cells/mm3 are to not be enrolled.
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The participant has any of the following medical condition that requires medication that may be impacted by inhibition of acetylcholinesterase, such as:
- Poorly controlled asthma or obstructive pulmonary disease at baseline and, in the opinion of the investigator, not stable on current therapy.
- Active peptic ulcer disease
- Juvenile Parkinson disease
- Juvenile Myasthenia gravis
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The participant has any surgical or medical condition (active or chronic) that may interfere with drug absorption, distribution, metabolism, or excretion of the study intervention (e.g., ileostomy or malabsorption syndrome).
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The participant plans to use any of the prohibited medications or nondrug therapies from the Baseline Visit through Follow-up Visit at 7 ±3 days after the single dose of study intervention.
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The participant has received a prohibited medication within 14 days or 5 half-lives prior to gepotidacin administration, whichever is longer.
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The participant has been previously enrolled in this study or has previously been treated with gepotidacin.
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The participant has participated in a clinical trial and has received an investigational product within 30 days or 5 half-lives prior to gepotidacin administration, whichever is longer.
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The participant, in the judgment of the investigator, would not be able or willing to comply with the protocol or complete study follow-up.
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If the child is being breastfed:
- There is suspicion of current alcohol or substance misuse/abuse in breastfeeding mother.
- The breastfeeding mother is taking any medication or any substances containing any of the medications included in the prohibited medication list with known or unknown lactation excretion.
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The participant has severe hepatic organ dysfunction.
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The participant has an ALT value >2 × ULN.
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The participant has a total bilirubin >1.5xULN; Participants with Gilbert's syndrome can be included with total bilirubin >1.5xULN as long as direct bilirubin is ≤1.5xULN.
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Cirrhosis or current unstable liver or biliary disease per investigator assessment defined by the presence of ascites, encephalopathy, coagulopathy, hypoalbuminemia, esophageal or gastric varices, persistent jaundice.
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The participant has congenital long QT syndrome or known prolongation of the QTc interval.
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The participant has uncompensated heart failure.
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The participant has severe left ventricular hypertrophy.
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The participant has a family history of QT prolongation or sudden death or history of sudden infant death in a sibling.
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The participant has a recent history of vasovagal syncope or episodes of symptomatic bradycardia or brady arrhythmia within the last 12 months.
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The participant is taking QT-prolonging drugs or drugs known to increase the risk of TdP per the ww.crediblemeds.org. "Known Risk of TdP" category at the time of the Baseline Visit, which cannot be safely discontinued from the Baseline Visit (Day 1) through 7 (+3) days after the single dose of study intervention; or the participant is taking a strong CYP3A4 inhibitor.
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The participant has a mean triplicate QTc >450 msec or a mean triplicate QTc >480 msec for participants with complete bundle branch block.
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The participant has a documented or recent history of uncorrected hypokalemia within the past 3 months.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 해당 없음
- 중재 모델: 단일 그룹 할당
- 마스킹: 없음(오픈 라벨)
팔의 수
무기와 개입
참가자 그룹 / 팔참가자 그룹 / 팔 |
개입 / 치료개입 / 치료 |
|---|---|
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실험적: Gepotidacin plus Standard of care (SOC)
Single Arm |
Gepotidacin will be administered SOC will be administered |
연구는 무엇을 측정합니까?
주요 결과 측정
주요 결과 측정
결과 측정 |
기간 |
|---|---|
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지포티다신의 시간 0부터 최종 정량 가능 농도 시간까지의 AUC(AUC[0-t])
기간: 투여 후 최대 24시간(1일차)
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투여 후 최대 24시간(1일차)
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시간 영점에서 무한 시간까지 외삽된 농도-시간 곡선 아래 면적 (AUC[0-inf]) of gepotidacin
기간: 투여 후 최대 24시간(1일차)
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투여 후 최대 24시간(1일차)
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게포티다신의 최대 혈장 농도 (Cmax)
기간: 투여 후 최대 24시간 (1일차)
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투여 후 최대 24시간 (1일차)
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게포티다신의 겉보기 경구 청소율 (CL/F)
기간: 투여 후 최대 24시간 (1일차)
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투여 후 최대 24시간 (1일차)
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게포티다신의 겉보기 분포 용적 (Vz/F)
기간: 투여 후 최대 24시간 (1일차)
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투여 후 최대 24시간 (1일차)
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게포티다신의 말기 반감기 (t1/2)
기간: 투여 후 최대 24시간 (1일차)
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투여 후 최대 24시간 (1일차)
|
2차 결과 측정
2차 결과 측정
결과 측정 |
기간 |
|---|---|
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부작용(AE), 특별 관심 부작용(AESI) 및 중대한 부작용(SAE)이 발생한 참가자 수
기간: 최대 7일 (±3일)
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최대 7일 (±3일)
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생체 징후 변화(기준치 대비): 체온
기간: 투약 후 2시간(±15분)에서 1일차
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투약 후 2시간(±15분)에서 1일차
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생체 징후의 기준선 대비 변화: 혈압
기간: 투여 2시간 후(±15분) Day 1
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투여 2시간 후(±15분) Day 1
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기준선 대비 생체 징후 변화: 맥박수
기간: 투여 후 2시간(±15분)에, 1일째
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투여 후 2시간(±15분)에, 1일째
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기준선 대비 심전도(ECG) 변화
기간: 투여 후 2시간(±15분) (1일차)
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투여 후 2시간(±15분) (1일차)
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공동 작업자 및 조사자
연구 기록 날짜
연구 주요 날짜
연구 시작 (추정된)
연구 시작
기본 완료 (추정된)
기본 완료
연구 완료 (추정된)
연구 완료
연구 등록 날짜
최초 제출
최초 제출
QC 기준을 충족하는 최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
처음 게시됨
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
마지막 업데이트 게시됨
QC 기준을 충족하는 마지막 업데이트 제출
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
추가 관련 MeSH 약관
기타 연구 ID 번호
기타 연구 ID 번호
- 222778
- 2025-522916-17 (EudraCT 번호)
- 2025 (미국 NIH 보조금/계약)
- HSSO100201300011C (기타 식별자: BARDA Agreement number)
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
IPD 계획 설명
Study Sponsor will assess requests from qualified researchers for anonymized individual patient-level data and related study documents. Data sharing is subject to certain criteria, conditions, and exceptions. For further information, refer to https://www.gsk-studyregister.com/About_GSK_Patient_Level_Data_Sharing_Final_13July2023.pdf
IPD 공유 기간
Anonymized IPD will be made available within 6 months of publication of primary, key secondary and safety results for studies in product with approved indication(s) or asset(s) with development terminated across all indications.
IPD 공유 액세스 기준
Anonymized IPD is shared with researchers whose proposals are approved by an Independent Review Panel and after a Data Sharing Agreement is in place. Access is provided for an initial period of 12 months, but an extension may be granted, when justified, for up to 6 months.
IPD 공유 지원 정보 유형
- 연구_프로토콜
- 수액
- ICF
- CSR
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .