NCT04278404

Brief Summary

The study investigators are interested in learning more about how drugs, that are given to children by their health care provider, act in the bodies of children and young adults in hopes to find the most safe and effective dose for children. The primary objective of this study is to evaluate the PK of understudied drugs currently being administered to children per SOC as prescribed by their treating provider.

Trial Health

80
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
5,000

participants targeted

Target at P75+ for all trials

Timeline
15mo left

Started Mar 2020

Longer than P75 for all trials

Geographic Reach
2 countries

51 active sites

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress84%
Mar 2020Sep 2027

First Submitted

Initial submission to the registry

February 18, 2020

Completed
2 days until next milestone

First Posted

Study publicly available on registry

February 20, 2020

Completed
14 days until next milestone

Study Start

First participant enrolled

March 5, 2020

Completed
6.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2026

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2027

Last Updated

March 12, 2025

Status Verified

March 1, 2025

Enrollment Period

6.5 years

First QC Date

February 18, 2020

Last Update Submit

March 11, 2025

Conditions

Outcome Measures

Primary Outcomes (8)

  • Clearance (CL) or apparent oral clearance (CL/F) as measured by PK sampling

    Data will be collected up to 90 days from the time of consent. For participants with Down Syndrome enrolling at sites designated as Down Syndrome sites, participants will be in the study for up to 210 days.

  • Volume of distribution (V) or apparent oral volume of distribution (V/F) as measured by PK sampling

    Data will be collected up to 90 days from the time of consent. For participants with Down Syndrome enrolling at sites designated as Down Syndrome sites, participants will be in the study for up to 210 days.

  • Elimination rate constant (ke) as measured by PK sampling

    Data will be collected up to 90 days from the time of consent. For participants with Down Syndrome enrolling at sites designated as Down Syndrome sites, participants will be in the study for up to 210 days.

  • Half-life (t1/2) as measured by PK sampling

    Data will be collected up to 90 days from the time of consent. For participants with Down Syndrome enrolling at sites designated as Down Syndrome sites, participants will be in the study for up to 210 days.

  • Absorption rate constant (ka) as measured by PK sampling

    Data will be collected up to 90 days from the time of consent. For participants with Down Syndrome enrolling at sites designated as Down Syndrome sites, participants will be in the study for up to 210 days.

  • AUC (area under the curve) as measured by PK sampling

    Data will be collected up to 90 days from the time of consent. For participants with Down Syndrome enrolling at sites designated as Down Syndrome sites, participants will be in the study for up to 210 days.

  • Maximum concentration (Cmax) as measured by PK sampling

    Data will be collected up to 90 days from the time of consent. For participants with Down Syndrome enrolling at sites designated as Down Syndrome sites, participants will be in the study for up to 210 days.

  • Time to achieve maximum concentration (Tmax) as measured by PK sampling

    Data will be collected up to 90 days from the time of consent. For participants with Down Syndrome enrolling at sites designated as Down Syndrome sites, participants will be in the study for up to 210 days.

Study Arms (1)

Children and young adults who are prescribed drugs of interest

Children and young adults who are prescribed drugs of interest as part of their routine medical care OR are SARS-CoV-2 positive.

Drug: The POP02 study is collecting bodily fluid samples (i.e., whole blood, effluent samples) of children prescribed the following drugs of interest per standard of care:

Interventions

The prescribing of drugs to children is not part of this protocol. Participants will receive DOIs as prescribed by their treating provider.

Also known as: Aminocaproic acid, Amiodarone, Bosentan, Budesonide, Cefdinir, Cefepime, Ceftazidime, Clindamycin, Clobazam, Dexamethasone, Dexmedetomidine, Dextroamphetamine/Amphetamine, Fosfomycin, Furosemide, Gabapentin, Guanfacine, Hydrocortisone, Labetalol, Meropenem, Metformin, Milrinone, Nalbuphine, Nicardipine, Nifedipine, Oseltamivir, Oxycodone, Risperidone, Sertraline, Sevelamer Carbonate / Sevelamer Hydrochloride, Spironolactone, Terbutaline, Tranexamic acid, Voriconazole, Zolpidem, Azithromycin, Lopinavir/Ritonavir, Ribavirin, Tocilizumab, Anakinra, Aspirin, Canakinumab, Colchicine, Interferon, Remdesivir, Ruxolitinib, Sarilumab, Abatacept, Infliximab
Children and young adults who are prescribed drugs of interest

Eligibility Criteria

Age0 Years - 20 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64)
Sampling MethodNon-Probability Sample
Study Population

Children under 21 years of age.

You may qualify if:

  • Participant is \< 21 years of age
  • Parent/ Legal Guardian/ Adult Participant can understand the consent process and is willing to provide informed consent/HIPAA:
  • (a) Participant is receiving one or more of the study drugs of interest at the time of enrollment or (b) Participant is NOT receiving one or more of the study drugs of interest but is SARS-COV-2 positive within 60 days prior to enrollment

You may not qualify if:

  • Participant has a known pregnancy
  • Participants receiving one or more of the study drugs of interest at the time of enrollment, DOI administration or PK sampling: (Refer to DOI specific appendices for details on enrollment cohort specifications and additional eligibility criteria)
  • Has had intermittent dialysis within previous 24 hours
  • Has had a kidney transplant within previous 30 days
  • Has had a liver transplant within previous 1 year
  • Has had a stem cell transplant within previous 1 year
  • Has had therapeutic hypothermia within previous 24 hours
  • Has had plasmapheresis within the previous 24 hours
  • Has a Ventricular Assist Device
  • Has any condition which would make the participant, in the opinion of the investigator, unsuitable for the study

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (51)

Phoenix Children's Hospital

Phoenix, Arizona, 85016, United States

ACTIVE NOT RECRUITING

Arkansas Children's Hospital Research Institute

Little Rock, Arkansas, 72202, United States

RECRUITING

University of California, Los Angeles Medical Center

Los Angeles, California, 90095, United States

RECRUITING

Lucile Packard Children's Hospital

Palo Alto, California, 94304, United States

RECRUITING

Colorado University Denver

Aurora, Colorado, 80045, United States

RECRUITING

The Children's Hospital Colorado

Aurora, Colorado, 80045, United States

RECRUITING

Alfred I. DuPont Hospital for Children

Wilmington, Delaware, 19803, United States

COMPLETED

University of Florida Jacksonville Shands Medical Center

Jacksonville, Florida, 32209, United States

RECRUITING

Kapiolani Womens and Childrens Medical Center

Honolulu, Hawaii, 96826, United States

RECRUITING

Ann and Robert H. Lurie Childrens Hospital of Chicago

Chicago, Illinois, 60611, United States

RECRUITING

Ann and Robert H. Lurie Childrens Hospital of Chicago

Chicago, Illinois, 60614, United States

RECRUITING

Riley Hospital for Children at Indiana University

Indianapolis, Indiana, 46202, United States

RECRUITING

University of Iowa Stead Family Children's Hospital

Iowa City, Iowa, 52242, United States

RECRUITING

University of Kansas Medical Center-JG Kidney Institute

Kansas City, Kansas, 66160, United States

COMPLETED

University of Louisville Norton Childrens Hospital

Louisville, Kentucky, 40202, United States

RECRUITING

Tulane University Health Science Center

New Orleans, Louisiana, 70112, United States

COMPLETED

Ochsner Baptist Clinical Trials Unit

New Orleans, Louisiana, 70115, United States

RECRUITING

University of Maryland Medical Center

Baltimore, Maryland, 21201, United States

COMPLETED

Boston Children's Hospital

Boston, Massachusetts, 02115, United States

ENROLLING BY INVITATION

Massachusetts General Hospital

Lexington, Massachusetts, 02421, United States

RECRUITING

University of Minnesota

Minneapolis, Minnesota, 55455, United States

COMPLETED

University of Mississippi Medical Center

Jackson, Mississippi, 39216, United States

RECRUITING

Mississippi Center for Advanced Medicine

Madison, Mississippi, 39110, United States

COMPLETED

Children's Mercy Hospital

Kansas City, Missouri, 64108, United States

COMPLETED

University of Nebraska Medical Center

Omaha, Nebraska, 68114, United States

RECRUITING

Dartmouth-Hitchcock Medical Center

Lebanon, New Hampshire, 03756, United States

COMPLETED

University of New Mexico Health Science Center

Albuquerque, New Mexico, 87131, United States

COMPLETED

University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, 27599, United States

RECRUITING

Duke University Health System

Durham, North Carolina, 27710, United States

RECRUITING

Cincinnati Childrens Hospital Medical Center

Cincinnati, Ohio, 45229, United States

RECRUITING

Cincinnati Childrens Hospital Medical Center

Cincinnati, Ohio, 45229, United States

RECRUITING

Board of Regents of the University of Oklahoma

Oklahoma City, Oklahoma, 73104, United States

RECRUITING

Oregon Health and Science University

Portland, Oregon, 97239, United States

RECRUITING

Pennsylvania State University--Hershey Children's Hospital

Hershey, Pennsylvania, 17033, United States

RECRUITING

Rhode Island Hospital

Providence, Rhode Island, 02903, United States

COMPLETED

Medical University of South Carolina Children's Hospital

Charleston, South Carolina, 29425, United States

RECRUITING

University of South Carolina

Columbia, South Carolina, 29208, United States

COMPLETED

Avera McKennan Hospital & University Medical Center

Sioux Falls, South Dakota, 57108, United States

COMPLETED

Monroe Carell Jr. Children's Hospital at Vanderbilt

Nashville, Tennessee, 37232, United States

RECRUITING

Dell Children's Medical Center of Central Texas

Austin, Texas, 78723, United States

RECRUITING

University of Texas-Southwestern Medical Center Dallas

Dallas, Texas, 75390, United States

ACTIVE NOT RECRUITING

University of Texas--Memorial Hermann Texas Medical Center

Houston, Texas, 77030, United States

RECRUITING

The Womens Hospital of Texas

Houston, Texas, 77054, United States

RECRUITING

University of Utah

Salt Lake City, Utah, 84113, United States

RECRUITING

Seattle Children's Hospital

Seattle, Washington, 98105, United States

RECRUITING

West Virginia University Hospital

Morgantown, West Virginia, 26506, United States

ACTIVE NOT RECRUITING

University of Wisconsin

Madison, Wisconsin, 53705, United States

RECRUITING

University Wisconsin Madison

Madison, Wisconsin, 53705, United States

ENROLLING BY INVITATION

Medical College of Wisconsin

Milwaukee, Wisconsin, 53226, United States

RECRUITING

The Hospital for Sick Children

Toronto, Ontario, Canada

RECRUITING

CHU Sainte-Justine

Montreal, Quebec, H3T 1C5, Canada

RECRUITING

Related Publications (11)

  • Tremoulet A, Le J, Poindexter B, Sullivan JE, Laughon M, Delmore P, Salgado A, Ian-U Chong S, Melloni C, Gao J, Benjamin DK Jr, Capparelli EV, Cohen-Wolkowiez M; Administrative Core Committee of the Best Pharmaceuticals for Children Act-Pediatric Trials Network. Characterization of the population pharmacokinetics of ampicillin in neonates using an opportunistic study design. Antimicrob Agents Chemother. 2014 Jun;58(6):3013-20. doi: 10.1128/AAC.02374-13. Epub 2014 Mar 10.

    PMID: 24614374BACKGROUND
  • Hornik CP, Benjamin DK Jr, Smith PB, Pencina MJ, Tremoulet AH, Capparelli EV, Ericson JE, Clark RH, Cohen-Wolkowiez M; Best Pharmaceuticals for Children Act-Pediatric Trials Network. Electronic Health Records and Pharmacokinetic Modeling to Assess the Relationship between Ampicillin Exposure and Seizure Risk in Neonates. J Pediatr. 2016 Nov;178:125-129.e1. doi: 10.1016/j.jpeds.2016.07.011. Epub 2016 Aug 10.

    PMID: 27522443BACKGROUND
  • Le J, Poindexter B, Sullivan JE, Laughon M, Delmore P, Blackford M, Yogev R, James LP, Melloni C, Harper B, Mitchell J, Benjamin DK Jr, Boakye-Agyeman F, Cohen-Wolkowiez M. Comparative Analysis of Ampicillin Plasma and Dried Blood Spot Pharmacokinetics in Neonates. Ther Drug Monit. 2018 Feb;40(1):103-108. doi: 10.1097/FTD.0000000000000466.

    PMID: 29271816BACKGROUND
  • Gonzalez D, Melloni C, Yogev R, Poindexter BB, Mendley SR, Delmore P, Sullivan JE, Autmizguine J, Lewandowski A, Harper B, Watt KM, Lewis KC, Capparelli EV, Benjamin DK Jr, Cohen-Wolkowiez M; Best Pharmaceuticals for Children Act - Pediatric Trials Network Administrative Core Committee. Use of opportunistic clinical data and a population pharmacokinetic model to support dosing of clindamycin for premature infants to adolescents. Clin Pharmacol Ther. 2014 Oct;96(4):429-37. doi: 10.1038/clpt.2014.134. Epub 2014 Jun 20.

    PMID: 24949994BACKGROUND
  • Gonzalez D, Delmore P, Bloom BT, Cotten CM, Poindexter BB, McGowan E, Shattuck K, Bradford KK, Smith PB, Cohen-Wolkowiez M, Morris M, Yin W, Benjamin DK Jr, Laughon MM. Clindamycin Pharmacokinetics and Safety in Preterm and Term Infants. Antimicrob Agents Chemother. 2016 Apr 22;60(5):2888-94. doi: 10.1128/AAC.03086-15. Print 2016 May.

    PMID: 26926644BACKGROUND
  • Gonzalez D, Melloni C, Poindexter BB, Yogev R, Atz AM, Sullivan JE, Mendley SR, Delmore P, Delinsky A, Zimmerman K, Lewandowski A, Harper B, Lewis KC, Benjamin DK Jr, Cohen-Wolkowiez M; Best Pharmaceuticals for Children Act--Pediatric Trials Network Administrative Core Committee. Simultaneous determination of trimethoprim and sulfamethoxazole in dried plasma and urine spots. Bioanalysis. 2015;7(9):1137-49. doi: 10.4155/bio.15.38.

    PMID: 26039810BACKGROUND
  • Autmizguine J, Melloni C, Hornik CP, Dallefeld S, Harper B, Yogev R, Sullivan JE, Atz AM, Al-Uzri A, Mendley S, Poindexter B, Mitchell J, Lewandowski A, Delmore P, Cohen-Wolkowiez M, Gonzalez D; the Pediatric Trials Network Steering Committee. Population Pharmacokinetics of Trimethoprim-Sulfamethoxazole in Infants and Children. Antimicrob Agents Chemother. 2017 Dec 21;62(1):e01813-17. doi: 10.1128/AAC.01813-17. Print 2018 Jan.

    PMID: 29084742BACKGROUND
  • Dallefeld SH, Atz AM, Yogev R, Sullivan JE, Al-Uzri A, Mendley SR, Laughon M, Hornik CP, Melloni C, Harper B, Lewandowski A, Mitchell J, Wu H, Green TP, Cohen-Wolkowiez M. A pharmacokinetic model for amiodarone in infants developed from an opportunistic sampling trial and published literature data. J Pharmacokinet Pharmacodyn. 2018 Jun;45(3):419-430. doi: 10.1007/s10928-018-9576-y. Epub 2018 Feb 12.

    PMID: 29435949BACKGROUND
  • Hornik CP, Gonzalez D, van den Anker J, Atz AM, Yogev R, Poindexter BB, Ng KC, Delmore P, Harper BL, Melloni C, Lewandowski A, Gelber C, Cohen-Wolkowiez M, Lee JH; Pediatric Trial Network Steering Committee. Population Pharmacokinetics of Intramuscular and Intravenous Ketamine in Children. J Clin Pharmacol. 2018 Aug;58(8):1092-1104. doi: 10.1002/jcph.1116. Epub 2018 Apr 20.

    PMID: 29677389BACKGROUND
  • Drolet BA, Boakye-Agyeman F, Harper B, Holland K, Lewandowski A, Stefanko N, Melloni C; Pediatric Trials Network Steering Committee (See Acknowledgments for a listing of committee members.). Systemic timolol exposure following topical application to infantile hemangiomas. J Am Acad Dermatol. 2020 Mar;82(3):733-736. doi: 10.1016/j.jaad.2019.02.029. Epub 2019 Feb 18. No abstract available.

    PMID: 30790601BACKGROUND
  • Hornik CP, Yogev R, Mourani PM, Watt KM, Sullivan JE, Atz AM, Speicher D, Al-Uzri A, Adu-Darko M, Payne EH, Gelber CE, Lin S, Harper B, Melloni C, Cohen-Wolkowiez M, Gonzalez D; Best Pharmaceuticals for Children Act-Pediatric Trials Network Steering Committee. Population Pharmacokinetics of Milrinone in Infants, Children, and Adolescents. J Clin Pharmacol. 2019 Dec;59(12):1606-1619. doi: 10.1002/jcph.1499. Epub 2019 Jul 17.

    PMID: 31317556BACKGROUND

Related Links

Biospecimen

Retention: SAMPLES WITH DNA

Whole blood, effluent samples, and plasma

MeSH Terms

Conditions

Coronavirus InfectionsCOVID-19Pulmonary Arterial HypertensionHypertensionPainHyperphosphatemiaHyperaldosteronismEdemaHypokalemiaHeart FailureHemophilia AMenorrhagiaSleep Initiation and Maintenance DisordersPneumoniaCellulitisArrhythmias, CardiacBronchopulmonary DysplasiaAdrenal InsufficiencyHemorrhageAttention Deficit Disorder with Hyperactivitypediatric multisystem inflammatory disease, COVID-19 relatedMucocutaneous Lymph Node SyndromeHemostatic DisordersDown Syndrome

Interventions

Aminocaproic AcidAmiodaroneBosentanBudesonideCefdinirCefepimeCeftazidimeClindamycinClobazamDexamethasoneDexmedetomidineSLI381FosfomycinFurosemideGabapentinGuanfacineHydrocortisoneLabetalolMeropenemMetforminMilrinoneNalbuphineNicardipineNifedipineOseltamivirOxycodoneRisperidoneSertralineSevelamerSpironolactoneTerbutalineTranexamic AcidVoriconazoleZolpidemAzithromycinLopinavirRibavirintocilizumabInterleukin 1 Receptor Antagonist ProteinAspirincanakinumabColchicineInterferonsremdesivirruxolitinibsarilumabAbataceptInfliximab

Condition Hierarchy (Ancestors)

Coronaviridae InfectionsNidovirales InfectionsRNA Virus InfectionsVirus DiseasesInfectionsPneumonia, ViralRespiratory Tract InfectionsLung DiseasesRespiratory Tract DiseasesHypertension, PulmonaryVascular DiseasesCardiovascular DiseasesNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and SymptomsPhosphorus Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesAdrenocortical HyperfunctionAdrenal Gland DiseasesEndocrine System DiseasesWater-Electrolyte ImbalanceHeart DiseasesBlood Coagulation Disorders, InheritedBlood Coagulation DisordersHematologic DiseasesHemic and Lymphatic DiseasesCoagulation Protein DisordersHemorrhagic DisordersGenetic Diseases, InbornCongenital, Hereditary, and Neonatal Diseases and AbnormalitiesUterine HemorrhageUterine DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesGenital DiseasesPathologic ProcessesMenstruation DisturbancesSleep Disorders, IntrinsicDyssomniasSleep Wake DisordersNervous System DiseasesMental DisordersSkin Diseases, InfectiousSuppurationConnective Tissue DiseasesSkin and Connective Tissue DiseasesInflammationVentilator-Induced Lung InjuryLung InjuryInfant, Premature, DiseasesInfant, Newborn, DiseasesAttention Deficit and Disruptive Behavior DisordersNeurodevelopmental DisordersVasculitisLymphatic DiseasesSkin Diseases, VascularSkin DiseasesIntellectual DisabilityNeurobehavioral ManifestationsAbnormalities, MultipleCongenital AbnormalitiesChromosome Disorders

Intervention Hierarchy (Ancestors)

AminocaproatesCaproatesAcids, AcyclicCarboxylic AcidsOrganic ChemicalsAmino AcidsAmino Acids, Peptides, and ProteinsBenzofuransHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsBenzenesulfonamidesSulfonamidesAmidesBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsSulfonesSulfur CompoundsPyrimidinesHeterocyclic Compounds, 1-RingPregnenedionesPregnenesPregnanesSteroidsFused-Ring CompoundsPolycyclic CompoundsCephalosporinsbeta-LactamsLactamsThiazinesCephaloridineLincomycinLincosamidesPyrrolidinesGlycosidesCarbohydratesBenzodiazepinesBenzazepinesPregnadienetriolsPregnadienesSteroids, FluorinatedImidazolesAzolesOrganophosphonatesOrganophosphorus CompoundsSulfanilamidesAniline CompoundsAminesgamma-Aminobutyric AcidAminobutyratesButyratesCyclohexanecarboxylic AcidsAcids, CarbocyclicCyclohexanesCycloparaffinsHydrocarbons, AlicyclicGuanidinesAmidinesPhenylacetates11-HydroxycorticosteroidsHydroxycorticosteroidsAdrenal Cortex HormonesHormonesHormones, Hormone Substitutes, and Hormone Antagonists17-HydroxycorticosteroidsEthanolaminesAmino AlcoholsAlcoholsSalicylamidesThienamycinsCarbapenemsBiguanidesAmrinoneAminopyridinesPyridinesMorphinansOpiate AlkaloidsAlkaloidsHeterocyclic Compounds, Bridged-RingHeterocyclic Compounds, 4 or More RingsPhenanthrenesPolycyclic Aromatic HydrocarbonsDihydropyridinesAcetamidesCyclohexenesCodeineMorphine DerivativesPyrimidinones1-NaphthylamineNaphthalenesPolyaminesLactonesTriazolesErythromycinMacrolidesPolyketidesRibonucleosidesNucleosidesNucleic Acids, Nucleotides, and NucleosidesCytokinesIntercellular Signaling Peptides and ProteinsPeptidesProteinsBiological FactorsSalicylatesHydroxybenzoatesPhenolsImmunoconjugatesAntibodiesImmunoglobulinsSerum GlobulinsBlood ProteinsGlobulinsAntibodies, MonoclonalImmunoproteins

Study Officials

  • Chi Hornik

    Duke Clinical Research Institute

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
observational
Observational Model
OTHER
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 18, 2020

First Posted

February 20, 2020

Study Start

March 5, 2020

Primary Completion (Estimated)

September 1, 2026

Study Completion (Estimated)

September 1, 2027

Last Updated

March 12, 2025

Record last verified: 2025-03

Data Sharing

IPD Sharing
Will not share

Locations