Population Pharmacokinetics of Fluconazole in the Treatment of Neonatal Fungal Infectious Disease
Beijing Chilrens' Hospital
1 other identifier
observational
150
1 country
1
Brief Summary
This study is based on the hypothesis that the pharmacokinetics of fluconazole in newborns and children are different from adults. We aim to study the population pharmacokinetics of newborns and children receiving the fluconazole for treatment of infectious diseases. In this study, we will detect fluconazole concentration in plasma by using residual blood samples of blood gas analysis and other clinical tests and employ computers for constructing population pharmacokinetic models. In addition, we also want to correlate use of fluconazole with treatment effectiveness and incidence of adverse effects in newborns and children. This novel knowledge will allow better and more rational approaches to the treatment of infectious diseases in newborns and children. It will also set the foundation for further studies to improve fluconazole therapies for newborns and children.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Jan 2020
Longer than P75 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2020
CompletedFirst Submitted
Initial submission to the registry
March 8, 2023
CompletedFirst Posted
Study publicly available on registry
March 20, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 31, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2023
CompletedMarch 20, 2023
March 1, 2023
3.8 years
March 8, 2023
March 8, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
maximum concentration (Cmax)
Cmax is a term used in pharmacokinetics refers to the maximum (or peak) serum concentration that a drug achieves in a specified compartment or test area of the body after the drug has been administrated and before the administration of a second dose.
up to 4 weeks
Study Arms (1)
Newborns and children with the usage of fluconazole
Newborn with fluconazole against infectious diseases.
Interventions
According to the models of population pharmacokinetics,the investigators and want to correlate use of fluconazole with treatment effectiveness and safety in newborns
Eligibility Criteria
Neonates on fluconazole
You may qualify if:
- Newborn (0-28d) with fluconazole against infectious diseases. The anti-infective therapy includes drugs commonly used in children infectious diseases.
- Newborns infectious diseases include pneumonia, sepsis, purulent meningitis and other diseases with infection.
- Informed consent signed by the parents and/or guardians.
You may not qualify if:
- Allergic to any class of antibiotics;
- Receiving other experimental drugs;
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Beijing Children's Hospitallead
- Shandong Universitycollaborator
Study Sites (1)
Beijing Children's Hospital of Capital Medical University
Beijing, Beijing Municipality, 100020, China
Related Publications (3)
Zhao W, Lopez E, Biran V, Durrmeyer X, Fakhoury M, Jacqz-Aigrain E. Vancomycin continuous infusion in neonates: dosing optimisation and therapeutic drug monitoring. Arch Dis Child. 2013 Jun;98(6):449-53. doi: 10.1136/archdischild-2012-302765. Epub 2012 Dec 19.
PMID: 23254142BACKGROUNDLeroux S, Zhao W, Betremieux P, Pladys P, Saliba E, Jacqz-Aigrain E; French Society of Neonatology. Therapeutic guidelines for prescribing antibiotics in neonates should be evidence-based: a French national survey. Arch Dis Child. 2015 Apr;100(4):394-8. doi: 10.1136/archdischild-2014-306873. Epub 2015 Jan 27.
PMID: 25628457BACKGROUNDJacqz-Aigrain E, Leroux S, Zhao W, van den Anker JN, Sharland M. How to use vancomycin optimally in neonates: remaining questions. Expert Rev Clin Pharmacol. 2015;8(5):635-48. doi: 10.1586/17512433.2015.1060124. Epub 2015 Aug 4.
PMID: 26289222BACKGROUND
Biospecimen
whole blood and plasma
MeSH Terms
Conditions
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
A-Dong Shen, Master
Beijing Children's Hospital of Capital Medical University
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Target Duration
- 4 Years
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Deputy Chief of China National Clinical Research Center for Respiratory Diseases
Study Record Dates
First Submitted
March 8, 2023
First Posted
March 20, 2023
Study Start
January 1, 2020
Primary Completion
October 31, 2023
Study Completion
December 31, 2023
Last Updated
March 20, 2023
Record last verified: 2023-03
Data Sharing
- IPD Sharing
- Will not share