Short Versus Standard Amoxicillin for Pediatric Strep Throat
Short vs Standard Amoxicillin for Pediatric Strep Throat: A Patient-Centered Pragmatic Trial
1 other identifier
interventional
1,500
1 country
1
Brief Summary
The purpose of this study is to compare 5-day vs 10-day amoxicillin for strep throat in children.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4
Started Sep 2026
Typical duration for phase_4
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
First Submitted
Initial submission to the registry
September 21, 2026
CompletedStudy Start
First participant enrolled
September 28, 2026
CompletedFirst Posted
Study publicly available on registry
September 29, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 28, 2029
ExpectedStudy Completion
Last participant's last visit for all outcomes
September 28, 2029
September 29, 2026
September 1, 2026
2.6 years
September 21, 2026
September 21, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Number of participants that demonstrate resolution of throat pain and fever as reported by the participant/caregiver
about 14 days after treatment initiation
Number of participants that do not require additional or alternative antibiotic therapy for Group A Streptococcal (GAS) pharyngitis
about 14 days after treatment initiation
Secondary Outcomes (9)
Number of participants that demonstrate improvement in pain
From baseline to day 14
Number of participants that demonstrate improvement in fever
From baseline to day 14
Number of participants that demonstrate improvement in treatment tolerance
From baseline to day 14
Number of participants that complete the prescribed antibiotic course, assessed by caregiver report
Day 14
Number of participants that have Antibiotic-Associated Adverse Effects
From baseline to day 14
- +4 more secondary outcomes
Study Arms (2)
5 day short course antibiotic treatment
EXPERIMENTAL10 day standard of care antibiotic treatment
ACTIVE COMPARATORInterventions
Participants will receive oral penicillin or amoxicillin for 5 days
Participants will receive oral penicillin or amoxicillin for 10 days
Eligibility Criteria
You may qualify if:
- confirmed Group A streptococcal (GAS) pharyngitis, defined by a positive rapid antigen detection test
- Receiving care at either the University of Texas Pediatrics General Clinic or the Memorial Hermann Emergency Department
- Written informed consent obtained from a parent or legal guardian, with assent from the child when developmentally appropriate and required by institutional policy.
You may not qualify if:
- Known allergy or hypersensitivity to penicillin, amoxicillin, or other beta-lactam antibiotics
- Severe or complicated illness requiring hospitalization at presentation.
- History of acute rheumatic fever, post-streptococcal glomerulonephritis, or other conditions for which prolonged antibiotic therapy is specifically indicated.
- Immunocompromised state, including but not limited to: Active malignancy receiving chemotherapy, Solid-organ or hematopoietic stem cell transplant, Chronic systemic immunosuppressive therapy
- Antibiotic use with activity against Group A Streptococcus within the preceding 7 days.
- Inability to take oral medications or anticipated inability to complete outpatient therapy.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
The University of Texas Health Science Center at Houston
Houston, Texas, 77030, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Guliz Erdem, MD
The University of Texas Health Science Center, Houston
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
September 21, 2026
First Posted
September 29, 2026
Study Start
September 28, 2026
Primary Completion (Estimated)
April 28, 2029
Study Completion (Estimated)
September 28, 2029
Last Updated
September 29, 2026
Record last verified: 2026-09
Data Sharing
- IPD Sharing
- Will not share