Optimizing PreTerm Infant Ampicillin Dosing
NCT07610486 · Status: NOT_YET_RECRUITING · Phase: PHASE1/PHASE2 · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2026-05-28
Summary
The goal of this clinical trial is to learn if preterm infants who are prescribed antibiotics shortly after birth can safety receive a shorter course of antibiotics (24 to 36 hours instead of 48 hours). The main questions it aims to answer are:
* Does short-course ampicillin provide high enough levels of ampicillin at 48 hours?
* Is short-course ampicillin safe for preterm infants to receive?
Preterm infants who are being prescribed ampicillin by their doctor and enroll in the study will stop ampicillin after a shorter than typical course, and researchers will collect blood samples to measure their ampicillin levels and follow them clinically to see how they do after receiving short-course ampicillin.
Participants will:
* stop ampicillin earlier than 48 hours (between 24 to 36 hours, depending on how premature they are and the dosing of ampicillin their doctor has prescribed)
* have a blood sample collected around 48 hours from when they started ampicillin
* have their data collected until 30 days after they receive short-course ampicillin, or until hospital discharge, whichever is sooner
Conditions
- Early Onset Sepsis
- Preterm Neonates
- NICU
- Ampicillin
- Safety and Pharmacokinetics
Interventions
- DRUG
-
Ampicillin prescribed by provider per standard of care for evaluation of early onset sepsis
preterm infants receive less than 48 hours of prescribed ampicillin (i.e., a "short-course" ampicillin regimen) to provide the desired 48 hours of therapeutic exposures
Sponsors & Collaborators
-
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
collaborator NIH - lead OTHER
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 0 Days
- Max Age
- 7 Days
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-07-31
- Primary Completion
- 2027-07-31
- Completion
- 2027-12-31
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Pharmacokinetics of Ampicillin in Neonates With Moderate to Severe Hypoxic-Ischemic Encephalopathy
NCT03129620 ·Status: COMPLETED
-
NICU Antibiotics and Outcomes (NANO) Follow-up Study
NCT05977400 ·Status: NOT_YET_RECRUITING ·Phase: PHASE3
-
Dose Comparison of Amino Acids on Growth in Premature Neonates
NCT00120926 ·Status: COMPLETED ·Phase: PHASE3
-
Microfluidic Assessment of Clinical Outcomes in Preterm Newborns
NCT03291496 ·Status: ACTIVE_NOT_RECRUITING
-
Predictors of Sepsis in Ex-Preterm Infants
NCT03433846 ·Status: COMPLETED
-
RCT of Continuous Versus Intermittent Infusion of Vancomycin in Neonates
NCT02210169 ·Status: COMPLETED ·Phase: NA
-
Pentoxifylline and Late Onset Sepsis in Preterm Infants
NCT02163174 ·Status: COMPLETED ·Phase: PHASE3
-
Extended Interval Dosing of Gentamicin in Neonates
NCT07460349 ·Status: NOT_YET_RECRUITING
-
The High Initial Dose of Monitored Vitamin D Supplementation in Preterm Infants.
NCT06199102 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Glove-based Care in the NICU to Prevent Late Onset Sepsis
NCT03078335 ·Status: COMPLETED ·Phase: NA
-
Role of Antibiotics in Preventing Infection in Babies Born Through Meconium Stained Liquor
NCT01290003 ·Status: COMPLETED ·Phase: NA
-
Investigating a New Way of Giving Medicine to Newborn and Preterm Babies
NCT01676844 ·Status: UNKNOWN ·Phase: PHASE2
-
Improving Antimicrobial Prescribing Practices in the Neonatal ICU
NCT03079245 ·Status: COMPLETED ·Phase: NA
-
Bolus Versus Prolonged Infusion of Meropenem in Newborn With Late Onset Sepsis
NCT02503761 ·Status: COMPLETED ·Phase: PHASE3
-
Safely Reduce Newborn Antibiotic Exposure With the Early-onset Sepsis Calculator
NCT05274776 ·Status: RECRUITING ·Phase: NA
-
Outcomes and Predictors of Mortality Among Preterm Infants With Neonatal Sepsis
NCT06113653 ·Status: NOT_YET_RECRUITING
-
Metronidazole Pharmacokinetics (PK) in Premature Infants
NCT01222585 ·Status: COMPLETED ·Phase: PHASE1
-
Vitamin A Supplementation for Extremely-Low-Birth-Weight Infants
NCT01203488 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Study of Antenatal Thyrotropin-Releasing Hormone in Women in Premature Labor to Prevent Lung Disease in Preterm Infants
NCT00004840 ·Status: COMPLETED ·Phase: NA
-
Evaluation of a Standard Preterm Infant Formula Fed to Preterm Infants in the Hospital
NCT01766011 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Early Blood Pressure Management in Extremely Premature Infants
NCT00874393 ·Status: COMPLETED ·Phase: PHASE1
-
Oral Formulation of Insulin for Preterm Infants
NCT01093638 ·Status: TERMINATED ·Phase: PHASE2
-
Model-based Dose Versus Empirical Dose of Piperacillin/Tazobactam in Preterm Neonates With Late-onset Sepsis.
NCT05981079 ·Status: UNKNOWN ·Phase: PHASE4
-
Effect of Vitamin D as Adjuvant Therapy in Preterm Infants With Neonatal Sepsis
NCT07245277 ·Status: COMPLETED ·Phase: PHASE4
-
Pentoxifylline Dose Optimization in Neonatal Sepsis
NCT04152980 ·Status: COMPLETED ·Phase: PHASE3