COMPARISON OF SINGLE VERSUS COMBINATION DRUG THERAPY IN EXTENSIVELY DRUG RESISTANT SALMONELLA TYPHI IN TERMS OF TIME TO DEFERVESCENCE
NCT07641348 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 94
Last updated 2026-06-11
Summary
This randomized controlled trial will compare the effectiveness of single-drug therapy (meropenem) versus combination therapy (meropenem plus azithromycin) in children aged 2-16 years diagnosed with extensively drug-resistant (XDR) typhoid fever at the Children's Hospital, Lahore. A total of 94 patients will be enrolled and randomly assigned to either treatment group. The primary outcome is time to defervescence, defined as sustained resolution of fever for more than 48 hours. Secondary outcomes include duration of hospital stay and complication rates. The study aims to provide evidence to guide optimal management of XDR typhoid in pediatric populations."
Conditions
- Typhoid Fever
Interventions
- DRUG
-
IV meropenem, 100 mg/kg/day TDS
- DRUG
-
Meropenem and azithromycin combination
combination drug therapy will consist of meropenem intravenously at a dose of 20-40 mg/kg/dose every 8 hours(maximum 2g per dose) plus azithromycin (orally) at 20 mg/kg/day
Sponsors & Collaborators
-
Iqra Asghar Ali
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 2 Years
- Max Age
- 16 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-07-01
- Primary Completion
- 2027-01-01
- Completion
- 2027-02-01
Countries
- Pakistan
Study Locations
More Related Trials
-
A Study to Compare Different Drugs Used to Prevent Serious Bacterial Infections in HIV-Positive Children
NCT00000811 ·Status: COMPLETED ·Phase: PHASE2
-
The Effect of Azithromycin Use on Conduction System of Heart in COVID-19 Positive Children
NCT04699097 ·Status: COMPLETED
-
A Study to Evaluate the Effect of Co-administration on the Pharmacokinetics of SPR720, Azithromycin, and Ethambutol in Healthy Participants
NCT05966688 ·Status: COMPLETED ·Phase: PHASE1
-
The Efficacy of Azithromycin in Treating Children With Non Cystic Fibrosis Bronchiectasis
NCT02531984 ·Status: UNKNOWN ·Phase: PHASE3
-
A Multicenter, Randomized, Double-Blind, Double-Dummy Comparative Trial of Azithromycin Sustained Release Versus 3-Day Azithromycin for the Treatment of Strep Throat in Adolescents and Adults
NCT00644293 ·Status: COMPLETED ·Phase: PHASE3
-
Testing the Effect of Adding Chronic Oral Azithromycin to Inhaled Tobramycin in People With Cystic Fibrosis (CF)
NCT02677701 ·Status: COMPLETED ·Phase: PHASE4
-
Evaluation of the Efficacy of Azithromycin in Idiopathic Purulent Oedematous Sinusitis in Adults
NCT05157685 ·Status: RECRUITING ·Phase: PHASE3
-
Azithromycin Plus Hydroxychloroquine for COVID-19 Infection
NCT05026801 ·Status: WITHDRAWN ·Phase: PHASE3
-
A Study to Evaluate the Safety and Efficacy of Azithromycin in Individual Patients With Serious Nontuberculous Mycobacterial Disease Who Are Failing or Intolerant of Other Available Therapy
NCT00002085 ·Status: COMPLETED ·Phase: NA
-
Azithromycin in Combination With Chloroquine Versus Chloroquine in the Eradication of Asymptomatic Plasmodium Falciparum
NCT00082563 ·Status: TERMINATED ·Phase: PHASE2
-
Azithromycin Plus Chloroquine Versus Sulfadoxine-Pyrimethamine Plus Chloroquine For The Treatment Of Uncomplicated, Symptomatic Falciparum Malaria In Southeast Asia
NCT00084240 ·Status: TERMINATED ·Phase: PHASE2/PHASE3
-
Non-Interventional Open Label Prospective Comparative Observational Study Of Evaluation Of Compliance In The Empiric Treatment With Azithromycin SR Versus Amoxiclav 1000 Mg In Adult Patients With Of Acute Bacterial Maxillary Sinusitis
NCT01032174 ·Status: COMPLETED
-
A Single, High-Dose Azithromycin Extended Release (60 mg/kg) Compared With 10 Days of High-Dose Amoxicillin Clavulanate in Children With Ear Infections at High Risk of Persistent/Recurrent Ear Infections
NCT00643292 ·Status: COMPLETED ·Phase: PHASE3
-
Hydroxychloroquine, Oseltamivir and Azithromycin for the Treatment of COVID-19 Infection: An RCT
NCT04338698 ·Status: COMPLETED ·Phase: PHASE3
-
Phase 1 Study to Evaluate DDI, PK, Safety, Tolerability of SPR741
NCT03376529 ·Status: COMPLETED ·Phase: PHASE1
-
Xiyanping Injection Combined With Azithromycin VS Azithromycin for Children With pneumoniaProtozoal Pneumonia
NCT04296383 ·Status: UNKNOWN ·Phase: NA
-
Azithromycin for Patients With Chronic Rhinosinusitis Failing Medical and Surgical Therapy
NCT02307825 ·Status: COMPLETED ·Phase: PHASE4
-
Single Dose Azithromycin in the Treatment of Adult Cholera
NCT00229944 ·Status: COMPLETED ·Phase: PHASE3
-
Azithromycin Based Therapy for Induction of Remission in Active Pediatric Crohn's Disease
NCT01596894 ·Status: COMPLETED ·Phase: PHASE4
-
Azithromycin in Hospitalized COVID-19 Patients
NCT04359316 ·Status: UNKNOWN ·Phase: PHASE4
-
Anti-chlamydophila Antibiotic Combination Therapy in the Treatment of Patients With Coronary Heart Disease
NCT03618108 ·Status: TERMINATED ·Phase: PHASE2
-
Mortality Reduction After Oral Azithromycin: Mortality Study
NCT02047981 ·Status: COMPLETED ·Phase: PHASE4
-
Scrub Typhus Antibiotic Resistance Trial
NCT03083197 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE4
-
Improving Management and Secondary Prevention Through Azithromycin Comparative Trial in Rheumatic Heart Disease in Nigeria)- IMPACT-RHD Nigeria
NCT07625228 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
An Open Label, Randomized, Crossover Study To Estimate The Pharmacokinetics And Evaluate The Safety Following A Single Dose Of Azithromycin 2g Extended-Release Powder For Oral Suspension With A 3-Day Dosing Regimen Of Azithromycin 500mg Tablet In Chinese Healthy Male Subjects
NCT00879983 ·Status: COMPLETED ·Phase: PHASE1