| CTRI Number |
CTRI/2019/06/019590 [Registered on: 10/06/2019] Trial Registered Prospectively |
| Last Modified On: |
05/11/2020 |
| Post Graduate Thesis |
No |
| Type of Trial |
PMS |
|
Type of Study
|
Drug |
| Study Design |
Single Arm Study |
|
Public Title of Study
|
Effectiveness of Cefdetorin Pivoxil in Childhood respiratory tract infections |
|
Scientific Title of Study
|
Effectiveness and Safety of Cefditoren Pivoxil in Childhood Acute Respiratory Tract Infection: A Prospective, Open Label, Single Arm, Unicentric, Phase IV (Post Marketing) Study In India |
| Trial Acronym |
|
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| MC/CEF/D/19-00, Version/Date, 01 / 17th April 2019 |
Protocol Number |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Dr Apurba Ghosh |
| Designation |
Director |
| Affiliation |
Institute of Child Health |
| Address |
Project Room 113, 11, Dr. Biresh Guha Street, Kolkata-
Kolkata WEST BENGAL 700017 India |
| Phone |
919830052887 |
| Fax |
|
| Email |
apurbaghosh@yahoo.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Monjori Mitra |
| Designation |
Research Director |
| Affiliation |
Medclin Research |
| Address |
Medclin Research Pvt. Ltd
ACROPOLIS,
Unit No.10/5,
10th floor, 1858/1,
Rajdanga Main Road,
Kolkata WEST BENGAL 700107 India |
| Phone |
|
| Fax |
|
| Email |
monjorimr@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Dr Monjori Mitra |
| Designation |
Research Director |
| Affiliation |
Medclin Research |
| Address |
Medclin Research Pvt. Ltd
ACROPOLIS,
Unit No.10/5,
10th floor, 1858/1,
Rajdanga Main Road,
Kolkata WEST BENGAL 700107 India |
| Phone |
|
| Fax |
|
| Email |
monjorimr@gmail.com |
|
|
Source of Monetary or Material Support
|
| Sponsor (Zuventus Healthcare Ltd.)
Office No. 5119, 5th floor, D wing,
Oberoi Garden Estates,
Chandivli, Andheri (E)
Mumbai – 400072 |
|
|
Primary Sponsor
|
| Name |
Zuventus Healthcare Ltd |
| Address |
Office No. 5119, 5th floor, D wing,
Oberoi Garden Estates,
Chandivli, Andheri (E)
Mumbai
|
| Type of Sponsor |
Pharmaceutical industry-Indian |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Apurba Ghosh |
Institute of Child Health |
Project Room No. 113, 11, Dr. Biresh Guha Street, Kolkata-700017 Kolkata WEST BENGAL |
9830052887
apurbaghosh@yahoo.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institutional Ethics Committee,Institute of Child Health |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: J069||Acute upper respiratory infection,unspecified, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Cefditoren Pivoxil 100mg/5ml |
Cefditoren pivoxil 100mg/5ml oral suspension
Each enrolled subject will be administered the study drug 3 mg/kg/dose for 10 days to be consumed three times a day, after meals
Drug to be administered orally thrice daily for 10 days |
| Comparator Agent |
Not Applicable as the study is single arm |
Not Applicable as the study is single arm |
|
|
Inclusion Criteria
|
| Age From |
1.00 Year(s) |
| Age To |
5.00 Year(s) |
| Gender |
Both |
| Details |
1. Children between the age of 1-5 years of both gender, with a clinical diagnosis of acute respiratory tract infection suggestive of a bacterial etiology in the opinion of the investigator and can be managed with oral antibiotic therapy
2. Written informed consent from the parent/guardian
|
|
| ExclusionCriteria |
| Details |
1. Presence of active convulsions, child is unconscious or lethargic, not feeding or vomiting continuously.
2. Presence of chest in-drawing or stridor in a calm child
3. Presence of severe febrile disease complicated severe malnutrition.
4. Use of antibiotics for any other indication in the three weeks prior to enrollment
5. Evidence of any severe bacterial infection requiring parenteral antibiotics.
6. Presence of any severe comorbidities such as haematological or oncological, immunodeficiency, congenital heart disease, neuromuscular impairment, development disorder, including downs syndrome, bronchopulmonary dysplasia, cystic fibrosis, primary ciliary dyskinesia, poorly controlled asthma or other severe chronic lung diseases, which in the opinion of the Investigator renders the subject unfit to participate in the trial.
7. History of known allergy to cefditoren pivoxil or any cephalosporins, penicillins.
8. Participating or planning to participate in another trial that might affect the current study
9. Any reason why, in the opinion of the investigator, the subject should not participate (e.g. not able to comply with study procedures)
|
|
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Method of Generating Random Sequence
|
|
|
Method of Concealment
|
|
|
Blinding/Masking
|
|
|
Primary Outcome
|
| Outcome |
TimePoints |
| The primary objective of the study is to evaluate the clinical cure rate of Cefditoren Pivoxil in acute respiratory tract infections |
Clinical Cure Rate:
Number and proportion of children with clinical cure at end of study visit (Day 11) defined as the disappearance of clinical signs and symptoms observed at baseline
|
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| The secondary objective of the study is to evaluate the clinical response rate and clinical failure rate of Cefditoren Pivoxil in acute respiratory tract infections and to evaluate the microbiological cure rate in those subjects who had a positive Polymerase Chain Reaction (PCR) for the causative pathogens (Streptococcus pneumoniae, moraxella catarrhalis and Haemophilus influenza) at baseline. |
Clinical Response Rate:
Number and proportion of children with clinical improvement at Day 7
Microbiological Cure Rate:
Number and proportion of children who have a negative PCR at the end of the study (day 11) amongst those who had a positive PCR for causative pathogens (Streptococcus pneumoniae, moraxella catarrhalis and Haemophilus influenza) at baseline
Clinical Failure Rate:
Number and proportion of children with unchanged or worsened symptoms at day 7 |
|
|
Target Sample Size
|
Total Sample Size="200" Sample Size from India="200"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
Post Marketing Surveillance |
|
Date of First Enrollment (India)
|
10/06/2019 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="1" Months="6" Days="0" |
Recruitment Status of Trial (Global)
Modification(s)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Open to Recruitment |
|
Publication Details
|
The findings of this study may be published in a scientific journal or presented at a scientific meeting with prior permission from the sponsor. The sponsor and the CRO, reserves the right to review all manuscripts prior to submission for publication or any paper before it is presented. Authorship will be determined by mutual agreement between the sponsor in conjunction with the CRO and the Principal investigator(s). |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
|
|
Brief Summary
|
This clinical trial aims to evaluate the
effectiveness and safety of Cefditoren by assessing the percentage of subjects with
acute respiratory infections who achieve clinical as well as bacteriological
cure after a 10 day course. Clinical cure will be estimated for all enrolled subjects, bacteriological cure will assessed only for those subjects who have had a positive PCR for causative pathogens of hemophilus influenzae, streptococcus pneumoniae and moraxella catarrhalis at baseline. |