Status:

COMPLETED

A Study to Describe the Pharmacokinetics of Acyclovir in Premature Infants (PTN_Acyclo)

Lead Sponsor:

Phillip Brian Smith

Collaborating Sponsors:

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Conditions:

Herpes Simplex Virus

Neonatal Sepsis

Eligibility:

All Genders

Up to 45 years

Phase:

PHASE1

Brief Summary

Acyclovir is a drug used to treat herpes simplex virus (HSV) infections in babies. Appropriate dosing of acyclovir is known for adults and children but acyclovir has not been adequately studied in ful...

Detailed Description

Neonatal herpes infection carries a major risk of death if untreated. Prognosis is related to disease extent and timing of therapy, making early diagnosis crucial. Mortality in the pre-antiviral era w...

Eligibility Criteria

Inclusion

  • The investigator or other study site personnel will document in the source documents (e.g., the hospital chart) that informed consent was obtained. Laboratory tests or non-pharmacologic treatment procedures that were performed as standard of care within 72 hours prior to first dose of study drug may be used for screening procedures and recorded in the CRF.
  • Inclusion Criteria
  • \< 45 days of age at the time of initial study drug administration.
  • Sufficient venous access to permit administration of study medication.
  • Availability and willingness of the parent/legal guardian to provide written informed consent.
  • Suspected HSV sepsis OR At least two (2) of the following
  • Signs of sepsis AND negative blood cultures for \>24 hours7
  • Respiratory distress8
  • Lethargy8
  • Fever ≥ 38.0°C7
  • Skin lesions7,8
  • Seizures (clinical OR EEG confirmed)7
  • Irritability7
  • AST OR ALT \>2 X upper limit of normal7,8
  • \>20 WBCs/µL or \>500 RBCs/µL7
  • Exclusion Criteria
  • History of anaphylaxis attributed to acyclovir.
  • Serum creatinine \>1.7 mg/dL.
  • Urine output \<0.5 mL/kg/hour over the previous 12 hours
  • Previous participation in the study.
  • Concomitant condition, which in the opinion of the investigator would preclude a participant's participation in the study

Exclusion

    Key Trial Info

    Start Date :

    September 1 2011

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    June 1 2012

    Estimated Enrollment :

    32 Patients enrolled

    Trial Details

    Trial ID

    NCT00942084

    Start Date

    September 1 2011

    End Date

    June 1 2012

    Last Update

    January 8 2019

    Active Locations (3)

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    Page 1 of 1 (3 locations)

    1

    Wesely Medical Center

    Wichita, Kansas, United States, 67214-4976

    2

    Tulane School of Medicine

    New Orleans, Louisiana, United States, 70112

    3

    Duke University

    Durham, North Carolina, United States, 27713