Could a simple pill replace IV antibiotics for kidney infections?

NCT ID NCT07236944

First seen Nov 19, 2025 · Last updated Jun 22, 2026 · Updated 36 times

Summary

This study tests whether pivmecillinam pills work as well as standard antibiotics for treating febrile urinary tract infections (kidney infections) in adults. Participants who have already improved after 2-4 days of IV antibiotics will take pivmecillinam or continue standard care. The goal is to see if the oral option is just as effective at clearing the infection and preventing relapse.

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This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Contacts and locations

Study contacts

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

Locations

  • Blekinge Hospital

    NOT_YET_RECRUITING

    Karlskrona, Sweden

    Contact Email: •••••@•••••

  • Central Hospital Växjö

    NOT_YET_RECRUITING

    Vaxjo, Sweden

    Contact Email: •••••@•••••

  • Eskilstuna Hospital

    NOT_YET_RECRUITING

    Eskilstuna, Sweden

    Contact Email: •••••@•••••

  • Haukeland University Hospital

    NOT_YET_RECRUITING

    Haukeland, Norway

    Contact Email: •••••@•••••

  • Karolinska University Hospital

    NOT_YET_RECRUITING

    Stockholm, Sweden

    Contact Email: •••••@•••••

  • Oslo University Hospital

    NOT_YET_RECRUITING

    Oslo, Norway

    Contact Email: •••••@•••••

  • Sahlgrenska University Hospital

    RECRUITING

    Gothenburg, Sweden

    Contact Email: •••••@•••••

    Contact Email: •••••@•••••

  • Skåne University Hospital

    NOT_YET_RECRUITING

    Lund, Sweden

    Contact Email: •••••@•••••

  • Sundsvall Hospital

    NOT_YET_RECRUITING

    Sundsvall, Sweden

    Contact Email: •••••@•••••

  • Södra Älvsborg Hospital

    NOT_YET_RECRUITING

    Borås, Sweden

    Contact Email: •••••@•••••

  • Umeå University Hospital

    NOT_YET_RECRUITING

    Umeå, Sweden

    Contact Email: •••••@•••••

  • Uppsala University Hospital

    RECRUITING

    Uppsala, Sweden

    Contact Phone: •••-•••-•••• Email: •••••@•••••

    Contact Phone: •••-•••-•••• Email: •••••@•••••

  • Örebro University Hospital

    RECRUITING

    Örebro, Sweden

    Contact Email: •••••@•••••

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

Pivmecillinam (an antibiotic pill)

What this could lead to

If it works, this could offer a simpler, oral option for treating serious kidney infections after initial IV antibiotics, reducing hospital stays.

What could go wrong

This is a phase 4 trial, so the drug is already approved, but it may not be as effective as standard care for all patients. Side effects or antibiotic resistance could also limit its use.

Conditions

The condition(s) this trial relates to.

escherichia coli infection urinary tract infection

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.