Could a tailored antibiotic dose save more kids in the ICU?
NCT ID NCT04666948
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether giving a personalized dose of the antibiotic vancomycin to critically ill children in the ICU leads to better results than the standard approach. Researchers enrolled 314 children and compared how many reached the target drug level in their blood. The goal was to see if tailoring the dose improves treatment and reduces side effects like kidney injury.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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314 people
The number who actually took part.
- Started
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Dec 2020
- Finished
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Oct 2024
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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0 days to 15 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * age: 0-18 years * admitted to ICU or PHO unit * suspected or confirmed Gram positive infection * planned to start on intravenous intermittent or continuous infusion vancomycin treatment * informed consent signed by parents or legal representatives * not previously enrolled in this trial Exclusion Criteria: * extracorporeal treatment at inclusion or started during treatment (extracorporeal membrane oxygenation, dialysis, body cooling) * n or p RIFLE category failure at inclusion (Day 0) (see section 8.1.2. screening) * Known chronic kidney disease as defined by the KDIGO definition as: structural or functional abnormalities of the kidney regardless of GFR for \< 3 months or GFR \< 60ml/min/1.73m² for ≥ 3 months. eGFR is estimated using the modified Schwartz equation * patient death is deemed imminent and inevitable
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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AZ Sint-Jan Brugge-Oostende AV
Bruges, Belgium
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Cliniques universitaires de Saint Luc
Brussels, Belgium
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Erasme
Brussels, Brussels Capital, Belgium
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Ghent University Hospital
Ghent, Belgium
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Hopital universitaire de Reine Fabiola
Brussels, Belgium
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UZ Brussel
Brussels, Belgium
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UZ Leuven
Leuven, Belgium
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Scientists hunt for hidden clues to drug reactions in the blood
- New rapid blood test could slash unnecessary antibiotic use in sepsis
- Are sick kids getting the right antibiotic dose? study aims to find out
- Can we get antibiotics right for kids on ECMO?
- New study aims to cut unnecessary antibiotics in fragile newborns
- Does how you get vancomycin affect your kidneys?