UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000001806
Receipt number R000002147
Scientific Title Without antibiotic prophylaxis in children with mild vesicoureteral reflux (grade 0-2) after a first urinary tract infection. : A multicenter trial.
Date of disclosure of the study information 2009/03/27
Last modified on 2014/09/27 10:58:47

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Basic information

Public title

Without antibiotic prophylaxis in children with mild vesicoureteral reflux (grade 0-2) after a first urinary tract infection. : A multicenter trial.

Acronym

Without antibiotic prophylaxis in children with mild vesicoureteral reflux after a first urinary tract infection.

Scientific Title

Without antibiotic prophylaxis in children with mild vesicoureteral reflux (grade 0-2) after a first urinary tract infection. : A multicenter trial.

Scientific Title:Acronym

Without antibiotic prophylaxis in children with mild vesicoureteral reflux after a first urinary tract infection.

Region

Japan


Condition

Condition

Urinary tract infection

Classification by specialty

Pediatrics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Evaluate the clinical course of the children after a first urinary tract infection without antibiotic prophylaxis to discuss the effectiveness of continuous antibiotic prophylaxis for children with mild vesicoureteral reflux.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Relapse free survival of upper urinary tract infection.

Key secondary outcomes

Relapse free survival of asymptomatic bacteriuria or cystitis.
Incidence of renal scars with DMSA renal scintigraphy.
Rate of non recurrence of upper urinary tract infection.
Development rate of renal dysfunction.


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Non-administration of antibiotics.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

1 months-old <=

Age-upper limit

48 months-old >

Gender

Male and Female

Key inclusion criteria

1) Diagnosed first episode of UTI 8 weeks before registration.
First episode of UTI
1. Body temperature >= 38.0 degrees C.
2. Positive results of urine culture by single strain (>= 10000 CFU/ml by bladder catheterization or >= 1000 CFU/ml by bladder aspiration).
2) The presence of VUR grade 0-2, monolateral or bilateral, diagnosed 2 weeks before registration.
3) Ages at the time of diagnosis of UTI are 1 months to < 4 years.
4) Written informed consent from the patients' parents or legal guardians.

Key exclusion criteria

1) Gestational age < 37 weeks.
2) Weight at birth < 2000g.
3) Complex urologic malformations.
4) Neurogenic bladder.
5) Hydronephrosis or ureteral dilation over grade 3 according to SFU classification.
6) Phimosis and ballooning at urination.
7) Previous episode of UTI.

8) Using antibiotic prophylaxis for another infection.
9) Renal dysfunction at recovery phase of UTI. (By EIA method, <1year old: sCr >= 0.4, >=1year old: sCr >= 0.5)
10) Hypertension at recovery phase of UTI.
11) Liver dysfunction at recovery phase of UTI. (AST or ALT exceed over 2.5 times the upper limit of normal).
12) Known to be immunocompromised status.
13) Intractable UTI (duration of fever >= 7days after beginning of antibiotics).
14) Complicated septic shock or DIC.
15) Judged inappropriate for this study by the physician.

Target sample size

130


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Riku Hamada

Organization

Tokyo Metropolitan Children's Medical Center

Division name

Department of nephrology

Zip code


Address

2-8-29 Musashidai, Fuchu-shi, TOKYO, JAPAN

TEL

042-300-5111

Email

riku_hamada@tmhp.jp


Public contact

Name of contact person

1st name
Middle name
Last name Riku Hamada

Organization

Tokyo Metropolitan Children's Medical Center

Division name

Deparment of nephrology

Zip code


Address

2-8-29 Musashidai Fuchu-shi Tokyo

TEL

042-300-5111

Homepage URL


Email

riku_hamada@tmhp.jp


Sponsor or person

Institute

Tokyo Metropolitan Children's Medical Center

Institute

Department

Personal name



Funding Source

Organization

Clinical research of Tokyo metropolitan hospital group

Organization

Division

Category of Funding Organization

Local Government

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

東京都立小児総合医療センター(東京都) Tokyo Metropolitan Children's medical center


Other administrative information

Date of disclosure of the study information

2009 Year 03 Month 27 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2008 Year 10 Month 20 Day

Date of IRB


Anticipated trial start date

2008 Year 12 Month 01 Day

Last follow-up date

2015 Year 08 Month 31 Day

Date of closure to data entry

2015 Year 12 Month 01 Day

Date trial data considered complete

2015 Year 12 Month 01 Day

Date analysis concluded

2015 Year 12 Month 01 Day


Other

Other related information



Management information

Registered date

2009 Year 03 Month 27 Day

Last modified on

2014 Year 09 Month 27 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000002147