UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000051989
Receipt number R000059333
Scientific Title Appropriate use of antibiotics using a serum procalcitonin 95%ile cutoff value for neonatal early-onset bacterial infections
Date of disclosure of the study information 2023/08/24
Last modified on 2023/08/24 08:33:58

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Basic information

Public title

Appropriate use of antibiotics using a serum procalcitonin 95%ile cutoff value for neonatal early-onset bacterial infections

Acronym

Appropriate use of antibiotics using a serum procalcitonin 95%ile cutoff value for neonatal early-onset bacterial infections

Scientific Title

Appropriate use of antibiotics using a serum procalcitonin 95%ile cutoff value for neonatal early-onset bacterial infections

Scientific Title:Acronym

Appropriate use of antibiotics using a serum procalcitonin 95%ile cutoff value for neonatal early-onset bacterial infections

Region

Japan


Condition

Condition

Neonatal early-onset bacterial infection

Classification by specialty

Pediatrics Intensive care medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

We previously reported the 95%ile cutoff value of the serum procalcitonin (PCT) reference curve for preterm neonates and the combination of the 95%ile cutoff value of the serum PCT reference curve, C-reactive protein, white blood cell count, and IgM for term neonates in diagnosing early-onset bacterial infection (Diagnostics, 2020). This study aimed to verify the usefulness of this novel diagnostic criteria by comparing the use of antibiotics and the incidence of early-onset bacterial infection between pre- and post-introduction periods

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Days of antibiotics therapy (DOT) per 1,000 patient-days up to 6 days after birth, newborn number (%) of usage antibiotics, and the incidence of early-onset bacterial infections

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification

NO

Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Diagnosis

Type of intervention

Medicine

Interventions/Control_1

We included newborns admitted to our NICU who underwent blood tests within 72 hours after birth between 2018, and 2022. They were divided into the pre-intervention (those who admitted before the introduction, n=737) or intervention (those who admitted after the introduction, n=686) groups

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 days-old <=

Age-upper limit

7 days-old >

Gender

Male and Female

Key inclusion criteria

We included newborns admitted to our NICU who underwent blood tests within 72 hours after birth between 2018, and 2022. They were divided into the pre-intervention (those who admitted before the introduction, n=737) or intervention (those who admitted after the introduction, n=686) groups

Key exclusion criteria

Death within 6 days after birth

Target sample size

1350


Research contact person

Name of lead principal investigator

1st name Nobuhiko
Middle name
Last name Nagano

Organization

Nihon University School of Medicine

Division name

Department of Pediatrics and Child Health

Zip code

173-8610

Address

30-1, Oyaguchi, Kami-cho, Itabashi-ku, Tokyo, Japan

TEL

+81-3-3972-8111

Email

nagano.nobuhiko@nihon-u.ac.jp


Public contact

Name of contact person

1st name Nobuhiko
Middle name
Last name Nagano

Organization

Nihon University School of Medicine

Division name

Department of Pediatrics and Child Health

Zip code

173-8610

Address

30-1, Oyaguchi, Kami-cho, Itabashi-ku, Tokyo, Japan

TEL

+81-3-3972-8111

Homepage URL


Email

nagano.nobuhiko@nihon-u.ac.jp


Sponsor or person

Institute

Nihon University School of Medicine

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Nihon University School of Medicine

Address

30-1, Oyaguchi, Kami-cho, Itabashi-ku, Tokyo, Japan

Tel

+81-3-3972-8111

Email

nagano.nobuhiko@nihon-u.ac.jp


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



Other administrative information

Date of disclosure of the study information

2023 Year 08 Month 24 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

1429

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

Completed

Date of protocol fixation

2020 Year 02 Month 01 Day

Date of IRB

2019 Year 09 Month 11 Day

Anticipated trial start date

2020 Year 03 Month 06 Day

Last follow-up date

2023 Year 03 Month 12 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2023 Year 08 Month 24 Day

Last modified on

2023 Year 08 Month 24 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000059333