Short Versus Standard Amoxicillin for Pediatric Strep Throat

Trial statusNot yet recruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age3-18
SponsorThe University of Texas Health Science Center, Houston

About this trial

The purpose of this study is to compare 5-day vs 10-day amoxicillin for strep throat in children.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

confirmed Group A streptococcal (GAS) pharyngitis, defined by a positive rapid antigen detection test

Receiving care at either the University of Texas Pediatrics General Clinic or the Memorial Hermann Emergency Department

Written informed consent obtained from a parent or legal guardian, with assent from the child when developmentally appropriate and required by institutional policy.

Disqualifiers

Known allergy or hypersensitivity to penicillin, amoxicillin, or other beta-lactam antibiotics

Severe or complicated illness requiring hospitalization at presentation.

History of acute rheumatic fever, post-streptococcal glomerulonephritis, or other conditions for which prolonged antibiotic therapy is specifically indicated.

Immunocompromised state, including but not limited to: Active malignancy receiving chemotherapy, Solid-organ or hematopoietic stem cell transplant, Chronic systemic immunosuppressive therapy

Trial design

Design model

Parallel

Treatments tested in this trial

  • 5 day short course antibiotic treatment

    Drug

    Participants will receive oral penicillin or amoxicillin for 5 days

  • 10 day standard of care antibiotic treatment

    Drug

    Participants will receive oral penicillin or amoxicillin for 10 days

Treatment groups

1,500 Participants
are divided into 2 treatment groups
Group A: 5 day short course antibiotic treatmentExperimental treatment 1 intervention
Group B: 10 day standard of care antibiotic treatmentActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Number of participants that demonstrate resolution of throat pain and fever as reported by the participant/caregiver

Time frame
about 14 days after treatment initiation
2

Number of participants that do not require additional or alternative antibiotic therapy for Group A Streptococcal (GAS) pharyngitis

Time frame
about 14 days after treatment initiation

Secondary outcomes

1

Number of participants that demonstrate improvement in pain

Time frame
From baseline to day 14
2

Number of participants that demonstrate improvement in fever

Time frame
From baseline to day 14
3

Number of participants that demonstrate improvement in treatment tolerance

Time frame
From baseline to day 14
4

Number of participants that complete the prescribed antibiotic course, assessed by caregiver report

Time frame
Day 14

Other outcomes

Sponsors and contacts

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This trial is not recruiting at the moment. You can still explore other options: