Reducing vancomycin use in newborn intensive care
Official title: Implementing Vancomycin Reducing Practices (VRP) in Preterm Infants
Run by Children's Hospital of Philadelphia · NCT06772675 · Data updated 2026-11-12
This trial tests whether giving outside support to Level III NICUs helps staff follow vancomycin-reduction practices for newborns at risk of late-onset sepsis.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 13 (estimated) |
| Sponsor | Children's Hospital of Philadelphia Academic / other |
| Locations | 13 sites (Modesto, California and 12 other locations) |
| Status | Recruiting |
| Started | June 2, 2025 |
| Main results expected | September 2027 |
| Study ends | September 2027 |
| Registry record updated | September 24, 2026 |
| Trial ID | NCT06772675 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal participants are Level III NICUs affiliated with Kaiser Permanente Northern California or the Children’s Hospital of Philadelphia Newborn Care Network that agree to be recruited into the trial.
✕Probably not a fit
NICUs that are not Level III, not part of the specified networks, or not enrolled in the study — and individual infants who need vancomycin for proven infections — are unlikely to receive benefit from the intervention.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a multicenter, cluster-randomized implementation trial in Level III NICUs affiliated with Kaiser Permanente Northern California or the Children’s Hospital of Philadelphia network. Participating sites are randomized to receive external facilitation or usual implementation support, with interventions aimed at hospital staff such as identifying local champions, educational outreach, unit-level audit and feedback, and a clinical decision support tool. The primary outcome is center-level fidelity to the core components of vancomycin-reducing practices, with the goal of changing prescribing behavior across the unit. Data will be collected at the site level to compare adoption and sustainment between arms.
Why it matters
Potential benefit: If successful, the approach could reduce unnecessary vancomycin exposure in newborns, lowering drug-related harms and antimicrobial resistance.
How similar studies have gone: Similar stewardship approaches (champions, audit and feedback, decision support) have improved antibiotic use in other hospital settings, though direct evidence in NICUs is more limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Level III NICU * Affiliated with Kaiser Permanente Northern California (KPNC) or Children's Hospital of Philadelphia Newborn Care Network (CNBCN) * Recruited by study team Exclusion Criteria: * Site not recruited for the study
Where it's running
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Kaiser Permanente Modesto Medical Center
Modesto, California, United States Recruiting -
Kaiser Permanente East Bay - Oakland Medical Center
Oakland, California, United States Recruiting -
Kaiser Permanente Roseville Medical Center
Roseville, California, United States Recruiting -
Kaiser Permanente San Francisco Medical Center
San Francisco, California, United States Recruiting -
Kaiser Permanente San Leandro Medical Center
San Leandro, California, United States Recruiting -
Kaiser Permanente Santa Clara Medical Center
Santa Clara, California, United States Recruiting
Show 7 more locations
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Kaiser Permanente Walnut Creek Medical Center
Walnut Creek, California, United States Recruiting -
Medical Center of Princeton
Plainsboro, New Jersey, United States Recruiting -
Virtua Voorhees
Voorhees Township, New Jersey, United States Recruiting -
Lancaster General Hospital
Lancaster, Pennsylvania, United States Recruiting -
Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania, United States Recruiting -
Pennsylvania Hospital
Philadelphia, Pennsylvania, United States Recruiting -
Chester County Hospital
West Chester, Pennsylvania, United States Recruiting
Study contacts
- Principal investigator: Sagori Mukhopadhyay, MD, MMSc — Children's Hospital of Philadelphia
- Study coordinator: Kayla Gilpin
- Email: kayla.gilpin@pennmedicine.upenn.edu
- Phone: 215-573-3976
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.