Clinical trial Recruiting at 13 sites Interventional Ages 18 and up

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 typeInterventional
Ages18 Years and up
SexAll
Enrollment13 (estimated)
SponsorChildren's Hospital of Philadelphia
Academic / other
Locations13 sites (Modesto, California and 12 other locations)
StatusRecruiting
StartedJune 2, 2025
Main results expectedSeptember 2027
Study endsSeptember 2027
Registry record updatedSeptember 24, 2026
Trial IDNCT06772675 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.