Temocillin pharmacokinetics in kids with febrile urinary tract infection
Official title: Population Pharmacokinetics of Temocillin in Acute Enterobacterial Pyelonephritis in Children
Run by Assistance Publique - Hôpitaux de Paris · NCT07070102 · Data updated 2026-11-12
This study tests how temocillin behaves in the bodies of children aged 0-15 with febrile UTIs due to Gram-negative bacteria who need hospitalization.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 1 Day to 15 Years |
| Sex | All |
| Enrollment | 50 (estimated) |
| Sponsor | Assistance Publique - Hôpitaux de Paris Academic / other |
| Locations | 1 site (Paris, Ap-hp / DRCI) |
| Status | Recruiting |
| Started | September 1, 2025 |
| Main results expected | September 1, 2027 |
| Study ends | September 1, 2027 |
| Registry record updated | November 10, 2026 |
| Trial ID | NCT07070102 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are hospitalized children aged 0-15 with febrile UTI due to Gram-negative rods and without sepsis, able to participate for at least 48 hours.
✕Probably not a fit
Patients with sepsis, Gram-positive infections, severe renal impairment, or known beta-lactam allergy may not benefit from temocillin dosing data.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study will measure pharmacokinetic parameters of temocillin in pediatric patients with febrile urinary tract infections caused by Gram-negative rods. Eligible participants are children 0 to 15 years old hospitalized for at least 48 hours and with a culture-confirmed GNR infection. Blood samples will be collected to characterize how the drug is absorbed, distributed, metabolized, and excreted in this population, aiming to support age- and renal function–based dosing. The goal is to establish dose recommendations that optimize efficacy while minimizing toxicity in pediatrics. The study is conducted at Robert Debré University Hospital under the Assistance Publique - Hôpitaux de Paris.
Why it matters
Potential benefit: If successful, the study could guide precise dosing of temocillin in children with febrile UTIs, improving treatment effectiveness and safety.
How similar studies have gone: Prior retrospective data suggest temocillin can be effective for pediatric UTIs caused by ESBL-producing Enterobacterales, but prospective pharmacokinetic data in children are limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patient aged 0 to 15 years * Presenting with a febrile urinary tract infection due to GNR (a febrile urinary tract infection is defined as a urine culture showing significant leukocyturia (≥104) and direct examination showing GNR, in a patient with fever) * Requiring hospitalization in the general pediatrics, emergency (short-stay hospitalization unit), nephrology, or intensive care units of the Robert-Debré University Hospital for a presumed period of at least 48 hours. * Non-opposition of the legal representatives obtained by one of the investigator Exclusion Criteria: * Presence of sepsis (Phoenix score ≥ 2) * Gram-positive cocci (GPC) urinary tract infection (Urinalysis before antibiotic therapy revealed significant leukocyturia (≥104) and direct examination revealed GPC) * Known allergy to beta-lactam antibiotics * Severe renal impairment (glomerular filtration rate \<30 mL/min\*1.73 m2)
Where it's running
-
Robert Debre Hospital
Paris, Ap-hp / DRCI, France Recruiting
Study contacts
- Principal investigator: Gabriel LIGNIERES, MD — Assistance Publique - Hôpitaux de Paris
- Study coordinator: Gabriel LIGNIERES, MD
- Email: GABRIEL.LIGNIERES@aphp.fr
- Phone: +331 40 03 53 61
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Diagnosing abdominal pain with a six-RNA blood test
This study will test whether a blood test that measures six RNA markers can help doctors determine if abdominal pain in people aged 7 and older is caused by infections such as appendicitis, diverticulitis, or pyelonephritis.
-
New quick MRI method for pediatric kidney disease
This study is testing a new, faster MRI method for kids with kidney problems to see if it can better detect infections and damage without using radiation or injections.
-
Diffusion MRI to map nerve lesions in obstetric brachial plexus palsy
This study tests diffusion MRI and tractography to better understand nerve injuries in people with obstetric brachial plexus palsy.
-
Long-term心理 and cognitive check after stem cell transplant for immune deficiencies
This study tests the long-term neurocognitive and psychological functioning of 6–8 year-old children who had an allogeneic stem cell transplant for a primary immune deficiency, at least two years after the transplant.
-
Benchmarking AI language models against tumor boards for oncology treatment decisions
This project tests whether frontier AI language models can match the treatment recommendations of multidisciplinary tumor boards for common cancers using standardized synthetic cases.
-
Gut microbes and autoinflammatory diseases: how they may be linked
This study tests whether gut bacteria and their byproducts relate to digestive and inflammatory symptoms in people with autoinflammatory diseases.
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.