Home » Trials » SLCTR/2010/001


Treatment of children with Typhoid fever: a comparative trial of Cotrimoxazole and Ampicillin in General Hospital Vavuniya.

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SLCTR Registration Number

SLCTR/2010/001


Date of Registration

22 Jan 2010

The date of last modification

Mar 03, 2019


Trial Status



Application Summary


Scientific Title of Trial

Treatment of children with Typhoid fever: a comparative trial of Cotrimoxazole and Ampicillin in General Hospital Vavuniya.


Public Title of Trial

Comparison of two antibiotics in the treatment of typhoid fever in children in General Hospital, Vavuniya


Disease or Health Condition(s) Studied

Typhoid fever


Scientific Acronym

None


Public Acronym

None


Brief title

None


Universal Trial Number

None


Any other number(s) assigned to the trial and issuing authority

ERC/09-011 (Ethics Review Committee of the Sri Lanka Medical Association)


Trial Details


What is the research question being addressed?

We are currently experiencing an outbreak of Typhoid fever in Vavuniya district. We observed incidentally that patients respond well to the two antibiotics, cotrimoxazole and ampicillin. Therefore we decided to investigate this scientifically by carrying out a randomized controlled trial. ?


Type of study

Interventional


Study design

Allocation

Randomized controlled trial


Masking

Masking not used


Control

Active


Assignment

Parallel


Purpose

Treatment


Study Phase

Not Available


Intervention(s) planned

This is an interventional study where typhoid cases and controls will be selected from patients admitted to the paediatric ward within the age group of 6 years to 12 years. Randomization will be done using a standard randomization table. To achieve 0.05 level of significance and 90% power the minimum required sample will be 124 (62 in each group) according to the equation, All clinically suspected patients with Typhoid fever (Clinically suspected cases were identified according to MMWR 1997 case definition).

Treatment is either with oral Cotrimoxazole or intravenous Ampicillin. Cotrimoxazole - Dose calculation:- 480mg twice daily Duration:-10 days Brand:-Paediatric Cotrimoxazole tablets BP 480mg ( manufactured by Interpharm PVT limited, Madapatha Road, Piliyandala, Sri Lanka) Preparation:-tablets ( strength – 480mg ) Ampicillin – Dose calculation:-50mg/kg every 6 hours Duration:- 10 days Brand:-Ampicillin Sodium for injection 250mg ( Belco Pharma, 515, M.I.E Bahadurgah, A.O- A- 3314, Paschim Vihar, New Delhi, 110063 )


Inclusion criteria

All clinically suspected patients with Typhoid fever


Exclusion criteria

  1. Extremely unwell patients who are unable to tolerate oral fluids
  2. Patients with complications of Typhoid fever such as intestinal hemorrhage, intestinal perforation or paralytic ileus
  3. Known allergy to ampicillin or cotrimoxazole


Primary outcome(s)

1.

The primary outcome measure will be the duration taken for the complete resolution of fever which is considered as maintaining normal body temperature for 48 hours or more, Development of adverse effects and disease related complications such as intestinal perforation, perforation or paralytic ileus will be assessed as secondary outcome measures

[

Day of fever free for 48 hours

]

Secondary outcome(s)

1.
  1. Development of adverse effects to antibiotics
  2. Development of disease related complications
[

Daily assessment

]

Target number/sample size

124 (62 per group)


Countries of recruitment

Sri Lanka


Anticipated start date

2009-12-12


Anticipated end date

2011-01-13


Date of first enrollment


Date of study completion


Recruitment status

Complete: follow up complete


Funding source

None


Regulatory approvals



State of Ethics Review Approval


Status

Approved


Date of Approval

2009-12-04


Approval number

ERC/09-011


Details of Ethics Review Committee

Name: Ethics Review Committee, Sri Lanka Medical Association,
Institutional Address:No 6, Wijerama Mawatha, Colombo 00700 Sri Lanka
Telephone:+94-11-2693324
Email: erc.slma@gmail.com

Contact & Sponsor Information


Contact person for Scientific Queries/Principal Investigator

Dr V. Kiridana
Consultant Paediatrician
14/2, Deveni Rajasingha Mawatha, Gatambe, Kandy

0772277421

vkiridana@yahoo.co.uk

Contact Person for Public Queries

Dr V. Kiridana
Consultant Paediatrician
14/2, Deveni Rajasingha Mawatha, Gatambe, Kandy

0772277421

vkiridana@yahoo.co.uk


Primary study sponsor/organization

GH Vavuniya

Vavuniya
0242222761
0242222262
msghvav@yahoo.ca

Secondary study sponsor (If any)

None





Trial Completion details


Do the investigators plan to share identified individual clinical trial participant-level data (IPD)?


IPD sharing plan description

Not Available


Study protocol available


Protocol version and date

Not Available


Protocol URL

Not Available


Results summary available

No


Date of posting results


Date of study completion


Final sample size


Date of first publication


Link to results


Brief summary of results