Last reviewed · How we verify
NCT03607162: DIAFEVER
Impact of a PCT(Procalcitonin) Rapid Test -Based Approach on ATB (Antibiotics) Use in Children With Fever Without Source
NA trial testing DIAFEVER algorithm in Fever Without Source in 4,928 participants. Completed in 3 December 2021.
3 December 2021
Quick facts
| Lead sponsor | Nantes University Hospital |
|---|---|
| Phase | NA |
| Status | Completed |
| Study type | INTERVENTIONAL |
| Allocation | randomized |
| Design | crossover |
| Masking | single |
| Primary purpose | diagnostic |
| Enrollment | 4,928 |
| Start date | 1 November 2018 |
| Primary completion | 3 December 2021 |
| Estimated completion | 3 December 2021 |
| Sites | 26 locations across France, Switzerland |
Drugs / interventions tested
- DIAFEVER algorithm
Conditions studied
- Fever Without Source — all drugs for Fever Without Source →
Sponsor
Nantes University Hospital
Who can join
Adults 6 Days to 36 Months, any sex, with Fever Without Source. Patients with the condition only — healthy volunteers not accepted.
Sponsor's own description
Because a newly available point-of-care test may have real interest especially for children in the Emergency Department (ED) setting, by limiting painful and stressful venipunctures and decreasing the length of stay in the ED, the investigators hypothesize that integrating this new capillary Procalcitonin (PCT) rapid test in the DIAFEVER CPR (Clinical Prediction Rules) could represent a highly valuable diagnostic tool to identify a group with low Invasive Bacterial Infection (IBI) risk and could limit unnecessary exams and antibiotic prescriptions. The aim of this present study is to demonstrate the impact of this new PCT rapid-test-based CPR on antibiotic prescription rate in young children with Fever Without Source (FWS) presenting to the ED and on morbidity and mortality
Publications & conference data
2 peer-reviewed publications reference this trial (live from Europe PMC):
-
Assessment of the impact of a new sequential approach to antimicrobial use in young febrile children in the emergency department (DIAFEVERCHILD): a French prospective multicentric controlled, open, cluster-randomised, parallel-group study protocol.
Hubert G, Launay E, Feildel Fournial C, Chauvire-Drouard A, et al · · 2020 · cited 3× · PMID 32792425 · DOI 10.1136/bmjopen-2019-034828 -
Point-of-care decision rule for antibiotic prescriptions in young children with fever without source: an open cluster randomised trial.
Malorey D, Tavernier E, Drouard A, Vrignaud B, et al · · 2026 · PMID 41407517 · DOI 10.1136/archdischild-2025-329438
Verify or expand the search:
- PubMed search for NCT03607162
- Europe PMC full search
- ASCO Meeting Library
- ESMO Meeting Library
- bioRxiv preprints
- medRxiv preprints
- Google Scholar
Related trials
Other recruiting trials for Fever Without Source
Currently open trials in the same condition.
- NCT07004751 — Etiology of Febrile Illness in Nepal (DEFINe Study) · NA · recruiting
Other Nantes University Hospital trials
Trials by the same sponsor.
- NCT07278661 — Preoperative Use of Romiplostim in Thrombocytopenic Patients Undergoing Cardiac Surgery. · Phase 2 · recruiting
- NCT06681363 — Creation of a Biocollection of Patients With Acute Myeloid Leukemia (AML) or Lymphoid Leukemia (ALL) or High-risk Myelod · not yet recruiting
- NCT07467382 — GOAT (Gait Observation of Achilles Tendon) · not yet recruiting
- NCT07490379 — Comparison of the Efficacy of Transcranial Direct Current Stimulation at Home Versus in Hospital Settings in Patients Wi · NA · not yet recruiting
- NCT07423481 — Weight Trajectories and Predictive Factors After Semaglutide in Patients With Grade 3 and Complicated Obesity · not yet recruiting
Verify against primary sources
- ClinicalTrials.gov — authoritative US registry record
- WHO ICTRP — international registry index
- EU Clinical Trials Register
- Sponsor press releases (Google)
- Trial protocol + status: ClinicalTrials.gov NCT03607162 (US National Library of Medicine, public domain)
- Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
- Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
- Sponsor: as reported to ClinicalTrials.gov by Nantes University Hospital
- Last refreshed: 21 December 2021
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03607162.
Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing