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NCT03760419: ICE-CAP1

Improving CarE for Community Acquired Pneumonia 1

Completed NA Results posted Last updated 8 December 2022
What this trial tests

NA trial testing Clinical Decision Support in Pneumonia Childhood in 1,027 participants. Completed in 30 September 2020.

Timeline
17 December 2018
Primary endpoint
30 September 2020
30 September 2020

Quick facts

Lead sponsorVanderbilt University Medical Center
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposehealth services research
Enrollment1,027
Start date17 December 2018
Primary completion30 September 2020
Estimated completion30 September 2020
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Vanderbilt University Medical Center

Who can join

Adults 6 Months to 18, any sex, with Pneumonia Childhood. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Exclusive Guideline-Concordant Antibiotic Therapy, First 24 Hours Primary · 18 months

The primary outcome is the percentage of children in which ALL antibiotic treatment prescribed in the first 24 hours of the encounter is guideline-concordant.

Overall
GroupValue95% CI
Control Arm255
Intervention Arm284
Site A
GroupValue95% CI
Control Arm174
Intervention Arm120
Site B
GroupValue95% CI
Control Arm81
Intervention Arm164
Outpatient
GroupValue95% CI
Control Arm140
Intervention Arm164
Inpatient
GroupValue95% CI
Control Arm93
Intervention Arm99
ICU
GroupValue95% CI
Control Arm22
Intervention Arm21
Age < 6 years
GroupValue95% CI
Control Arm163
Intervention Arm192
Age >/= 6 years
GroupValue95% CI
Control Arm92
Intervention Arm92
Exclusive Guideline-Concordant Antibiotic Prescribing, Entire Episode Secondary · 18 months

This secondary outcome reports encounters in which established antibiotic stewardship guidelines are followed for ALL prescribing for the duration of the encounter (ED triage through hospital discharge).

Overall
GroupValue95% CI
Control Arm240
Intervention Arm261
Site A
GroupValue95% CI
Control Arm163
Intervention Arm111
Site B
GroupValue95% CI
Control Arm77
Intervention Arm150
Outpatient
GroupValue95% CI
Control Arm140
Intervention Arm164
Inpatient
GroupValue95% CI
Control Arm83
Intervention Arm85
ICU
GroupValue95% CI
Control Arm17
Intervention Arm12
Age <6 years
GroupValue95% CI
Control Arm156
Intervention Arm175
Age >/= 6 years
GroupValue95% CI
Control Arm84
Intervention Arm86
Any Guideline-Concordant Antibiotic Prescribing, First 24 Hours Secondary · 18 months

This secondary outcome includes ANY guideline-concordant prescribing during the first 24 hours of the encounter.

Overall
GroupValue95% CI
Control Arm297
Intervention Arm358
Site A
GroupValue95% CI
Control Arm198
Intervention Arm144
Site B
GroupValue95% CI
Control Arm99
Intervention Arm214
Outpatient
GroupValue95% CI
Control Arm145
Intervention Arm168
Inpatient
GroupValue95% CI
Control Arm117
Intervention Arm145
ICU
GroupValue95% CI
Control Arm35
Intervention Arm45
Age <6 years
GroupValue95% CI
Control Arm189
Intervention Arm242
Age >/= 6 years
GroupValue95% CI
Control Arm108
Intervention Arm116
Any Guideline-Concordant Antibiotic Prescribing, Entire Episode Secondary · 18 months

This secondary outcome includes ANY guideline-concordant prescribing during the ENTIRE encounter (ED triage through hospital discharge).

Overall
GroupValue95% CI
Control Arm305
Intervention Arm383
Site A
GroupValue95% CI
Control Arm200
Intervention Arm146
Site B
GroupValue95% CI
Control Arm105
Intervention Arm237
Outpatient
GroupValue95% CI
Control Arm145
Intervention Arm168
Inpatient
GroupValue95% CI
Control Arm119
Intervention Arm154
ICU
GroupValue95% CI
Control Arm41
Intervention Arm61
Age <6 years
GroupValue95% CI
Control Arm195
Intervention Arm256
Age >/= 6 years
GroupValue95% CI
Control Arm110
Intervention Arm127

Adverse events — posted to ClinicalTrials.gov

Time frame: 18 months. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Control Arm
Serious: 83/478 (17%)
Deaths: 2/478
Intervention Arm
Serious: 74/549 (13%)
Deaths: 1/549

Serious adverse events (4 terms)

ReactionSystemControl ArmIntervention Arm
ED revisit within 7 daysRespiratory, thoracic and mediastinal disorders
Re-hospitalization within 7 daysRespiratory, thoracic and mediastinal disorders
ED revisit within 72 hoursRespiratory, thoracic and mediastinal disorders
Re-hospitalization within 72 hoursRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: ED revisit within 7 days, Re-hospitalization within 7 days, ED revisit within 72 hours, Re-hospitalization within 72 hours.

Data from ClinicalTrials.gov NCT03760419 adverse events section.

Sponsor's own description

Children with pneumonia presenting to the emergency department at Monroe Carell Jr. Children's Hospital at Vanderbilt or Children's Hospital of Pittsburgh will be potentially eligible for study. During intervention periods, providers caring for enrolled children will be presented with a detailed decision support strategy that emphasizes management in accordance with national guideline recommendations. The anticipated study duration is 18 months and, as this study does not include direct contact with enrolled subjects, there is no anticipated follow up.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Antibiotic clinical decision support for pneumonia in the ED: A randomized trial.
    Williams DJ, Martin JM, Nian H, Weitkamp AO, et al · · 2023 · cited 12× · PMID 37042682 · DOI 10.1002/jhm.13101

Verify or expand the search:

Other trials of Clinical Decision Support

Trials testing the same drug.

Other recruiting trials for Pneumonia Childhood

Currently open trials in the same condition.

Other Vanderbilt University Medical Center trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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/NCT03760419.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing