Opportunistic PK/PD Trial in Critically Ill Children (OPTIC)

Duke University2,000 enrolled

Overview

OPTIC is a prospective, open-label, non-randomized study of multiple medications administered to approximately 2000 children in the pediatric cardiac intensive care unit (PCICU) per routine clinical car by their treating provider. The purpose of this study is to characterize the PK of drugs routinely administered to children per standard of care using opportunistic and scavenged samples. The prescribing of drugs to children will not be part of this protocol. After the child/adult (\<21 years of age) is consented/enrolled, demographic and clinical data will be extracted from the EHR. Biospecimen information (including date and time of sample collection) will be collected. Data analysis will be conducted on all participants with at least 2 evaluable samples. The protocol represents minimal risk to the children/adults who provide body fluid for this study, including potential loss of confidentiality (samples will be assigned a unique accession number) and risks associated with blood draws. Adverse Events (AEs)/Serious Adverse Events (SAEs) caused by the study specimen collections will be monitored and recorded in the Electronic Data Capture (EDC) system.

Study Type

OBSERVATIONAL

Enrollment

2,000

Conditions

Cardiac Disease Critically Ill Children, Adult

Interventions

The goal of this study is to characterize the pharmacokinetics of understudied drugs for which specific dosing recommendations and safety data are lacking. The prescribing of drugs to children will not be part of this protocol. Taking advantage of procedures done as part of routine medical care (i.e. blood draws), this study will serve as a tool to better understand drug exposure in children receiving these drugs per standard of care.

Eligibility

Sex: ALLMin age: 0 MonthsMax age: 20 Years

Medical Language ↔ Plain English

Inclusion Criteria: To be eligible for enrollment, a potential participant must meet all the following criteria: 1. Participant is \<21 years old on admission 2. Participant is admitted to the Pediatric Cardiac Intensive Care Unit 3. Parent/legal guardian/adult participant can understand the consent process and is willing to provide informed consent/assent 4. Participant is receiving one or more of the study drugs of interest at the time of enrollment Exclusion Criteria: 1\. Any condition which would make the participant, in the opinion of the investigator, unsuitable for the study

Outcomes

Primary Outcomes

Clearance (CL) or apparent oral clearance (CL/F) as measured by PK sampling

Time frame: Data will be collected up to 180 days from the time of consent

Half-life (t1/2) as measured by PK sampling

Time frame: Data will be collected up to 180 days from the time of consent

Volume of distribution (V) or apparent oral volume of distribution (V/F) as measured by PK sampling

Time frame: Data will be collected up to 180 days from the time of consent

AUC (area under the curve) as measured by PK sampling

Time frame: Data will be collected up to 180 days from the time of consent

Opportunistic PK/PD Trial in Critically Ill Children (OPTIC)

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Central Contacts