RecruitingPhase 1NCT06810583

A Prospective Trial of Dalbavancin-Based Prophylaxis in Children and Adolescents With High-Risk Leukemia

A Prospective, Single-Arm, Trial of Dalbavancin-Based Prophylaxis in Children and Adolescents With High-Risk Leukemia


Sponsor

St. Jude Children's Research Hospital

Enrollment

29 participants

Start Date

May 22, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

This is a single-arm pilot clinical trial evaluating dalbavancin-based prophylaxis in children and adolescents with acute myeloid leukemia or relapsed lymphoblastic leukemia receiving myelosuppressive chemotherapy. Primary objective: \- To estimate the rate of bacterial bloodstream infection in pediatric patients with AML or relapsed ALL undergoing chemotherapy receiving dalbavancin-based prophylaxis Secondary objectives: * To describe the population pharmacokinetics of every 28 days dalbavancin up to 12 weeks in pediatric patients with AML or relapsed ALL undergoing chemotherapy * To describe the tolerability of every 28 days dalbavancin prophylaxis in pediatric patients with AML or relapsed ALL undergoing chemotherapy * To describe the acceptability of every 28 days dalbavancin prophylaxis in pediatric patients with AML or relapsed ALL undergoing chemotherapy * To estimate the rates of likely bacterial infections, Clostridioides difficile infection, and febrile neutropenia in pediatric patients receiving dalbavancin-based prophylaxis


Eligibility

Max Age: 25 Years

Plain Language Summary

Simplified for easier understanding

This study is testing dalbavancin as a preventive antibiotic treatment in children undergoing certain high-risk medical procedures. Dalbavancin is a long-acting antibiotic given by IV that stays active in the body for weeks, potentially preventing serious bacterial infections. **You may be eligible if...** - Your child is scheduled for a high-risk procedure and the study team determines preventive antibiotics are appropriate - Your child meets the age and weight criteria for the study - You are willing to provide consent and your child (if old enough) agrees to participate **You may NOT be eligible if...** - Your child has a known allergy to dalbavancin or related antibiotics - Your child has significant kidney or liver problems - Your child is currently enrolled in another clinical study - There are other medical reasons that make dalbavancin unsafe Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGDalbavancin

3 doses of q28 days dalbavancin (12 weeks).

DRUGFluoroquinolone (either ciprofloxacin or levofloxacin at the discretion of the treating clinician)

28 days dalbavancin plus fluoroquinolone (either ciprofloxacin or levofloxacin at the discretion of the treating clinician) for up to 3 doses (12 weeks).


Locations(1)

St. Jude Children's Research Hospital

Memphis, Tennessee, United States

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NCT06810583


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