ClinicalTrials.gg
RecruitingNCT04278404POPS or POP02Updated Aug 21, 2026

Pharmacokinetics, Pharmacodynamics, and Safety Profile of Understudied Drugs Administered to Children Per Standard of Care (POPS)

An observational study in Coronavirus Infection (COVID-19), Pulmonary Arterial Hypertension and Urinary Tract Infections in Children, sponsored by Duke University. Recruiting at 52 sites in 2 countries. Open to participants aged 0 Years to 20 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-08-21.

Primary conditionCOVID-19Registry: Coronavirus InfectionsReclassifiedWhy we changed it
Registry
Coronavirus Infections — the first condition term the registry derived for this study.
ClinicalTrials.gg
COVID-19
Why
  1. The study's listed conditions name COVID-19, a narrower term within Coronavirus Infections.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Duke University · Observational

From the registry’s dates

  • Started Mar 2020; still recruiting 6 years 8 months later.
Study type
Observational
Model
Other
Time perspective
Prospective
Enrollment
5,000
Ages
0 Years to 20 Years
Sex
All
01

Study summary

The study investigators are interested in learning more about how drugs, that are given to children by their health care provider, act in the bodies of children and young adults in hopes to find the most safe and effective dose for children. The primary objective of this study is to evaluate the PK of understudied drugs currently being administered to children per SOC as prescribed by their treating provider.

02

Conditions studied

  • Coronavirus Infection (COVID-19)
  • Pulmonary Arterial Hypertension
  • Urinary Tract Infections in Children
  • Hypertension
  • Pain
  • Hyperphosphatemia
  • Primary Hyperaldosteronism
  • Edema
  • Hypokalemia
  • Heart Failure
  • Hemophilia
  • Menorrhagia
  • Insomnia
  • Pneumonia
  • Skin Infection
  • Arrythmia
  • Asthma in Children
  • Bronchopulmonary Dysplasia
  • Adrenal Insufficiency
  • Fibrinolysis; Hemorrhage
  • Attention Deficit Hyperactivity Disorder
  • Multisystem Inflammatory Syndrome in Children (MIS-C)
  • Kawasaki Disease
  • Coagulation Disorder
  • Down Syndrome
03

In context

COVID-19 Reclassified

7,990 studies on the registry are indexed under COVID-19; 466 are open to participants now.

This study's planned enrollment of 5,000 is above the median of 268 across 3,208 observational studies indexed under COVID-19.

Browse COVID-19 studies →

Lead sponsor

Duke University is the lead sponsor of 2,063 studies on the registry; 273 are open to participants now.

Of its 204 completed or terminated interventional studies of FDA-regulated products, 167 (82%) have results posted.

Compared within COVID-19, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Coronavirus Infections. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
0 Years to 20 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Children under 21 years of age.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Participant is \< 21 years of age
  2. Parent/ Legal Guardian/ Adult Participant can understand the consent process and is willing to provide /HIPAA:
  3. (a) Participant is receiving one or more of the study drugs of interest at the time of enrollment or (b) Participant is NOT receiving one or more of the study drugs of interest but is SARS-COV-2 positive within 60 days prior to enrollment

Exclusion criteria

Exclusion Criteria:

  1. Participant has a known pregnancy

    Below exclusion criteria apply only to:

    Participants receiving one or more of the study drugs of interest at the time of enrollment, DOI administration or PK sampling: (Refer to DOI specific appendices for details on enrollment cohort specifications and additional eligibility criteria)

  2. Has had intermittent dialysis within previous 24 hours
  3. Has had a kidney transplant within previous 30 days
  4. Has had a liver transplant within previous 1 year
  5. Has had a stem cell transplant within previous 1 year
  6. Has had therapeutic hypothermia within previous 24 hours
  7. Has had plasmapheresis within the previous 24 hours
  8. Has a Ventricular Assist Device
  9. Has any condition which would make the participant, in the opinion of the investigator, unsuitable for the study
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Other
Time perspective
Prospective
Enrollment
5,000 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Children and young adults who are prescribed drugs of interest

    Children and young adults who are prescribed drugs of interest as part of their routine medical care OR are SARS-CoV-2 positive.

    Drug: The POP02 study is collecting bodily fluid samples (i.e., whole blood, effluent samples) of children prescribed the following drugs of interest per standard of care:

Interventions

  • The prescribing of drugs to children is not part of this protocol. Participants will receive DOIs as prescribed by their treating provider.

    Also known as: Aminocaproic acid, Amiodarone, Bosentan, Budesonide, Cefdinir, Cefepime, Ceftazidime, Clindamycin, Clobazam, Dexamethasone, Dexmedetomidine, Dextroamphetamine/Amphetamine, Fosfomycin, Furosemide, Gabapentin, Guanfacine, Hydrocortisone, Labetalol, Meropenem, Metformin, Milrinone, Nalbuphine, Nicardipine, Nifedipine, Oseltamivir, Oxycodone, Risperidone, Sertraline, Sevelamer Carbonate / Sevelamer Hydrochloride, Spironolactone, Terbutaline, Tranexamic acid, Voriconazole, Zolpidem, Azithromycin, Lopinavir/Ritonavir, Ribavirin, Tocilizumab, Anakinra, Aspirin, Canakinumab, Colchicine, Interferon, Remdesivir, Ruxolitinib, Sarilumab, Abatacept, Infliximab, Albuterol, Beclomethasone, Bivalirudin, Bumetanide, Cephalexin, Chlorothiazide, Clonidine, Dapagliflozin, Diazoxide, Drug-Drug Interaction Combinations, Fluticasone, Ganciclovir, Hydralazine, Hydrochlorothiazide, Valganciclovir

06

What researchers measure

Primary outcomes

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

    Time frame: Data will be collected up to 90 days from the time of consent. For participants with Down Syndrome enrolling at sites designated as Down Syndrome sites, participants will be in the study for up to 210 days.

  2. 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 90 days from the time of consent. For participants with Down Syndrome enrolling at sites designated as Down Syndrome sites, participants will be in the study for up to 210 days.

  3. Elimination rate constant (ke) as measured by PK sampling

    Time frame: Data will be collected up to 90 days from the time of consent. For participants with Down Syndrome enrolling at sites designated as Down Syndrome sites, participants will be in the study for up to 210 days.

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

    Time frame: Data will be collected up to 90 days from the time of consent. For participants with Down Syndrome enrolling at sites designated as Down Syndrome sites, participants will be in the study for up to 210 days.

  5. Absorption rate constant (ka) as measured by PK sampling

    Time frame: Data will be collected up to 90 days from the time of consent. For participants with Down Syndrome enrolling at sites designated as Down Syndrome sites, participants will be in the study for up to 210 days.

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

    Time frame: Data will be collected up to 90 days from the time of consent. For participants with Down Syndrome enrolling at sites designated as Down Syndrome sites, participants will be in the study for up to 210 days.

  7. Maximum concentration (Cmax) as measured by PK sampling

    Time frame: Data will be collected up to 90 days from the time of consent. For participants with Down Syndrome enrolling at sites designated as Down Syndrome sites, participants will be in the study for up to 210 days.

  8. Time to achieve maximum concentration (Tmax) as measured by PK sampling

    Time frame: Data will be collected up to 90 days from the time of consent. For participants with Down Syndrome enrolling at sites designated as Down Syndrome sites, participants will be in the study for up to 210 days.

07

Study locations

5 of 52 sites recruiting
  • Phoenix Children's Hospital
    Phoenix, Arizona 85016, United States
    Completed

    Not enrolling at this site — choose another above.

  • Arkansas Children's Hospital Research Institute
    Little Rock, Arkansas 72202, United States
    Completed

    Not enrolling at this site — choose another above.

  • University of California, Los Angeles Medical Center
    Los Angeles, California 90095, United States
    Completed

    Not enrolling at this site — choose another above.

  • Lucile Packard Children's Hospital
    Palo Alto, California 94304, United States
    Recruiting
  • Colorado University Denver
    Aurora, Colorado 80045, United States
    Completed

    Not enrolling at this site — choose another above.

  • The Children's Hospital Colorado
    Aurora, Colorado 80045, United States
    Completed

    Not enrolling at this site — choose another above.

  • Alfred I. DuPont Hospital for Children
    Wilmington, Delaware 19803, United States
    Completed

    Not enrolling at this site — choose another above.

  • University of Florida Jacksonville Shands Medical Center
    Jacksonville, Florida 32209, United States
    Completed

    Not enrolling at this site — choose another above.

  • Kapiolani Womens and Childrens Medical Center
    Honolulu, Hawaii 96826, United States
    Completed

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  • Ann and Robert H. Lurie Childrens Hospital of Chicago
    Chicago, Illinois 60611, United States
    Completed

    Not enrolling at this site — choose another above.

  • Ann and Robert H. Lurie Childrens Hospital of Chicago
    Chicago, Illinois 60614, United States
    Completed

    Not enrolling at this site — choose another above.

  • Riley Hospital for Children at Indiana University
    Indianapolis, Indiana 46202, United States
    Completed

    Not enrolling at this site — choose another above.

  • University of Iowa Stead Family Children's Hospital
    Iowa City, Iowa 52242, United States
    Completed

    Not enrolling at this site — choose another above.

  • University of Kansas Medical Center-JG Kidney Institute
    Kansas City, Kansas 66160, United States
    Completed

    Not enrolling at this site — choose another above.

  • University of Louisville Norton Childrens Hospital
    Louisville, Kentucky 40202, United States
    Completed

    Not enrolling at this site — choose another above.

  • Tulane University Health Science Center
    New Orleans, Louisiana 70112, United States
    Completed

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  • Ochsner Baptist Clinical Trials Unit
    New Orleans, Louisiana 70115, United States
    Completed

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  • University of Maryland Medical Center
    Baltimore, Maryland 21201, United States
    Completed

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  • Boston Children's Hospital
    Boston, Massachusetts 02115, United States
    Completed

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  • Massachusetts General Hospital
    Lexington, Massachusetts 02421, United States
    Completed

    Not enrolling at this site — choose another above.

  • University of Minnesota
    Minneapolis, Minnesota 55455, United States
    Completed

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  • University of Mississippi Medical Center
    Jackson, Mississippi 39216, United States
    Completed

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  • Mississippi Center for Advanced Medicine
    Madison, Mississippi 39110, United States
    Completed

    Not enrolling at this site — choose another above.

  • Children's Mercy Hospital
    Kansas City, Missouri 64108, United States
    Completed

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  • University of Nebraska Medical Center
    Omaha, Nebraska 68114, United States
    Completed

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  • Dartmouth-Hitchcock Medical Center
    Lebanon, New Hampshire 03756, United States
    Completed

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  • University of New Mexico Health Science Center
    Albuquerque, New Mexico 87131, United States
    Completed

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  • University of North Carolina at Chapel Hill
    Chapel Hill, North Carolina 27599, United States
    Completed

    Not enrolling at this site — choose another above.

  • Duke University Health System
    Durham, North Carolina 27710, United States
    Recruiting
  • Cincinnati Childrens Hospital Medical Center
    Cincinnati, Ohio 45229, United States
    Completed

    Not enrolling at this site — choose another above.

  • Cincinnati Childrens Hospital Medical Center
    Cincinnati, Ohio 45229, United States
    Recruiting
  • Board of Regents of the University of Oklahoma
    Oklahoma City, Oklahoma 73104, United States
    Completed

    Not enrolling at this site — choose another above.

  • Oregon Health and Science University
    Portland, Oregon 97239, United States
    Completed

    Not enrolling at this site — choose another above.

  • Pennsylvania State University--Hershey Children's Hospital
    Hershey, Pennsylvania 17033, United States
    Completed

    Not enrolling at this site — choose another above.

  • Rhode Island Hospital
    Providence, Rhode Island 02903, United States
    Completed

    Not enrolling at this site — choose another above.

  • Medical University of South Carolina Children's Hospital
    Charleston, South Carolina 29425, United States
    Completed

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  • University of South Carolina
    Columbia, South Carolina 29208, United States
    Completed

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  • Avera McKennan Hospital & University Medical Center
    Sioux Falls, South Dakota 57108, United States
    Completed

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  • Monroe Carell Jr. Children's Hospital at Vanderbilt
    Nashville, Tennessee 37232, United States
    Completed

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  • Dell Children's Medical Center of Central Texas
    Austin, Texas 78723, United States
    Recruiting
  • University of Texas-Southwestern Medical Center Dallas
    Dallas, Texas 75390, United States
    Completed

    Not enrolling at this site — choose another above.

  • Baylor College of Medicine
    Houston, Texas 77030, United States
    Completed

    Not enrolling at this site — choose another above.

  • University of Texas--Memorial Hermann Texas Medical Center
    Houston, Texas 77030, United States
    Completed

    Not enrolling at this site — choose another above.

  • The Womens Hospital of Texas
    Houston, Texas 77054, United States
    Completed

    Not enrolling at this site — choose another above.

  • University of Utah
    Salt Lake City, Utah 84113, United States
    Completed

    Not enrolling at this site — choose another above.

  • Seattle Children's Hospital
    Seattle, Washington 98105, United States
    Completed

    Not enrolling at this site — choose another above.

  • West Virginia University Hospital
    Morgantown, West Virginia 26506, United States
    Completed

    Not enrolling at this site — choose another above.

  • University of Wisconsin
    Madison, Wisconsin 53705, United States
    Completed

    Not enrolling at this site — choose another above.

  • University Wisconsin Madison
    Madison, Wisconsin 53705, United States
    Completed

    Not enrolling at this site — choose another above.

  • Medical College of Wisconsin
    Milwaukee, Wisconsin 53226, United States
    Completed

    Not enrolling at this site — choose another above.

  • The Hospital for Sick Children
    Toronto, Ontario, Canada
    Completed

    Not enrolling at this site — choose another above.

  • CHU Sainte-Justine
    Montreal, Quebec H3T 1C5, Canada
    Recruiting
08

References and documents

Publications

  • Tremoulet A, Le J, Poindexter B, Sullivan JE, Laughon M, Delmore P, Salgado A, Ian-U Chong S, Melloni C, Gao J, Benjamin DK Jr, Capparelli EV, Cohen-Wolkowiez M; Administrative Core Committee of the Best Pharmaceuticals for Children Act-Pediatric Trials Network. Characterization of the population pharmacokinetics of ampicillin in neonates using an opportunistic study design. Antimicrob Agents Chemother. 2014 Jun;58(6):3013-20. doi: 10.1128/AAC.02374-13. Epub 2014 Mar 10. PubMed 24614374 ↗
  • Hornik CP, Benjamin DK Jr, Smith PB, Pencina MJ, Tremoulet AH, Capparelli EV, Ericson JE, Clark RH, Cohen-Wolkowiez M; Best Pharmaceuticals for Children Act-Pediatric Trials Network. Electronic Health Records and Pharmacokinetic Modeling to Assess the Relationship between Ampicillin Exposure and Seizure Risk in Neonates. J Pediatr. 2016 Nov;178:125-129.e1. doi: 10.1016/j.jpeds.2016.07.011. Epub 2016 Aug 10. PubMed 27522443 ↗
  • Le J, Poindexter B, Sullivan JE, Laughon M, Delmore P, Blackford M, Yogev R, James LP, Melloni C, Harper B, Mitchell J, Benjamin DK Jr, Boakye-Agyeman F, Cohen-Wolkowiez M. Comparative Analysis of Ampicillin Plasma and Dried Blood Spot Pharmacokinetics in Neonates. Ther Drug Monit. 2018 Feb;40(1):103-108. doi: 10.1097/FTD.0000000000000466. PubMed 29271816 ↗
  • Gonzalez D, Melloni C, Yogev R, Poindexter BB, Mendley SR, Delmore P, Sullivan JE, Autmizguine J, Lewandowski A, Harper B, Watt KM, Lewis KC, Capparelli EV, Benjamin DK Jr, Cohen-Wolkowiez M; Best Pharmaceuticals for Children Act - Pediatric Trials Network Administrative Core Committee. Use of opportunistic clinical data and a population pharmacokinetic model to support dosing of clindamycin for premature infants to adolescents. Clin Pharmacol Ther. 2014 Oct;96(4):429-37. doi: 10.1038/clpt.2014.134. Epub 2014 Jun 20. PubMed 24949994 ↗
  • Gonzalez D, Delmore P, Bloom BT, Cotten CM, Poindexter BB, McGowan E, Shattuck K, Bradford KK, Smith PB, Cohen-Wolkowiez M, Morris M, Yin W, Benjamin DK Jr, Laughon MM. Clindamycin Pharmacokinetics and Safety in Preterm and Term Infants. Antimicrob Agents Chemother. 2016 Apr 22;60(5):2888-94. doi: 10.1128/AAC.03086-15. Print 2016 May. PubMed 26926644 ↗
  • Gonzalez D, Melloni C, Poindexter BB, Yogev R, Atz AM, Sullivan JE, Mendley SR, Delmore P, Delinsky A, Zimmerman K, Lewandowski A, Harper B, Lewis KC, Benjamin DK Jr, Cohen-Wolkowiez M; Best Pharmaceuticals for Children Act--Pediatric Trials Network Administrative Core Committee. Simultaneous determination of trimethoprim and sulfamethoxazole in dried plasma and urine spots. Bioanalysis. 2015;7(9):1137-49. doi: 10.4155/bio.15.38. PubMed 26039810 ↗
  • Autmizguine J, Melloni C, Hornik CP, Dallefeld S, Harper B, Yogev R, Sullivan JE, Atz AM, Al-Uzri A, Mendley S, Poindexter B, Mitchell J, Lewandowski A, Delmore P, Cohen-Wolkowiez M, Gonzalez D; the Pediatric Trials Network Steering Committee. Population Pharmacokinetics of Trimethoprim-Sulfamethoxazole in Infants and Children. Antimicrob Agents Chemother. 2017 Dec 21;62(1):e01813-17. doi: 10.1128/AAC.01813-17. Print 2018 Jan. PubMed 29084742 ↗
  • Dallefeld SH, Atz AM, Yogev R, Sullivan JE, Al-Uzri A, Mendley SR, Laughon M, Hornik CP, Melloni C, Harper B, Lewandowski A, Mitchell J, Wu H, Green TP, Cohen-Wolkowiez M. A pharmacokinetic model for amiodarone in infants developed from an opportunistic sampling trial and published literature data. J Pharmacokinet Pharmacodyn. 2018 Jun;45(3):419-430. doi: 10.1007/s10928-018-9576-y. Epub 2018 Feb 12. PubMed 29435949 ↗
  • Hornik CP, Gonzalez D, van den Anker J, Atz AM, Yogev R, Poindexter BB, Ng KC, Delmore P, Harper BL, Melloni C, Lewandowski A, Gelber C, Cohen-Wolkowiez M, Lee JH; Pediatric Trial Network Steering Committee. Population Pharmacokinetics of Intramuscular and Intravenous Ketamine in Children. J Clin Pharmacol. 2018 Aug;58(8):1092-1104. doi: 10.1002/jcph.1116. Epub 2018 Apr 20. PubMed 29677389 ↗
  • Drolet BA, Boakye-Agyeman F, Harper B, Holland K, Lewandowski A, Stefanko N, Melloni C; Pediatric Trials Network Steering Committee (See Acknowledgments for a listing of committee members.). Systemic timolol exposure following topical application to infantile hemangiomas. J Am Acad Dermatol. 2020 Mar;82(3):733-736. doi: 10.1016/j.jaad.2019.02.029. Epub 2019 Feb 18. No abstract available. PubMed 30790601 ↗
  • Hornik CP, Yogev R, Mourani PM, Watt KM, Sullivan JE, Atz AM, Speicher D, Al-Uzri A, Adu-Darko M, Payne EH, Gelber CE, Lin S, Harper B, Melloni C, Cohen-Wolkowiez M, Gonzalez D; Best Pharmaceuticals for Children Act-Pediatric Trials Network Steering Committee. Population Pharmacokinetics of Milrinone in Infants, Children, and Adolescents. J Clin Pharmacol. 2019 Dec;59(12):1606-1619. doi: 10.1002/jcph.1499. Epub 2019 Jul 17. PubMed 31317556 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 21, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04278404
Lead sponsor
Duke University
Responsible party
Sponsor
First posted
Feb 20, 2020
Start date
Mar 5, 2020
Primary completion
Nov 2026 (estimated)
Completion
Dec 2026 (estimated)
Last update
Aug 21, 2026

Study contacts

Chi Hornik
Contact
chi.hornik@duke.edu
(919) 260-7626
Melissa James, MPH, RD
Contact
melissa.james@duke.edu
(704) 502-6491
Chi Hornik
principal investigator · Duke Clinical Research Institute

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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