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WithdrawnNCT06482151rUTIUpdated Apr 18, 2025

Evaluation of the Prevalence of E. Coli O Serotypes in Paediatric Population With Recurrent Urinary Tract Infection

An observational study in Urinary Tract Infections, sponsored by PENTA Foundation. Withdrawn. Open to participants aged Up to 17 Years. Per ClinicalTrials.gov, last updated 2025-04-18.

Sponsored by PENTA Foundation · Observational

Why this study was withdrawn
Study terminated by the Funder
Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
0
Ages
Up to 17 Years
Sex
All
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Study summary

This is a multicentre, observational, epidemiological study in which infants within the first 3 months of life with UTI and children aged ≥4 months with r-UTI will be recruited from nephrology /emergency departments and primary care in European countries

Read the detailed description

This is an international, multicenter, observational, cross-sectional epidemiological study.

Study participants will undergo a screening phase and will be checked for study eligible and inclusion/exclusion criteria at study entry. No other visits will be conducted other than the first evaluation. The study will be conducted across up to 26 participating sites in Europe, including nephrology departments, paediatric emergency departments and primary care centers. Specifically, sites located more in Western and Eastern Europe will be involved in the study. In total, 600 participants with rUTI (UTI) will be included in this study, with approximately 200 participants for each age group (from 0 months to \< 3 years of age; from ≥ 3 to \< 12 years of age, from ≥ 12 to \< 18 years of age).

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Conditions studied

  • Urinary Tract Infections

Keywords

  • urinary tract infections
  • recurrent urinary tract infections
  • infants
  • adolescents
  • Escherichia coli
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In context

Infections

6,687 studies on the registry are indexed under Infections; 807 are open to participants now.

Browse Infections studies →

Lead sponsor

PENTA Foundation is the lead sponsor of 22 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
Up to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Infants 0 to \< 4 months months of life with a presumptive UTI and children ≥4 months to \< 18years with a presumptive recurrent UTI evaluated at participating sites will be eligible for the study if they fulfill all the criteria for suspected UTI diagnosis.

Inclusion criteria

  • Age between 0 weeks and 17 years
  • Significant urine culture positive only for E. coli
  • For infants up to 3 months of age, a confirmed first UTI episode as identified by urine culture obtained by a sterile method (as described above) and positive for E. coli only (no other pathogens)
  • For children ≥4 months to \< 18 years a confirmed rUTI episode as identified by urine culture obtained by a sterile method (as described above) and positive for E. coli only (no other pathogens)
  • Collection of urine culture with a sterile method (suprapubic aspiration, bladder catheterization, clean voided urine)
  • Signed informed consent form (signed by participant's legally authorized representative for participants who have not attained the age of majority)
  • Signed Assent Form when appropriate, as determined by participant's age and individual site and country standards

Exclusion criteria

Exclusion Criteria:

  • Patients ≥18 years
  • Children ≥ 4 months of age with a first UTI episode
  • Absence of microbiological confirmation of UTI
  • UTI caused by bacteria other than E. coli or polymicrobial culture
  • Urine collected with a non-sterile method (urinary bag)
  • UTI episode within 30 days of the end of antibiotic treatment for the previous UTI episode
  • Second urine positive for E. coli during the same episode
  • Patients in the active phase of anticancer treatment
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Study design

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
0 participants (actual)
Patient registry
No
Biospecimen retention
Samples without dna
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What researchers measure

Primary outcomes

  1. To assess the serogroups of E. coli in the study cohort

    The distribution \[N (%)\] of serotypes of E. coli in the study cohort will be evaluated separately for infants with UTI and children with r-UTI. Moreover, it will be evaluated separately for countries and age classification.

    Time frame: January 2027

Secondary outcomes

  1. To assess the clinical profile, especially comorbidities, of children with UTI and rUTI

    The comorbidity profiles of children with urinary tract infections (UTIs) and recurrent UTIs (rUTIs) will be characterize using descriptive statistics. This will involve presenting the frequency and percentages \[N (%) with Clopper-Pearson confidence interval\] for each comorbidity within each group.

    Time frame: January 2027

  2. • To assess the O-serotype distribution among drug-resistant E. coli, including multidrug resistant (MDR)

    The number and percent (N \[%\]) of each O-serotype resistant to 0, 1, 2, 3, 4, and 5 antibiotic classes will be assessed. Antimicrobial susceptibility testing will use broth microdilution. Antibiotic panels will include antibiotics from 5 antimicrobial drug classes. Antibiotic resistance will be determined using minimal inhibitory concentration values and susceptibility criteria defined by either the Clinical and Laboratory Standards Institute (CLSI) or the European Committee on Antimicrobial Susceptibility Testing (EUCAST).

    Time frame: January 2027

  3. To characterize drug resistance across O-serotypes of E. coli isolates that cause rUTIs in children

    The resistance to representative antibiotics in the following 5 classes: aminoglycosides, cephalosporins, fluoroquinolones, β-lactam/β-lactamase inhibitors, and sulfonamides will be reported. Based on these 5 classes (and representative antibiotics), the multidrug-resistant will be defined as isolates that were resistant to ≥3 of the 5 antibiotic classes listed. Resistance to last-resort antibiotics, carbapenems (doripenem, ertapenem, imipenem, and meropenem) and colistin will also be examined using Clinical and Laboratory Standards Institute breakpoints for minimum inhibitory concentration values.

    Time frame: January 2027

  4. To evaluate the genetic characteristics of E. coli of children with r-UTI (WGS)

    O genotyping will be conducted based on whole-genome sequencing, which will allow assessment of O-serotype at the genetic sequences level, following guidelines and using reference sequences described elsewhere (DebRoy et all 2016) . For isolates that either do not show a match or match with multiple known O serotypes, the O genotype will be designated as "non-determined." (Iguchi et al, 2014 ) All the evaluations will be performed overall and across countries and age categorizations. Moreover, the Kappa of Cohen will be used to assess the degree of agreement of the results between local laboratories and Central laboratory.

    Time frame: January 2027

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Study locations

No study locations are listed for this record.

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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 18, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06482151
Lead sponsor
PENTA Foundation
Responsible party
Sponsor
First posted
Jul 1, 2024
Start date
Mar 11, 2025
Primary completion
Mar 11, 2025
Completion
Mar 11, 2025
Last update
Apr 18, 2025

Study contacts

Giovanni Montini, Prof.
study chair · University of Milan

Oversight

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

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This study is withdrawn, as verified in Apr 2025. You cannot join it, but the record below documents what was studied.

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