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TerminatedNCT07344090FEVERUpdated Oct 13, 2026

Using a Decision-making System to Support the Management of Fever and Acute Pain in Children

An interventional study of Puntofarma® FEVER in Fever and Acute Pain, sponsored by Qwince Innovation S.r.l.. Terminated at 1 site in Italy. Open to participants aged 3 Months to 5 Years. Per ClinicalTrials.gov, last updated 2026-10-13.

Sponsored by Qwince Innovation S.r.l. · Not applicable, Interventional, and Other

Why this study was terminated
Failure to reach the target sample size
Updated Oct 13, 2026Now TerminatedEnrollment updatedGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Not applicable
Ages
3 Months to 5 Years
Sex
All
01

Study summary

FEVER is a single-center, prospective, open-label, pre-market, pivotal, single-arm study aimed at demonstrating how the use of an algorithm integrated with a Class I Medical Device (Puntofarma®), which is made available through a downloadable mobile phone app, can, given specific input, improve the appropriateness and adherence to therapy for the management of fever and pain in children between 3 months and 1 day and 5 years of age.

100 patients are expected to be enrolled, equally distributed between febrile patients (50%) and patients with acute pain (50%). Patients admitted to the Regional Pediatric Emergency Department of the Meyer IRCCS Hospital in the presence of a feverish episode and/or acute pain will be enrolled upon discharge.

The study will last a total of 8 months (Jan - Aug 2026), with enrollment expected by Jan 2026. Each patient will be involved in the study for a maximum of 7 days from enrollment, during which they will use the mobile app. Participation in the study will conclude by the seventh day of use of the app, with the completion of a satisfaction questionnaire.

Read the detailed description

FEVER is a single-center, prospective, open-label, pre-market, pivotal, single-arm study aimed at demonstrating how the use of an algorithm integrated with a medical device (Puntofarma®), given specific input, can improve the appropriateness and adherence to pharmacological therapy with paracetamol for the management of fever and acute pain in patients between 3 months and 1 day and 5 years of age. The algorithm for digital pharmacological support was developed based on therapeutic guidelines.

The study lasts seven days from the date of enrollment of the individual patient.

Upon admission to the emergency room for an episode of fever and/or acute pain, provided that all eligibility criteria are met, and following receipt of signed informed consent, the investigator will propose the study to the patient's family members or caregivers. The patient will be managed according to clinical standards regarding the presenting condition. Participation in the study, or refusal, will not result in any changes to the flow or management of the patient as required by the current clinical condition or current standards.The study will begin immediately upon the patient's discharge from the emergency room.

After signing the informed consent form, the patient and caregiver will be enrolled in the study and registered in the Puntofarma® system, resulting in the issuance of a unique code.

No personal data of the patient and/or caregiver will be recorded on the device. At the same time, each enrolled patient will be issued a PIN code through which the caregiver will be able to register in the digital application and begin using the algorithm from their mobile/digital device. Caregivers will be asked to enter the information in the application necessary for the algorithm to calculate the recommended dose of paracetamol. The application, which can be downloaded to a mobile phone, is used to verify adherence to the antipyretic therapy suggested by the algorithm, which is based on the guidelines for the management of fever and acute pain in children.

No follow-up visits, tests, or additional services are scheduled during the seven-day investigation. Seven days after patient enrollment, at the conclusion of the study, the parent/caregiver will be given a questionnaire (also via the app) to assess the usability and caregiver satisfaction with the use of the app.

The app includes an optional diary, relating to fever, pain, or other symptoms/events, in which it is also possible to record additional information and to report adverse events or device defects.

02

Conditions studied

  • Fever
  • Acute Pain

Browse trials for

Keywords

  • fever
  • acute pain
  • pediatrics
03

In context

Fever

438 studies on the registry are indexed under Fever; 55 are open to participants now.

This study's enrollment of 100 is below the median of 123 across 271 interventional studies indexed under Fever.

Browse Fever studies →

Lead sponsor

This is the only study on the registry with Qwince Innovation S.r.l. as lead sponsor.

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

04

Who can participate

Ages eligible
3 Months to 5 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Pediatric patients, male or female, between 3 months and 1 day and 5 years of age, who have a fever and are prescribed paracetamol, or who have already received a prescription for an antipyretic from an outside physician before accessing the emergency room.
  • Pediatric patients, male or female, between 3 months and 1 day and 5 years of age, who have acute pain and are prescribed paracetamol, or who have already received a prescription for an analgesic from an outside physician before accessing the emergency room.
  • Pediatric patients whose caregivers have knowledge of the Italian language.
  • Pediatric patients whose caregivers have access to the internet and have a smartphone that is either the latest generation or no older than five years.

Exclusion criteria

Exclusion Criteria:

  • Pediatric patients, male or female, aged less than 3 months and over 5 years.
  • Pediatric patients who have experienced adverse reactions or to paracetamol administration.
  • Pediatric patients whose caregivers have little or no knowledge of the Italian language.
  • Pediatric patients whose caregivers do not have internet access or do not have a latest-generation smartphone or, in any case, one no older than five years.
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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
100 participants (actual)

Study arms

  • Experimental
    Intervention arm

    After signing the informed consent, the patient and caregiver will be enrolled in the study and registered in the Puntofarma® system, resulting in the issuance of a unique code. No personal data of the patient and/or caregiver will be recorded on the device. At the same time, a PIN code will be issued for each enrolled patient, allowing the caregiver to register in the digital application and begin using the algorithm from their mobile/digital device. Caregivers will be required to enter the necessary information into the application so that the algorithm can calculate the recommended dose of paracetamol. The application, which can be downloaded to a mobile phone, is used to verify adherence to the antipyretic therapy suggested by the algorithm and based on the guidelines for the management of fever and acute pain in children.

    Device: Puntofarma® FEVER

Interventions

  • DevicePuntofarma® FEVER

    Puntofarma® is a software-based medical device, which the manufacturer intends to use in standalone mode, with the aim of improving prevention, monitoring, and patient care processes. In the context of the FEVER clinical trial, it is designed to: * acquire and organize pediatric patient health information (measurements, parameters); * assist caregivers/parents in managing fever/acute pain, including through alarms and reminders; * create a communication channel between caregivers/parents and healthcare professionals. The clinically relevant features of Puntofarma® for the FEVER study are as follows: * collect data regarding the patient's health and treatment status; * enable the collection of data relating to episodes of fever and/or acute pain (Fever Diary, Pain Diary, and Other Events/Symptoms Diary); * manage the Fever Diary and Pain Diary, therapy planning, and therapeutic reconnaissance (for appropriateness purposes).

06

What researchers measure

Primary outcomes

  1. Measurement of adherence to the prescribed dosage of paracetamol during the treatment cycle.

    Measurement of adherence to the prescribed dosage of paracetamol during the treatment cycle.

    Time frame: 8 days of treatment

Secondary outcomes

  1. Evaluation of the consistency of the timing of paracetamol administration during the treatment period

    Evaluation of the consistency of the timing of paracetamol administration during the treatment period

    Time frame: 8 days of intervention

  2. Digital app usage rate: Percentage of parents/caregivers using the digital app

    Digital app usage rate: Percentage of parents/caregivers using the digital app

    Time frame: 8 days of intervention

  3. Number (%) of patients taking ibuprofen

    Number (%) of patients taking ibuprofen

    Time frame: 8 days of intervention

  4. Caregiver satisfaction

    Satisfaction level using a rating scale. Caregiver satisfaction: Measured using a structured questionnaire/Likert scale to evaluate the user experience and perceived usefulness of the application

    Time frame: 8 days of intervention

07

Study locations

1 site
  • Meyer University Children's Hospital Florence
    Florence, Italy 50139, Italy
08

References and documents

Individual participant data

Plan to share: Undecided — Under review by the Sponsor

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Status
Recruiting→Terminated Failure to reach the target sample size
changed Oct 13, 2026
Show all 1 update
  1. Oct 13, 2026
    Recruiting→Terminated
    Why stopped Failure to reach the target sample size
    + 6 other changes: identifiers, verification date, date precision, conditions, contact details and site details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07344090
Lead sponsor
Qwince Innovation S.r.l.
Collaborators
Consorzio per Valutazioni Biologiche e Farmacologiche
Responsible party
Sponsor
First posted
Jan 15, 2026
Start date
Dec 28, 2025
Primary completion
May 30, 2026
Completion
May 30, 2026
Last update
Oct 13, 2026

Study contacts

Niccolò Parri, MD, Pediatric Emergency
principal investigator · Meyer University Children's Hospital Florence, Department of Emergency Medicine and Trauma Center, ITALY

Oversight

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

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