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Not yet recruitingNCT07868679THRIVEUpdated Oct 9, 2026

THiamine for Recovery In Vulnerable Early-life Infections

A Phase 2 interventional study of thiamine hydrochloride 100 mg and Placebo in Meningitis and Bacteremia, sponsored by Milton S. Hershey Medical Center. Not yet recruiting at 2 sites in United States. Open to participants aged Up to 12 Months. Per ClinicalTrials.gov, last updated 2026-10-09.

Sponsored by Milton S. Hershey Medical Center · Phase 2, Interventional, and Treatment

Updated Oct 9, 2026Newly registeredGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
240
Allocation
Randomized
Ages
Up to 12 Months
Sex
All
01

Study summary

To determine if the addition of thiamine to standard-of-care treatment will improve neurodevelopmental outcomes for infants with meningitis or bacteremia

02

Conditions studied

  • Meningitis
  • Bacteremia

Keywords

  • thiamine
  • meningitis
  • bacteremia
03

In context

Meningitis

381 studies on the registry are indexed under Meningitis; 33 are open to participants now.

This study's planned enrollment of 240 is above the median of 215 across 262 interventional studies indexed under Meningitis.

Browse Meningitis studies →

Lead sponsor

Milton S. Hershey Medical Center is the lead sponsor of 491 studies on the registry; 59 are open to participants now.

Of its 58 completed or terminated interventional studies of FDA-regulated products, 44 (76%) have results posted.

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

04

Who can participate

Ages eligible
Up to 12 Months
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

  1. ≤12 months old
  2. Clinical concern for bacteremia or meningitis (fever or hypothermia and lethargy; fever or hypothermia and poor feeding; fever or hypothermia and seizure, bulging fontanelle or nuchal rigidity)
  3. Legal guardian has provided informed consent
  4. No known neurologic or developmental comorbidity (e.g. trisomy 21, congenital structural brain abnormality)
  5. Weight ≥ 2kg

Exclusion criteria

Exclusion Criteria:

  1. Known neurologic or developmental comorbidity including genetic disorders
  2. Weight \< 2 kg
  3. Prior episode of bacteremia or meningitis
  4. Already receiving thiamine as standard-of-care
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
240 participants (estimated)

Study arms

  • Experimental
    Thiamine

    Participant will receive IV thiamine in addition to standard of care treatment

    Drug: thiamine hydrochloride 100 mg

  • Placebo comparator
    Placebo

    Participant will receive placebo (IV saline solution) in addition to standard-of-care treatment.

    Other: Placebo

Interventions

  • Patients will receive 100mg of IV thiamine in addition to standard-of-care treatment, once a day for three days

  • OtherPlacebo

    Participants will receive placebo in addition to standard-of-care treatment

06

What researchers measure

Primary outcomes

  1. Cognitive Neurodevelopment

    The primary outcome will be cognitive neurodevelopment as measured by the Bayley Scales of Infant Development at 18 months of age. We will compare the mean cognitive score for infants who received thiamine vs. placebo in addition to standard-of-care treatment.

    Time frame: The end-of-study visit will be conducted at 18 months of age for all participants. This will mean that some participants will be assessed nearly 18 months after their infection and others will be assessed ~6 months from their infection.

07

Study locations

2 sites
  • Boston Children's Hospital
    Boston, Massachusetts 02115, United States
  • Penn State Health Milton S. Hershey Medical Center
    Hershey, Pennsylvania 17033, United States
08

References and documents

Publications

  • Vine J, Lee JH, Kravitz MS, Grossestreuer AV, Balaji L, Leland SB, Berlin N, Moskowitz A, Donnino MW. Thiamine administration in septic shock: a post hoc analysis of two randomized trials. Crit Care. 2024 Feb 6;28(1):41. doi: 10.1186/s13054-024-04818-1. PubMed 38321529 ↗
  • Smith D, Garikipati R, Bastug K, Broach JR, Schneper L, Sheldon K, Smith J, Osman M, Schiff SJ, Ericson JE. Paenibacillus dendritiformis as a Cause of Destructive Meningitis in Infants. NEJM Evid. 2026 Mar;5(3):EVIDpha2500297. doi: 10.1056/EVIDpha2500297. Epub 2026 Feb 3. PubMed 41632684 ↗

Individual participant data

Plan to share: Yes — De-identified IPD will be made available following study completion

Supporting information: Study protocol, Clinical study report, Analytic code

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 9, 2026
Show all 1 update
  1. Oct 9, 2026
    First appeared on the registry

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
NCT07868679
Responsible party
Jessica Ericson (Associate Professor, Pediatrics and Infectious Diseases, Milton S. Hershey Medical Center) — Principal investigator
First posted
Oct 9, 2026
Start date
Dec 1, 2026 (estimated)
Primary completion
Nov 30, 2031 (estimated)
Completion
Nov 30, 2031 (estimated)
Last update
Oct 9, 2026

Study contacts

Jessica Ericson, MD
Contact
jericson@pennstatehealth.psu.edu
717 531 0003 ext. 282277

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Thiamine hydrochloride

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