Amoxicillin vs Placebo for Ear Infections in Young Children
Comparative Effectiveness of Available Treatments for Sinus and Ear Infections in Children (Acute Otitis Media)
Recruiting
Phase 4Interventional Study
Acute Otitis Media (AOM)
Prior Safety Data
This treatment has already been tested in at least one earlier human trial.
Ready to participate?
Review the details below, then apply to join this clinical trial.
At a Glance
Age
6 Months – 36 Months
Sex
Any
Trial phase
Phase 4
Study type
Interventional
Purpose
Treatment
Participants needed
1,100 (estimated)
Sponsor
Nader Shaikh · Other
Who this trial is looking for
This trial is looking for young children with ear infections. Participants will be randomly assigned to receive either amoxicillin, amoxicillin-clavulanate, or a placebo, and their symptoms will be tracked daily by their parents or caregivers.
Are You a Good Fit for This Trial?
Rules you outMastoiditisConjunctivitis
You may be able to join if
I am 6 months to less than 36 months old.
I have been diagnosed with an ear infection.
You may not be able to join if
I have a known allergy to amoxicillin or clavulanate.
I have taken antibiotics in the last 7 days.
I have a history of kidney problems.
I have a history of liver problems.
I have phenylketonuria or an allergy to aspartame.
I have craniofacial abnormalities.
I have a current bacterial infection needing antibiotics.
I look very ill or have a weakened immune system.
Summarized in plain language from this trial's official eligibility criteria.
The full criteria are further down this page — only the research team can
confirm whether you qualify.
Think this trial could be right for you?
Answer three quick questions written from this study's own rules to see if you may qualify. No account needed to find out.
This study is being conducted at multiple hospitals and clinics to better understand whether antibiotics truly help children feel better when they have an ear infection (acute otitis media). Children in the study are randomly assigned (like flipping a coin) to receive either amoxicillin, amoxicillin-clavulanate, or a placebo (a look-alike medicine with no active antibiotic). Neither families nor s…
This study is being conducted at multiple hospitals and clinics to better understand whether antibiotics truly help children feel better when they have an ear infection (acute otitis media). Children in the study are randomly assigned (like flipping a coin) to receive either amoxicillin, amoxicillin-clavulanate, or a placebo (a look-alike medicine with no active antibiotic). Neither families nor study staff know which treatment the child is receiving during the study. The main goal is to compare how severe children's symptoms are each day while on these treatments. Parents or caregivers will report symptoms daily using a simple electronic diary. The study will also look at whether certain factors such as how sick the child is at the start, presence of fever, age, or how well antibiotics work. The results will help guide better treatment decisions for children with ear infections.
Trial Locations
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Eligibility Criteria
Inclusion Criteria
* Age 6 months to \<36 months.
* Clinical diagnosis of AOM.
Exclusion Criteria
* Known allergy or other contraindication to oral amoxicillin or clavulanate
* Prior use of systemic antibiotics in the last 7 days
* History of renal impairment
* History of hepatic impairment
* Phe…
Inclusion Criteria
* Age 6 months to \<36 months.
* Clinical diagnosis of AOM.
Exclusion Criteria
* Known allergy or other contraindication to oral amoxicillin or clavulanate
* Prior use of systemic antibiotics in the last 7 days
* History of renal impairment
* History of hepatic impairment
* Phenylketonuria or allergy to aspartame
* History of craniofacial abnormalities
* Concurrent bacterial infection requiring systemic antibiotic therapy (e.g., pneumonia, streptococcal pharyngitis)
* Ill appearance, systemic toxicity, or immunodeficiency
* Incomplete pneumococcal vaccination, defined as receipt of fewer than three doses of a pneumococcal conjugate vaccine
* Parent or caregiver unable to complete study surveys in English or Spanish
* Previous randomization into either MEASURE trial within the last 6 months
* Mastoiditis
* Conjunctivitis
* Temperature ≥39°C and AOM-SOS score ≥35
* Cochlear implants
* Spontaneous tympanic membrane perforation with otorrhea at presentation (participants who develop perforation and otorrhea after consent remain eligible)
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