Comparison of Amoxicillin and Amoxicillin + Clavulanic Acid in Treating Acute Otitis Media in Children

University of Health Sciences Lahore

Status: Not yet enrolling

Conditions: Acute Otitis Media

Treatments: Other: Clavulanic Acid; Other: Amoxicillin

Study type: Interventional

Funder types: Other

Identifiers

NCT06895135

Exp130

Details and patient eligibility

About

This study aims to compare the effectiveness of two treatments for children with acute otitis media (middle ear infection). The two treatments being compared are amoxicillin alone and a combination of amoxicillin plus clavulanic acid. The study will help determine which treatment works better in helping children recover faster and reduce the risk of treatment failure or recurrence. By providing clearer evidence, the research aims to guide better treatment choices for children suffering from this common infection.

Full description

This study will evaluate the effectiveness of two antibiotic treatments in children diagnosed with acute otitis media, a common ear infection. The two treatments being compared are amoxicillin alone and a combination of amoxicillin and clavulanic acid. Acute otitis media is a significant health concern in children, causing pain, fever, and possible hearing loss.

The study will be conducted as a randomized controlled trial at the Department of Pediatric Medicine, Nishtar Hospital, Multan. A total of 162 children, aged 1 to 5 years, will be enrolled in the study. They will be randomly assigned to one of two treatment groups: one group will receive amoxicillin, and the other group will receive amoxicillin plus clavulanic acid. The children will be monitored throughout their treatment to assess how quickly their symptoms resolve, whether they experience treatment failure or recurrence, and if they develop any side effects.

The study aims to provide clearer evidence on the efficacy of the combination treatment (amoxicillin + clavulanic acid) compared to amoxicillin alone. By analyzing treatment outcomes such as symptom resolution time, side effects, and recurrence, the study will help inform clinical decisions and improve treatment protocols for acute otitis media in pediatric patients. The data will be analyzed using statistical software to determine whether the combination therapy leads to faster recovery and fewer complications. The findings from this study will contribute to better management of upper respiratory infections in children.

Enrollment: 162 estimated patients

Sex: All

Ages: 1 to 5 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Children aged 1 to 5 years
• Diagnosed with acute otitis media (as per operational definition)
• Both male and female participants
• Parental consent obtained

Exclusion criteria

• Children with allergies or contraindications to the trial drugs (amoxicillin or amoxicillin + clavulanic acid)
• Children with asthma or chronic obstructive pulmonary disease (COPD) (as per medical record)
• Children who have received treatment with the trial drugs within the past month
• Children already enrolled in other research programs or who have received trial treatment
• Children with any comorbid conditions that may interfere with the study

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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162 participants in 2 patient groups

Amoxicillin Treatment Group

Active Comparator group

Description:

Participants in this arm will receive oral amoxicillin at a dose of 30mg/kg/day. They will be monitored for the resolution of symptoms, treatment failure, recurrence, and potential side effects over the course of the study.

Treatment:

Other: Amoxicillin

Amoxicillin + Clavulanic Acid Treatment Group

Active Comparator group

Description:

Participants in this arm will receive oral amoxicillin combined with clavulanic acid at a dose of 30mg/kg/day. Like the other group, they will be monitored for symptom resolution, treatment failure, recurrence, and side effects throughout the study.

Treatment:

Other: Amoxicillin

Other: Clavulanic Acid