Single Dose Versus Multiple Doses of Dexamethasone in Children With Acute Bronchiolitis

NCT ID: NCT00213226

Last Updated: 2014-05-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2001-12-31

Study Completion Date

2006-04-30

Brief Summary

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This study is to determine the effectiveness of five-day treatment versus a single dose of oral dexamethasone (corticosteroid) in children between 2 and 24 months of age with a first episode of acute bronchiolitis presenting in the Emergency Department

Detailed Description

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Conditions

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Bronchiolitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Interventions

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dexamethasone

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* infants 2 to 24 months of age
* acute bronchiolitis, defined as first episode of wheezing with upper respiratory infection and respiratory distress
* moderate to severe baseline disease severity (Respiratory Distress Index (RDAI) score 6 to 15)
* only patients discharged at or shortly after 240 minutes of uniform stabilization therapy will be randomized

Exclusion Criteria

* previous wheezing and/or bronchodilator therapy
* hospitalization at 240 minutes
* critically ill patients needing airway stabilization
* patients with low or very high baseline disease severity (RDAI \<5 and \>16)
* patients under 8 weeks of age
* patients on corticosteroids prior to arrival at Emergency Department
* contact with varicella within 21 days
* past history of ventilation for greater than 24 hours
* existing cardiopulmonary disease, multisystem disease or immunodeficiency
* insufficient command of the English language
Minimum Eligible Age

2 Months

Maximum Eligible Age

24 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The Physicians' Services Incorporated Foundation

OTHER

Sponsor Role collaborator

The Hospital for Sick Children

OTHER

Sponsor Role lead

Responsible Party

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Suzanne Schuh

Staff Physician

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Suzanne Schuh, MD

Role: PRINCIPAL_INVESTIGATOR

The Hospital for Sick Children, Toronto, Canada

Locations

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The Hospital for Sick Children

Toronto, Ontario, Canada

Site Status

Countries

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Canada

References

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Schuh S, Coates AL, Dick P, Stephens D, Lalani A, Nicota E, Mokanski M, Khaikin S, Allen U. A single versus multiple doses of dexamethasone in infants wheezing for the first time. Pediatr Pulmonol. 2008 Sep;43(9):844-50. doi: 10.1002/ppul.20845.

Reference Type RESULT
PMID: 18668692 (View on PubMed)

Other Identifiers

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0020010349

Identifier Type: -

Identifier Source: org_study_id

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