Effect of Nebulized Bronchodilators on Heart Rate

NCT ID: NCT01151579

Last Updated: 2015-10-23

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

89 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-12-31

Study Completion Date

2009-11-30

Brief Summary

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The purpose of the study is to determine adverse events rates of nebulized albuterol versus levalbuterol among adult critically ill patients and determine if a differential exists in adverse events between the two drugs.

Detailed Description

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A randomized, single-blind, cross-over, prospective study was conducted in seventy critically ill adult patients with acute air flow obstruction. Patients were randomized to nebulized albuterol alternating with levalbuterol every 4 to 6 hours. Group A received albuterol 2.5 mg alternating with levalbuterol 0.63 mg. Group B received albuterol 2.5 mg alternating with levalbuterol 1.25 mg. All patients received nebulized ipratropium bromide 500 micrograms with each treatment. Heart rate and cardiac rhythm were continuously recorded before and 15 minutes after finishing each treatment. Any new rhythm abnormalities between treatments were also recorded.

Conditions

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COPD Sepsis Shock

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Participants

Study Groups

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Levalbuterol 0.63

Patients received an initial dose of levalbuterol 0.63 mg alternating with albuterol 2.5 mg.

Group Type ACTIVE_COMPARATOR

Levalbuterol

Intervention Type DRUG

inhaled Levalbuterol 0.625 mg inhaled Levalbuterol 2.5 mg

Albuterol

Intervention Type DRUG

Nebulized albuterol 2.5mg

Levalbuterol 1.25

Patients received an initial dose of levalbuterol 1.25 mg alternating with albuterol 2.5 mg.

Group Type ACTIVE_COMPARATOR

Levalbuterol

Intervention Type DRUG

inhaled Levalbuterol 0.625 mg inhaled Levalbuterol 2.5 mg

Albuterol

Intervention Type DRUG

Nebulized albuterol 2.5mg

Interventions

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Levalbuterol

inhaled Levalbuterol 0.625 mg inhaled Levalbuterol 2.5 mg

Intervention Type DRUG

Albuterol

Nebulized albuterol 2.5mg

Intervention Type DRUG

Other Intervention Names

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Xopenex ipratropium Salbutamol

Eligibility Criteria

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Inclusion Criteria

* Adults who required inhaled bronchodilator therapy in the form of short acting beta adrenergic receptor agonist and short acting anti-cholinergic treatment every 4-6 hours for respiratory functions

Exclusion Criteria

* Known allergy or sensitivity to study medications
* Baseline heart rate was greater than 110 beats per minute
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ascension Health

INDUSTRY

Sponsor Role collaborator

Fahim Khorfan, MD

INDUSTRY

Sponsor Role lead

Responsible Party

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Fahim Khorfan, MD

ICU Pulmonologist

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Fahim Khorfan, MD

Role: PRINCIPAL_INVESTIGATOR

Ascension Health

Kimberly R Barber, PhD

Role: STUDY_DIRECTOR

Ascension Health

Locations

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Genesys Regional Medical Center

Grand Blanc, Michigan, United States

Site Status

Countries

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United States

References

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Khorfan FM, Smith P, Watt S, Barber KR. Effects of nebulized bronchodilator therapy on heart rate and arrhythmias in critically ill adult patients. Chest. 2011 Dec;140(6):1466-1472. doi: 10.1378/chest.11-0525. Epub 2011 Sep 29.

Reference Type DERIVED
PMID: 21960699 (View on PubMed)

Other Identifiers

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ME 07-0011

Identifier Type: -

Identifier Source: org_study_id

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