Intravenous Magnesium in Wheezy Bronchitis

NCT ID: NCT01383655

Last Updated: 2016-01-21

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

NA

Total Enrollment

61 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-03-31

Study Completion Date

2016-01-31

Brief Summary

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In infants and toddlers wheezy bronchitis is a common viral disease. To relieve wheezing symptoms bronchodilators or corticosteroids are commonly used but the efficacy is not always satisfactory.

The purpose of this trial is to investigate the effectiveness of iv-magnesium in the treatment of moderate or severe bronchial obstruction associated with viral infection in small children.

The study population will include the children attending the Pediatric Emergency Department of Oulu University Hospital because of respiratory infection and bronchial obstruction that is not relieved with conventional treatment. After written consent from the parents, the children will be randomized to get either intravenous magnesium sulfate or isotonic NaCl. The primary outcome is RDAI (Respiratory Distress Assessment Instrument) scoring six hours from the infusion. Secondary endpoints are RDAI scoring and oxygen saturation at other time points and length of hospital stay.

The sample size is 64 children at the age of 6 months to 4 years.

If iv-magnesium is effective in relieving viral infection associated bronchial obstruction, that would be an important addition to the treatment of this common disease.

Detailed Description

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In infants and toddlers wheezy bronchitis is a common viral disease. To relieve wheezing symptoms bronchodilators or corticosteroids are commonly used but the efficacy is not always satisfactory.

Intravenous infusion of magnesium sulfate has been proven to be efficacious and safe for the treatment of acute asthma attacks in adults and school-aged children. The purpose of this trial is to investigate the effectiveness of iv-magnesium in the treatment of moderate or severe bronchial obstruction associated with viral infection in small children.

The study population will include the children attending the Pediatric Emergency Department of Oulu University Hospital because of respiratory infection and bronchial obstruction that is not relieved with conventional treatment. After written consent from the parents, the children will be randomized to get either intravenous magnesium sulfate or isotonic NaCl. The primary outcome is RDAI (Respiratory Distress Assessment Instrument) scoring six hours from the infusion. Secondary endpoints are RDAI scoring and oxygen saturation at other time points and length of hospital stay.

The sample size is 64 children at the age of 6 months to 4 years.

If iv-magnesium is effective in relieving viral infection associated bronchial obstruction, that would be an important addition to the treatment of this common disease.

Conditions

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Wheezy Bronchitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Magnesium

i.v. magnesium infusion 40mg/kg in 20 min

Group Type EXPERIMENTAL

Magnesium Sulfate

Intervention Type DRUG

i.v. magnesium 40mg/kg in 20 min

Placebo

i.v. 0.9 % NaCl

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

NaCl

Interventions

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Magnesium Sulfate

i.v. magnesium 40mg/kg in 20 min

Intervention Type DRUG

Placebo

NaCl

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* age 0.5 - 4 years
* wheezy bronchitis
* RDAI \> 6 after conventional treatment

Exclusion Criteria

* prematurity
* congenital heart disease
* immune deficiency
Minimum Eligible Age

6 Months

Maximum Eligible Age

4 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Oulu

OTHER

Sponsor Role lead

Responsible Party

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Marjo Renko

docent

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Marjo Renko, MD

Role: STUDY_CHAIR

University of Oulu, Department of Pediatrics

Locations

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Department of Pediatrics, Oulu University Hospital

Oulu, Oulu, Finland

Site Status

Countries

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Finland

References

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Pruikkonen H, Tapiainen T, Kallio M, Dunder T, Pokka T, Uhari M, Renko M. Intravenous magnesium sulfate for acute wheezing in young children: a randomised double-blind trial. Eur Respir J. 2018 Feb 7;51(2):1701579. doi: 10.1183/13993003.01579-2017. Print 2018 Feb.

Reference Type DERIVED
PMID: 29437941 (View on PubMed)

Other Identifiers

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IVMg135/2010

Identifier Type: -

Identifier Source: org_study_id

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