The Effect and Safety of Low Dose Nebulized Epinephrine in Croup

NCT ID: NCT01664507

Last Updated: 2018-01-09

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

84 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-01-31

Study Completion Date

2018-08-31

Brief Summary

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Croup is common illness presenting emergency department with dyspnea. The main treatment for croup is nebulized L-epinephrine and steroid. The study for the dose of nebulized L-epinephrine is restricted that the study of comparision between racemic epinephrine and L-epinephrine.

The investigators conducted this study to compare the effectiveness of low dose L-epinephrine with conventional dose L-epinephrine.

Detailed Description

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Conditions

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Croup Epinephrine, Administration, Inhalation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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conventional dose epinephrine

L-epinephrine (1:1000) 0.5 mL/kg (maximum 5mL) + normal saline : total 5mL

Group Type ACTIVE_COMPARATOR

conventional dose epinephrine

Intervention Type DRUG

conventional dose epinephrine : 0.5mg/kg + 0.9% normal saline

low dose epinephrine

L-epinephrine (1:1000) 0.1 mL/kg (maximum 1mL) + normal saline : total 5mL

Group Type EXPERIMENTAL

low dose epinephrine

Intervention Type DRUG

low dose epineprhine : 0.1mg/kg + 0.9% normal saline

Interventions

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conventional dose epinephrine

conventional dose epinephrine : 0.5mg/kg + 0.9% normal saline

Intervention Type DRUG

low dose epinephrine

low dose epineprhine : 0.1mg/kg + 0.9% normal saline

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* croup children between 6 month and 5 years old
* Westley croup score between 3 and 11

Exclusion Criteria

* underlying lung or heart disase
* contra indication to dexamethasone
* immune deficient state
* preterm birth
* previous intubation or apnea history
Minimum Eligible Age

6 Months

Maximum Eligible Age

5 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Seoul National University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Jin Hee Lee

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Seoul National University Hospital

Seoul, , South Korea

Site Status RECRUITING

Countries

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South Korea

Facility Contacts

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Jin Hee Lee, Professor

Role: primary

+82-2-2072-4910

References

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Lee JH, Jung JY, Lee HJ, Kim DK, Kwak YH, Chang I, Kwon H, Choi YJ, Park JW, Paek SH, Cho JH. Efficacy of low-dose nebulized epinephrine as treatment for croup: A randomized, placebo-controlled, double-blind trial. Am J Emerg Med. 2019 Dec;37(12):2171-2176. doi: 10.1016/j.ajem.2019.03.012. Epub 2019 Mar 8.

Reference Type DERIVED
PMID: 30878411 (View on PubMed)

Other Identifiers

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Croup_01

Identifier Type: -

Identifier Source: org_study_id

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