Corticosteroid Therapy for Severe Community-Acquired Pneumonia

NCT ID: NCT02552342

Last Updated: 2015-09-17

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

610 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-05-31

Study Completion Date

2017-05-31

Brief Summary

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The purpose of the present study is to assess the efficacy of methylprednisolone as an adjuvant therapy in patients with severe community-acquired pneumonia (CAP) (PSI 4-5).

The hypothesis of the study is that methylprednisolone can decrease the mortality of severe CAP without any significant side effects,with reduction of the time to clinical stability and failure rate of treatment.

Detailed Description

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Conditions

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Community Acquired Pneumonia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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methylprednisolone

This group was entitled to receive methylprednisolone 80mg/day for 3 days,then 40mg/day for 3 days

Group Type ACTIVE_COMPARATOR

methylprednisolone

Intervention Type DRUG

Placebo

This group was meant to receive placebo (sterile normal saline in a volume equal to the study drug

Group Type PLACEBO_COMPARATOR

Normal saline

Intervention Type DRUG

Interventions

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methylprednisolone

Intervention Type DRUG

Normal saline

Intervention Type DRUG

Other Intervention Names

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Solu-Medrol sodium chloride

Eligibility Criteria

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Inclusion Criteria

* community-acquired pneumonia
* PSI score:4-5
* with at least one of following conditions:①CRP ≥150 mg/L,②oxygen index ≤250 , ③bilateral or multi-lober infiltrates in chest image,④ area of pulmonary infiltrates increase \>50% with 48 hous,⑤fever higher than 39℃ exceed 72 hours

Exclusion Criteria

* nosocomial Pneumonia
* aspiration pneumonia
* acute burn injury
* gastrointestinal bleeding within the past three months
* uncontrolled diabetes mellitus
* pregnant or breast feeding
* a condition requiring treatment with greater than 0.5 mg/kg/d of prednison or its equivalent
* severe immunosuppression (human immunodeficiency virus infection, immunosuppressive conditions or medications)
* active tuberculosis
* preexisting medical condition with a life expectancy of less than 3 months
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The Second Hospital of Hebei Medical University

OTHER

Sponsor Role collaborator

Tianjin Medical University General Hospital

OTHER

Sponsor Role collaborator

Cangzhou Central Hospital

OTHER

Sponsor Role collaborator

Cangzhou People's Hospital

OTHER

Sponsor Role collaborator

Affiliated Hospital of Hebei University

OTHER

Sponsor Role collaborator

Nantong University

OTHER

Sponsor Role collaborator

The First Affiliated Hospital of Anhui Medical University

OTHER

Sponsor Role collaborator

Northern Jiangsu People's Hospital

OTHER

Sponsor Role collaborator

First Affiliated Hospital of Wenzhou Medical University

OTHER

Sponsor Role collaborator

Zhejiang University

OTHER

Sponsor Role collaborator

Taishan Medical University Affiliated Hospital

OTHER

Sponsor Role collaborator

Tianjin Third Central Hospital

OTHER

Sponsor Role collaborator

Jinhua Central Hospital

OTHER

Sponsor Role collaborator

Navy General Hospital, Beijing

OTHER

Sponsor Role collaborator

Peking Union Medical College Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Xuezhong Yu, MD

Role: STUDY_DIRECTOR

Peking Union Medical College Hospital

Locations

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Peking Union Medical College Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Jun XU, MD

Role: CONTACT

01069159142

Xuezhong Yu, MD

Role: CONTACT

01069159142

Facility Contacts

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Jun Xu, MD

Role: primary

01069159142

Xuezhong Yu, MD

Role: backup

01069159142

Other Identifiers

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JS-836

Identifier Type: -

Identifier Source: org_study_id

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