The Effectiveness of Nebulized Hypertonic Saline Solution for Acute Bronchiolitis

NCT ID: NCT02760719

Last Updated: 2019-08-05

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

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-12-31

Study Completion Date

2019-07-31

Brief Summary

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This study evaluates the effectiveness of nebulized 3% hypertonic saline solution with salbutamol in the treatment of children under 2 years, hospitalised for acute viral bronchiolitis. Half of the participants will receive nebulized 3% hypertonic saline solution with salbutamol three times daily, the other half will receive standard supportive care, which is the cornerstone of the bronchiolitis management.

Detailed Description

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Acute viral bronchiolitis is the most common lower respiratory tract infection in infants up to two years old. Currently there is no effective treatment so standard treatment remains supportive care with supplemental oxygen to correct hypoxia, minimal handling to minimise the risk of exhaustion and the provision of fluids.

In recent years some studies have suggested that nebulised hypertonic saline, which improve airway hygiene, may influence the course of the illness and reduce the duration of hospitalisation without significant side effects.

Study protocol: half of the included patients will receive standard treatment for bronchiolitis, which includes only supportive care, the other half will additionally receive nebulized 3% hypertonic saline solution with salbutamol (to avoid potential bronchial obstruction) three times daily.

Conditions

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Bronchiolitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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hypertonic saline

4 ml of nebulized 3 % hypertonic saline + salbutamol 0,03 ml/kg every 8 hours for the time of hospitalisation and standard supportive care (oxygen to correct hypoxia, minimal handling to minimise the risk of exhaustion, provision of fluids, gentle nasal aspiration)

Group Type EXPERIMENTAL

nebulized 3% hypertonic solution

Intervention Type DRUG

already described

supportive care

Standard supportive care (oxygen to correct hypoxia, minimal handling to minimise the risk of exhaustion, provision of fluids, gentle nasal aspiration)

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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nebulized 3% hypertonic solution

already described

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* first episode of bronchiolitis: viral lower respiratory tract infection with signs of airway obstruction (hyperinflated lungs, tachypnea, increased work of breathing) and crepitations on auscultations
* admission to the hospital
* Wang CSS between 3 and 9
* randomisation within 4 hours of admission

Exclusion Criteria

* a history or previous episodes of bronchiolitis/bronchitis
* primary diseases: gastro-oesophageal reflux, chronic cardiac or pulmonary diseases including suspected asthma, immunodeficiency, conditions with hypotonia where more severe course of bronchiolitis is expected
* newborns
* premature infants born \< 36 weeks of gestation
* oxygen saturation \< 85% and patients requiring admission to high dependency or intensive care units at presentation
Minimum Eligible Age

1 Month

Maximum Eligible Age

24 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Medical Centre Ljubljana

OTHER

Sponsor Role lead

Responsible Party

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Tina Plankar Srovin

MD, PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Tatjana Lejko Zupanc, MD, PhD

Role: STUDY_CHAIR

University Medical Centre Ljubljana

Locations

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Department of infectious disease, University Medical Centre, Ljubljana

Ljubljana, , Slovenia

Site Status

Countries

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Slovenia

References

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Zhang L, Mendoza-Sassi RA, Wainwright C, Klassen TP. Nebulised hypertonic saline solution for acute bronchiolitis in infants. Cochrane Database Syst Rev. 2013 Jul 31;(7):CD006458. doi: 10.1002/14651858.CD006458.pub3.

Reference Type RESULT
PMID: 23900970 (View on PubMed)

Everard ML, Hind D, Ugonna K, Freeman J, Bradburn M, Cooper CL, Cross E, Maguire C, Cantrill H, Alexander J, McNamara PS; SABRE Study Team. SABRE: a multicentre randomised control trial of nebulised hypertonic saline in infants hospitalised with acute bronchiolitis. Thorax. 2014 Dec;69(12):1105-12. doi: 10.1136/thoraxjnl-2014-205953.

Reference Type RESULT
PMID: 25389139 (View on PubMed)

Zhang L, Mendoza-Sassi RA, Klassen TP, Wainwright C. Nebulized Hypertonic Saline for Acute Bronchiolitis: A Systematic Review. Pediatrics. 2015 Oct;136(4):687-701. doi: 10.1542/peds.2015-1914.

Reference Type RESULT
PMID: 26416925 (View on PubMed)

Other Identifiers

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22k/12/12

Identifier Type: -

Identifier Source: org_study_id

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