Corticosteroids as an Additional Treatment for Mastoiditis In Children

NCT ID: NCT04828525

Last Updated: 2021-04-06

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

PHASE3

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-04-01

Study Completion Date

2024-07-31

Brief Summary

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The aim of the study is to assess the influence of adjuvant corticosteroid treatment in acute mastoiditis in children. we expect a better outcome in children treated with both corticosteroids and antibiotics including lower rates in complications and earlier decline in fever and inflammatory markers.

Detailed Description

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The research is a multi-centered, prospective, placebo-control, randomized controlled trial. The study group will be comprised of children diagnosed with acute mastoiditis and hospitalized in a pediatric medical center.

The participating patients will be randomized divided into two groups. Research group will be given dexamethasone treatment (course of 16 doses, 0.15 mg/kg/dose every 6 hours) in addition to antibiotic treatment. Control group will be given 16 doses of 0.9% normal saline in addition to antibiotic treatment. Management and treatment will be conducted according to clinical condition and laboratory findings as for routine institution protocols. It should be noted that the regular institutional management of children enrolled for the study will not be changed due to our research.

Conditions

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Mastoiditis; Acute

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The research is a multi-centered, prospective, placebo-control, randomized controlled trial.
Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators
participants will be randomized divided into two groups. each group will be given dexamethasone or 0.9% normal saline. only the pharmacist will not be masked to the procedure.

Study Groups

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Experimental

participants will be given corticosteroids in addition to conventional treatment

Group Type EXPERIMENTAL

Dexamethasone

Intervention Type DRUG

adjuvant dexamethasone treatment

Placebo

participants will be given normal saline in addition to conventional treatment

Group Type PLACEBO_COMPARATOR

normal saline

Intervention Type DRUG

placebo

Interventions

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Dexamethasone

adjuvant dexamethasone treatment

Intervention Type DRUG

normal saline

placebo

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* acute mastoiditis

Exclusion Criteria

* immunodeficiency (congenital or acquired)
* significant chronic disease
* hypertension
* recurrent mastoiditis
Minimum Eligible Age

6 Months

Maximum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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ori snapiri

OTHER

Sponsor Role lead

Responsible Party

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ori snapiri

Pediatrician, Principal Investigator, Clinical doctor

Responsibility Role SPONSOR_INVESTIGATOR

Central Contacts

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Ori Snapiri, Dr

Role: CONTACT

+972547242654

Chen Rosenberg Danziger, Dr

Role: CONTACT

+972-3-925 3775

References

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Lin HW, Shargorodsky J, Gopen Q. Clinical strategies for the management of acute mastoiditis in the pediatric population. Clin Pediatr (Phila). 2010 Feb;49(2):110-5. doi: 10.1177/0009922809344349. Epub 2009 Sep 4.

Reference Type BACKGROUND
PMID: 19734439 (View on PubMed)

Groth A, Enoksson F, Hultcrantz M, Stalfors J, Stenfeldt K, Hermansson A. Acute mastoiditis in children aged 0-16 years--a national study of 678 cases in Sweden comparing different age groups. Int J Pediatr Otorhinolaryngol. 2012 Oct;76(10):1494-500. doi: 10.1016/j.ijporl.2012.07.002. Epub 2012 Jul 23.

Reference Type BACKGROUND
PMID: 22832239 (View on PubMed)

Delgado-Noguera MF, Forero Delgadillo JM, Franco AA, Vazquez JC, Calvache JA. Corticosteroids for septic arthritis in children. Cochrane Database Syst Rev. 2018 Nov 21;11(11):CD012125. doi: 10.1002/14651858.CD012125.pub2.

Reference Type BACKGROUND
PMID: 30480764 (View on PubMed)

Aljebab F, Choonara I, Conroy S. Systematic review of the toxicity of short-course oral corticosteroids in children. Arch Dis Child. 2016 Apr;101(4):365-70. doi: 10.1136/archdischild-2015-309522. Epub 2016 Jan 14.

Reference Type BACKGROUND
PMID: 26768830 (View on PubMed)

Brouwer MC, McIntyre P, Prasad K, van de Beek D. Corticosteroids for acute bacterial meningitis. Cochrane Database Syst Rev. 2015 Sep 12;2015(9):CD004405. doi: 10.1002/14651858.CD004405.pub5.

Reference Type BACKGROUND
PMID: 26362566 (View on PubMed)

Other Identifiers

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0702-20-RMC

Identifier Type: -

Identifier Source: org_study_id

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