Oral Prednisolone for Acute Rhinovirus Induced Wheezing in Children Less Than 2 Years of Age

NCT ID: NCT05444699

Last Updated: 2025-02-13

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

RECRUITING

Clinical Phase

PHASE4

Total Enrollment

210 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-10-11

Study Completion Date

2027-09-30

Brief Summary

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The aim of the trial is to evaluate whether the use of oral prednisolone directed by point-of-care testing is useful in acute wheezing caused by rhinovirus in children aged 6-24 months.

Detailed Description

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Conditions

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Bronchiolitis Acute Viral

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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Prednisolone

Prednisolone Sodium Phosphate (25 mg/5 mL) oral suspension administered 1 mg/kg\* (up to 20 mg = 4 mL) once a day for 3 days.

\*(0-5 kg: 5 mg; 5.01-7.5 kg: 7.5 mg; 7.51-10 kg: 10 mg; 10.01-12.5 kg: 12.5 mg; 12.51-15 kg: 15 mg; 15.01-17.5 kg: 17.5 mg; ≥ 17.51 kg: 20 mg)

Group Type EXPERIMENTAL

Prednisolone Sodium Phosphate

Intervention Type DRUG

Oral suspension administered 1 mg/kg once a day for three days

Placebo

Sugar syrup oral suspension containing saccharum 630-640 mg/g and aqua purificata 360-370 mg/g administered the same amount in milliliters as experimental product (up to 4 mL) once a day for 3 days.

Group Type PLACEBO_COMPARATOR

Sugar syrup

Intervention Type DRUG

Oral suspension administered the same amount in milliliters as experimental product once a day for three days

Interventions

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Prednisolone Sodium Phosphate

Oral suspension administered 1 mg/kg once a day for three days

Intervention Type DRUG

Sugar syrup

Oral suspension administered the same amount in milliliters as experimental product once a day for three days

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Wheezing bronchitis diagnosed by a physician
* Need for salbutamol treatment at the emergency department
* Positive nasopharyngeal rhinovirus or picornavirus finding in point-of-care testing

Exclusion Criteria

* Need for immediate resuscitation
* Immediate transfer to ICU
* Suspected pneumonia based on the auscultation finding
* Suspected serious bacterial infection
* Other respiratory virus finding in the absence of rhinovirus or picornavirus
* Positive respiratory syncytial virus finding
* Positive SARS-coronavirus-2 finding
* Positive Mycoplasma pneumoniae finding
* Positive Bordetella pertussis finding
* Contact with a person with chickenpox within 14 days
* Active chickenpox
* Suspected foreign body of the respiratory tract
* Immunosuppressive treatment
* Systemic corticosteroid treatment within 14 days
* Allergy to corticosteroids
Minimum Eligible Age

6 Months

Maximum Eligible Age

24 Months

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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Terhi Tapiainen

Professor of Pediatrics, Head of Pediatric Infectious Diseases and Emergency Department

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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SOITE Lastenpäivystys

Kokkola, , Finland

Site Status RECRUITING

OYS Lastenpäivystys

Oulu, , Finland

Site Status RECRUITING

Countries

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Finland

Central Contacts

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Ville Lindholm, MD

Role: CONTACT

+35883155283

Facility Contacts

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Nelli Korpela, M.D., PhD

Role: primary

Ville Lindholm, MD

Role: primary

+35883155283

Terhi Tapiainen, MD, PhD

Role: backup

+358-8-315 5185

Other Identifiers

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2024-512561-13-00

Identifier Type: CTIS

Identifier Source: secondary_id

2021-006050-31

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

OY102021

Identifier Type: -

Identifier Source: org_study_id

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