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NCT03900624: iSTAT PICU

Ideal Steroids for Asthma Treatment in the PICU

Completed Phase 4 Results posted Last updated 23 February 2024
What this trial tests

Phase 4 trial testing Dexamethasone in Asthma Childhood in 92 participants. Completed in 15 May 2022.

Timeline
21 April 2019
Primary endpoint
31 December 2021
15 May 2022

Quick facts

Lead sponsorJohns Hopkins All Children's Hospital
PhasePhase 4
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment92
Start date21 April 2019
Primary completion31 December 2021
Estimated completion15 May 2022
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Johns Hopkins All Children's Hospital

Who can join

Adults 5 to 17, any sex, with Asthma Childhood. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Length of Stay Primary · From enrollment through hospital discharge, up to 1 week

Hospital length of stay measured in days.

GroupValue95% CI
Methylprednisolone Arm - Standard Care2.92.1 – 4
Dexamethasone Arm - Interventional Arm2.91.8 – 4.1
Duration of Continuous Nebulized Albuterol Secondary · From enrollment through hospital discharge, up to 1 week

Duration (in days) of continuous nebulized albuterol.

GroupValue95% CI
Methylprednisolone Arm - Standard Care10.5 – 1.9
Dexamethasone Arm - Interventional Arm0.80.5 – 1.7
Number of Participants Receiving an Adjunctive Asthma Therapy Secondary · From enrollment through hospital discharge, up to 1 week

Number of participants receiving an adjunctive therapy: * use of non-invasive ventilation (NIV) * terbutaline * inhaled helium * inhaled anesthetic gas * mechanical ventilation * extracorporeal life support

GroupValue95% CI
Methylprednisolone Arm - Standard Care41
Dexamethasone Arm - Interventional Arm16
Corticosteroid-related Adverse Events Secondary · From enrollment through hospital discharge, up to 1 week

Rates of known corticosteroid-related adverse events including clinically-relevant gastrointestinal bleeding, gastritis, ventilator associated pneumonia, necrotizing enterocolitis, hypertension, hyperglycemia, altered mentation (including hallucinations and delirium), and adrenal insufficiency observed prior to hospital discharge.

Hyperglycemia
GroupValue95% CI
Methylprednisolone Arm7
Dexamethasone Arm2
Hypertension
GroupValue95% CI
Methylprednisolone Arm1
Dexamethasone Arm1
Adrenal insufficiency
GroupValue95% CI
Methylprednisolone Arm2
Dexamethasone Arm0
Altered mentation
GroupValue95% CI
Methylprednisolone Arm2
Dexamethasone Arm0
Clinically-relevant gastrointestinal bleeding
GroupValue95% CI
Methylprednisolone Arm0
Dexamethasone Arm0
Gastritis
GroupValue95% CI
Methylprednisolone Arm0
Dexamethasone Arm0
Necrotizing enterocolitis
GroupValue95% CI
Methylprednisolone Arm0
Dexamethasone Arm0
Ventilator associated pneumonia
GroupValue95% CI
Methylprednisolone Arm0
Dexamethasone Arm0

Adverse events — posted to ClinicalTrials.gov

Time frame: From enrollment to hospital discharge or 30-days; whichever comes first.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Methylprednisolone Arm - Standard Care
Serious: 0/61 (0%)
Deaths: 0/61
Dexamethasone Arm - Interventional Arm
Serious: 0/31 (0%)
Deaths: 0/31
Other adverse events (4 terms — click to expand)

ReactionSystemMethylprednisolone Arm - S…Dexamethasone Arm - Interv…
HyperglycemiaEndocrine disorders
Adrenal InsufficiencyEndocrine disorders
Altered MentationNervous system disorders
HypertensionGeneral disorders

Data from ClinicalTrials.gov NCT03900624 adverse events section.

Sponsor's own description

Determine if differences in (1) pediatric intensive care unit length of stay, (2) continuous nebulized albuterol duration, and (3) a composite outcome of advanced asthma therapy incidence including use of non-invasive ventilation (NIV), terbutaline, inhaled helium and mechanical ventilation between cohorts of children admitted with status asthmaticus to the PICU treated with either IV dexamethasone (DM) or methylprednisolone (MP).

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

Verify or expand the search:

Other trials of Dexamethasone

Trials testing the same drug.

Other recruiting trials for Asthma Childhood

Currently open trials in the same condition.

Other Johns Hopkins All Children's Hospital trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03900624.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing