Hospital length of stay measured in days.
| Group | Value | 95% CI |
|---|---|---|
| Methylprednisolone Arm - Standard Care | 2.9 | 2.1 – 4 |
| Dexamethasone Arm - Interventional Arm | 2.9 | 1.8 – 4.1 |
Last reviewed · How we verify
Ideal Steroids for Asthma Treatment in the PICU
Phase 4 trial testing Dexamethasone in Asthma Childhood in 92 participants. Completed in 15 May 2022.
| Lead sponsor | Johns Hopkins All Children's Hospital |
|---|---|
| Phase | Phase 4 |
| Status | Completed |
| Study type | INTERVENTIONAL |
| Allocation | non randomized |
| Design | parallel |
| Masking | none |
| Primary purpose | treatment |
| Enrollment | 92 |
| Start date | 21 April 2019 |
| Primary completion | 31 December 2021 |
| Estimated completion | 15 May 2022 |
| Sites | 1 location across United States |
Johns Hopkins All Children's Hospital
Adults 5 to 17, any sex, with Asthma Childhood. Patients with the condition only — healthy volunteers not accepted.
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Hospital length of stay measured in days.
| Group | Value | 95% CI |
|---|---|---|
| Methylprednisolone Arm - Standard Care | 2.9 | 2.1 – 4 |
| Dexamethasone Arm - Interventional Arm | 2.9 | 1.8 – 4.1 |
Duration (in days) of continuous nebulized albuterol.
| Group | Value | 95% CI |
|---|---|---|
| Methylprednisolone Arm - Standard Care | 1 | 0.5 – 1.9 |
| Dexamethasone Arm - Interventional Arm | 0.8 | 0.5 – 1.7 |
Number of participants receiving an adjunctive therapy: * use of non-invasive ventilation (NIV) * terbutaline * inhaled helium * inhaled anesthetic gas * mechanical ventilation * extracorporeal life support
| Group | Value | 95% CI |
|---|---|---|
| Methylprednisolone Arm - Standard Care | 41 | |
| Dexamethasone Arm - Interventional Arm | 16 |
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.
| Group | Value | 95% CI |
|---|---|---|
| Methylprednisolone Arm | 7 | |
| Dexamethasone Arm | 2 |
| Group | Value | 95% CI |
|---|---|---|
| Methylprednisolone Arm | 1 | |
| Dexamethasone Arm | 1 |
| Group | Value | 95% CI |
|---|---|---|
| Methylprednisolone Arm | 2 | |
| Dexamethasone Arm | 0 |
| Group | Value | 95% CI |
|---|---|---|
| Methylprednisolone Arm | 2 | |
| Dexamethasone Arm | 0 |
| Group | Value | 95% CI |
|---|---|---|
| Methylprednisolone Arm | 0 | |
| Dexamethasone Arm | 0 |
| Group | Value | 95% CI |
|---|---|---|
| Methylprednisolone Arm | 0 | |
| Dexamethasone Arm | 0 |
| Group | Value | 95% CI |
|---|---|---|
| Methylprednisolone Arm | 0 | |
| Dexamethasone Arm | 0 |
| Group | Value | 95% CI |
|---|---|---|
| Methylprednisolone Arm | 0 | |
| Dexamethasone Arm | 0 |
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.
| Reaction | System | Methylprednisolone Arm - S… | Dexamethasone Arm - Interv… |
|---|---|---|---|
| Hyperglycemia | Endocrine disorders | — | — |
| Adrenal Insufficiency | Endocrine disorders | — | — |
| Altered Mentation | Nervous system disorders | — | — |
| Hypertension | General disorders | — | — |
Data from ClinicalTrials.gov NCT03900624 adverse events section.
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).
No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.
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