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Evaluate the Effect of Nebulized Budesonide and Oral Corticosteroids on Wheezing Episode Relapse in Children Following Discharge From the ER/Outpatient Care Facility

Information source: Allegheny General Hospital
Information obtained from ClinicalTrials.gov on November 03, 2008
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Asthma

Intervention: Nebulized Budesonide (Drug); Usual care (Drug)

Phase: Phase 4

Status: Recruiting

Sponsored by: Allegheny General Hospital

Official(s) and/or principal investigator(s):
David Skoner, MD, Principal Investigator, Affiliation: Allegheny General Hospital

Overall contact:
Jennifer Koehrsen, MS, CCRC, Phone: 412-359-6988, Email: jkoehrse@wpahs.org

Summary

Subjects aged 1-8 years who have been discharged from the emergency department/outpatient care facility with a diagnosis of asthma/bronchospasm/wheezing after usual standard care will be enrolled into this open-label, randomized, parallel-group study to compare the efficacy of nebulized budesonide and oral corticosteroids in preventing asthma exacerbation relapse rates during the 21-day follow-up period. Secondary outcomes include urinary cortisol-creatinine rations, symptom severity scores and peak flow rates.

Clinical Details

Official title: A Pilot Study to Evaluate the Effect of Nebulized Budesonide and Oral Corticosteroids on Wheezing Episode Relapse in Pediatric Patients Following Discharge From the Emergency Department/Outpatient Care Facility

Study design: Prevention, Randomized, Open Label, Active Control, Parallel Assignment, Efficacy Study

Primary outcome: Wheezing/Asthma/Bronchospasm relapse rate

Secondary outcome:

Urinary Cortisol

Spirometry readings

Eligibility

Minimum age: 1 Year. Maximum age: 8 Years. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Children ages 1-8 years old

- Discharge from emergency department/outpatient clinic with a diagnosis of asthma

exacerbation after usual standard care

- Subjects must be able to show efficient use with a jet nebulizer

Exclusion Criteria:

- Subjects requiring hospitalization

- Subjects receiving oral steroids 1 week prior to presentation to emergency

department.

- Subjects with FEV1 < 50% of predicted

- Subjects with co-morbid medical conditions (renal or cardiovascular disease)

- Subjects with reported history of HIV

- Subjects unable to follow up for study visits

- Subjects who are frequently enuretic

Locations and Contacts

Jennifer Koehrsen, MS, CCRC, Phone: 412-359-6988, Email: jkoehrse@wpahs.org

Allegheny General Hospital, Pittsburgh, Pennsylvania 15212, United States; Recruiting
Jennifer Koehrsen, MS, Phone: 412-359-6988, Email: jkoehrse@wpahs.org
David Skoner, MD, Principal Investigator

Bellevue Pediatric Associates, Bellevue, Pennsylvania 15202, United States; Recruiting
Timothy Kesslar, Phone: 412-761-1190, Email: tkesslar@wpahs.org
Gregory Hoyson, MD, Sub-Investigator

Additional Information

Starting date: March 2003
Ending date: December 2010
Last updated: October 23, 2008

Page last updated: November 03, 2008

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