Study of Budesonide as an Addition to Standard Therapy in Adult Asthmatics in the Emergency Room.
Recruitment status was Active, not recruiting
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To determine whether adding nebulized inhaled steroids to the standard care of acutely ill ED patients with refractory acute asthma helps improve FEV1 and decrease the need for hospitalization.
Condition | Intervention | Phase |
---|---|---|
Asthma |
Drug: Budesonide Drug: albuterol Drug: Ipratropium bromide Drug: Prednisone |
Phase 3 |
Study Type: | Interventional |
Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator) Primary Purpose: Treatment |
Official Title: | Emergency Department Use of Nebulized Budesonide as an Adjunct to Standardized Therapy in Acutely Ill Adults With Refractory Asthma: a Randomized, Double-blinded, Placebo-controlled Trial |
- FEV1 [ Time Frame: 6 hours ] [ Designated as safety issue: Yes ]
- Hospitalization [ Time Frame: 6 hours ] [ Designated as safety issue: Yes ]
Enrollment: | 96 |
Study Start Date: | September 2007 |
Estimated Study Completion Date: | March 2012 |
Estimated Primary Completion Date: | March 2012 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
---|---|
Experimental: B
Budesonide, 2mg, 4 doses, plus standard care
|
Drug: Budesonide
2mg/dose by nebulizer, four doses over 3 hours
Other Name: Pulmicort Respules
Drug: albuterol
2.5mg/dose by nebulizer, 7 doses over 6 hours
Other Names:
Drug: Ipratropium bromide
2.5 mg, one dose
Other Name: Atrovent
Drug: Prednisone
60mg PO
Other Name: deltasone
|
Placebo Comparator: P
Placebo plus standard care
|
Drug: albuterol
2.5mg/dose by nebulizer, 7 doses over 6 hours
Other Names:
Drug: Ipratropium bromide
2.5 mg, one dose
Other Name: Atrovent
Drug: Prednisone
60mg PO
Other Name: deltasone
|
Detailed Description:
This is a randomized clinical trial studying the effect of nebulized budesonide (Pulmicort) in acutely ill adults presenting to the Emergency Department with severe asthma. Budesonide is an inhaled steroid FDA approved for the treatment of pediatric chronic asthma. ED entry criteria include hyporesponsiveness to nebulized beta-agonists and an FEV1<50% predicted. The trial will evaluate the efficacy of multiple doses of nebulized budesonide as an adjunct to a highly regimented standardized treatment protocol; standard care consists of bronchodilators (beta-agonists/anticholinergics), systemic steroids, and intravenous magnesium sulfate (if the FEV1<25% predicted). The primary efficacy endpoint will be the FEV1 4 hours after administration of the study intervention. An additional safety and efficacy endpoint will take place at 5 hours after study intervention. The treatments will be coupled with a protocol-defined assessment regimen, with endpoints measured before each treatment and on ED disposition (at 5 hours after study intervention).
![](https://webarchive.library.unt.edu/web/20121019031627im_/http://www.clinicaltrials.gov/ct2/html/images/frame/triangle.gif)
Ages Eligible for Study: | 18 Years to 60 Years |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- FEV1<50% predicted after bronchodilator therapy, age 18-60, presenting to an emergency department with acute asthma
Exclusion Criteria:
- other chronic lung disease, >15 pack years smoking
![](https://webarchive.library.unt.edu/web/20121019031627im_/http://www.clinicaltrials.gov/ct2/html/images/frame/triangle.gif)
United States, New York | |
Jacobi Medical Center | |
Bronx, New York, United States, 10461 | |
Nassau University Medical Center | |
East Meadow, New York, United States, 11554 | |
Long Island Jewish Medical Center | |
Queens, New York, United States, 11042 |
Principal Investigator: | Robert Silverman, MD | North Shore-LIJ Health System |
![](https://webarchive.library.unt.edu/web/20121019031627im_/http://www.clinicaltrials.gov/ct2/html/images/frame/triangle.gif)
No publications provided
Responsible Party: | Robert Silverman, MD, Long Island Jewish Medical Center |
ClinicalTrials.gov Identifier: | NCT00588406 History of Changes |
Other Study ID Numbers: | 07.02.019 |
Study First Received: | December 21, 2007 |
Last Updated: | March 11, 2010 |
Health Authority: | United States: Institutional Review Board |
Keywords provided by North Shore Long Island Jewish Health System:
acute, emergency department |
Additional relevant MeSH terms:
Asthma Emergencies Bronchial Diseases Respiratory Tract Diseases Lung Diseases, Obstructive Lung Diseases Respiratory Hypersensitivity Hypersensitivity, Immediate Hypersensitivity Immune System Diseases Disease Attributes Pathologic Processes Albuterol Ipratropium Budesonide |
Bromides Prednisone Tocolytic Agents Reproductive Control Agents Physiological Effects of Drugs Pharmacologic Actions Therapeutic Uses Adrenergic beta-2 Receptor Agonists Adrenergic beta-Agonists Adrenergic Agonists Adrenergic Agents Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Bronchodilator Agents Autonomic Agents |
ClinicalTrials.gov processed this record on October 17, 2012