Effect of Nebulized Budesonide and Oral Corticosteroids on Wheezing Episode Relapse in Children - Full Text View

Sponsor:	West Penn Allegheny Health System
Collaborator:	AstraZeneca
Information provided by:	West Penn Allegheny Health System
ClinicalTrials.gov Identifier:	NCT00189436

Purpose

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.

Condition	Intervention	Phase
Asthma	Drug: Nebulized Budesonide Drug: Usual care (albuterol with or without oral steroid)	Phase IV

Study Type:	Interventional
Study Design:	Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Prevention
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

Resource links provided by NLM:

MedlinePlus related topics: Asthma

Drug Information available for: Albuterol Levalbuterol hydrochloride Albuterol sulfate Budesonide Levalbuterol tartrate Corticosteroids

U.S. FDA Resources

Further study details as provided by West Penn Allegheny Health System:

Primary Outcome Measures:

Wheezing/Asthma/Bronchospasm relapse rate [ Time Frame: 3 weeks ] [ Designated as safety issue: No ]

Secondary Outcome Measures:

Urinary Cortisol [ Time Frame: 3 weeks ] [ Designated as safety issue: No ]
Spirometry readings [ Time Frame: 3 weeks ] [ Designated as safety issue: No ]

Enrollment:	61
Study Start Date:	March 2003
Study Completion Date:	January 2009
Primary Completion Date:	January 2009 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Active Comparator: Treatment with Budesonide Subject is treated with nebulized budesonide 0.5 BID for 3 weeks	Drug: Nebulized Budesonide Subject is treated with nebulized budesonide 0.5 BID for 3 weeks
Active Comparator: Usual care Subject is treated with usual care as provided by the doctor. Usual care normally consists of treatment with albuterol with or without an oral steroid.	Drug: Usual care (albuterol with or without oral steroid) Subject is treated with usual care as prescribed by the doctor (normally albuterol with or without oral steroid)

Eligibility

Ages Eligible for Study:	1 Year to 8 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

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

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00189436

Locations

United States, Pennsylvania
Bellevue Pediatric Associates
Bellevue, Pennsylvania, United States, 15202
Allegheny General Hospital
Pittsburgh, Pennsylvania, United States, 15212

Sponsors and Collaborators

West Penn Allegheny Health System

AstraZeneca

Investigators

Principal Investigator:

David Skoner, MD

West Penn Allegheny Health System

More Information

No publications provided

Responsible Party:	David Skoner/Principal Investigator, Allegheny General Hospital
ClinicalTrials.gov Identifier:	NCT00189436 History of Changes
Other Study ID Numbers:	BUD ER 3425, RC - 3425
Study First Received:	September 12, 2005
Last Updated:	May 28, 2009
Health Authority:	United States: Institutional Review Board

Keywords provided by West Penn Allegheny Health System:

Asthma

Additional relevant MeSH terms:

Asthma
Bronchial Diseases
Respiratory Tract Diseases
Lung Diseases, Obstructive
Lung Diseases
Respiratory Hypersensitivity
Hypersensitivity, Immediate
Hypersensitivity
Immune System Diseases
Albuterol
Budesonide
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
Peripheral Nervous System Agents
Anti-Asthmatic Agents
Respiratory System Agents
Glucocorticoids
Hormones
Hormones, Hormone Substitutes, and Hormone Antagonists

ClinicalTrials.gov processed this record on February 12, 2012