Status:

COMPLETED

Use of Dexamethasone in Pediatric Asthma Exacerbations

Lead Sponsor:

University at Buffalo

Conditions:

Asthma

Eligibility:

All Genders

2-20 years

Phase:

PHASE3

Brief Summary

The purpose of this study is to compare the efficacy of a single dose of dexamethasone vs. two doses of dexamethasone in mild and moderate asthma exacerbations pediatric patients.

Detailed Description

The emergency department (ED) physician will follow the standard asthma care path to manage a pediatric asthma patient whether the patient meets study criteria or not. Patients' legal guardian will be...

Eligibility Criteria

Inclusion

  • Children aged 2 to 20 years, from all race and ethnicity groups, with a known history of asthma who present to the Emergency Department of Women and Children's Hospital of Buffalo with an acute exacerbation of mild or moderate asthma are potentially eligible for the study. Patients with severe asthma exacerbations will require intravenous steroid therapy, therefore, they will not be enrolled in the study. The investigators plan to enroll patients from winter of 2014 to fall 2016.
  • History of asthma is defined by physician diagnosis of at least 1 prior episode of wheezing which responded to beta agonist medication.
  • Mild asthma is defined as: Pediatric Asthma Score (PAS) of 5 to 7; Moderate asthma is defined as: PAS of 8 to 11; Severe asthma is defined as: PAS of 12 or more.

Exclusion

  • Children who have one of the following conditions will be excluded from the study: are less than 2 years of age, have signs of severe exacerbation (Pediatric Asthma Score of more than 11), have used oral steroids in the last 2 weeks, have chronic lung disease (e.g., cystic fibrosis), have been given IV solumedrol, or vomit two doses of dexamethasone in emergency department.

Key Trial Info

Start Date :

April 1 2015

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

March 1 2018

Estimated Enrollment :

318 Patients enrolled

Trial Details

Trial ID

NCT02192827

Start Date

April 1 2015

End Date

March 1 2018

Last Update

March 30 2023

Active Locations (1)

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Women and Children's Hospital Of Buffalo

Buffalo, New York, United States, 14222