Actively Recruiting

Phase 2
Phase 3
All Genders
ID06496997

A Comparative Study of Glucocorticoids Efficacy in Acute Respiratory Distress Syndrome

Led by Fayoum University · Updated on 2025-01-06

300

Participants Needed

1

Research Sites

4 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the effectiveness of three glucocorticoid drugs—methylprednisolone, dexamethasone, and hydrocortisone—in patients with acute respiratory distress syndrome (ARDS). ARDS is a serious condition caused by severe inflammation in the lungs, often following pneumonia or sepsis, leading to breathing difficulties. The study aims to compare these drugs at equivalent doses to understand their impact on inflammation and lung function in ARDS patients. The study involves three groups of 100 patients each, receiving either methylprednisolone at 1 mg/kg/day, dexamethasone at 13 mg/day, or hydrocortisone at 350 mg/day. These drugs are given during the early phase of ARDS, when inflammation is most active. The study is randomized and does not use masking. Participants receive treatment and are monitored closely during a 28-day period. Participants will be assessed for outcomes such as 28-day mortality, need for invasive mechanical ventilation, number of ventilator-free days, length of ICU stay, hospitalization duration, and occurrence of serious side effects like infections and high blood sugar. The study includes chest imaging and oxygen level monitoring to confirm ARDS diagnosis and track progress. The total participation period for each patient is 28 days from enrollment.

CONDITIONS

Brief Title

A Comparative Study of Glucocorticoids Efficacy in Acute Respiratory Distress Syndrome

Who Can Participate

All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients receiving mechanical ventilation for hypoxemic respiratory failure
  • Diagnosis of ARDS by American-European Consensus and 2012 Berlin criteria
  • PaO2/FiO2 ratio of 300 mm Hg or less requiring supplemental oxygen
  • Onset or worsening of respiratory symptoms within 7 days
  • Bilateral opacities on chest X-ray or CT not due to other lung issues
  • Cardiac failure not the primary cause of respiratory failure
Not Eligible

You will not qualify if you...

  • Acute hypoxemic respiratory failure caused by congestive heart failure

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - 28 days

Participants receive one of three glucocorticoid drugs to treat acute respiratory distress syndrome (ARDS).

Visits during treatment for assessments and medication administration as per protocol

Trial Site Locations

Total: 1 location

1

Fayoum University

Al Fayyum, Egypt

Actively Recruiting

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Research Team

M

Mahmoud Ezzat Elkmash, Teaching assistant

M

Marwa Kamal Tolba, Assistant Professor

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

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