Effect of Nebulized Budesonide and Oral Corticosteroids on Wheezing Episode Relapse in Children
BudER
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
2 other identifiers
interventional
61
1 country
2
Brief 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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4 asthma
Started Mar 2003
Longer than P75 for phase_4 asthma
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2003
CompletedFirst Submitted
Initial submission to the registry
September 12, 2005
CompletedFirst Posted
Study publicly available on registry
September 19, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2009
CompletedResults Posted
Study results publicly available
August 4, 2014
CompletedFebruary 1, 2021
January 1, 2021
5.8 years
September 12, 2005
July 8, 2014
January 8, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Wheezing/Asthma/Bronchospasm Relapse Rate
This was defined as the percentage of subjects in each group (treatment with budesonide versus usual care) having an unscheduled acute visit to primary care, urgent care or an emergency department during the study period.
3 weeks
Secondary Outcomes (2)
Urinary Cortisol Levels
3 weeks
Forced Expiratory Volume in 1 Second (FEV1)
3 weeks
Study Arms (2)
Treatment with Budesonide
ACTIVE COMPARATORSubject is treated with nebulized budesonide 0.5 BID for 3 weeks
Usual care
ACTIVE COMPARATORSubject is treated with usual care as provided by the doctor. Usual care normally consists of treatment with albuterol with or without an oral steroid.
Interventions
Subject is treated with nebulized budesonide 0.5 BID for 3 weeks
Subject is treated with usual care as prescribed by the doctor (normally albuterol with or without oral steroid)
Eligibility Criteria
You may qualify if:
- 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
You may not qualify if:
- 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
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Deborah Gentilelead
- AstraZenecacollaborator
Study Sites (2)
Bellevue Pediatric Associates
Bellevue, Pennsylvania, 15202, United States
Allegheny General Hospital
Pittsburgh, Pennsylvania, 15212, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- David Skoner, MD
- Organization
- Allegheny Singer Research Institute, WPAHS
Study Officials
- PRINCIPAL INVESTIGATOR
David Skoner, MD
West Penn Allegheny Health System
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Co-Investigator
Study Record Dates
First Submitted
September 12, 2005
First Posted
September 19, 2005
Study Start
March 1, 2003
Primary Completion
January 1, 2009
Study Completion
January 1, 2009
Last Updated
February 1, 2021
Results First Posted
August 4, 2014
Record last verified: 2021-01