Corticosteroid Therapy for Severe Community-Acquired Pneumonia
Efficacy of Methylprednisolone in Severe Community-acquired Pneumonia,A Multi-center Randomized Controlled Trial
1 other identifier
interventional
610
1 country
1
Brief Summary
The purpose of the present study is to assess the efficacy of methylprednisolone as an adjuvant therapy in patients with severe community-acquired pneumonia (CAP) (PSI 4-5). The hypothesis of the study is that methylprednisolone can decrease the mortality of severe CAP without any significant side effects,with reduction of the time to clinical stability and failure rate of treatment.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4
Started May 2015
1 active site
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
May 1, 2015
CompletedFirst Submitted
Initial submission to the registry
September 16, 2015
CompletedFirst Posted
Study publicly available on registry
September 17, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2017
CompletedSeptember 17, 2015
September 1, 2015
2 years
September 16, 2015
September 16, 2015
Conditions
Outcome Measures
Primary Outcomes (1)
All cause mortality
30-days
Study Arms (2)
methylprednisolone
ACTIVE COMPARATORThis group was entitled to receive methylprednisolone 80mg/day for 3 days,then 40mg/day for 3 days
Placebo
PLACEBO COMPARATORThis group was meant to receive placebo (sterile normal saline in a volume equal to the study drug
Interventions
Eligibility Criteria
You may qualify if:
- community-acquired pneumonia
- PSI score:4-5
- with at least one of following conditions:①CRP ≥150 mg/L,②oxygen index ≤250 , ③bilateral or multi-lober infiltrates in chest image,④ area of pulmonary infiltrates increase \>50% with 48 hous,⑤fever higher than 39℃ exceed 72 hours
You may not qualify if:
- nosocomial Pneumonia
- aspiration pneumonia
- acute burn injury
- gastrointestinal bleeding within the past three months
- uncontrolled diabetes mellitus
- pregnant or breast feeding
- a condition requiring treatment with greater than 0.5 mg/kg/d of prednison or its equivalent
- severe immunosuppression (human immunodeficiency virus infection, immunosuppressive conditions or medications)
- active tuberculosis
- preexisting medical condition with a life expectancy of less than 3 months
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Peking Union Medical College Hospitallead
- The Second Hospital of Hebei Medical Universitycollaborator
- Tianjin Medical University General Hospitalcollaborator
- Cangzhou Central Hospitalcollaborator
- Cangzhou People's Hospitalcollaborator
- Affiliated Hospital of Hebei Universitycollaborator
- Nantong Universitycollaborator
- The First Affiliated Hospital of Anhui Medical Universitycollaborator
- Northern Jiangsu People's Hospitalcollaborator
- First Affiliated Hospital of Wenzhou Medical Universitycollaborator
- Zhejiang Universitycollaborator
- Taishan Medical University Affiliated Hospitalcollaborator
- Tianjin Third Central Hospitalcollaborator
- Jinhua Central Hospitalcollaborator
- Navy General Hospital, Beijingcollaborator
Study Sites (1)
Peking Union Medical College Hospital
Beijing, Beijing Municipality, 100730, China
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Xuezhong Yu, MD
Peking Union Medical College Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 16, 2015
First Posted
September 17, 2015
Study Start
May 1, 2015
Primary Completion
May 1, 2017
Study Completion
May 1, 2017
Last Updated
September 17, 2015
Record last verified: 2015-09