Trial of Terbutaline for the Treatment of Status Asthmaticus in Children

Although widely used for the treatment of pediatric status asthmaticus, intravenous terbutaline has potentially significant side effects; may not improve outcomes; and may increase Intensive Care Unit (ICU) length of stay. This study is designed to test the efficacy of intravenous terbutaline for the treatment of status asthmaticus by adding intravenous terbutaline or placebo to standard asthma...

Date First Received: July 27, 2005

Last Updated: September 7, 2006

Verified by: Connecticut Children's Medical Center, September 2006

Clinical Trial Phase: Phase 4 | Start Date: October 2003

Overall Status: Completed

Estimated Enrollment: 40

Brief Summary

Official Title: “Double-Blinded Randomized Trial of Terbutaline to Shorten ICU Length of Stay in the Treatment of Status Asthmaticus in Children”

Condition Keyword(s):

Intervention(s):

Although widely used for the treatment of pediatric status asthmaticus, intravenous terbutaline has potentially significant side effects; may not improve outcomes; and may increase Intensive Care Unit (ICU) length of stay. This study is designed to test the efficacy of intravenous terbutaline for the treatment of status asthmaticus by adding intravenous terbutaline or placebo to standard asthma treatment. The dose of terbutaline or placebo will be titrated according to severity of illness as quantified by a validated clinical asthma score. Differences in outcomes between the study groups, such as length of stay, hospital costs, and lung function will be compared.

Study Type: Interventional

Study Design: Treatment, Randomized, Double-Blind, Placebo Control, Single Group Assignment, Efficacy Study

Intervention(s) in this Clinical Trial

  • Drug: terbutaline

Outcome Measures for this Clinical Trial

Primary Measures

  • ICU length of stay

Secondary Measures

  • To evaluate the effects of intravenous terbutaline on pulmonary mechanics over length of ICU admission
  • To prospectively analyze the side effects of terbutaline

Criteria for Participation in this Clinical Trial

Inclusion Criteria:

  • Admission to the Connecticut Children's Medical Center (CCMC) Pediatric Intensive Care
  • Unit (PICU) with a primary admission diagnosis of status asthmaticus
  • Modified Pulmonary Index Score (MPIS) of greater than or equal to 12
  • Age between birth and 18 years old

Exclusion Criteria:

  • Pre-existing cardiac or pulmonary disease
  • Existing respiratory failure (requiring invasive or non-invasive mechanical ventilation)
  • Hemodynamic or cardiovascular instability requiring inotropic support
  • The patient meets one of the criteria for withdrawal from the study due to patient safety concerns

Gender Eligibility for this Clinical Trial: Both

Minimum Age for this Clinical Trial: N/A

Maximum Age for this Clinical Trial: 18 Years

Clinical Trial Sponsor Information

Lead Sponsor: Connecticut Children's Medical Center

Overall Clinical Trial Officials and Contacts

Christopher Carroll, MD Principal Investigator CT Children's Medical Center  

Additional Information

Information obtained from ClinicalTrials.gov on July 02, 2009

Link to the current ClinicalTrials.gov record. http://clinicaltrials.gov/show/NCT00124995

Study ID Number: 05-001

ClinicalTrials.gov Identifier: NCT00124995

Health Authority: United States: Institutional Review Board

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