Systemic Steroids Plus Antibiotics in Sleep Apnea Syndrome in Children

The purpose of this study is to investigate the effect of treatment with a steroid and antibiotic on the size of the tonsils and symptoms of children with OSAS...

Date First Received: April 3, 2007

Last Updated: May 27, 2008

Verified by: University of Chicago, May 2008

Clinical Trial Phase: Phase 4 | Start Date: July 2006

Overall Status: Terminated

Estimated Enrollment: 4

Brief Summary

Official Title: “The Effect of a Combination of Systemic Steroids and Antibiotics on Obstructive Sleep Apnea Syndrome in Children”

Condition Keyword(s):

The purpose of this study is to investigate the effect of treatment with a steroid and antibiotic on the size of the tonsils and symptoms of children with OSAS.

Study Type: Interventional

Study Design: Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Efficacy Study

Study Primary Completion Date: July 2007

Detailed Clinical Trial Description

We will enroll children between 18 months and 12 years of age with mild sleep apnea and treat them with 5 days of prednisolone and 10 days of amoxicillin/clavulanate. We will obtain a questionnaire pre and post treatment and ask the parents to tell us if they think the child has improved enough after treatment to forego surgery. If not, they will undergo an adenotonsillectomy to relieve their sleep apnea and if yes, we will repeat the sleep study to make sure that the apnea has resolved.

Intervention(s) in this Clinical Trial

  • Drug: Prednisolone and amoxicillin/clavulanate
    • Prednisolone 1mg/kg QD for 5 days Amoxicillin/clavulanate 45mg/Kg/d divided BID for 10 days

Outcome Measures for this Clinical Trial

Primary Measures

  • Sleep apnea questionnaire
    • Time Frame: 1-2 weeks post treatment
      Safety Issue?: No
  • Size of tonsils
    • Time Frame: before and after treatment
      Safety Issue?: No

Criteria for Participation in this Clinical Trial

Inclusion Criteria:

  • Polysomnogram results showing mild obstructive sleep apnea.

Exclusion Criteria:

  • Significant medical problems
  • Chronic medication intake (except bronchodilators and inhaled steroids)
  • Allergy to penicillin or its derivatives.

Gender Eligibility for this Clinical Trial: Both

Minimum Age for this Clinical Trial: 18 Months

Maximum Age for this Clinical Trial: 12 Years

Are Healthy Volunteers Accepted for this Clinical Trial?: No

Clinical Trial Sponsor Information

Lead Sponsor: University of Chicago

Overall Clinical Trial Officials and Contacts

Fuad M Baroody, MD Principal Investigator University of Chicago  

Additional Information

Information obtained from ClinicalTrials.gov on October 10, 2008

Link to the current ClinicalTrials.gov record. http://clinicaltrials.gov/show/NCT00456339

Study ID Number: 001 (14397A)

ClinicalTrials.gov Identifier: NCT00456339

Health Authority: United States: Institutional Review Board

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