A double blind study of dexamethasone for the treatment of H5N1 Avian Influenza

ISRCTN ISRCTN07092892
DOI https://doi.org/10.1186/ISRCTN07092892
Protocol serial number 061330
Sponsor University of Oxford (UK)
Funder The Wellcome Trust (UK) (grant ref: 061330)
Submission date
22/07/2005
Registration date
22/07/2005
Last edited
13/12/2007
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Infections and Infestations
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Jeremy Farrar
Scientific

Hospital for Tropical Diseases
The Hospital for Tropical Diseases
Oxford University Clinical Research
190 Ben Ham Tu
Ho Chi Minh City
5
Viet Nam

Phone +84 8 836 2225
Email jeremyjf@hcm.vnn.vn

Study information

Primary study designInterventional
Study designRandomised controlled trial
Secondary study designRandomised controlled trial
Scientific title
Study acronymDL Study
Study objectivesWe have started to see new cases of H5N1 infection. Five new cases confirmed in the last week all from different provinces of southern Viet Nam suggesting widespread (and therefore difficult to control) distribution of the virus. We suspect that this epidemic will prove more extensive than 2004. There is more than 80% mortality in the confirmed cases and most severe cases have been in children and teenagers. All patients are managed in a dedicated ward with barrier nursing and medical care. All patients are treated with oseltamivir for five days. Some patients have been given steroids some have not. There is no evidence on which to guide treatment, drugs, doses or duration. We have documented massive cytokine release in the patients from 2004. Our TaqMan real time Polymerase Chain Reaction (PCR) results are available within 24 hours of a sample being taken.
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedAvian Influenza
InterventionDexamethasone
Intervention typeDrug
PhaseNot Specified
Drug / device / biological / vaccine name(s)Dexamethasone
Primary outcome measure(s)

Mortality

Key secondary outcome measure(s)

1. Duration of ventilation
2. Duration of supplemental oxygen
3. Duration of hospitalisation
4. Viral load in clinical specimens
5. Cytokine levels
6. Adverse effects

Completion date31/12/2006
Reason abandoned (if study stopped)No patients with H5N1 in Viet Nam since August 2005, only four patients recruited in total. Data being analysed.

Eligibility

Participant type(s)Patient
Age groupNot Specified
SexNot Specified
Target sample size at registration4
Key inclusion criteria1. Patients with confirmed TaqMan Influenza A positive, or H5N1 PCR
2. Patients with history of clear close exposure to sick poultry, Chest X-Ray changes consistent with H5N1, low white count and strong clinical suspicion of H5N1 infection
Key exclusion criteriaNo consent
Date of first enrolment01/01/2005
Date of final enrolment31/12/2006

Locations

Countries of recruitment

  • Viet Nam

Study participating centre

Hospital for Tropical Diseases
Ho Chi Minh City
5
Viet Nam

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
IPD sharing plan