Local anti-inflammatory treatment in the prevention of long-term airway morbidity following hospitalisation for respiratory syncytial virus (RSV) infection: clinical effectiveness and immunological correlates

ISRCTN ISRCTN12352714
DOI https://doi.org/10.1186/ISRCTN12352714
Secondary identifying numbers 3.2.03.22
Submission date
02/09/2005
Registration date
14/09/2005
Last edited
03/09/2014
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Respiratory
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Study website

Contact information

Dr L Bont
Scientific

Department of Pediatrics
Wilhelmina Children's Hospital
University Medical Centre Utrecht
P.O. Box 85090
Utrecht
3508 AB
Netherlands

Phone +31 (0)30 250 4000
Email l.bont@umcutrecht.nl

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleLocal anti-inflammatory treatment in the prevention of long-term airway morbidity following hospitalisation for respiratory syncytial virus (RSV) infection: clinical effectiveness and immunological correlates - a randomised controlled trial
Study objectivesInhaled corticosteroids during the first three months following admission for respiratory syncytial virus (RSV) lower respiratory tract infection (LRTI) prevent the occurrence and severity of long-term airway morbidity.
Ethics approval(s)Ethics Review Committee of University Medical Center Utrecht, 17/05/2005, ref: 04-056
Health condition(s) or problem(s) studiedRespiratory syncytial virus lower respiratory tract infection (RSV LRTI)
Intervention1. Intervention starts within 24 hours following positive immunofluorescence for RSV infection
2. Hydrofluoroalkane (HFA)-based beclomethasone dipropionate (Qvar, 3M) or placebo
3. 200 µg twice daily during three months

Subgroup-analyses
1. Analyses of children with wheezing during primary infection versus those not wheezing
2. Analyses of children with a qualitative good inhalation technique versus those without a good technique
3. Analyses of children with different pharmacogenetic polymorphisms (NR3C1: rs6191; NR3C1: SNPNR3C1; JUN: rs11688; FOS: rs7101; NFKB2: rs7897947; VDR: rs10735810; VDR: rs1544410; VDR: rs731236; IL13: rs20541; IL13: rs1800925; CRHR1: rs242941) (this information was added to this record as of the 12th June 2007)
4. Analyses of children with mechanical ventilation versus those without mechanical ventilation
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Corticosteroids
Primary outcome measureWheezing according to log registration from 3 until 15 months after hospitalisation for RSV LRTI
Secondary outcome measures1. Wheezing according to log registration from hospitalisation until 15 months after hospitalisation
2. Coughing during follow up
3. Use of inhaled steroids (other than the intervention medication)
4. Use of bronchodilators
5. Days of hospitalisation
6. Respiratory Distress Assessment Instrument (RDAI) scores during hospitalisation
7. Local cytokine profiles (nasal aspirates) during the first three episodes of respiratory tract infections
8. Quality of life
9. Lung function (interrupter resistance measurement, RINT)
10. Physician-diagnosed asthma at the age of 6 years
Overall study start date01/10/2004
Completion date01/10/2013

Eligibility

Participant type(s)Patient
Age groupChild
Upper age limit13 Months
SexBoth
Target number of participants250
Key inclusion criteria1. Infants under 13 months of age
2. Hospital admission for RSV LRTI
3. Positive immunofluorescence for RSV infection of epithelial cells in nasopharyngeal aspirates
Key exclusion criteria1. Previous use of steroids
2. History of cardiac or pulmonary disease
3. Wheezing illness prior to RSV LRTI
Date of first enrolment01/10/2004
Date of final enrolment01/10/2013

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Department of Pediatrics
Utrecht
3508 AB
Netherlands

Sponsor information

Dutch Asthma Foundation (Netherlands)
Charity

Speelkamp 28
P.O. Box 5
Leusden
3830 AA
Netherlands

Website http://www.astmafonds.nl
ROR logo "ROR" https://ror.org/00ddgbf74

Funders

Funder type

Charity

Dutch Asthma Foundation (Netherlands)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 31/03/2009 Yes No
Results article results 01/01/2014 Yes No