A randomised controlled trial of combination versus single antipyretic treatment in febrile children

ISRCTN ISRCTN30487061
DOI https://doi.org/10.1186/ISRCTN30487061
Secondary identifying numbers N/A
Submission date
18/02/2005
Registration date
23/02/2005
Last edited
19/02/2008
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Signs and Symptoms
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Mona Nabulsi
Scientific

American University of Beirut Medical Center
Beirut
113-6044/C8
Lebanon

Phone +961 (0)3 628528
Email mn04@aub.edu.lb

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Scientific title
Study objectivesOur study hypothesis is that combined antipyretic therapy (a single dose of 10 mg/kg ibuprofen followed by a single dose of 15 mg/kg of acetaminophen after 4 hours) is more effective than ibuprofen (10 mg/kg) followed by placebo, in reducing the temperature of children with high fever.
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedFever
Intervention1. Experimental group: A single dose (10 mg/kg) of Ibuprofen at zero time, followed by a single dose (15 mg/kg) of Acetaminophen at time = 4 hours
2. Control group: A single dose (10 mg/kg) of Ibuprofen at time zero, followed by a single dose (15 mg/kg) of Placebo at time = 4 hours
3. Rectal temperature recordings at baseline and at time = 4, 5, 6, 7 and 8 hours
Intervention typeOther
Primary outcome measureThe primary endpoint of this study is the proportion of children in each group, with body temperature of 37.8°C or less at time 6 hours.
Secondary outcome measuresSecondary endpoints include the proportion of children in each group, with body temperarures of 37.8°C and below, at times 7 and 8 hours, and the change in hourly temperature from baseline, at times 4, 5, 6, 7, 8 hours.
The proportion of patients in each group with any immediate adverse effect (within 24 hours from administration) that may be related to either drug, such as gastrointestinal bleed, hypothermia or others.
Overall study start date26/11/2002
Completion date30/06/2005

Eligibility

Participant type(s)Patient
Age groupChild
Lower age limit6 Months
Upper age limit14 Years
SexBoth
Target number of participants160
Key inclusion criteria1. Age between 6 months and 14 years
2. Rectal temperature greater than or equal to 38.8°C
3. Consent of treating physician
4. Consent of parent(s) and child if old enough to give consent (greater than 7 years)
5. No antipyretic intake for 8 hours prior to enrolment
Key exclusion criteria1. Presence of concurrent hepatic or renal disease
2. Chronic and/or serious disease such as malignancy, septic shock, malabsorption syndromes etc.
3. Any condition that may interfere with the absorption of the investigational drugs such as gastritis, diarrhoea, ileus etc.
4. Hypersensitivity to acetaminophen or ibuprofen
5. Bleeding disorder or tendency
6. Asthma
Date of first enrolment26/11/2002
Date of final enrolment30/06/2005

Locations

Countries of recruitment

  • Lebanon

Study participating centre

American University of Beirut Medical Center
Beirut
113-6044/C8
Lebanon

Sponsor information

American University of Beirut (Lebanon)
University/education

Faculty of Medicine, Medical Practice Plan
Riyad El-Solh
Beirut
11-02-36
Lebanon

Phone +961 (0)1 350000
Email resdean@aub.edu.lb
ROR logo "ROR" https://ror.org/04pznsd21

Funders

Funder type

University/education

American University of Beirut (Lebanon) - Medical Practice Plan of the Faculty of Medicine (ref: DCR 114170-034120)

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 04/03/2006 Yes No