Methylprednisolone for Children With Severe Mycoplasma Pneumoniae Pneumonia (MCMP)
|ClinicalTrials.gov Identifier: NCT02303587|
Recruitment Status : Unknown
Verified May 2017 by Baoping XU, Beijing Children's Hospital.
Recruitment status was: Recruiting
First Posted : December 1, 2014
Last Update Posted : May 9, 2017
|Condition or disease||Intervention/treatment||Phase|
|Mycoplasma Pneumoniae Pneumonia||Drug: methylprednisolone||Not Applicable|
Mycoplasma pneumonia pneumonia (MPP) accounts for approximately 10-30% of childhood community-acquired pneumonia (CAP) in China. Macrolide is the first choice for MPP. However, progression to severe pneumonia might occur despite antibiotics therapy. And some patients have sequelae of bronchiolitis obliterans, bronchiectasis and atelectasis, et al. Based on inflammatory and immunological mechanism, there is some clinical evidence that adjuvant of corticosteroid reduced morbidity and improved the outcome in the children with severe MPP. However, the dosage of corticosteroid varied greatly in studies. Therefore, a large prospective study is needed to define the benefits of high-dose corticosteroid therapy in MPP.
Patients will be randomized into two groups: the low dose group and the high dose group. The low dose group will receive methylprednisolone 2 or 4 mg/kg/d for 3 days followed by tapering in 9 days, combined with sequential treatment with azithromycin. The high dose group will receive methylprednisolone 10 mg/kg/d for 3 days followed by tapering in 9 days, combined with sequential treatment with azithromycin. After discharge, patients of both groups will be followed up at 1, 3, and 6 months.
The number of pulmonary lesions, including atelectasis, bronchiectasis, bronchiolitis obliterans, or consolidations, in 6 months after discharge will be compared in two groups. The number of adverse events, such as hyperglycemia, hypertension, increased intraocular pressure, will be compared between the two groups.
The trial will be completed in 35 months, with 630 subjects recruited from 9 hospitals in partnership with clinical research collaboration of National Clinical Research Center for Respiratory Diseases.
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||630 participants|
|Intervention Model:||Parallel Assignment|
|Official Title:||Low Dose Versus High Dose Methylprednisolone for Children With Severe Mycoplasma Pneumoniae Pneumonia : a Multicenter Randomized Blinded Trial|
|Study Start Date :||December 2014|
|Estimated Primary Completion Date :||September 2018|
|Estimated Study Completion Date :||September 2018|
Experimental: low dose group
Experimental: high dose group
- pulmonary lesions [ Time Frame: 6 months ]Pulmonary lesions include atelectasis, bronchiectasia, bronchiolitis obliterans, consolidation
- recovery time of temperature [ Time Frame: 2 weeks ]
- the proportion of absorption of pulmonary lesions [ Time Frame: 2 weeks ]
- duration of hospitalization, [ Time Frame: 2 weeks ]
- number of participant(s ) need intensive care [ Time Frame: 2 weeks ]
- number of participant(s )with acute respiratory distress syndrome [ Time Frame: 2 weeks ]
- number of participant(s) with hemophagocytic syndrome [ Time Frame: 2 weeks ]
- number of participant(s) with hyperglycemia [ Time Frame: 2 weeks ]
- number of participant(s) with hypertension [ Time Frame: 6 months ]
- number of participant(s) who died during the trial [ Time Frame: 6 months ]
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02303587
|Contact: Baoping Xu, MD,PhDfirstname.lastname@example.org|
|Beijing Children's Hospital, Capital Medical University||Recruiting|
|Beijing, Beijing, China, 100045|
|Contact: baoping xu|
|Study Director:||Kunling Shen, MD,PhD||Beijing Children's Hospital of Capital Medical University, China|
|Principal Investigator:||Baoping Xu, MD, PhD||Beijing Children's Hospital of Capital Medical University, China|
|Principal Investigator:||Xiaoxia Peng, MD, PhD||Beijing Children's Hospital of Capital Medical University, China|