The Bronchiolitis in Hospitalized Infants (BroncHI) Study: A Feasibility Trial Aimed to Identify and Treat Hospitalized Infants With Bronchiolitis Most at Risk for Recurrent Wheezing and Asthma: Lung Diseases and Conditions - Bronchitis - Insurance News | InsuranceNewsNet

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August 25, 2023 Newswires
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The Bronchiolitis in Hospitalized Infants (BroncHI) Study: A Feasibility Trial Aimed to Identify and Treat Hospitalized Infants With Bronchiolitis Most at Risk for Recurrent Wheezing and Asthma: Lung Diseases and Conditions – Bronchitis

Insurance Daily News

2023 AUG 25 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Staff editors report on the newly launched clinical trial, NCT05994183, which has the following summary description: “The goal of this clinical trial is to determine whether it is possible to identify, enroll, and deliver the study intervention (the corticosteroid dexamethasone) in hospitalized infants with bronchiolitis. Participants in this study will be given two doses of dexamethasone within 72 hours of enrollment, followed by 30 days of safety monitoring. Results of this feasibility pilot study may be used to inform the design of a future randomized controlled trial, whose results in turn could induce a paradigm shift in acute management of bronchiolitis.”

As a matter of record, on August 17, 2023, NewsRx staff editors report that the available information provided by IDeA States Pediatric Clinical Trials Network on this trial include:

Tracking Information

Trial Identifier NCT05994183
First Submitted Date August 8, 2023
First Posted Date August 16, 2023
Results First Submitted Date Not Provided
Results First Posted Date Not Provided
Last Update Submitted Date August 8, 2023
Last Update Posted Date August 16, 2023
Primary Completion Date March 9, 2025
Start Date October 9, 2023
Current Primary Outcome Measures •Number of participants that receive 2 doses of dexamethasone per protocol. [ Time Frame: Intervention: 72 hours; Follow-up: 30 days ] -- A total of N=30 recruited participants will be enrolled into the study. In the primary objective, we expect 26 out of 30 (87%) participating infants will successfully receive 2 doses of dexamethasone per protocol.
Current Secondary Outcome Measures Not Provided
Other Outcome Measures Not Provided
Change History Complete list of historical revisions of study NCT05994183

Descriptive Information

Brief Title The Bronchiolitis in Hospitalized Infants Study
Official Title The Bronchiolitis in Hospitalized Infants (BroncHI) Study: A Feasibility Trial Aimed to Identify and Treat Hospitalized Infants With Bronchiolitis Most at Risk for Recurrent Wheezing and Asthma
Brief Summary The goal of this clinical trial is to determine whether it is possible to identify, enroll, and deliver the study intervention (the corticosteroid dexamethasone) in hospitalized infants with bronchiolitis. Participants in this study will be given two doses of dexamethasone within 72 hours of enrollment, followed by 30 days of safety monitoring. Results of this feasibility pilot study may be used to inform the design of a future randomized controlled trial, whose results in turn could induce a paradigm shift in acute management of bronchiolitis.
Detailed Description This is a open-label single-arm pilot study to assess feasibility of study procedures. The study population is infants <24 months of age, admitted with a physician diagnosis of non-RSV bronchiolitis that meet at least one of the following criteria: 1) history of breathing problems, 2) history of eczema, and/or 3) family history of asthma. The primary objective is to assess the ability to administer 2 doses of dexamethasone to infants hospitalized with bronchiolitis meeting the inclusion criteria. The literature suggests that prompt intervention in the course of bronchiolitis disease is important for possibly altering the immune response and sequelae. Therefore, it is important that we are able to demonstrate the ability to initiate the intervention while the child is still hospitalized and complete the number of doses with the desired anti-inflammatory effect. We aim to successfully administer both doses of the study medication in 87% of infants enrolled. Enrolling sites will recruit participants in collaboration with outpatient practices within Environmental influences on Child Health Outcomes (ECHO) Institutional Development Award (IDeA) States Pediatric Clinical Trials Network (ISPCTN) states that provide primary care services to children (<24 months old). Sites will serve a population base of at least 40% Medicaid/uninsured children, <60% non-Hispanic White children, or >40% of families residing in rural communities. Participants will be enrolled on the study for approximately 30 days. While in the study they will receive dexamethasone at a dose of 0.6 mg/kg/dose orally (max 16 mg/dose) per day for 2 days. The 1st dose will be given while the infant is inpatient (within 24 hours following enrollment). The 2nd dose will be given on Day 2, either inpatient or at home. The time interval between doses will be between 12 and 48 hours. Participants will be followed for safety information 30 days (±4 days) after the 2nd dose. The study duration is 24 months (2 months start-up, 17 months enrollment, 1 month follow-up, and 3 months close-out and data analysis).
Study Type Interventional
Study Phase Early Phase 1
Study Design Allocation: N/A
Intervention Model: Single Group Assignment
Primary Purpose: Other
Masking: None (Open Label)
Intervention Model Description: An open-label single-arm pilot study to assess feasibility of study procedures.
Condition Bronchiolitis
Intervention •Drug: Dexamethasone Oral
Dexamethasone 0.6 mg/kg/dose orally (max 16 mg/dose)
Study Arms •Experimental: Dexamethasone Administration
Dexamethasone will be given orally to all consented participants. Two doses will be administered within 12-48 hours, with at least the 1st dose administered during the bronchiolitis hospitalization. If the participant is dischar
Interventions:
⚬Drug: Dexamethasone Oral

Recruitment Information

Recruitment Status Not yet recruiting
Estimated Enrollment 30
Estimated Completion Date April 14, 2025
Primary Completion Date March 9, 2025 (Final data collection date for primary outcome measure)
Eligibility Inclusion Criteria: Infants <24 months of age at time of enrollment Admitted to the hospitalist service with a diagnosis of bronchiolitis RSV and COVID-19 Negative At least one of the following clinical criteria: personal history of breathing problems personal history of eczema parental history of asthma Parental ability to speak and read English or Spanish Exclusion Criteria: Preterm Infant (born at < 34 weeks’ gestation) Diagnosis of asthma Known underlying heart failure, hypertension, gastrointestinal bleeding, liver disease, thyroid disease (per parental report and chart review) Currently taking corticosteroids (inhaled or oral) or have taken corticosteroids within 7 days prior to hospitalization (per parental report and chart review) Admission to the intensive care unit (ICU) at time of enrollment Participants (caregivers) who, in the view of the investigator, whom are unlikely able to comply with the protocol requirements
Sex/Gender Sexes Eligible for Study: All
Ages 0 months to 24 months
Accepts Healthy Volunteers Yes
Contacts Primary contact: Jessica Snowden, MD,MS,MHPTT, 501-364-4693, [email protected]
Backup contact: Matthew Henry, MSc, 501-364-4696, [email protected]
Listed Location Countries United States
Removed Location Countries

Administrative Information

NCT Number NCT05994183
Other Study ID Numbers 275605
Has Data Monitoring Committee Yes
U.S. FDA-regulated Product Studies a U.S. FDA-Regulated Drug Product: Yes
Studies a U.S. FDA-Regulated Device Product: No
Plan to Share Data Yes
Plan to Share Data (IPD) Description The study team will place participant’s de-identified data and other limited information, such as race and ethnic group, into one or more centralized database(s). The study team will share this data in compliance with the ISPCTN and NIH data sharing policies.
Responsible Party IDeA States Pediatric Clinical Trials Network
Collaborators ⚬National Institutes of Health (NIH)
⚬University of Nebraska
Investigators Study Chair: Kari Neemann, MD, University of Nebraska
Study Chair: Ashley Deschamp, MD,MS, University of Nebraska
Information Provided By IDeA States Pediatric Clinical Trials Network
Verification Date August 2023

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