Pneumonia Clinical Trial
Official title:
The CAPISCE-Trial: Community-Acquired Pneumonia; an Intervention Study With Corticosteroids
The purpose of this study is to determine the efficacy of addition of corticosteroid therapy
to antibiotics in patient admitted with Community-acquired pneumonia.
The hypothesis is: Prednisolone in combination with antibiotic treatments is effective in
improving clinical outcome in patients hospitalized with CAP.
Community-acquired pneumonia (CAP) is a acute illness with a considerable morbidity and
mortality, especially patients with severe CAP. In the past decennia, in spite of many
investigations, little reduction is seen in morbidity an mortality. Corticosteroids have a
immune-modulation effect, which is not completely elucidated. Most likely the immune
modulation effect is due to down-regulation of pro-inflammatory cytokines. The use of
corticosteroids next to antibiotics in CAP could lead to shorter time to clinical stability,
length of stay and costs.
Comparison: Hospitalized patients with CAP treated with antibiotics and prednisolone versus
hospitalized patients with cap treated with antibiotics and placebo
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double-Blind, Primary Purpose: Treatment
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