Pneumonia Clinical Trial
— ISPOTOfficial title:
IndiaCLEN Multicentric Trial of Home Versus Hospital Oral Amoxicillin for Management of Severe Pneumonia in Children
The purpose of this study is to determine the safety and efficacy of oral amoxicillin in treating WHO defined severe pneumonia(cough and fast breathing with lower chest indrawing) at home and at hospital using an open labelled multicentric prospective two-arm randomized clinical trial to determine the differences in failure of treatment with a 7 day course of oral amoxicillin administered for first 48 hours in the hospital in comparison to being sent home after enrolment, in children 3 to 59 months old who have severe pneumonia. The investigators developmental hypothesis were to test whether the community/home based oral amoxicillin is efficacious for treating severe pneumonia.
Status | Completed |
Enrollment | 1118 |
Est. completion date | April 2011 |
Est. primary completion date | April 2011 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 3 Months to 59 Months |
Eligibility |
Inclusion Criteria: - Children aged 3 to 59 months with pneumonia and lower chest wall indrawing - Ability to take orally - Absence of radiological consolidation or effusion - Informed consent by a legal guardian Exclusion Criteria: Children with any of the following conditions: - Very severe pneumonia/disease - Respiratory rate > 70/min - Persistent vomiting - Known prior episodes of asthma, or, three or more prior episodes of wheezing - LCI that resolves after three doses of bronchodilator therapy1 - Documented use of prior oral antibiotics for 48 hours - Severe malnutrition (weight for height < 3SD or kwashiorkor) - Known penicillin or amoxicillin allergy - Hospitalization in the last two weeks - Known or clinically recognizable HIV, congenital cardiac or respiratory anomalies, chronic lung disease including bronchopulmonary dysplasia, neurological impairment that affects respiratory function, renal diseases, malignant or haematological diseases. - Other diseases requiring antibiotic therapy at presentation, such as meningitis,dysentery, osteomyelitis, septic arthritis, evident tuberculosis, etc. - Anaemia requiring blood transfusion - Kerosene poisoning - Measles in the last 15 days - Previous inclusion in the study or already included in another study - Living outside a pre-defined area - Parental or caretaker refusal to participate in the study |
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
India | Jawaharlal Nehru Medical College, Aligarh Muslim University | Aligarh | Uttar Pradesh |
India | Post Graduate Institute of Medical Sciences, Chandigarh | Chandigarh | |
India | Institute of Child Health, Chennai | Chennai | Tamilnadu |
India | Indira Gandhi Govt. Medical College, Nagpur | Nagpur | Maharashtra |
India | B.J. Medical College, Pune | Pune | Maharashtra |
India | Mahatma Gandhi Institute of Medical Sciences, Sevagram | Wardha | Maharashtra |
Lead Sponsor | Collaborator |
---|---|
Lata Medical Research Foundation, Nagpur | Indira Gandhi Medical College, International Clinical Epidemiology Network (INCLEN) TRUST, MCH-STAR Initiative, India |
India,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | To assess the efficacy of a 7 day course of oral amoxycillin when administered at Home in comparison to administration of oral amoxycillin for first 48 hours in the hospital | Primary outcomes are to assess the efficacy of a 7 day course of oral amoxycillin when administered at home in comparison to administration of oral amoxycillin for first 48 hours in the hospital, on the following study outcomes, the presence of any one of which indicate "failure of treatment" : Clinical deterioration of disease any time after enrollment Change of antibiotic Hospitalization Serious adverse event considered possibly or probably related to amoxycillin. Left against medical advice (LAMA) Loss to follow up on day 8th |
Day of enrollment to Day 7 | Yes |
Secondary | To determine factors leading to treatment failure from day 8 to day 14 and costs of home and hospital management of severe pneumonia with oral amoxycillin | Secondary outcome of this trial are to determine the following: Determine the proportion of children who need to restart antibiotics i.e. "failure of treatment", between day 8th and day 14th due to reappearance of any danger signs, lower chest indrawing or fast breathing To identify clinical predictors at baseline and during the course of treatment that predicts "failure of oral treatment", The costs of home and hospital management of severe pneumonia with oral amoxycillin. Left against medical advice (LAMA) Loss to follow up from day 8th to day 14th. |
Day 8 to Day 14 | Yes |
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