Sickle Cell Anemia Clinical Trial
Official title:
Early Bi-Level Positive Airway Pressure (BiPAP) Ventilation for Acute Chest Syndrome (ACS) - a Double-Blind Randomized Controlled Pilot Study
NCT number | NCT01589926 |
Other study ID # | 12-04-139 |
Secondary ID | |
Status | Terminated |
Phase | N/A |
First received | |
Last updated | |
Start date | July 2012 |
Est. completion date | September 8, 2016 |
Verified date | November 2018 |
Source | Albert Einstein College of Medicine, Inc. |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Acute chest syndrome (ACS) is a frequent complication of sickle cell disease and is diagnosed by having findings on a chest x-ray and one of the following: chest pain, fever, or trouble breathing. Patients with Acute Chest Syndrome can get very sick and require an exchange transfusion (special large blood transfusion) and mechanical ventilation. Bi-level Positive Airway Pressure (also known as BLPAP or BiPAP) is a device that blows air into a patients lungs via a mask that covers the nose. The goal of this study is to determine whether giving children BiPAP when they have ACS, in addition to providing standard clinical care for ACS, alters the clinical course of these patients. The investigators hypothesize that patients receiving effective BiPAP will have milder clinical courses resulting in shorter hospital stays and fewer transfers to the intensive care unit and exchange transfusions.
Status | Terminated |
Enrollment | 3 |
Est. completion date | September 8, 2016 |
Est. primary completion date | September 8, 2016 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 4 Years to 21 Years |
Eligibility |
Inclusion Criteria: - patients diagnosed with Hemoglobin SS (HB SS), the most common type of sickle cell disease - patients diagnosed with Hemoglobin SC (HB SC), the second most common type of sickle cell disease. - patients diagnosed with Hemoglobin sickle beta-zero thalassemia ( HB SB0thal) or Hemoglobin sickle thalassemia (HB SBthal) Must meet clinical criteria for ACS- an infiltrate on Chest X-ray and one of the following: - Respiratory symptoms/signs (patients pulse oximetry < 92% or oxygen saturation < 2% below their baseline, tachypnea, cough, and increased work of breathing) - Fever - Chest pain AND Patients' eligible for a simple transfusion based on one of the following criteria: - Hypoxemia (patients pulse oximetry < 92% or oxygen saturation < 2% below their baseline) - Hemoglobin < 5 gm/dl - Increased work of breathing Exclusion Criteria: - Patient requires exchange transfusion within first 24 hours of admission - Patient requires PCCU transfer within first 24 hours of admission - Hemoglobin > 9gm/dl secondary to these patients requiring an exchange transfusion |
Country | Name | City | State |
---|---|---|---|
United States | Children's Hospital @ Montefiore | Bronx | New York |
Lead Sponsor | Collaborator |
---|---|
Albert Einstein College of Medicine, Inc. |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Length of Stay as Measured by the Time From Initial Diagnosis of ACS Until Meeting Discharge Criteria. | Length of stay as measured by the time from initial diagnosis of ACS until meeting discharge criteria. It is anticipated length of stay will correlate to efficacy of treatment: shorter stay is theorized to indicate more efficient treatment. | From diagnosis of ACS until meeting discharge criteria- Average 7 days. | |
Secondary | Rate of Exchange Transfusions. | Diagnosis until discharge. Average 7 days. | ||
Secondary | Determine Parent and Patient Acceptability of BLPAP Administration in the Setting of ACS. | Upon completion of intervention at 48hrs. | ||
Secondary | Rate of PCCU Transfers. | Diagnosis until discharge. Average 7 days. | ||
Secondary | Difference in Respiratory Rate. | 48hrs after initiation of treatment | ||
Secondary | Difference in Pulmonary Function Tests. | 48hrs after initiation of treatment | ||
Secondary | Difference in Mean SpO2 Recording During Sleep. | Peripheral capillary oxygen saturation (SpO2) is an estimate of the amount of oxygen in the blood. It is the percentage of haemoglobin containing oxygen compared to the total amount of haemoglobin in the blood (i.e. oxygenated haemoglobin vs oxygenated and non-oxygenated haemoglobin). | 48hrs after initiation of treatment |
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