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Trial registered on ANZCTR
Registration number
ACTRN12608000608369
Ethics application status
Approved
Date submitted
29/10/2008
Date registered
4/12/2008
Date last updated
29/01/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
A study of aminophylline for infants less than 12 months of age with bronchiolitis, requiring admission to intensive care
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Scientific title
Randomised, double-blind, placebo-controlled trial of aminophylline in infants less than 12 months of age with bronchiolitis who require intensive care, to assess if aminophylline is superior to placebo in reducing the duration of ventilatory support.
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Secondary ID [1]
288449
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Bronchiolitis
3895
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Condition category
Condition code
Infection
4093
4093
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0
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Other infectious diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Aminophylline will be given, as a continuous infusion, for 3 days (72 hours) or until discharge from the Intensive Care Unit, whichever is sooner
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Intervention code [1]
3620
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Treatment: Drugs
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Comparator / control treatment
Placebo (normal saline) will be given, as continuous infusion, for 3 days (72 hours) or until discharge from the Intensive Care Unit, whichever is sooner
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Duration of respiratory support (mechanical ventilation or nasal continuous positive pressure). This information will be recorded manually by the treating physician on documentation provided.
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Assessment method [1]
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Timepoint [1]
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5 days (120 hours) from admission to ICU, or until discharge from the Intensive Care Unit: whichever is sooner.
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Secondary outcome [1]
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Length of stay in the Intensive Care Unit. This information will be recorded manually by the treating physician on documentation provided.
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Assessment method [1]
8421
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Timepoint [1]
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At discharge from the Intensive Care Unit
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Secondary outcome [2]
8422
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Number of children requiring mechanical ventilation. Type of ventilatory support will be recorded manually by the treating physician on documentation provided.
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Assessment method [2]
8422
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Timepoint [2]
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5 days (120 hours) from admission to Intensive Care Unit, or until discharge from ICU: whichever is sooner.
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Secondary outcome [3]
8423
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Number of children receiving any form of respiratory support (including nasal continuous positive pressure). Type of ventilatory support will be recorded manually by the treating physician on documentation provided.
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Assessment method [3]
8423
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Timepoint [3]
8423
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5 days (120 hours) from admission to ICU, or until discharge from ICU: whichever is sooner.
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Eligibility
Key inclusion criteria
Clinical diagnosis of bronchiolitis, defined as a first or second episode of wheezing or respiratory distress associated with an upper respiratory tract infection
Admission to a paediatric intensive care unit
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Minimum age
No limit
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Maximum age
12
Months
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Contraindication to aminophylline (previous severe reaction, previous atrial or ventricular arrythmia, previous seizures, previous liver dysfunction)
Episode of apnoea requiring treatment with aminophylline
Previous admission to the study
Pertussis isolated on nasopharyngeal aspirate
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Date of first participant enrolment
Anticipated
1/10/2008
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Actual
5/10/2002
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Date of last participant enrolment
Anticipated
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Actual
14/09/2009
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
274
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Accrual to date
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Final
45
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Recruitment in Australia
Recruitment state(s)
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Recruitment outside Australia
Country [1]
1310
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New Zealand
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State/province [1]
1310
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Funding & Sponsors
Funding source category [1]
4087
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Charities/Societies/Foundations
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Name [1]
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Australian and New Zealand Intensive Care Society (ANZICS) Foundation.
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Address [1]
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10 Ievers Terrace Carlton
Victoria 3053
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Country [1]
4087
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Australia
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Primary sponsor type
Hospital
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Name
Prof Frank Shann
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Address
Royal Childrens' Hospital,
50, Flemington Road
Parkville Victoria 3052
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Country
Australia
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Secondary sponsor category [1]
3680
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None
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Name [1]
3680
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Address [1]
3680
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Country [1]
3680
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
6158
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Royal Children's Hospital, Melbourne
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Ethics committee address [1]
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50, Flemington Road, Parkville Victoria 3052
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Ethics committee country [1]
6158
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Australia
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Date submitted for ethics approval [1]
6158
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Approval date [1]
6158
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01/09/2008
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Ethics approval number [1]
6158
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Summary
Brief summary
Bronchiolitis is a common, acute, viral infection of the lower respiratory tract. It is mostly seen in children less than 1 year of age, but does affect children up to 2 years of age. Each year, several children with severe bronchiolitis need admission to the intensive care unit. These children experience significant breathing difficulty and around 50% are ill enough to need help with breathing through a breathing machine called a mechanical ventilator. The normal treatment for these children is to support their breathing, and to give them adequate nutrition and fluids. Aminophylline is a medicine we know from previous research that improves the function of the diaphragm, the major breathing muscle. Aminophylline also stimulates the respiratory centre in the brain, which stimulates the body to breathe. This tells us that aminophylline might be a helpful drug to use when treating children with severe bronchiolitis. Some doctors use this medicine because they believe it works. Others do not use this medicine because they do not believe it works. The purpose of this research project is to see whether aminophylline makes a difference in the treatment of children with bronchiolitis. We will compare a group of children who receive the standard treatment for bronchiolitis with a group of children who receive the standard treatment and aminophylline. We will compare the duration of mechanical ventilation and the length of intensive care and hospital stay in both groups.
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Trial website
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Trial related presentations / publications
Trial published as Turner A, Shann F, Delzoppo C, Henning R, Slater A, Beca J, Erickson S, Butt W. A multicentre, randomised, double-blind, placebo-controlled trial of aminophylline for bronchiolitis in infants admitted to intensive care. Critical Care and Resuscitation 2014 Sep; 16(3): 220-224.
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Public notes
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Contacts
Principal investigator
Name
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Prof Frank Shann
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Address
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Intensive Care Unit, Royal Children's Hospital, Parkville, Victoria 3052, Australia
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Country
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Australia
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Phone
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61 3 93291079
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Fax
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Email
29078
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[email protected]
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Contact person for public queries
Name
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Prof Frank Shann
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Address
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Royal Childrens' Hospital,
50, Flemington Road
Parkville Victoria 3052
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Country
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Australia
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Phone
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+61 3 93455220
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Prof Frank Shann
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Address
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Royal Childrens' Hospital,
50, Flemington Road
Parkville Victoria 3052
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Country
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Australia
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Phone
3163
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+61 3 93455220
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Fax
3163
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Email
3163
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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