- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03157102
High Flow Nasal Cannula in Children With Status Asthmaticus (CANULASTHM)
High Flow Nasal Cannula Versus Standard Oxygen Therapy in Children With Status Asthmaticus: a Randomized Controlled Trial
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Robin Pouyau, Dr
- Phone Number: +33 472 129 747
- Email: robin.pouyau@chu-lyon.fr
Study Contact Backup
- Name: Tiphanie Ginhoux
- Phone Number: +33 427 857 723
- Email: tiphanie.ginhoux@chu-lyon.fr
Study Locations
-
-
-
Bron, France
- Hôpital Femme-Mère-Enfant
-
Dijon, France
- CHU de Dijon
-
Grenoble, France
- CHU de Grenoble Alpes
-
Le Kremlin Bicêtre, France
- Hôpital Bicêtre
-
Marseille, France
- Hôpital Timone 2
-
Metz-Tessy, France
- Ch Annecy Genevois
-
Montpellier, France
- CHU Arnaud de Villeneuve
-
Nantes, France
- CHU de Nantes
-
Nice, France
- CHU Lenval
-
Paris, France
- Hôpital Necker Enfants Malades
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Paris, France
- Hôpital Robert Debré
-
Paris, France
- Hôpital Armand Trousseau
-
Strasbourg,, France
- CHU Strasbourg,
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Villefranche sur Saône, France
- CH Villefranche sur Saône,
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age ≥ 6 months and <18 years old
Hospitalized in PICU with status asthmaticus defined by
- a PRAM score > 7 with no response at H2 to the conventional treatment according to the GINA (Global Initiative for Asthma guidelines) protocol: Oxygen therapy, Continuous nebulization of beta2 agonist for at least one hour then every hour, Oral or intravenous corticosteroid (ie methylprednisolone 2mg/kg/j)
- or with hypercapnic acidosis (pCO2 > 45 mmHg and pH < 7,35)
- Informed consent signed by at least on parent or legal guardians prior to inclusion and oral consent of the other parent if absent
Exclusion Criteria:
- Non-corrected congenital heart disease, or neuromuscular disease, or chronic respiratory disease (pulmonary or bronchial fibrosis, cystic fibrosis), or ENA disease (laryngo or tracheo malacia), scoliosis or chronic metabolic disease
- Need for non-invasive or invasive ventilation (Glasgow comas scale <8, hemodynamic instability, refractory hypoxemia, cardiac arrest)
- Pneumothorax confirmed on the X-ray
- No national health coverage
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: HFNC group
|
Oxygen therapy will be delivered through high flow nasal cannulas. Aerosol treatments will be administered through a vibrating mesh nebulizer directly connected to the circuit (aerogen®). The airvo® system (Fisher & Peykel Healthcare, Auckland, New Zealand) will be used as the high flow cannula system in the study. Cannula size will be tailored to the child according to the manufacturer's recommendations. The gas flow will be adjusted according to the child's weight in a predefined chart. FiO2 will be adjusted to allow for a SpO2 >92%. All the patients, regardless of their treatment failure status, will be evaluated at H2, H6, H12 and H24 to monitor their evolution (evaluation of the standard parameters, consciousness, PRAM (Pediatric Respiratory Assessment Measure) score, pain assessment by the FLACC (Face Legs Activity Cry Consolability) score). . |
Other: Standard Oxygen Therapy group (STO group)
|
Children will receive supplemental oxygen as commonly delivered through a non-rebreather face mask or low flow nasal cannula (standard oxygen treatment) and beta2 agonist aerosol via vibrating mesh nebulizer (aerogen®) according to the procedures usually used in the unit and according to the GINA (Global Initiative for Asthma) protocol. This group is the standard treatment group and is therefore the control group. All the patients, regardless of their treatment failure status, will be evaluated at H2, H6, H12 and H24 to monitor their evolution (evaluation of the standard parameters, consciousness, PRAM score, pain assessment by the FLACC score). The use of adjuvant therapies (magnesium sulfate, salbutamol IVSE, and ipratropium bromide) will remain at the discretion of the physician in charge of the child and will be evaluated as a secondary criterion. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of patients with first line treatment Failure as defined below in the first 24 hours
Time Frame: up to hour 24
|
First line treatment Failure in the first 24 hours is defined as:
|
up to hour 24
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of Patients requiring noninvasive ventilation (NIV)
Time Frame: month 1
|
month 1
|
|
Number of Patients requiring invasive ventilation (IV).
Time Frame: month 1
|
month 1
|
|
Duration of invasive ventilation (IV).
Time Frame: month 1
|
Duration in hours
|
month 1
|
Duration of noninvasive ventilation (NIV)
Time Frame: month 1
|
Duration in hours
|
month 1
|
Comfort assessed by the FLACC score
Time Frame: up to hour 24
|
up to hour 24
|
|
Duration of supplemental oxygen therapy (in hours)
Time Frame: month 1
|
month 1
|
|
Time from inclusion to restoration of a PRAM score < 8 (in hours).
Time Frame: month 1
|
month 1
|
|
Time from inclusion to blood gas normalization (pCO2<45 mmHg and pH>7.35) if available (hours)
Time Frame: month 1
|
month 1
|
|
Cumulative dose of treatments (salbutamol, corticosteroid magnesium sulfate)
Time Frame: month 1
|
in milligram during PICU stay
|
month 1
|
total number of hours of PICU stay
Time Frame: month 1
|
month 1
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Robin Pouyau, Dr, Hospices Civils de Lyon
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 69HCL17_0035
- IDRCB (Registry Identifier: 2022-A02601-42)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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