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Trial registered on ANZCTR
Registration number
ACTRN12611001016921
Ethics application status
Not yet submitted
Date submitted
16/09/2011
Date registered
21/09/2011
Date last updated
21/09/2011
Type of registration
Prospectively registered
Titles & IDs
Public title
Trial of high flow nasal prong (HFNP) oxygen therapy for viral bronchiolitis in children's wards of south-west Sydney.
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Scientific title
The effect of high flow nasal prong oxygen therapy versus standard care on rate of intubation and requirements for intensive care in children with viral bronchiolitis
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Secondary ID [1]
263027
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N/A
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Universal Trial Number (UTN)
U1111-1124-5169
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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
270753
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Condition category
Condition code
Respiratory
270934
270934
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0
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Other respiratory disorders / diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
High flow nasal prong therapy
Children with viral bronchiolitis requiring more than 2L/min oxygen will receive treatment as per protocol A (Control) or B (Treatment)
Protocol B:
-Patient given HFNP providing humidified and warmed to 37 degrees.
-The flow rate, set to optimise oxygen saturation, will be up to 8 L/min depending on patient comfort
-Duration of HFNP will vary depending on severity of the bronchiolitis. Breaks for nasal care or mobilization will be permitted.
-Other treatments such as drug therapy will be given according to standard protocols
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Intervention code [1]
269369
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Treatment: Other
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Comparator / control treatment
Protocol A (control)
-Respiratory therapy presently available in the participating hospitals i.e. supplemental oxygen up to 2L/min provided by low-flow normal nasal prongs with unheated humidifier
-Other treatments such as drug therapy will be given according to standard protocols
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Control group
Active
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Outcomes
Primary outcome [1]
279601
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Decrease in intubation
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Assessment method [1]
279601
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Timepoint [1]
279601
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At the end of the treatment, it will be determined how many cases needed intubation
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Primary outcome [2]
279610
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Decrease in requirement for intensive care
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Assessment method [2]
279610
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Timepoint [2]
279610
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At the end of the treatment, it will be determined how many cases needed transfer to intensive care unit
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Secondary outcome [1]
294013
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Reduction in transfer to children's hospital
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Assessment method [1]
294013
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Timepoint [1]
294013
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At the end of the treatment, it will be evaluated how many cases could be managed well with HFNP and hence did not require transfer to a tertiary children's hospital.
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Eligibility
Key inclusion criteria
*Male or female
*Clinical features typical of viral bronchiolitis
*Clinical features and SpO2 compatible with moderate to severe bronchiolitis
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Minimum age
0
Months
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Maximum age
24
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
*Complications of bronchiolitis discovered before enrolment, including pneumothorax
*Pneumonia plus or minus bronchiolitis
*Rapid progression of illness preventing opportunity for informed consent of parents or guardians.
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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)
Consecutive participants will each be allocated an envelope from NHMRC Clinical Trials unit which contains a random number. The clinical trials centre will be contacted to break the code. If the study commences after 6 months from now, the Ingham Institute Clinical Trials Unit in Liverpool, NSW will have been established, and will be asked to administer the trial as our local service.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomiisation using computerised sequence generation.
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Masking / blinding
Open (masking not 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
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/11/2011
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
90
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
269835
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Hospital
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Name [1]
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Campbelltown Hospital
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Address [1]
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Therry Road
Campbelltown
NSW 2560
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Country [1]
269835
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Australia
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Funding source category [2]
269909
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Hospital
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Name [2]
269909
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Mount Druitt Hospital
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Address [2]
269909
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75 Railway Street
Mount Druitt
NSW 2770
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Country [2]
269909
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Australia
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Primary sponsor type
Individual
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Name
Prof John Whitehall
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Address
Department of Paediatrics
School of Medicine, Campbelltown campus
University of Western Sydney
Locked Bag 1797
Penrith NSW 2751
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Country
Australia
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Secondary sponsor category [1]
268867
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University
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Name [1]
268867
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University of Western Sydney
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Address [1]
268867
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Locked Bag 1797
Penrith
NSW 2751
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Country [1]
268867
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Australia
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
271805
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University of Western Sydney
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Ethics committee address [1]
271805
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Locked Bag 1797
Penrith
NSW 2751
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Ethics committee country [1]
271805
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Australia
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Date submitted for ethics approval [1]
271805
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01/10/2011
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Approval date [1]
271805
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Ethics approval number [1]
271805
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Summary
Brief summary
The primary purpose of the study is to conduct a clinical trial on the use of HFNP therapy on infants with viral bronchiolitis requiring ventilator support and compare it with the standard care at the Campbelltown and Mt Druitt Hospitals to see effect of HFNP therapy in reducing the need for intubation and cost of transferring children to specialized children hospitals.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
33144
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Address
33144
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Country
33144
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Phone
33144
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Fax
33144
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Email
33144
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Contact person for public queries
Name
16391
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John Whitehall
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Address
16391
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Department of Paediatrics
School of Medicine
Campbelltown Campus
University of Western Sydney
Locked Bag 1797, Penrith NSW 2751
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Country
16391
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Australia
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Phone
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+612 46203787
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Fax
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+612 46203891
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Email
16391
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[email protected]
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Contact person for scientific queries
Name
7319
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John Whitehall
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Address
7319
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Department of Paediatrics
School of Medicine
Campbelltown Campus
University of Western Sydney
Locked Bag 1797, Penrith NSW 2751
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Country
7319
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Australia
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Phone
7319
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+612 46203787
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Fax
7319
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+612 46203891
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Email
7319
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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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