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Trial registered on ANZCTR
Registration number
ACTRN12608000150347
Ethics application status
Approved
Date submitted
26/03/2008
Date registered
28/03/2008
Date last updated
20/11/2019
Date data sharing statement initially provided
20/11/2019
Date results provided
20/11/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
An intervention study for bronchiolitis in Darwin and Townsville - Comparing severity of disease and readmission of infants given azithromycin or placebo.
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Scientific title
An intervention study for bronchiolitis in Darwin and Townsville - Comparing severity of disease and readmission of infants given azithromycin or placebo.
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Secondary ID [1]
535
0
Nil
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Universal Trial Number (UTN)
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Trial acronym
ABIS
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Bronchiolitis
2963
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Condition category
Condition code
Respiratory
3104
3104
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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
A single, oral dose (30mg/kg) of azithromycin given to infants 18 months and less who are admitted to Royal Darwin Hospital with bronchiolitis.
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Intervention code [1]
2710
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Treatment: Drugs
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Comparator / control treatment
placebo custom made to imitate the study drug in taste and smell.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Length of stay in hospital for bronchiolitis (defined as minimum of 16 hours off supplemented oxygen and feeding without complication).
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Assessment method [1]
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Timepoint [1]
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Assessed twice daily until conditions defined above are met
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Secondary outcome [1]
6719
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Length of time on supplemental oxygen (medical charts reviewed every 12 hours until defined conditions met)
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Assessment method [1]
6719
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Timepoint [1]
6719
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Assessed twice daily until conditions defined are met
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Secondary outcome [2]
6720
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Incidence of respiratory related readmissions, (medical charts reviewed at 6 months from date of hospital discharge)
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Assessment method [2]
6720
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Timepoint [2]
6720
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Hospital review assessed at 6 months post discharge date of hospitalised bronchiolitis episode.
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Eligibility
Key inclusion criteria
18 months of age and less Diagnosis of Bronchiolitis (defined as cough/coryza, wheezing +/- crackles, tachypnoea, retraction) requiring supplemented oxygen informed consent from parent/primary care giver
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Minimum age
No limit
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Maximum age
18
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 macrolide therapy,
chronic lung disease, currently on azithromycin therapy,
complex congenital heart disease
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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)
A child who meets eligibilty criteria is enrolled and randomised to receive either azithromycin or placebo within strata of age (<6months and =/> 6 months) and ethnicity (Indigenous or non Indigenous).
Each child is allocated to the next randomly ordered treatment regime on a computer-generated list (permutated block design). The treatment allocation is concealed by sticker until enrollment. Medications are in identical bottles labelles A, B, C or D (two codes per treatment). A person independent of the study is responsible for allocating the treatment code and concealing the treatment allocation.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
The randomisation sequence is generated from the website 'Randomization.com' (http://www.randomization.com) and concealed by a person not involved in the study.
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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
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
14/04/2008
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Actual
18/07/2008
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Date of last participant enrolment
Anticipated
2/12/2011
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Actual
2/12/2011
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Date of last data collection
Anticipated
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Actual
2/12/2011
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Sample size
Target
97
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Accrual to date
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Final
97
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Recruitment in Australia
Recruitment state(s)
NT,QLD
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Financial Markets Foundation for Children
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Address [1]
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Sydney, New South Wales
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Country [1]
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Australia
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Funding source category [2]
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Charities/Societies/Foundations
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Name [2]
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Channel 7 Children's Research Foundation of SA Inc
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Address [2]
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Segency park, South Australia
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Country [2]
237358
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Australia
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Primary sponsor type
Hospital
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Name
Royal Darwin Hospital
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Address
Rocklands Drive, Tiwi
Darwin, NT
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Country
Australia
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Secondary sponsor category [1]
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Other
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Name [1]
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Menzies School of Health Research
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Address [1]
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John Mathews Buiding 58,
Royal Darwin Hospital
Rocklands Drive,
Darwin, NT
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Country [1]
2887
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Australia
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Other collaborator category [1]
259
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Hospital
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Name [1]
259
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Qld Paediatric Infectious Diseases Laboratory
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Address [1]
259
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Sir Albert Sakzewski Virus Research Centre
Royal Children's Hospital
Brisbane
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Country [1]
259
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Human Research Ethics Committee of NT Dept Health and Community Service and Menzies School of Health Research
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Ethics committee address [1]
5210
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Darwin
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
5210
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Approval date [1]
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03/12/2007
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Ethics approval number [1]
5210
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07/60
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Summary
Brief summary
In a previous study on bronchiolitis in Aboriginal children we found that 67% were from remote communties and required retrievals. A recent study has also shown that almost 2.5% of Aboriginal children in Australia's Northern Territory will be hospitalised for bronchiolitis more than once before reaching the age of 18 months. Multiple hospitalised respiratory infections and the severity of these infections are risk factors for developing chronic lung diseases including bronchiectisis and asthma. It is planned that this study will provide an estimation of the effect of azithromycin on the severity of bronchiolitis in Aboriginal and non Aboriginal infants. Assessing redmission for respiratory illness within 6 months may provide some indication of the medium term benefit of a single dose of azithromycin, given to infants in the acute phase of viral bronchiolitis, in reducing the risk of further respiratory illness requiring hospitalisation.
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Trial website
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Trial related presentations / publications
https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0074316
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Public notes
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Contacts
Principal investigator
Name
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Prof Anne Chang
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Address
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Menzies School of Health Research
PO Box 41096
Casuarina NT 0811
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Country
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Australia
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Phone
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+61889228196
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Gabrielle McCallum
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Address
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Menzies School of Health Research
PO Box 41096
Casuarina NT 0810
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Country
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Australia
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Phone
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+61 8 89228588
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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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Dr Carolyn MacLennan
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Address
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Royal Darwin Hospital,
Rocklands Drive,
Darwin NT 0811
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Country
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Australia
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Phone
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+61 8 8922 8888
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Fax
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
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No/undecided IPD sharing reason/comment
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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
Source
Title
Year of Publication
DOI
Embase
Mobile phones support adherence and retention of indigenous participants in a randomised controlled trial: strategies and lessons learnt.
2014
https://dx.doi.org/10.1186/1471-2458-14-622
N.B. These documents automatically identified may not have been verified by the study sponsor.
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