AzTrials
AzTrials

Status AsthmaticusPhase 1NCT04929626

Different Doses of Nebulized Magnesium Sulphate in Status Asthmaticus

A Phase 1 study testing Magnesium Sulfate 500 mg/ml+ ventolin and Ventolin in people with Status Asthmaticus, run by Ziauddin University at 1 site in Pakistan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

In this study investigators will use magnesium sulphate in the nebulized form in children between 2 and 12 years of age as an acute reliever for acute severe asthma. Aim of this study is to determine that whether adding low (250mg), intermediate (500mg), and high doses (750mg) of magnesium sulphate in the 1st hour of… Read more about this study

Who is it for?
Ages 2 to 12 years
Conditions the study is for
Status Asthmaticus
What is being tested?
Magnesium Sulfate 500 mg/ml+ ventolin and Ventolin
Could I receive a placebo?
No, everyone receives an active treatment
How many people
126 participants
Where
1 sitePakistan
Study dates
1 Jan 2022to 12 Nov 2022
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 2 to 12 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Children between 2 to 12 years of age.
  • Children with the diagnosis of asthma having a pram score of more than 4.
  • Children with reactive airways

Who cannot join

  • Critically ill children who require intubation or mechanical ventilation.
  • Having hypersensitivity or allergy to MgSO4.
  • with history of chronic lung impairment.
  • Whose parents are not giving informed consent for participation in research.

Trial locations and contacts

1 site in 1 country.

Pakistan1 site
  • Rabia Asif

    Karachi, Sindh, 75530

Other trials in Pakistan

About this study

Official title: Comparison of Doses of Nebulized Magnesium Sulphate as an Adjuvant Treatment With Salbutamol in Children With Status Asthmaticus

In this study investigators will use magnesium sulphate in the nebulized form in children between 2 and 12 years of age as an acute reliever for acute severe asthma. Aim of this study is to determine that whether adding low (250mg), intermediate (500mg), and high doses (750mg) of magnesium sulphate in the 1st hour of treatment has any difference in the improvement of clinical condition of the patient and length of hospital stay. There will be total 108 patients having 2 groups. 1st group will receive only Ventolin while 2nd group will be given Ventolin and Magnesium sulphate.

Read the detailed description

This randomized clinical trial will include 126 patients after taking informed consent who will meet the eligibility criteria. Patients will be randomly distributed in 2 groups on alternate basis as computerized generated number. Improvement will be assessed in terms of clinical condition i.e., Heart Rate, Respiratory Rate, blood pressure, pattern of breathing oxygen saturation and Pediatric Respiratory Assessment Measure (PRAM) score at start of treatment and then afterwards at 20 min interval up to 1 hour and then at 2nd hour and then after every 6 hours for 24 hours.

Being tested
Magnesium Sulfate 500 mg/ml+ ventolin, Ventolin
Keywords
asthma, nebulized, magnesium sulphate
Medical subject headings
Status Asthmaticus, Asthma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Magnesium Sulfate 500 mg/ml+ ventolinDrug

    Also called MgSO4

    3 doses of magnesium sulphate i.e; 250mg(0.5ml), 500mg(1ml), 750mg(1.5ml) will be used in nebulized form

  • VentolinDrug

    Also called Salbutamol

    it will be given to control group in nebulized form after every 20 min in 1st hour

Study groups in NCT04929626
Study groupRoleWhat they receive
Nebulized VentolinActive comparatorNebulized Ventolin will given to 1st group after every 20 min for 1 hour
Receives: Drug: Ventolin
Nebulized Magnesium Sulphate + VentolinExperimentalDose of Nebulized Magnesium sulphate will vary in 3 subgroups.
Receives: Drug: Magnesium Sulfate 500 mg/ml+ ventolin

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Pediatric Respiratory Assessment Measure (PRAM) score from the baseline

    The outcome measure was the response to treatment in terms of change in Pediatric Respiratory Assessment Measure (PRAM) score from the baseline, i.e; suprasternal indrawing, scalene retractions, wheezing, air entry, oxygen saturation on room air. Change in PRAM score means decrease in score i.e; mild (0-4), moderate (5-8), severe(9-12), impending respiratory failure (12+).

    Measured: 20, 40, 60, 120, 360, 720, 1080, 1440 minutes after commencement of treatment

  2. Change from baseline Suprasternal indrawing

    Absent (0) , Present (2)

    Measured: 20, 40, 60, 120, 360, 720, 1080, 1440 minutes after commencement of treatment

  3. Change from baseline Scalene retractions

    Absent (0) , Present (2)

    Measured: 20, 40, 60, 120, 360, 720, 1080, 1440 minutes after commencement of treatment

  4. Change from baseline Wheezing

    Absent (0), Expiratory only (1), Inspiratory and expiratory (2) Audible without (3) stethoscope/silent chest with minimal air entry

    Measured: 20, 40, 60, 120, 360, 720, 1080, 1440 minutes after commencement of treatment

  5. Change from baseline Air entry

    Normal (0), Decreased at bases (1), Widespread decrease (2), Absent/minimal (3)

    Measured: 20, 40, 60, 120, 360, 720, 1080, 1440 minutes after commencement of treatment

  6. Change from baseline Oxygen saturation on room air

    >93% (0), 90%-93% (1) or <90% (2)

    Measured: 20, 40, 60, 120, 360, 720, 1080, 1440 minutes after commencement of treatment

Secondary outcomes (2)
  1. Hospital stay

    curtailment in the length of hospital stay

    Measured: 24 hours

  2. Hospital stay

    curtailment in the length of hospital stay

    Measured: 48 hours

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Jun 2021
  2. Study start1 Jan 2022
  3. Primary completion12 Nov 2022
  4. Study completion12 Nov 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Eligible patients were divided in two groups. In group A, patients received 3 back-to-back nebulization with Ventolin solution only using nebulizer machine and face mask after every 20 minutes for 60 minutes. In group B, patients were divided into 3 subgroups and each subgroup received both Ventolin and MgSO4 with three different doses after every 20 minutes for 60 minutes
Masking
Double blind
Who is masked
Participant, Care provider
Enrolment
126 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04929626
Sponsor's protocol ID
Doses of Nebulized MgSO4
Status last verified
Apr 2023
First submitted
10 May 2021
Last updated
5 Apr 2023
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Alansari K, Ahmed W, Davidson BL, Alamri M, Zakaria I, Alrifaai M. Nebulized magnesium for moderate and severe pediatric asthma: A randomized trial. Pediatr Pulmonol. 2015 Dec;50(12):1191-9. doi: 10.1002/ppul.23158. Epub 2015 Feb 4.

    PubMed 25652104
  • Mustafa J, Iqbal SMJ, Azhar IA, Sultan MA. Nebulized magnesium sulphate as an adjunct therapy in the management of children presenting with acute exacerbation of asthma. Pakistan J Med Heal Sci. 2018;12(2):554-5.

  • Daengsuwan T, Watanatham S. A comparative pilot study of the efficacy and safety of nebulized magnesium sulfate and intravenous magnesium sulfate in children with severe acute asthma. Asian Pac J Allergy Immunol. 2017 Jun;35(2):108-112. doi: 10.12932/AP0780.

    PubMed 27996280
  • Turker S, Dogru M, Yildiz F, Yilmaz SB. The effect of nebulised magnesium sulphate in the management of childhood moderate asthma exacerbations as adjuvant treatment. Allergol Immunopathol (Madr). 2017 Mar-Apr;45(2):115-120. doi: 10.1016/j.aller.2016.10.003. Epub 2017 Jan 31.

    PubMed 28153353
  • Sarhan HA, El-Garhy OH, Ali MA, Youssef NA. The efficacy of nebulized magnesium sulfate alone and in combination with salbutamol in acute asthma. Drug Des Devel Ther. 2016 Jun 9;10:1927-33. doi: 10.2147/DDDT.S103147. eCollection 2016.

    PubMed 27354766
  • Schuh S, Sweeney J, Freedman SB, Coates AL, Johnson DW, Thompson G, Gravel J, Ducharme FM, Zemek R, Plint AC, Beer D, Klassen T, Curtis S, Black K, Nicksy D, Willan AR; Pediatric Emergency Research Canada Group. Magnesium nebulization utilization in management of pediatric asthma (MagNUM PA) trial: study protocol for a randomized controlled trial. Trials. 2016 May 24;17(1):261. doi: 10.1186/s13063-015-1151-x.

    PubMed 27220675
  • Kew KM, Kirtchuk L, Michell CI. Intravenous magnesium sulfate for treating adults with acute asthma in the emergency department. Cochrane Database Syst Rev. 2014 May 28;2014(5):CD010909. doi: 10.1002/14651858.CD010909.pub2.

    PubMed 24865567
  • Akter T, Islam N, Hoque MA, Khanam S, Saha BK. Original Article Nebulization by Isotonic Magnesium Sulphate Solution with Salbutamol Provide Early and Better Response as Compared to Conventional Approach ( Salbutamol Plus Normal Saline ) in Acute Exacerbation of Asthma in Children . 2014;9(2):61-7.

  • Powell CV, Kolamunnage-Dona R, Lowe J, Boland A, Petrou S, Doull I, Hood K, Williamson PR; MAGNETIC study group. MAGNEsium Trial In Children (MAGNETIC): a randomised, placebo-controlled trial and economic evaluation of nebulised magnesium sulphate in acute severe asthma in children. Health Technol Assess. 2013 Oct;17(45):v-vi, 1-216. doi: 10.3310/hta17450.

    PubMed 24144222
  • Hendaus MA, Jomha FA, Alhammadi AH. Is ketamine a lifesaving agent in childhood acute severe asthma? Ther Clin Risk Manag. 2016 Feb 22;12:273-9. doi: 10.2147/TCRM.S100389. eCollection 2016.

    PubMed 26955277
  • Dexheimer JW, Abramo TJ, Arnold DH, Johnson KB, Shyr Y, Ye F, Fan KH, Patel N, Aronsky D. An asthma management system in a pediatric emergency department. Int J Med Inform. 2013 Apr;82(4):230-8. doi: 10.1016/j.ijmedinf.2012.11.006. Epub 2012 Dec 4.

    PubMed 23218449
  • Kumar A. Effectiveness of Nebulized Magnesium Sulphate as an Adjuvant Therapy (With Salbutamol) in the Management of Acute Asthma. Pakistan J Med Dent. 2020;9(02):39-44.

  • Reddel HK, Bateman ED, Becker A, Boulet LP, Cruz AA, Drazen JM, Haahtela T, Hurd SS, Inoue H, de Jongste JC, Lemanske RF Jr, Levy ML, O'Byrne PM, Paggiaro P, Pedersen SE, Pizzichini E, Soto-Quiroz M, Szefler SJ, Wong GW, FitzGerald JM. A summary of the new GINA strategy: a roadmap to asthma control. Eur Respir J. 2015 Sep;46(3):622-39. doi: 10.1183/13993003.00853-2015. Epub 2015 Jul 23.

    PubMed 26206872
  • Al-Shamrani A, Al-Harbi AS, Bagais K, Alenazi A, Alqwaiee M. Management of asthma exacerbation in the emergency departments. Int J Pediatr Adolesc Med. 2019 Jun;6(2):61-67. doi: 10.1016/j.ijpam.2019.02.001. Epub 2019 Mar 15. No abstract available.

    PubMed 31388549
  • Rehder KJ. Adjunct Therapies for Refractory Status Asthmaticus in Children. Respir Care. 2017 Jun;62(6):849-865. doi: 10.4187/respcare.05174.

    PubMed 28546381

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Magnesium Sulfate 500 mg/ml+ ventolin and Ventolin in people with Status Asthmaticus, run by Ziauddin University at 1 site in Pakistan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 5 Apr 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Pediatric Respiratory Assessment Measure (PRAM) score from the baseline (time frame: 20, 40, 60, 120, 360, 720, 1080, 1440 minutes after commencement of treatment). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04929626, which also lists 22 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Apr 2023.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in