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| Name | Class |
|---|---|
| University of Alberta | OTHER |
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To determine if treatment of pre-school children with a history of wheeze who present to an Emergency Department with an acute wheezing episode with azithromycin for 5 days will resolve their symptoms more quickly, will require less short acting beta agonist (SABA), and allow these children to remain symptom free for a longer period of time.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Zithromax, 100 mgmgs; 5mls suspension | Active Comparator | Azithromycin given at 10 mg/kg/day for day 1, then 5 mg/kg for 4 days Each syringe will contain 12.5 mls (250 mgs) sufficient drug to adequately dose children who with up to 25 kgs (95%tile for weight for 60 month old child) |
|
| Suspension placebo, | Placebo Comparator | placebo (suspension produced by CDC Edmonton.) given at 10 mg/kg/day for day 1, then 5 mg/kg for 4 days. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Azithromycin | Drug | Azithromycin given at 10 mg/kg/day for day 1, then 5 mg/kg for 4 days Each syringe will contain 12.5 mls (250 mgs) sufficient drug to adequately dose children who with up to 25 kgs (95%tile for weight for 60 month old child) |
| Measure | Description | Time Frame |
|---|---|---|
| To determine if treatment of pre-school children with a history of wheeze who present to an Emergency department (ED) with an acute wheezing episode with Azithromycin for 5 days will resolve their symptoms more quickly | Patient is followed by phone day 1,3,5,7,14, with an in person return visit on day 21 and then by phone again every 2 weeks for 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Treatment of pre-school children with acute wheezing symptoms with 5 days of azithromycin will cause these children to use less rescue beta2 agonists than those treated with placebo | Patient is followed by phone day 1,3,5,7,14, with an in person return visit on day 21 and then by phone again every 2 weeks for 6 months | |
| Treatment of pre-school children with acute wheezing symptoms with 5 days of azithromycin will allow these children to remain free of subsequent wheezy episodes longer than those treated with placebo. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Janielee Williamson, RN | Contact | 403-955-3186 | janie.williamson@albertahealthservices.ca | |
| David W. Johnson, MD | Contact | 403-955-7507 | david.johnson@alberthealthservices.ca |
| Name | Affiliation | Role |
|---|---|---|
| David W Johnson, MD | Alberta children's Hospital/University of Calgary | Principal Investigator |
| Piush Mandhane, MD | Stollery Children's Hospital Edmonton | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Alberta Children's Hospital | Recruiting | Calgary | Alberta | T3B 6A8 | Canada |
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| ID | Term |
|---|---|
| D001249 | Asthma |
| ID | Term |
|---|---|
| D001982 | Bronchial Diseases |
| D012140 | Respiratory Tract Diseases |
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
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| ID | Term |
|---|---|
| D017963 | Azithromycin |
| D018942 | Macrolides |
| ID | Term |
|---|---|
| D004917 | Erythromycin |
| D061065 | Polyketides |
| D007783 | Lactones |
| D009930 | Organic Chemicals |
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| Suspension Placebo | Drug | Placebo suspension will be administered on day 1 at 10mg/kg and then for the next 4 days at 5 mg/kg |
|
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| Patient is followed by phone day 1,3,5,7,14, with an in person return visit on day 21 and then by phone again every 2 weeks for 6 months |
| Stollery Children's Hospital | Recruiting | Edmonton | Alberta | T6G 2V7 | Canada |
|
| D012130 |
| Respiratory Hypersensitivity |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |
| D047028 |
| Macrocyclic Compounds |
| D011083 | Polycyclic Compounds |