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CompletedNCT00373100Updated Jul 7, 2009

The Efficacy of Zinc as Adjunct Therapy in the Treatment of Severe Pneumonia in Children

A Phase 3 interventional study of Zinc acetate and Placebo in Pneumonia, sponsored by Makerere University. Completed at 1 site in Uganda. Open to participants aged 6 Months to 59 Months. Per ClinicalTrials.gov, last updated 2009-07-07.

Sponsored by Makerere University · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
328
Allocation
Randomized
Ages
6 Months to 59 Months
Sex
All
01

Study summary

Pneumonia is a leading cause of morbidity and mortality in children in developing countries. Zinc deficiency leads to impairment in tissue repair and immunodeficiency in children.At least two randomised controlled trials have shown that zinc supplementation improves the outcome of severe pneumonia in children (reducing duration of hospital stay and complications related to pneumonia).

However, there are conflicting results from other randomised controlled trials about its efficacy in children with pneumonia.The purpose of the current study is to determine the efficacy of zinc as adjunct therapy for in severe pneumonia in children aged 6-59 months. We hypothesize that the proportion of children who recover from severe pneumonia following zinc adjunct therapy [(10 mg once daily for seven days) for children aged \<12 months and 20 mg daily for children aged ≥12 months]will be higher than the proportion of children who recover from placebo therapy.

Read the detailed description

Zinc deficiency is a global nutritional problem affecting people with a low socioeconomic status in developing and developed countries. There is a high prevalence of zinc deficiency in Uganda as documented by Bitarakwate et al.Two clinical studies have shown that zinc supplementation improves the outcome of severe pneumonia in children by reducing duration of hospital stay and complications related to pneumonia. However, there are conflicting results from some previous studies about its usefulness in patients with pneumonia.

The objective of this study is to determine the effect of zinc supplement as adjunct therapy in the treatment of severe pneumonia in children less than five years admitted to Mulago hospital, Kampala, Uganda.

This will be a randomized, double-blinded, placebo-controlled trial of zinc adjucnt therapy. Three hundred and twenty eight children with severe pneumonia will be randomised to receive either zinc (a daily dose of 20 mg for children more than one of age and 10mg for those less than one year or placebo once daily for seven days.

The primary outcome will be Time taken to :normalisation of respiratory rate, temperature and oxygen saturation.

Secondary outcome:Proportion of study children who will die during the follow up period,Proportion of children who develop drug adverse effects data will be analysed using Kaplan Meir survival curves.

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Conditions studied

  • Pneumonia

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Keywords

  • Zinc
  • placebo
  • severe pneumonia
  • children
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In context

Pneumonia

2,044 studies on the registry are indexed under Pneumonia; 283 are open to participants now.

This study's planned enrollment of 328 is above the median of 106 across 1,247 interventional studies indexed under Pneumonia.

Browse Pneumonia studies →

Lead sponsor

Makerere University is the lead sponsor of 143 studies on the registry; 16 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
6 Months to 59 Months
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Children aged 6- 59 months with cough, difficult breathing and chest indrawing
  • Written informed consent from the caretaker

Exclusion criteria

Exclusion Criteria:

  • Children with known heart disease
  • Children on medication with Zinc supplements
  • Children with obstructive air way disease
  • Children with active measles
  • Known intolerance or allergy to zinc or zinc-containing products
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double
Enrollment
328 participants (estimated)

Study arms

  • Experimental
    Zinc

    Zinc acetate

    Drug: Zinc acetate

  • Placebo comparator
    Placebo

    Placebo

    Drug: Placebo

Interventions

  • DrugZinc acetate
  • DrugPlacebo

    Placebo

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What researchers measure

Primary outcomes

  1. Time taken for normalisation of respiratory rate

  2. Time taken for normalisation of Temperature

  3. Time taken for oxygen saturation to normalise

Secondary outcomes

  1. Proportion of study children who will die during the follow up period

  2. Proportion of children who develop drug adverse effects

07

Study locations

1 site
  • Department of Paediatrics and Child Health, Makerere University
    Kampala, P O 7072, Uganda
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References and documents

Publications

  • Brooks WA, Yunus M, Santosham M, Wahed MA, Nahar K, Yeasmin S, Black RE. Zinc for severe pneumonia in very young children: double-blind placebo-controlled trial. Lancet. 2004 May 22;363(9422):1683-8. doi: 10.1016/S0140-6736(04)16252-1. PubMed 15158629 ↗
  • Bose A, Coles CL, Gunavathi, John H, Moses P, Raghupathy P, Kirubakaran C, Black RE, Brooks WA, Santosham M. Efficacy of zinc in the treatment of severe pneumonia in hospitalized children <2 y old. Am J Clin Nutr. 2006 May;83(5):1089-96; quiz 1207. doi: 10.1093/ajcn/83.5.1089. PubMed 16685051 ↗
  • Bitarakwate E, Mworozi E, Kekitiinwa A. Serum zinc status of children with persistent diarrhoea admitted to the diarrhoea management unit of Mulago Hospital, Uganda. Afr Health Sci. 2003 Aug;3(2):54-60. PubMed 12913795 ↗
  • Mahalanabis D, Lahiri M, Paul D, Gupta S, Gupta A, Wahed MA, Khaled MA. Randomized, double-blind, placebo-controlled clinical trial of the efficacy of treatment with zinc or vitamin A in infants and young children with severe acute lower respiratory infection. Am J Clin Nutr. 2004 Mar;79(3):430-6. doi: 10.1093/ajcn/79.3.430. PubMed 14985218 ↗
  • Srinivasan MG, Ndeezi G, Mboijana CK, Kiguli S, Bimenya GS, Nankabirwa V, Tumwine JK. Zinc adjunct therapy reduces case fatality in severe childhood pneumonia: a randomized double blind placebo-controlled trial. BMC Med. 2012 Feb 8;10:14. doi: 10.1186/1741-7015-10-14. PubMed 22316073 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 7, 2009, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00373100
Lead sponsor
Makerere University
First posted
Sep 7, 2006
Start date
Sep 2006
Primary completion
Mar 2007
Completion
Mar 2007
Last update
Jul 7, 2009

Study contacts

Maheswari s Gurusamy, MBBS
principal investigator · Department of Paediatrics and Child Health Makerere University, Kampala, Uganda

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2009. You cannot join it, but the record below documents what was studied.

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