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CompletedNCT01300325Updated Feb 21, 2011

Effectiveness of Nebulized Hypertonic Saline and Epinephrine in Hospitalized Infants With Bronchiolitis

A Phase 4 interventional study of 3% hypertonic saline solution in Bronchiolitis, sponsored by Federico II University. Completed at 1 site in Italy. Open to participants aged 30 Days to 2 Years. Per ClinicalTrials.gov, last updated 2011-02-21.

Sponsored by Federico II University · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
136
Allocation
Randomized
Ages
30 Days to 2 Years
Sex
All
01

Study summary

Acute bronchiolitis is the main cause for respiratory illness that requires hospitalization in children younger than 2 years. In the United States it has been shown that the burden of the disease is considerable, having an annual cost of more than $ 500 million and being responsible for the 17% of all infant hospitalizations . Aim of the present study was to verify the effects of nebulized 3% saline solution in comparison to normal saline in addiction to epinephrine in a large population of RSV positive cases of bronchiolitis; all patients presented a disease as much as severe to require hospitalization.The main study endpoints were the length of stay in hospital and the clinical response.

Read the detailed description

Among 136 patients assessed within 12 hours for entry into the study, 109 (69 males) accepted to participate, gave an informed consent and were randomly assigned either to receive every 6 hours the nebulized 0.9% saline (NS) (group I) or the 3% HS (group II) in addition to aerosolized epinephrine (1.5 mg) and to the conventional treatment (oxygen, fluids). Patients were randomized to receive different saline treatments using a computer-based randomization program. Study solutions, prepared by the local hospital pharmacy, were blinded to participants and investigators. Each treatment was delivered by a nebulizer with continuous flow of oxygen at 6 L/min through a tight-fitting facemask.

The main study endpoints were the length of stay (LOS) in hospital and the clinical response. LOS in hospital was defined as the time between study entry (within 12 hours of admission to the hospital) and the time at which the infant was discharged on the basis of the clinical grounds by the attending physician. Clinical response was determined using daily CSS evaluation; furthermore, the CSS was evaluated every day before and 30 minutes after nebulisation.

02

Conditions studied

  • Bronchiolitis

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Keywords

  • Bronchiolitis, 3% Hypertonic Saline Solution
03

In context

Bronchiolitis

360 studies on the registry are indexed under Bronchiolitis; 43 are open to participants now.

This study's enrollment of 136 is above the median of 80 across 249 interventional studies indexed under Bronchiolitis.

Browse Bronchiolitis studies →

Lead sponsor

Federico II University is the lead sponsor of 356 studies on the registry; 60 are open to participants now.

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

04

Who can participate

Ages eligible
30 Days to 2 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • children aged less than 2 years old
  • clinical diagnosis of bronchiolitis

Exclusion criteria

Exclusion Criteria:

  • cardiac or pulmonary diseases
  • premature birth \< 36 weeks of gestational age
  • previous diagnosis of asthma
  • an initial oxygen saturation of 85%
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
136 participants (actual)

Study arms

  • Placebo comparator
    0.9% saline

    patients receive every 6 hours the nebulized 0.9% saline (placebo comparator) (group I) or the 3% HS (group II) in addition to aerosolized epinephrine (1.5 mg) and to the conventional treatment (oxygen, fluids).

    Other: 3% hypertonic saline solution

  • No intervention
    3% hypertonic saline

    Patients receive every 6 hours the nebulized 0.9% saline (Placebo comparator) (group I) or the 3% hypertonic saline solution group II) in addition to aerosolized epinephrine (1.5 mg) and to the conventional treatment (oxygen, fluids).

Interventions

  • Other3% hypertonic saline solution

    Patients receive every 6 hours the nebulized 0.9% saline (Placebo comparator) (group I) or the 3% hypertonic saline solution group II) in addition to aerosolized epinephrine (1.5 mg) and to the conventional treatment (oxygen, fluids).

06

What researchers measure

Primary outcomes

  1. time of hospitalization

    length of stay

    Time frame: six days

Secondary outcomes

  1. Clinical response before and 30 minutes after nebulisation by score

    Time frame: 30 minutes

07

Study locations

1 site
  • Azienda Sanitaria Locale Napoli 2 Nord
    Pozzuoli, Napoli 80072, Italy
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 21, 2011, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01300325
Lead sponsor
Federico II University
First posted
Feb 21, 2011
Start date
Nov 2008
Primary completion
Apr 2010
Completion
Dec 2010
Last update
Feb 21, 2011

Study contacts

Michele Miraglia, MD
study director · Pediatric Department

Oversight

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

Not currently enrolling

This study is completed, as verified in Jan 2011. You cannot join it, but the record below documents what was studied.

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