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TerminatedNCT02087527Updated Mar 13, 2017

Use of Corticosteroids in Children With Cellulitis

An interventional study of Dexamethasone and Normal Saline in Cellulitis, sponsored by Hospital General de Niños Pedro de Elizalde. Terminated at 1 site in Argentina. Open to participants aged 1 Month to 18 Years. Per ClinicalTrials.gov, last updated 2017-03-13.

Sponsored by Hospital General de Niños Pedro de Elizalde · Not applicable, Interventional, and Treatment

Why this study was terminated
Calculated sample size not achieved
Phase
Not applicable
Study type
Interventional
Enrollment
19
Allocation
Randomized
Ages
1 Month to 18 Years
Sex
All
01

Study summary

The aim of this study is to evaluate the efficacy of addition of corticosteroid therapy to antibiotic treatment during the first 48 hours of admission to the hospital in patients with cellulitis and its impact in the duration of the stay.

Read the detailed description

Cellulitis is a common skin and soft tissue infection in the pediatric population.

Although most of the time treatment could be administered on an ambulatory setting , sometimes it may require hospitalization and parenteral antibiotic administration. Using corticosteroids during antibiotic treatment may reduce inflammation and length of stay.

Objective: to evaluate the efficacy of using corticosteroids as adjuvant treatment during the first 48 hours of treatment after hospitalization in patients with cellulitis.

Patients and methods: this is a double blind, randomized, controlled trial that will take place at pediatric hospital, during one year. It will include children aged 1 month to 18 years, admitted due to cellulitis. Once included in the clinical trial, the patients will be randomized to receive dexamethasone 0,6 mg/kg/day or placebo (saline solution) during the first 48 hours. Considering an average stay of 4 ± 2 days, we calculated a sample size of 124 children (62 children per group) to detect a 25% difference (1 day reduction) in the length of stay, with a power of 80% and a confidence of 95%.

02

Conditions studied

  • Cellulitis

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Keywords

  • Cellulitis
  • Soft Tissue Infections
  • Skin Diseases, Infectious
  • Corticosteroids
  • Glucocorticoids
  • Dexamethasone
03

In context

Cellulitis

147 studies on the registry are indexed under Cellulitis; 14 are open to participants now.

This study's enrollment of 19 is below the median of 157 across 118 interventional studies indexed under Cellulitis.

Browse Cellulitis studies →

Lead sponsor

Hospital General de Niños Pedro de Elizalde is the lead sponsor of 16 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
1 Month to 18 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Children Aged 1 month to 18 years
  • Hospitalized due to cellulitis
  • Patients who have given their written informed consent to participate

Exclusion criteria

Exclusion Criteria:

  • Skin chronic diseases
  • Immunodeficiency (primary or acquired)
  • Chronic use of systemic corticosteroids
  • Sepsis
  • Varicella
  • History of adrenal insufficiency
  • Pregnancy or breast feeding
  • Uncontrolled diabetes mellitus
  • Known hypersensitivity to systemic or topical corticosteroids
  • Patient undergoing immunosuppressive therapy for another disease
  • Participation in another drug biomedical research
  • Any other contraindication for treatment with corticosteroids
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
19 participants (actual)

Study arms

  • Experimental
    CORTICOSTEROID

    In addition to standard care for cellulitis, subject will receive intravenous Dexamethasone (8mg/2ml) 0.15 mg/kg/dose every 6 hours for the first 48 hours

    Drug: Dexamethasone

  • Placebo comparator
    NORMAL SALINE

    In addition to standard care for cellulitis, subject will receive normal saline solution administered intravenously using the same volume as the active drug group every 6 hours for the first 48 hours

    Drug: Normal Saline

Interventions

  • DrugDexamethasone

    IV Dexamethasone 0.15 mg/kg every 6 hours for 48 hours

    Also known as: Decadron

  • DrugNormal Saline

    IV normal saline every 6 hours for 48 hours

    Also known as: ClNa 0.9%

06

What researchers measure

Primary outcomes

  1. Length of stay

    Time frame: participants will be followed for the duration of hospital stay, an expected average of 5 days

Secondary outcomes

  1. Fever duration

    Time frame: participants will be followed for the duration of hospital stay, an expected average of 5 days

  2. Change in erythema size

    Time frame: Measured at admission and after 48 hours (at the end of corticosteroids treatment)

  3. Need to change antibiotic treatment

    Time frame: participants will be followed for the duration of hospital stay, an expected average of 5 days

  4. Abscessation or spontaneous drainage

    Time frame: participants will be followed for the duration of hospital stay, an expected average of 5 days

07

Study locations

1 site
  • Hospital General de NIños Pedro de Elizalde
    Buenos Aires, CF C1270AAN, Argentina
08

References and documents

Publications

  • Bergkvist PI, Sjobeck K. Antibiotic and prednisolone therapy of erysipelas: a randomized, double blind, placebo-controlled study. Scand J Infect Dis. 1997;29(4):377-82. doi: 10.3109/00365549709011834. PubMed 9360253 ↗
  • McGowan JE Jr, Chesney PJ, Crossley KB, LaForce FM. Guidelines for the use of systemic glucocorticosteroids in the management of selected infections. Working Group on Steroid Use, Antimicrobial Agents Committee, Infectious Diseases Society of America. J Infect Dis. 1992 Jan;165(1):1-13. doi: 10.1093/infdis/165.1.1. No abstract available. PubMed 1727879 ↗
  • Thompson J. Role of glucocorticosteroids in the treatment of infectious diseases. Eur J Clin Microbiol Infect Dis. 1993;12 Suppl 1:S68-72. doi: 10.1007/BF02389882. PubMed 8477768 ↗
  • Fritz KA, Weston WL. Systemic glucocorticosteroid therapy of skin disease in children. Pediatr Dermatol. 1984 Jan;1(3):236-45. doi: 10.1111/j.1525-1470.1984.tb01123.x. PubMed 6387668 ↗
  • Jaussaud R, Kaeppler E, Strady C, Beguinot I, Waldner A, Remy G. [Should NSAID/corticoids be considered when treating erysipelas?]. Ann Dermatol Venereol. 2001 Mar;128(3 Pt 2):348-51. French. PubMed 11319363 ↗
  • Kilburn SA, Featherstone P, Higgins B, Brindle R. Interventions for cellulitis and erysipelas. Cochrane Database Syst Rev. 2010 Jun 16;2010(6):CD004299. doi: 10.1002/14651858.CD004299.pub2. PubMed 20556757 ↗
  • Pushker N, Tejwani LK, Bajaj MS, Khurana S, Velpandian T, Chandra M. Role of oral corticosteroids in orbital cellulitis. Am J Ophthalmol. 2013 Jul;156(1):178-183.e1. doi: 10.1016/j.ajo.2013.01.031. Epub 2013 Apr 24. PubMed 23622565 ↗
  • Kornelsen E, Mahant S, Parkin P, Ren LY, Reginald YA, Shah SS, Gill PJ. Corticosteroids for periorbital and orbital cellulitis. Cochrane Database Syst Rev. 2021 Apr 28;4(4):CD013535. doi: 10.1002/14651858.CD013535.pub2. PubMed 33908631 ↗

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 13, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02087527
Lead sponsor
Hospital General de Niños Pedro de Elizalde
Responsible party
Sponsor
First posted
Mar 14, 2014
Start date
Jun 2014
Primary completion
Mar 2016
Completion
Mar 2016
Last update
Mar 13, 2017

Study contacts

Emiliano G Gigliotti, MD
study director · Hospital General de Niños Pedro de Elizalde

Oversight

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

Not currently enrolling

This study is terminated, as verified in Mar 2017. You cannot join it, but the record below documents what was studied.

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