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TerminatedNCT02499887Updated Jun 4, 2019Results posted

Repeat Emergency Department Visits Among Patients With Asthma and COPD

An interventional study of beclamethasone dipropionate and albuterol in Asthma and COPD, sponsored by State University of New York at Buffalo. Terminated at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-06-04.

Sponsored by State University of New York at Buffalo · Not applicable, Interventional, and Health services research

Why this study was terminated
Exclusion criteria prevented enrollment of adequate # of participants
Phase
Not applicable
Study type
Interventional
Enrollment
6
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

The purpose of the proposed study is to determine whether the addition of inhaled corticosteroids to treatment with oral corticosteroids and albuterol would reduce repeat emergency department (ED) visits among patients treated for acute exacerbations of asthma and COPD discharged from the emergency department to home. The investigators hypothesize that patients treated with inhaled corticosteroids in addition to oral corticosteroids and albuterol will have lower rates of 30-day return visits to the emergency department than those patients treated with oral corticosteroids and albuterol only.

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Conditions studied

  • Asthma
  • COPD

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03

In context

Asthma

3,921 studies on the registry are indexed under Asthma; 507 are open to participants now.

This study's enrollment of 6 is below the median of 83 across 2,752 interventional studies indexed under Asthma.

Browse Asthma studies →

Lead sponsor

State University of New York at Buffalo is the lead sponsor of 287 studies on the registry; 65 are open to participants now.

Of its 19 completed or terminated interventional studies of FDA-regulated products, 15 (79%) have results posted.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Treated in the ED at the Erie County Medical Center (ECMC) for acute symptoms of asthma or COPD during the study period
  • Patient age ≥ 18 years
  • Resident of the City of Buffalo or Erie County
  • Discharged to home
  • Patient expresses willingness to return to ECMC or own primary care provider for follow-up visits
  • Able to provide informed consent
  • Able to comprehend English language

Exclusion criteria

Exclusion Criteria:

  • Received oral or inhaled corticosteroids in the week before ED presentation
  • Presented to the ED primarily for prescription refills
  • Complicated comorbid conditions (e.g. renal disease, cardiovascular disease, CHF, HIV)
  • Admitted to ECMC or discharged to another facility
  • Previously enrolled during a prior visit to the ED during the study period
  • For female patients--pregnant or pregnancy status indeterminate
  • Antibiotics are prescribed to treat current asthma/COPD exacerbation.
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Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
6 participants (actual)

Study arms

  • Active comparator
    Standard of Care

    Standard of Care: 30 day albuterol inhaler plus non-tapering course of oral prednisone (50 mg/d) for 4 days (1st dose will have been given in the ED) Spacers will be dispensed with all multiple dose inhalers (MDI) to promote proper use and administration of inhaled medications.

    Drug: albuterol · Drug: Prednisone

  • Experimental
    Treatment

    Treatment: 30 day QVAR® (beclamethasone dipropionate) inhaler (80 mcg, 1 puff twice daily) plus 30 day albuterol inhaler plus non-tapering course of oral prednisone (50 mg/d) for 5 days Spacers will be dispensed with all multiple dose inhalers (MDI) to promote proper use and administration of inhaled medications.

    Drug: beclamethasone dipropionate · Drug: albuterol · Drug: Prednisone

Interventions

  • Drugbeclamethasone dipropionate

    Inhaler

    Also known as: Qvar

  • Drugalbuterol

    Inhaler

    Also known as: Ventolin

  • DrugPrednisone

    Oral corticosteroid

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What researchers measure

Primary outcomes

  1. Percentage of Subjects With a Return Visit to the ED Within 30 Days of ED Discharge

    Subjects' medical records will be reviewed for the 30 day period following ED discharge to determine if they return to the treating ED or another regional ED for treatment of an acute asthma/COPD exacerbation. Regional ED records will be queried by use of data maintained by HEALTHeLINK, our regional health information organization system. This will allow for more complete capture of ED return visits that could be obtained by looking only at a single ED.

    Time frame: 30 days

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Results

Posted Jun 4, 2019

Participant flow

Participant flow — Overall Study
MilestoneStandard of CareTreatment
Started33
Completed33
Not completed00

Outcome measures

PrimaryPercentage of Subjects With a Return Visit to the ED Within 30 Days of ED Discharge

Subjects' medical records will be reviewed for the 30 day period following ED discharge to determine if they return to the treating ED or another regional ED for treatment of an acute asthma/COPD exacerbation. Regional ED records will be queried by use of data maintained by HEALTHeLINK, our regional health information organization system. This will allow for more complete capture of ED return visits that could be obtained by looking only at a single ED.

Time frame:
30 days

No measurements were reported for this outcome.

Adverse events

Collected over Enrolled patients were contacted within 72 hours of ED discharge. Subjects were asked to describe how they were taking study medications and whether or not they were experiencing any side effects of the medication.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Standard of Care—0/3 (0%)0/3 (0%)
Treatment—0/3 (0%)0/3 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Standard of CareTreatmentTotal
<=18 years000
Between 18 and 65 years336
>=65 years000
Age, Continuous
Age, Continuous(years)Standard of CareTreatmentTotal
Median55 (45 to 62)57 (52 to 61)56 (45 to 62)
Sex: Female, Male
Sex: Female, Male(Participants)Standard of CareTreatmentTotal
Female101
Male235
Region of Enrollment
Region of Enrollment(participants)Standard of CareTreatmentTotal
United States336
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Study locations

1 site
  • Erie County Medical Center
    Buffalo, New York 14215, United States
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 4, 2019, 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
NCT02499887
Lead sponsor
State University of New York at Buffalo
Responsible party
Heather Lindstrom (Research Assistant Professor, State University of New York at Buffalo) — Principal investigator
First posted
Jul 16, 2015
Start date
Jan 2016
Primary completion
Sep 2016
Completion
Sep 2016
Results posted
Jun 4, 2019
Last update
Jun 4, 2019

Study contacts

Heather A Lindstrom, PhD
principal investigator · University at Buffalo, Department of Emergency Medicine

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Jun 2019. You cannot join it, but the record below documents what was studied.

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