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Status unknownNCT04828525COSMICUpdated Apr 6, 2021

Corticosteroids as an Additional Treatment for Mastoiditis In Children

A Phase 3 interventional study of Dexamethasone and normal saline in Mastoiditis; Acute, sponsored by ori snapiri. Status unknown. Open to participants aged 6 Months to 12 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-04-06.

Sponsored by ori snapiri · Phase 3, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Apr 2021), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Phase 3
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
6 Months to 12 Years
Sex
All
01

Study summary

The aim of the study is to assess the influence of adjuvant corticosteroid treatment in acute mastoiditis in children. we expect a better outcome in children treated with both corticosteroids and antibiotics including lower rates in complications and earlier decline in fever and inflammatory markers.

Read the detailed description

The research is a multi-centered, prospective, placebo-control, randomized controlled trial. The study group will be comprised of children diagnosed with acute mastoiditis and hospitalized in a pediatric medical center.

The participating patients will be randomized divided into two groups. Research group will be given dexamethasone treatment (course of 16 doses, 0.15 mg/kg/dose every 6 hours) in addition to antibiotic treatment. Control group will be given 16 doses of 0.9% normal saline in addition to antibiotic treatment. Management and treatment will be conducted according to clinical condition and laboratory findings as for routine institution protocols. It should be noted that the regular institutional management of children enrolled for the study will not be changed due to our research.

02

Conditions studied

  • Mastoiditis; Acute

Keywords

  • mastoiditis
  • children
  • corticosteroids
03

In context

Lead sponsor

This is the only study on the registry with ori snapiri as lead sponsor.

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

04

Who can participate

Ages eligible
6 Months to 12 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • acute mastoiditis

Exclusion criteria

Exclusion Criteria:

  • immunodeficiency (congenital or acquired)
  • significant chronic disease
  • hypertension
  • recurrent mastoiditis
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
50 participants (estimated)

Study arms

  • Experimental
    Experimental

    participants will be given corticosteroids in addition to conventional treatment

    Drug: Dexamethasone

  • Placebo comparator
    Placebo

    participants will be given normal saline in addition to conventional treatment

    Drug: normal saline

Interventions

  • DrugDexamethasone

    adjuvant dexamethasone treatment

  • Drugnormal saline

    placebo

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What researchers measure

Primary outcomes

  1. Time from the beginning of the treatment until clinical and laboratory findings are within normal limits

    fever, crp levels

    Time frame: during hospitalization, anticipated 1-2 weeks

Secondary outcomes

  1. Complication rates

    sinus vein thrombosis, intracranial collection or abscess, need for surgery

    Time frame: during hospitalization, anticipated 1-2 weeks

Other outcomes

  1. Duration of hospitalization

    time from admission until discharge

    Time frame: anticipated 1-2 weeks

07

Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Lin HW, Shargorodsky J, Gopen Q. Clinical strategies for the management of acute mastoiditis in the pediatric population. Clin Pediatr (Phila). 2010 Feb;49(2):110-5. doi: 10.1177/0009922809344349. Epub 2009 Sep 4. PubMed 19734439 ↗
  • Groth A, Enoksson F, Hultcrantz M, Stalfors J, Stenfeldt K, Hermansson A. Acute mastoiditis in children aged 0-16 years--a national study of 678 cases in Sweden comparing different age groups. Int J Pediatr Otorhinolaryngol. 2012 Oct;76(10):1494-500. doi: 10.1016/j.ijporl.2012.07.002. Epub 2012 Jul 23. PubMed 22832239 ↗
  • Delgado-Noguera MF, Forero Delgadillo JM, Franco AA, Vazquez JC, Calvache JA. Corticosteroids for septic arthritis in children. Cochrane Database Syst Rev. 2018 Nov 21;11(11):CD012125. doi: 10.1002/14651858.CD012125.pub2. PubMed 30480764 ↗
  • Aljebab F, Choonara I, Conroy S. Systematic review of the toxicity of short-course oral corticosteroids in children. Arch Dis Child. 2016 Apr;101(4):365-70. doi: 10.1136/archdischild-2015-309522. Epub 2016 Jan 14. PubMed 26768830 ↗
  • Brouwer MC, McIntyre P, Prasad K, van de Beek D. Corticosteroids for acute bacterial meningitis. Cochrane Database Syst Rev. 2015 Sep 12;2015(9):CD004405. doi: 10.1002/14651858.CD004405.pub5. PubMed 26362566 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 6, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04828525
Lead sponsor
ori snapiri
Responsible party
ori snapiri (Pediatrician, Principal Investigator, Clinical doctor, Rabin Medical Center) — Sponsor-investigator
First posted
Apr 2, 2021
Start date
Apr 1, 2021 (estimated)
Primary completion
Mar 31, 2024 (estimated)
Completion
Jul 31, 2024 (estimated)
Last update
Apr 6, 2021

Study contacts

Ori Snapiri, Dr
Contact
orisnapiri@gmail.com
+972547242654
Chen Rosenberg Danziger, Dr
Contact
chen.danziger@gmail.com
+972-3-925 3775

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Apr 2021. You cannot join it, but the record below documents what was studied.

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