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CompletedNCT06236152Updated Feb 1, 2024

Steroids vs Placebo in Treatment of Tuberculous Lymphadenitis

An interventional study of Ferrous sulfate and Deltacortril in Tuberculous Lymphadenitis, Cervical, sponsored by Fahad Javed Awan. Completed at 1 site in Pakistan. Per ClinicalTrials.gov, last updated 2024-02-01.

Sponsored by Fahad Javed Awan · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 5 months after the study started (first participant enrolled Jul 2022, registered Dec 2023).
Phase
Not applicable
Study type
Interventional
Enrollment
140
Allocation
Randomized
Sex
All
01

Study summary

This study will be conducted as a single blinded randomized control trial. The goal of this clinical trial is to learn about the role of low dose steroids in the resolution of tuberculous lymphadenitis. The prime questions, this clinical trial aims to answer are:

  • Is there any role of starting low dose steroids in resolution of lymph node size along side standard anti-tubercular drugs in patients of tuberculous lymphadenitis?
  • Do low dose steroid therapy in addition to standard anti-TB drugs prevents or reduces the incidence of complications?

Patients presenting to the out patient department of Pak Emirates Military Hospital, Rawalpindi with tuberculous lymphadenitis will be recruited in the study after a written informed consent. Initial size of two largest lymph nodes will be measured. They will be randomized into two groups, only one of which will be receiving the low dose steroids.

The patients will be followed up on a monthly basis and regression in the lymph node size, if any will be measured. The two groups will be compared at the end of the trial.

Read the detailed description

Tuberculosis earliest records date back to the origin of civilization itself and yet still it remains one of the most elusive of the diseases still haunting the human population in the third world. Newer dugs and treatment protocols are still remain a major focus of discussion in the academic circles. Pakistan accounts for around 60% of the cases of tuberculosis in the East Mediterranean with an overall prevalence reaching 376 cases per 100,000 population. With such a high prevalence of the disease, it becomes punitive that robust TB control programs are run with an aim of not only rooting out the problem but also scientifically studying it so as to add useful information to the current literature available on the disease. This Randomized Control Trial is being conducted in the Pak-Emirates Military Hospital Rawalpindi, Pakistan which is a tertiary care hospital draining a vast area of the Punjab province of Pakistan since July, 2022 with a single blind study protocol. 140 patients with Tuberculous lymphadenitis of any site were recruited in the study after informed consent from 1st July 2022 till 30th June 2023. Patients were randomly assigned to two groups, A and B using lottery method. Group A is receiving the standard of care treatment for tuberculosis plus steroids in a low dose (10 mg per day) whereas Group B is receiving the standard of care plus a placebo. The regression of the size of lymph nodes is being recorded on a monthly follow up till completion of a 6 month standard Anti-tubercular treatment regimen. The data will be entered in the Statistical Package for Social Sciences version 23.00 at end of the trial and will be analyzed so as to compare the regression of the lymph node size between the two groups.

02

Conditions studied

  • Tuberculous Lymphadenitis, Cervical

Keywords

  • Painful cervical lymphadenopathy
  • Tuberculosis
  • Tuberculous Lymphadenitis
03

In context

Tuberculosis

1,417 studies on the registry are indexed under Tuberculosis; 208 are open to participants now.

This study's enrollment of 140 is close to the median of 150 across 952 interventional studies indexed under Tuberculosis.

Browse Tuberculosis studies →

Lead sponsor

This is the only study on the registry with Fahad Javed Awan as lead sponsor.

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

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Newly diagnosed patients with tuberculosis having painful tuberculous lymphadenopathy

Exclusion criteria

Exclusion Criteria:

  1. Patients with no tuberculous lymphadenopathy.
  2. Patients who are already under treatment for tuberculosis.
  3. Patient who developed complications due to anti-TB treatment
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
140 participants (actual)

Study arms

  • Active comparator
    Deltacortil

    Deltacortil 10mg was given in oral formulation once daily for 4 to 6 weeks

    Drug: Deltacortril

  • Placebo comparator
    Placebo

    Iron 150mg was given in oral formulation once daily for 4 to 6 weeks

    Drug: Ferrous sulfate

Interventions

  • DrugFerrous sulfate

    Ferrous Sulphate was given once daily for 4 to 6 weeks to the patients instead of deltacortil.

    Also known as: Fenim, Fersul

  • DrugDeltacortril

    Deltacortil 10mg was given orally once daily for 4 to 6 weeks

    Also known as: Prednisone, Dilacort

06

What researchers measure

Primary outcomes

  1. Regression of size of cervical lymph nodes was measured using ultrasound neck

    Ultrasound neck was done to measure the sizes of lymph nodes in the patients with tuberculous cervical lymphadenitis at the time of enrollment and then after 6 weeks to see the regression in the sizes of the cervical lymph nodes.

    Time frame: 4 to 5 weeks

07

Study locations

1 site
  • Pak Emirates Military Hospital
    Rawalpindi, Punjab 46000, Pakistan
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 1, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06236152
Lead sponsor
Fahad Javed Awan
Responsible party
Fahad Javed Awan (Doctor, Pak Emirates Military Hospital) — Sponsor-investigator
First posted
Feb 1, 2024
Start date
Jul 1, 2022
Primary completion
Jun 30, 2023
Completion
Aug 15, 2023
Last update
Feb 1, 2024

Study contacts

Fahad J Awan, MBBS
principal investigator · Pak Emirates Military Hospital
Muhammad Uneeb Ullah, MBBS
principal investigator · Pak Emirates Military Hospital

Oversight

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

Not currently enrolling

This study is completed, as verified in Jan 2024. You cannot join it, but the record below documents what was studied.

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