Status:

RECRUITING

A Comparative Study of Glucocorticoids Efficacy in Acute Respiratory Distress Syndrome

Lead Sponsor:

Fayoum University

Conditions:

Acute Respiratory Distress Syndrome

Eligibility:

All Genders

Phase:

PHASE2

PHASE3

Brief Summary

The aim of the work is to compare the efficacy of equivalent doses of methylprednisolone, dexamethasone and hydrocortisone in patients with ARDS

Detailed Description

Acute respiratory distress syndrome (ARDS) is a secondary disease that follows-usually within 6-48 h-a primary disease of multifactorial etiology (most frequently pneumonia and extrapulmonary sepsis) ...

Eligibility Criteria

Inclusion

  • We include patients receiving mechanical ventilation for hypoxemic respiratory failure if they met the diagnostic criteria for ARDS according to the American-European Consensus definition, as later reclassified on the basis of the 2012 Berlin criteria for the diagnosis of ARDS, defined as:
  • Presence of acute hypoxemic respiratory failure (an arterial oxygen partial pressure to fraction of inspired oxygen ratio (PaO2/FiO2) of ≤ 300 mm Hg, requiring supplemental oxygen administrated by simple face mask, nasal cannula, or other similar oxygen-delivery device to maintain oxygen saturation at greater than 93% within the first 48 h of the onset of ARDS)
  • Onset within 7 days of insult, or new (within 7 days) or worsening respiratory symptoms
  • Bilateral opacities on chest x-ray or CT not fully explained by effusions, lobar or lung collapse, or nodules
  • Cardiac failure not the primary cause of acute respiratory failure

Exclusion

  • We exclude patients with acute hypoxemic respiratory failure caused by congestive heart failure

Key Trial Info

Start Date :

August 1 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

September 1 2025

Estimated Enrollment :

300 Patients enrolled

Trial Details

Trial ID

NCT06496997

Start Date

August 1 2024

End Date

September 1 2025

Last Update

January 6 2025

Active Locations (1)

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Fayoum University

Al Fayyum, Egypt