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NCT07455396RecruitingPhase 2

Pediatric Asthma Trial of Corticosteroid Heterogeneity (PATCH): Trial of Dexamethasone Versus Methylprednisolone for Pediatric Critical Asthma

Pediatric Asthma Trial of Corticosteroid Heterogeneity (PATCH): A Phase 2 Prospective Randomized Open Blinded End-point (PROBE) Design, Randomized Clinical Trial of Dexamethasone Versus Methylprednisolone for Pediatric Critical Asthma

Source: ClinicalTrials.gov · Last updated 12 Aug 2026

Brief summary (registry, in English)

Acute asthma exacerbation is caused by dysregulated pulmonary inflammatory pathways such that standard treatment includes prompt administration of exogenous systemic corticosteroids (SCs), but there remains an ongoing dialogue among the expert medical community regarding the superiority of specific SCs including dose, frequency of administration, route, and delivery. Regimens are often chosen based on provider preference, and different strategies include once-daily dosing (ODD) dexamethasone (DM) 0.6 mg/kg/dose for 2 days, every 6 hours (q6h) DM 0.25 mg/kg/dose for 2 days, and methylprednisolone (MP) 1 mg/kg/dose every 6 hours for 5-days. To address this knowledge gap, the investigators plan to perform a single-center, phase 2, randomized clinical trial of children 3-17 years of age hospitalized for critical asthma (CA) randomized to one of three regimens above. The study would be powered to evaluate rates of additional prescriptions of SC and also secondarily evaluate quality of life metrics.

Status (registry)
Recruiting
Phase (registry)
Phase 2
Study type
Interventional
Enrollment
159 (estimated)
First submitted
3 Mar 2026
Start date
1 Aug 2026
Primary completion date
14 Aug 2028
Lead sponsor
Johns Hopkins All Children's Hospital
Diseases
Asthma
NCT number
NCT07455396

What you commit to

  • Study type: Interventional · Phase 2
  • Planned participants: 159
  • From 1 Aug 2026 to the primary completion date, 14 Aug 2028
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Other illness

  • History of unrepaired critical congenital heart disease
  • History of cystic fibrosis

Other

  • Active tracheostomy dependence

Who the study is looking for

  • Age 3-17 years
  • Intensive care unit admission
  • Treatment for critical asthma

Age in the registry: 3 years to 17 years · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Johns Hopkins All Children's Hospital
Coordinator of this site? Confirm its status
St. PetersburgUnited StatesRecruiting

This page is information, not medical advice. Discuss any trial with your doctor.