Could ambulance asthma treatment keep kids out of the hospital?
NCT ID NCT06074185
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This pilot study tested whether giving two asthma medications (ipratropium and dexamethasone) to children during ambulance transport can reduce hospital admissions. The study included 44 children aged 2 to 17 with severe wheezing. The goal was to see if this early treatment is feasible and effective in real-world emergency settings.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ipratropium bromide and dexamethasone
- What this could lead to
- If successful, this approach could help children with severe asthma attacks get faster relief and avoid hospitalization.
- What could go wrong
- This is a small pilot study with only 44 participants, so results may not apply broadly. The treatments are already used in hospitals, but their benefit in ambulances is still unproven.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
-
44 people
The number who actually took part.
- Started
-
Jan 2024
- Finished
-
Mar 2025
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
2 to 17 years
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Ages 2-17 years; AND 2. Transported by EMS through 911 activation; AND 3. Prior history of wheeze/asthma, current asthma symptoms (dyspnea or wheeze); AND 4. At least 4 of the following: * Visible use of accessory muscles/retractions * Inspiratory and expiratory wheezing or silent chest * Abnormal respiratory rate for age * For \< 6 years ≥ 46 breaths/min * For ≥ 6 years ≥ 36 breaths/min * Agitation, drowsiness, or confusion * Oxygen saturation \< 93% on room air Exclusion Criteria: 1. History of albuterol, ipratropium, or dexamethasone allergy 2. Known or suspected pregnancy 3. Prisoner 4. Croup 5. Suspected airway foreign body 6. Respiratory distress not due to bronchospasm/wheeze 7. Parent, legally authorized representative (LAR), subject, and/or family member objects to participation prior to treatment
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Acute wheezing due to asthma are added.
Genom att skicka in godkänner du våra Användarvillkor
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Mecklenburg County EMS
Charlotte, North Carolina, 28208, United States
-
University at Buffalo
Buffalo, New York, 14261, United States
-
University of Utah
Salt Lake City, Utah, 84112, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a simple breath test cut asthma Flare-Ups?
- Breathing tests face off: can extra lung measurements improve asthma diagnosis?
- The carbon label on your inhaler: can it sway a Doctor's choice?
- Six biologics put to the test in Real-World asthma and COPD care
- Can a Preemie's NICU breathing pattern predict asthma and sleep problems years later?
- Can a digital program help teens with chronic illnesses move to adult care?