Heart-Saving combo: steroid plus standard therapy may shield kids from kawasaki damage
NCT ID NCT04078568
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at whether adding a steroid called prednisolone to the usual treatment (immunoglobulin and aspirin) could reduce heart artery damage in children with Kawasaki disease. Over 3,200 children took part. The goal was to see if the combination therapy lowers the chance of coronary artery lesions, which can lead to long-term heart problems.
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
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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3,208 people
The number who actually took part.
- Started
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Jan 2020
- Finished
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Nov 2025
- Lead sponsor
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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
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1 month and older
- Sex
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Anyone
- Healthy volunteers
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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: * Meeting diagnostic criteria for Kawasaki disease (KD) released by American Heart Association (AHA) in 2017 * Diagnosed before the tenth day of illness (with the first day of illness defined as the first day of fever) * Not treated with IVIG yet * Age ≥1 month Exclusion Criteria: * Z score of any coronary artery before initial treatment ≥10 * Receiving steroids or other immunosuppressive agents in the previous 30 days * With a previous history of KD * Afebrile before enrolment * With suspected infectious diseases including sepsis, septic meningitis, peritonitis, bacterial pneumonia, varicella and influenza * With serious immune diseases such as immunodeficiency or chromosomal abnormalities
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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
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Anhui Children's Hospital
Hefei, Anhui, 230022, China
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Bengbu First People's Hopital
Bengbu, Anhui, 233000, China
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Chengdu Women's and Children's Central Hospital
Chengdu, Sichuan, 610074, China
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Children's Hospital of Chongqing Medical University
Chongqing, Chongqing Municipality, 400014, China
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Children's Hospital of Fudan University
Shanghai, Shanghai Municipality, 201102, China
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Children's Hospital of Nanjing Medical University
Nanjing, Jiangsu, 210008, China
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Children's Hospital, Capital Institute of Pediatrics
Beijing, Beijing Municipality, 100020, China
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Children's hospital of Soochow University
Suzhou, Jiangsu, 215003, China
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Guangzhou Women and Children's Medical Center
Guangzhou, Guangdong, 510623, China
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Hangzhou First people's Hospital
Hangzhou, Zhejiang, 310006, China
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Henan Children's Hospital
Zhengzhou, Henan, 450018, China
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Hunan Provincial People's Hospital
Changsha, Hunan, 410002, China
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Inner Mongolia People's Hospital
Hohhot, Inner Mongolia, 010017, China
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Jiangxi Provincial Children's Hospital
Nanchang, Jiangxi, 330006, China
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Kaifeng Children's Hospital
Kaifeng, Henan, 475000, China
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Lanzhou University Second Hospital
Lanzhou, Gansu, 730030, China
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Liuzhou Maternity and Children Healthcare Hospital
Liuzhou, Guangxi, 545001, China
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Qilu Hospital of Shandong University
Jinan, Shandong, 250012, China
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Qingdao Women and Children's Hospital
Qingdao, Shandong, 266011, China
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Qingdao Women and Children's Hospital (Liaoyang West Road)
Qingdao, Shandong, 266011, China
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Shanghai Children's Hospital
Shanghai, Shanghai Municipality, 200040, China
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Shengjing Hospital of China Medical University
Shenyang, Liaoning, 110004, China
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Shenzhen Children's Hospital
Shenzhen, Guangdong, 518038, China
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Sichuan Provincial People's Hospital
Chengdu, Sichuan, 610072, China
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Sun Yat-sen Memorial Hospital
Guangzhou, Guangdong, 510120, China
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Taihe Hospital Affiliated Hospital of Hubei University of Medicine
Shiyan, Hubei, 442000, China
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The First Hospital of Jilin University
Changchun, Jilin, 130021, China
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The Third Affiliated Hospital of Zhengzhou University
Zhengzhou, Henan, 450052, China
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Union Hospital,Tongji Medical College of Huazhong University of Science and Technology
Wuhan, Hubei, 430022, China
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Xi'an Children's Hospital
Xi'an, Shaanxi, 710003, China
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Xiamen Children's Hospital
Xiamen, Fujian, 361006, China
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Xuzhou Children's Hospital
Xuzhou, Jiangsu, 221006, China
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Yuying Children's Hospital of Wenzhou Medical University
Wenzhou, Zhejiang, 325027, China
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the First Affiliated Hospital of Zhengzhou University
Zhengzhou, Henan, 450052, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can better sleep ease pain in teens with rheumatic disease?
- New drug combo aims to shield Children's hearts from kawasaki disease
- Could a once-daily pill replace warfarin for kids with rare heart aneurysms?
- Kawasaki Kids' hearts under the microscope 5 years later
- Massive study aims to crack the code on Kids' medications
- Could a cholesterol drug help Kids' hearts after kawasaki disease?