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Vitamin D Supplementation for Severe Pneumonia in Under-five Childre

Phase 3
Completed
Conditions
Health Condition 1: null- pneumoniaHealth Condition 2: J189- Pneumonia, unspecified organism
Registration Number
CTRI/2013/01/003317
Lead Sponsor
Indian Council of Medical Research
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
324
Inclusion Criteria

Children with severe pneumonia

Exclusion Criteria

Exclusion criteria

1.Children who have received vitamin D or calcium supplements within last 4 weeks, as ascertained on verbal enquiry (ingestion of oral formulation as sachets/granules or syrups or tablets). Where ever possible the parents will be asked to show the prescription of the physician or empty bottles, sachets or tablets consumed by the child.

2.Children with clinical features of rickets

3.Children with severe malnutrition (weight for height less than -3 SD of WHO standards or presence of bipedal edema)

4.Known asthmatics

5.Those with complicated pneumonia (lung abscess, pleural effusion, empyema) or illness severe enough to require ventilation.

6.Those suffering from any chronic respiratory disease including respiratory tract malformations and chest wall deformities, heart disease (congenital/acquired), renal or hepatic insufficiency, neurological illness resulting in abnormalities of muscle tone/power

7.Those known to have hypercalcemia or allergy to vitamin D

8.Children immunized with pneumococcal/flu vaccine

9.Known immunodeficiency

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1. Time to resolution of severe pneumonia: The duration from the enrolment till the chest indrawing is no longer present, and continue to be absent for next 24 hours. <br/ ><br>2. Proportion of children having a repeat episode of pneumonia in next six months. <br/ ><br> <br/ ><br>Timepoint: 1. 7 days <br/ ><br>2. 6 months
Secondary Outcome Measures
NameTimeMethod
Change in serum levels of cathelicidinTimepoint: 72 hours;Change in serum levels of immunoglobulins (Ig A, IgG, IgM)Timepoint: 72 hours;Duration of hospitalizationTimepoint: At discharge;Failure rate (Non-response after 48 hours of antibiotic therapy)Timepoint: 48 hours;Fever clearance timeTimepoint: 7 days;Time to complete recovery from pneumonia (Normalization of RR)Timepoint: 7 days;Time to start oral feedsTimepoint: 7 days
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