Effect of Ipratropium Bromide on EILO

Trial statusNot yet recruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age8-17
SponsorCook Children's Health Care System

About this trial

The investigators propose a study that compares breathlessness and airway obstruction during intense exercise in 34 children and adolescents with Exercise-Induced Laryngeal Obstruction after breathing in ipratropium bromide or placebo. It is hypothesized that breathlessness and airway obstruction will be lower following breathing in ipratropium bromide compared with placebo.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients must be diagnosed with EILO confirmed by Continuous Laryngoscopy During Exercise

Patients must be able to complete exercise testing

Patients must report dyspnea

Patients must have given assent with parental consent, understand all study procedures, and comply with them for the entire length of the study.

Disqualifiers

Patients that do not have EILO.

Patients who did not undergo diagnostic CPET with CLE.

Patients with hypersensitivity to atropine or its derivatives due to structural similarity with ipratropium bromide.

Patients with a history of atrial flutter and/or fibrillation

Trial design

Design model

Crossover

Treatments tested in this trial

  • Ipratropium Bromide

    Drug

    Nebulized Ipratropium Bromide (500µg/2.5mL); one-time dose approximately 75 minutes before exercise, inhaled for 5-8 minutes

  • Normal Saline (Placebo)

    Drug

    3 mL of nebulized 0.9% normal saline; one-time dose approximately 75 minutes before exercise, inhaled for 5-8 minutes

Treatment groups

50 Participants
are divided into 2 treatment groups
Group A: Ipratropium Bromide, then PlaceboExperimental treatment 2 interventions
Group B: Placebo, then Ipratropium BromideExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Visual Analogue Scale for Dyspnea (VAS-Dyspnea)

Shortness of breath assessed by a 0-100 Visual Analogue Scale for Dyspnea, where higher scores reflect greater breathlessness

Time frame
Day1 and Day 2

Secondary outcomes

1

CLE grade scoring

Patient videos will be assessed for laryngeal obstruction by two expert reviewers. Blinded reviewers will grade the severity of glottic and supraglottic obstruction on a scale from 0 (no obstruction) to 3 (severe obstruction).

Time frame
Day 1 and Day 2

Other outcomes

Sponsors and contacts

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