Steroid Treatment for Severe Acute Respiratory Infection (STAR) Trial

Trial statusNot yet recruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18+
SponsorNational Institute of Allergy and Infectious Diseases (NIAID)

About this trial

Multicenter, parallel-group, randomized clinical trial comparing the administration of systemic corticosteroids at a dose equivalent to 40 mg of prednisolone per day for 7 days vs no corticosteroid administration among adults hospitalized with severe acute respiratory infection and hypoxemia.

Eligibility criteria

Qualifiers

Age ≥ 18 years.

Onset in the last 10 days AND

Results in hospitalization AND

At least one symptom or sign of respiratory illness (defined as purulent sputum, new or worsened cough, new or worsened dyspnea, tachypnea with respiratory rate ≥22 breaths per minute, rales, or bronchial breath sounds) AND

Disqualifiers

Hospitalized for >72 hours

Primary etiology of hypoxemia is a condition other than respiratory infection

Known allergy or adverse reaction to systemic corticosteroids

Known active infection with SARS-CoV-2, known active infection with Pneumocystis jirovecii, or another established indication for systemic corticosteroids

Trial design

Treatments tested in this trial

  • Corticosteroid

Treatment groups

3,000 Participants
are divided into 2 treatment groups

Sponsors and collaborators

National Institute of Allergy and Infectious Diseases (NIAID)

Lead sponsor

National Institutes of Health (NIH)

Collaborator

University of Minnesota

Collaborator