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Trial · NCT00841789

A Randomized, Double Blind, Placebo Controlled Study of Etanercept in Children With Kawasaki Disease

NCT00841789, Phase 2, Completed, Michael Portman; results first posted 2023-05-06

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Randomized, Double Blind, Placebo Controlled Study of Etanercept in Children With Kawasaki Disease. Trials, record NCT00841789. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00841789

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Randomized, Double Blind, Placebo Controlled Study of Etanercept in Children With Kawasaki Disease
NCT number
NCT00841789
Status
Completed
Phases
Phase 2
Enrollment
205 participants, actual
Lead sponsor
Michael Portman
Conditions
Mucocutaneous Lymph Node Syndrome, Kawasaki Disease
Interventions
Etanercept, Placebo
First posted
2009-02-11
Last updated
2023-05-06
Results first posted
2023-05-06

Source ClinicalTrials.gov

Registered outcomes4

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryIVIG Refractory42 days after initial dose
The primary outcome is the proportion of subjects who become refractory to IVIG. Subjects requiring 1 dose of IVIG are classified as responders and subjects requiring more than 1 dose are classified as IVIG refractory.
SecondaryDetermine if Etanercept Treatment Alters the Rate of Coronary Artery Dilation and Disease (CAD) at 2 and 6 Weeks After Treatment in Patients With Dilated Coro42 days after initial dose
The primary echocardiographic outcome will be the proportion of subjects with improvement defined as (20% change in coronary artery) from the worst findings during the acute study period (scheduled visits from admission to visit 4, including any unscheduled visits) to the primary study outcome time-point at visit 5 (visit 5). This calculation will be based on changes in absolute values and not z-scores as initially planned. Groups will be compared using a logistic model including a binary term for age \< versus \> 1 year. Two aspects of the echo findings will be considered: * Maximum aneurysm size and * Maximum measurements for left main coronary artery (LMCA), left anterior descending artery (LAD) and right coronary artery (RCA). * Change in diameter of each coronary artery will be determined at standard measurement location or aneurysm with the latter taking precedent.
OtherChange in Coronary Artery Dimension by z Score Compared With General Estimating Equation6 weeks
Overall change in coronary z score over time determined using General Estimating Equation in patients from baseline within patients. No change or improved defined by 20% change in z score. A Z score normalized for body surface area represents how much larger (or smaller) a measured coronary artery internal diameter by echocardiography is compared to the average coronary artery diameter for a child of the same size (body surface area includes both height and weight). There is no minimum or maximum value. Z score above 2.0 is at least 2 standard deviations above mean for population and is considered abnormal. A decrease in z score is favorable.
OtherOverall Change in z Score Over Time in Patients With Dilated Coronary Artery at Baseline Within Patients.6 weeks
Overall change in z score over time determined using General Estimating Equation in patients with dilated coronary artery at baseline within patients. Overall change in coronary z score over time determined using General Estimating Equation in patients from baseline within patients. A Z score normalized for body surface area represents how much larger (or smaller) a measured coronary artery internal diameter by echocardiography is compared to the average coronary artery diameter for a child of the same size (body surface area includes both height and weight). There is no minimum or maximum value. Z score above 2.0 is at least 2 standard deviations above mean for population and is considered abnormal. A decrease in z score is favorable.

Outcomes4

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYIVIG Refractory42 days after initial doseAll patients receiving study drugParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYDetermine if Etanercept Treatment Alters the Rate of Coronary Artery Dilation and Disease (CAD) at 2 and 6 Weeks After Treatment in Patients With Dilated Coro42 days after initial doseAll patients receiving study drug with coronary measures improvedParticipantsCOUNT_OF_PARTICIPANTS
OTHER_PRE_SPECIFIEDChange in Coronary Artery Dimension by z Score Compared With General Estimating Equation6 weeksIncludes patients categorized by baseline coronary artery dilation (echocardiography) with stable or improved coronary artery z scoreunits on a scaleMEAN
OTHER_PRE_SPECIFIEDOverall Change in z Score Over Time in Patients With Dilated Coronary Artery at Baseline Within Patients.6 weeksKD patients with dilated coronary arteries at baseline (improved or stable)score on a scaleMEAN

Results by group8

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
IVIG RefractoryArm 1 -Etanercept13Participants
IVIG RefractoryARM 2 Placebo22Participants
Determine if Etanercept Treatment Alters the Rate of Coronary Artery Dilation and Disease (CAD) at 2 and 6 Weeks After Treatment in Patients With Dilated CoroArm 1 -Etanercept56Participants
Determine if Etanercept Treatment Alters the Rate of Coronary Artery Dilation and Disease (CAD) at 2 and 6 Weeks After Treatment in Patients With Dilated CoroARM 2 Placebo53Participants
Change in Coronary Artery Dimension by z Score Compared With General Estimating EquationArm 1 -Etanercept-0.4Standard Error .122units on a scale
Change in Coronary Artery Dimension by z Score Compared With General Estimating EquationARM 2 Placebo-0.10Standard Error 0.159units on a scale
Overall Change in z Score Over Time in Patients With Dilated Coronary Artery at Baseline Within Patients.Arm 1 -Etanercept-081Standard Error 0.39score on a scale
Overall Change in z Score Over Time in Patients With Dilated Coronary Artery at Baseline Within Patients.ARM 2 Placebo0.4Standard Error 0.81score on a scale

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDArm 1 -Etanercept103
Overall StudySTARTEDPlacebo102
Overall StudyCOMPLETEDArm 1 -Etanercept98
Overall StudyCOMPLETEDPlacebo99
Overall StudyNOT COMPLETEDArm 1 -Etanercept5
Overall StudyNOT COMPLETEDPlacebo3

Adverse events6

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherSkin RashSkin and subcutaneous tissue disordersArm 1 -Etanercept109910
otherSkin RashSkin and subcutaneous tissue disordersArm -2 Placebo1210212
seriousHospital readmission for retreatmentImmune system disordersArm 1 -Etanercept7997
seriousHospital readmission for retreatmentImmune system disordersArm -2 Placebo1010210
seriousInfectionInfections and infestationsArm 1 -Etanercept299
seriousInfectionInfections and infestationsArm -2 Placebo0102

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityArm 1 -Etanercept099
Total, all-cause mortalityArm -2 Placebo0102
Total, other adverse eventsArm 1 -Etanercept1099
Total, other adverse eventsArm -2 Placebo12102
Total, serious adverse eventsArm 1 -Etanercept999
Total, serious adverse eventsArm -2 Placebo10102

Papers3

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
21392603BACKGROUNDPubMed
31048415RESULTPubMed
35545881RESULTPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons4

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Arm 1 -Etanercept vs ARM 2 Placebo: Determine if Etanercept Treatment Alters the Rate of Coronary Artery Dilation and Disease (CAD) at 2 and 6 Weeks After Treatment in Patients With Dilated CoroTrial comparisons
Arm 1 -Etanercept vs ARM 2 Placebo: IVIG RefractoryTrial comparisons
Arm 1 -Etanercept vs Arm -2 Placebo: deaths from any causeTrial comparisons
Arm 1 -Etanercept vs Arm -2 Placebo: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00841789

GET https://conductscience.org/api/trials/v1/NCT00841789/registered