LOS: Leukotriene Receptor Antagonists or Steroids in Pre-School Asthma
Study Details
Study Description
Brief Summary
Explorative comparison of montelukast with inhaled steroids (fluticasone) to estimate responder profiles, in terms of symptom scores, rescue medication, increase of FEV1, in correlation to presence of allergy, bronchial hyperreactivity (PD20), exhaled NO, excretion of leukotrienes, response to RABA and laboratory parameters in patients with pre-school asthma i.e. asthma phenotypes.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: 1 Montelukast |
Drug: Montelukast
Intake of Montelukast
|
Active Comparator: 2 Fluticasone |
Drug: Fluticasone
Intake of Fluticasone
|
Outcome Measures
Primary Outcome Measures
- The primary efficacy variable is the number of responders with a very good asthma symptom control defined as requiring no rapid acting beta agonist (RABA) between the 2. and 6th week of intervention (end of trial) []
Secondary Outcome Measures
- the number of patients requiring at least five times RABA between the 2. and 6th week, the number of patients with an increase of FEV1 7.5%, the symptom score, symptom free days, rescue medication, presence of allergy RAST > 2, concentration of eNO, PD20 []
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Male or female patients age 4 -6 years
-
Diagnosis of mild intermittent bronchial asthma (Step I-II) in the past 6 - 12 months as stated by the investigator:
-
Use of inhaled beta-2-agonists < 1/week (max 3 puff /d)
-
Exacerbation-free interval > 4 weeks prior to visit 1
-
The written informed consent of parents after received written and oral information about the aim, purpose and risks of the study must be present
Exclusion Criteria:
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Asthma severity ≥ Step 2
-
Severe concomitant diseases
-
Suspected non-compliance
-
age below 4 and age above 7 years
-
last study participation < 30 days
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Goethe University, Department of Pulmonology | Frankfurt | Hessen | Germany | 60590 |
Sponsors and Collaborators
- Johann Wolfgang Goethe University Hospital
Investigators
- Principal Investigator: Stefan Zielen, Prof. Dr., Johann Wolfgang Goethe-University Frankfurt, Zentrum für Kinderheilkunde I, Haus 32, Abt. Pneumologie
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 165/07/FFM