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Controller Medications in the Management of Bronchial Asthma

Primary Purpose

Moderate to Severe Persistent Bronchial Asthma

Status
Completed
Phase
Not Applicable
Locations
India
Study Type
Interventional
Intervention
inhaled budesonide and formeterol plus oral montelukast
inhaled budesonide and formeterol plus oral doxophylline
Doubling the dose of inhaled budesonide and formeterol
Sponsored by
Government Medical College, Bhavnagar
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Moderate to Severe Persistent Bronchial Asthma

Eligibility Criteria

15 Years - 65 Years (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • aged between 15 to 65 years of either sex
  • had clinically diagnosed Bronchial asthma
  • had poor asthma control defined by ACQ score (asthma control questionnaire) of 1.5 or greater
  • FEV1 (Forced Expiratory Volume at 1 second) value of 50% or more of predicted
  • improvement in FEV1 was greater than 15% after bronchodilator inhalation

Exclusion Criteria:

  • major illness of system other than respiratory major respiratory illness other than asthma taken long acting anti histaminic within a preceding week of enrollment Smokers Pregnant and lactating woman history of hypersensitivity to any of above drugs

Sites / Locations

  • Sir Takthasinhji General Hospital Bhavnagar, Gujarat, India

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

inhaled budesonide and formeterol plus oral montelukast

inhaled budesonide and formeterol plus oral doxophylline

Doubling the dose of inhaled budesonide and formeterol

Arm Description

1st two weeks -run in period .All three participants prescribed Metered dose inhaler (budesonide 200 mcg/puff + formeterol 6 mcg/puff) two times a day Next 8 weeks- Metered dose inhaler (budesonide 200 mcg/puff + formeterol 6 mcg/puff) two times a day plus tablet montelukast (10 mg/day)orally in the evening

1st two weeks -run in period, all three participants prescribed Metered dose inhaler (budesonide 200 mcg/puff + formeterol 6 mcg/puff) two times a day Next 8 weeks

1st two weeks -run in period all the participants prescribed Metered dose inhaler (budesonide 200 mcg/puff + formeterol 6 mcg/puff) two times a day Next 8 weeks- Metered dose inhaler (budesonide 200 mcg /puff + formeterol 6 mcg/puff) two times a day plus metered dose inhaler of budesonide (200 mcg/puff) two times a day

Outcomes

Primary Outcome Measures

The primary outcome was percentage of improvement in FEV1

Secondary Outcome Measures

Improvement in PEFR (Peak expiratory flow rate), ACQ scores(asthma control questionnaire score), rates of adverse drug reaction and EPACs (episodes of poor asthma control)

Full Information

First Posted
January 22, 2010
Last Updated
January 22, 2010
Sponsor
Government Medical College, Bhavnagar
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1. Study Identification

Unique Protocol Identification Number
NCT01055041
Brief Title
Controller Medications in the Management of Bronchial Asthma
Official Title
A Randomized, Open Labeled Comparative Study to Assess the Efficacy and Safety of Controller Medications as Add on to Inhaled Steroid and Long Acting β2 Agonist in Treatment of Moderate to Severe Persistent Bronchial Asthma
Study Type
Interventional

2. Study Status

Record Verification Date
January 2010
Overall Recruitment Status
Completed
Study Start Date
December 2008 (undefined)
Primary Completion Date
June 2009 (Actual)
Study Completion Date
July 2009 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Government Medical College, Bhavnagar

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to know the effect of another controller medication add on to the inhaled corticosteroid and long acting β2 agonist on clinical symptom, lung function and compliance in patients of moderate to severe persistent bronchial asthma.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Moderate to Severe Persistent Bronchial Asthma

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
50 (Actual)

8. Arms, Groups, and Interventions

Arm Title
inhaled budesonide and formeterol plus oral montelukast
Arm Type
Experimental
Arm Description
1st two weeks -run in period .All three participants prescribed Metered dose inhaler (budesonide 200 mcg/puff + formeterol 6 mcg/puff) two times a day Next 8 weeks- Metered dose inhaler (budesonide 200 mcg/puff + formeterol 6 mcg/puff) two times a day plus tablet montelukast (10 mg/day)orally in the evening
Arm Title
inhaled budesonide and formeterol plus oral doxophylline
Arm Type
Experimental
Arm Description
1st two weeks -run in period, all three participants prescribed Metered dose inhaler (budesonide 200 mcg/puff + formeterol 6 mcg/puff) two times a day Next 8 weeks
Arm Title
Doubling the dose of inhaled budesonide and formeterol
Arm Type
Experimental
Arm Description
1st two weeks -run in period all the participants prescribed Metered dose inhaler (budesonide 200 mcg/puff + formeterol 6 mcg/puff) two times a day Next 8 weeks- Metered dose inhaler (budesonide 200 mcg /puff + formeterol 6 mcg/puff) two times a day plus metered dose inhaler of budesonide (200 mcg/puff) two times a day
Intervention Type
Drug
Intervention Name(s)
inhaled budesonide and formeterol plus oral montelukast
Intervention Description
1st two weeks -run in period all the participants prescribed Metered dose inhaler (budesonide 200 mcg/puff + formeterol 6 mcg/puff) two times a day Next 8 weeks- Metered dose inhaler (budesonide 200 mcg/puff + formeterol 6 mcg/puff) two times a day plus tablet montelukast (10 mg/day)orally in the evening
Intervention Type
Drug
Intervention Name(s)
inhaled budesonide and formeterol plus oral doxophylline
Intervention Description
1st two weeks -run in period, all participants prescribed Metered dose inhaler (budesonide 200 mcg/puff + formeterol 6 mcg/puff) two times a day Next 8 weeks- Metered dose inhaler (budesonide 200 mcg/puff + formeterol 6 mcg/puff) two times a day plus tablet doxophylline sustained release(400 mg/day)orally in the morning
Intervention Type
Drug
Intervention Name(s)
Doubling the dose of inhaled budesonide and formeterol
Intervention Description
1st two weeks -run in period, all groups participants prescribed Metered dose inhaler (budesonide 200 mcg/puff + formeterol 6 mcg/puff) two times a day Next 8 weeks- Metered dose inhaler (budesonide 200 mcg /puff + formeterol 6 mcg/puff) two times a day plus metered dose inhaler of budesonide (200 mcg/puff) two times a day
Primary Outcome Measure Information:
Title
The primary outcome was percentage of improvement in FEV1
Time Frame
10 weeks
Secondary Outcome Measure Information:
Title
Improvement in PEFR (Peak expiratory flow rate), ACQ scores(asthma control questionnaire score), rates of adverse drug reaction and EPACs (episodes of poor asthma control)
Time Frame
10 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
15 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: aged between 15 to 65 years of either sex had clinically diagnosed Bronchial asthma had poor asthma control defined by ACQ score (asthma control questionnaire) of 1.5 or greater FEV1 (Forced Expiratory Volume at 1 second) value of 50% or more of predicted improvement in FEV1 was greater than 15% after bronchodilator inhalation Exclusion Criteria: major illness of system other than respiratory major respiratory illness other than asthma taken long acting anti histaminic within a preceding week of enrollment Smokers Pregnant and lactating woman history of hypersensitivity to any of above drugs
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Dr. Yogesh A Patel, M.B.B.S
Organizational Affiliation
Sir T. General Hospital and Government Medical College, Bhavnagar-364001, Gujarat, India
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Dr. Chandrabhanu R Tripathi, MD
Organizational Affiliation
Professor and Head, Department of Pharmacology, Government Medical College, Bhavnagar-364001, Gujarat, India
Official's Role
Study Chair
Facility Information:
Facility Name
Sir Takthasinhji General Hospital Bhavnagar, Gujarat, India
City
Bhavnagar
State/Province
Gujarat
ZIP/Postal Code
364001
Country
India

12. IPD Sharing Statement

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Controller Medications in the Management of Bronchial Asthma

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