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PPAR-gamma: a Novel Therapeutic Target for Asthma?

Phase 4
Terminated
Conditions
Asthma
Interventions
Drug: IMP Pioglitozone
Other: placebo
Registration Number
NCT01134835
Lead Sponsor
University of Nottingham
Brief Summary

To test the hypothesis that stimulation of PPAR-γ receptors has a therapeutic role in the treatment of asthma.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
68
Inclusion Criteria
  • Age 18-75 of either sex with a clinical diagnosis of asthma,
  • FEV1 ≥ 60% predicted and an increase in FEV1 of greater than 12% following inhaled salbutamol 400μg or Peak Expiratory Flow (PEF) variability >12% during run-in.
  • Allowed medication: 0-800μg inhaled beclomethasone diproprionate or equivalent and as required short acting beta agonist.
Exclusion Criteria
  • Current smoking,
  • > 10 pack years smoking history,
  • Treatment with leukotriene antagonists,
  • Liver or cardiovascular disease,
  • Oral steroid treatment or exacerbation within 6 weeks,
  • Females who are pregnant, lactating or not using adequate contraception,
  • Any contra-indication to pioglitazone (hypersensitivity to pioglitazone, cardiac failure, history of cardiac failure, hepatic impairment, diabetic ketoacidosis),
  • Oral or insulin treatment for diabetes,
  • Treatment with gemfibrozil or rifampicin.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
IMP PioglitazoneIMP PioglitozonePioglitazone 30mg daily by mouth for 4 weeks then 45mg daily for 8 weeks and placebo 30mg daily by mouth for 4 weeks then 45mg daily for 8 weeks.
PlaceboplaceboPlacebo 30mg daily by mouth for 4 weeks then 45mg daily for 8 weeks and placebo 30mg daily by mouth for 4 weeks then 45mg daily for 8 weeks.
Primary Outcome Measures
NameTimeMethod
FEV1 after 12 weeks treatmentweek 12
Secondary Outcome Measures
NameTimeMethod
Change in symptoms12 weeks

Change over 12 weeks in daily asthma symptoms, mean morning and evening PEF, Juniper asthma control questionnaire and asthma quality of life questionnaire scores, exhaled nitric oxide level, bronchial hyper-responsiveness, induced sputum cell counts and analysis detailed above, adverse effects

Trial Locations

Locations (1)

Nottingham University Hospitals NHS Trust

🇬🇧

Nottingham, United Kingdom

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