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Pharmacogenetics Use For Further treatment Improvement in childre

Conditions
ncontrolled asthma, LABA response heterogeneity<br /><br />Ongecontroleerd astma, LABA respons heterogeniteit
Registration Number
NL-OMON21847
Lead Sponsor
Academic Medical Center (AMC)
Brief Summary

Vijverberg SJ, Pijnenburg MW, Hövels AM, Koppelman GH, Maitland-van der Zee AH. The need for precision medicine clinical trials in childhood asthma: rationale and design of the PUFFIN trial. Pharmacogenomics. 2017;18(4):393-401.

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
Not specified
Target Recruitment
310
Inclusion Criteria

Between 6-18 years of age

- Doctor's diagnosis of asthma based on FEV1 reversibility >= 12% ever and/or bronchial hyperresponsiveness ever

Exclusion Criteria

- Active smoking

- Congenital heart disease

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Improvement of asthma control based on repeated measurement analysis of (childhood)-Asthma Control Test after 3 months
Secondary Outcome Measures
NameTimeMethod
- Improvement of asthma control based on repeated measurement analysis of (childhood)-Asthma Control Test after 6 months<br /><br>- time to ACT >= 20<br /><br>- change in asthma-related quality of life scores<br /><br>- change in fatigue score<br /><br>- school absences<br /><br>- exacerbations (oral corticosteroids use, ER visits, hospital admissions)<br /><br>- time to first exacerbation<br /><br>- amount of changes in therapy at t=3 months<br /><br>- change in lung function (FEV1 pre- and postbronchodilator) at t=3 and t=6 months<br /><br>- change in FeNO at t=3 and t=6 months<br /><br>- change in nasal gene expression and nasal gene methylation in relation to the treatment effect at t=3 and t=6 months<br /><br>- Incremental cost per Quality Adjusted Life Year (QALY) <br /><br>- Incremental costs per avoided exacerbation
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