A Randomised Controlled Open-Label Phase IV Mono Centre Study to Compare the Response Profiles of Montelukast Versus Fluticasone in Children With Pre-School Asthma
Overview
- Phase
- Phase 2
- Intervention
- Montelukast
- Conditions
- Asthma
- Sponsor
- Johann Wolfgang Goethe University Hospital
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- 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)
- Status
- Completed
- Last Updated
- 17 years ago
Overview
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.
Investigators
Eligibility 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
- •Asthma severity ≥ Step 2
- •Severe concomitant diseases
- •Suspected non-compliance
- •age below 4 and age above 7 years
- •last study participation \< 30 days
Arms & Interventions
1
Montelukast
Intervention: Montelukast
2
Fluticasone
Intervention: Fluticasone
Outcomes
Primary Outcomes
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 Outcomes
- 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