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Dose-response of Albuterol in Asthmatics

Phase 4
Completed
Conditions
Asthma
Registration Number
NCT00940927
Lead Sponsor
Nemours Children's Clinic
Brief Summary

The purpose of this study was to determine the lung function response after increasing doses of albuterol (a bronchodilator) in children and adults with asthma.

Detailed Description

Inhaled short-acting b2-agonists (SABA) are the most potent bronchodilators used today to treat acute symptoms of asthma and albuterol, a partial b2-agonist, is the most frequently prescribed asthma medication in the US. Although universally used in for acute asthma symptoms, SABA have been associated with a significant degree of interpatient variability. Many studies have characterized the SABA dose to bronchodilator response relationship under controlled conditions. However, few studies have explored the magnitude and sources of bronchodilator response variability, and no studies have characterized the dose versus bronchodilator response relationship using population pharmacokinetic/pharmacodynamic (PPK/PD) modeling. In the present study, we characterized the relationship between inhaled doses of albuterol and bronchodilation in 81 children and adults with moderate to severe persistent asthma using a population pharmacodynamic approach. The purpose of this study was to obtain estimates of the pharmacodynamic parameters that characterize the dose-response curve, including maximal dose for bronchodilation, and to quantify and identify sources of interpatient pharmacodynamic variability.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
81
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
Effective Dose 50% (ED50)15 minutes after each dose

ED50 is the cumulative dose of albuterol required to bring about 50% of maximum effect of albuterol

Effect Maximum (Emax)15 minutes after each dose

Maximum percentage of predicted FEV1 effect

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Nemours Children's Clinic

🇺🇸

Jacksonville, Florida, United States

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