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临床试验/EUCTR2008-007240-34-GB
EUCTR2008-007240-34-GB进行中(未招募)1 期

Effect of macrolides on asthma control, airway inflammation and bacterial colonisation in smokers with asthma - Macrolide Asthma Study

HS Greater Glasgow & Clyde Hospitals & University of Glasgow0 个研究点目标入组 80 人开始时间: 2009年4月16日最近更新:
适应症
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
80

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

入选标准

  • Inclusion criteria
  • 1. Diagnosis of asthma: Typical symptoms [episodic wheezing, chest tightness and/or dyspnoea] And either reversible airflow obstruction (> 12% and 200 ml change in FEV1 with nebulised salbutamol 2.5 mg) at any study visit prior to randomisation
  • or methacholine airway hyperresponsiveness [20% drop in FEV1 at a concentration of methacholine = 8 mg/ml].
  • 2. Age range 18-70 years [subjects above the age of 60 should have had asthma symptoms starting before the age of 40]
  • 3. Duration of asthma symptoms > 1 year and on stable medication for 4 weeks
  • 4. Able to maintain asthma without exacerbations at BTS step 2 level (beclometasone dose of 400 mcg/day and salbutamol as required) during the run-in period of the study.
  • 5. Able to wean off other asthma medication, other than inhaled corticosteroid and short acting bronchodilator in the two weeks prior to the screening visit.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range

排除标准

  • Exclusion criteria
  • 1. Ex-smokers or never smokers
  • 2. Planning to quit smoking during duration of trial
  • 3. Patients with unstable asthma; defined as the presence of 1 or more of the following events in the month prior to randomisation [Emergency/’out of hours’ visit of patients to the GP; GP visit to patient at home; A & E hospital attendance; hospital admission].
  • 4. Patients with current epilepsy, psychosis or history of significant atrial or ventricular tachyarrhythmia.
  • 5. Corrected QT-interval greater than 450 msec in women and greater than 430 msec in men on baseline electrocardiogram (ECG).
  • 6. Low potassium levels [less than normal values for the laboratory]. If low potassium can be corrected, screening can continue with confirmation of normal levels prior to taking study medication.
  • 7. Liver disease (alanine transaminase and/or aspartate transaminase levels 2 or more times the upper limit of normal).
  • 8. Significant renal disease: creatinine or urea levels 2 or more times the upper limit of normal.
  • 9. Any previous severe adverse reaction to macrolides.
  • 10. Patients who are known to have specific IgE sensitivity or skin test positivity to grass pollen allergen and a history of worsening of asthma due to hay fever, will not be recruited from mid May to the end of July (grass allergen season in UK).
  • 11. Upper or lower respiratory tract infection in the 4 weeks prior to randomisation. Run-in period can be prolonged in this situation to have 4 weeks with no respiratory infection prior to randomisation.
  • 12. Patients who require medications known to interact with azithromycin including:
  • - anti-psychotics, including Reboxitine and Quetiapine
  • - antivirals, including Nelfinavir, Zidovudine, Didanosine
  • - bromocriptine
  • - carbergoline
  • - clozapine
  • - coumarin-Type Oral Anticoagulants including warfarin
  • - cyclosporin
  • - ergot derivatives
  • - itraconazole
  • - midazolam
  • - mizolastine
  • - moxifloxacin
  • - rifamycins
  • - theophylline
  • - vinblastine

研究者

发起方
HS Greater Glasgow & Clyde Hospitals & University of Glasgow

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