NCT00675285

Brief Summary

Leukotriene receptor antagonists (LTRAs) reduce fractional exhaled nitric oxide (FENO) concentrations in children with asthma, but the effect of LTRA withdrawal on FENO and lung function is unknown. We will aim to study the effect of treatment and withdrawal of montelukast, a LTRA, on airway inflammation as reflected by FENO and lung function in children with asthma. A double-blind, randomized, placebo controlled, parallel group study will be undertaken in 18 atopic children with mild persistent asthma who will be treated with oral montelukast (5 mg/day for 4 weeks) and 18 atopic children with mild persistent asthma who will receive matching placebo. A follow-up visit will be performed 2 weeks after montelukast or placebo withdrawal.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
26

participants targeted

Target at below P25 for phase_3 asthma

Timeline
Completed

Started Sep 2005

Shorter than P25 for phase_3 asthma

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

September 1, 2005

Completed
10 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2006

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2006

Completed
1.9 years until next milestone

First Submitted

Initial submission to the registry

May 7, 2008

Completed
2 days until next milestone

First Posted

Study publicly available on registry

May 9, 2008

Completed
Last Updated

May 9, 2008

Status Verified

May 1, 2008

Enrollment Period

10 months

First QC Date

May 7, 2008

Last Update Submit

May 8, 2008

Conditions

Keywords

airway inflammationchildhood asthmafractional exhaled nitric oxideleukotriene receptor antagonistslung function

Outcome Measures

Primary Outcomes (1)

  • post-treatment fractional exhaled nitric oxide

Secondary Outcomes (10)

  • fractional exhaled nitric oxide 2 weeks after montelukast withdrawal

  • post-treatment FEV1

  • post-treatment FVC

  • post-treatment FEV1/FVC

  • post-treatment FEF25%-75%

  • +5 more secondary outcomes

Study Arms (2)

1

ACTIVE COMPARATOR
Drug: montelukast sodium

2

PLACEBO COMPARATOR
Drug: placebo

Interventions

one tablet 5 mg once/day for 4 weeks

1

one tablet 5 mg once/day for 4 weeks

2

Eligibility Criteria

Age6 Years - 14 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • Children 6 to 14 yrs old, step 1 and step 2 GINA (Global INitiative for Asthma) guidelines
  • exhaled nitric oxide (NO) \>20 PPB at visit 2
  • symptoms more often than twice a day, FEV1 equal or higher than 80% of predicted value and reversibility equal or higher than 12% to salbutamol, or a positive provocation test with methacholine, or exercise
  • no regular medication, inhaled short-acting beta-2 agonists for symptom relief

You may not qualify if:

  • Patient is hospitalized
  • Patient has FEV1 \< 80% predicted on visit 1
  • Patient has 2 or more nighttime awakenings for asthma per week or pef variability 30% or more
  • upper respiratory infection in the previous 3 weeks
  • treatment with glucocorticoids or LTRAs in the previous 4 weeks
  • treatment with inhaled glucocorticoids for more than 4 weeks in the previous year

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Catholic University of the Sacred Heart

Rome, 00168, Italy

Location

MeSH Terms

Conditions

Asthma

Interventions

montelukast

Condition Hierarchy (Ancestors)

Bronchial DiseasesRespiratory Tract DiseasesLung Diseases, ObstructiveLung DiseasesRespiratory HypersensitivityHypersensitivity, ImmediateHypersensitivityImmune System Diseases

Study Officials

  • Paolo Montuschi, M.D.

    Catholic University of the Sacred Heart

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER

Study Record Dates

First Submitted

May 7, 2008

First Posted

May 9, 2008

Study Start

September 1, 2005

Primary Completion

July 1, 2006

Study Completion

July 1, 2006

Last Updated

May 9, 2008

Record last verified: 2008-05

Locations