Acute Montelukast in Asthma
AcMk
Assessment of the Effect of Oral Montelukast as Additional Treatment in the Management of Patients With Acute Severe Asthma.
1 other identifier
interventional
87
1 country
1
Brief Summary
Patients presenting to hospital with an acute asthma exacerbation severe enough to require admission would receive full standard treatment according to British Thoracic Society guidelines in addition they would be offered the opportunity to take part in the study which would requite them to take a capsule of either montelukast or placebo.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_4
Started May 2001
Longer than P75 for phase_4
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 1, 2001
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2004
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2004
CompletedFirst Submitted
Initial submission to the registry
November 10, 2009
CompletedFirst Posted
Study publicly available on registry
November 11, 2009
CompletedNovember 11, 2009
November 1, 2009
3.3 years
November 10, 2009
November 10, 2009
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Difference in peak flow between active and placebo limbs by the morning after randomization
24 hours maximum
Secondary Outcomes (9)
Time (hours) to achieve PEF and FEV greater than or equal to 75% best achieved in the last 12 months with greater than or equal to 25% diurnal variation
24 hours maximum
Time to discharge from hospital
PEF, FEV and FVC (as % best/predicted) the morning following admission and at 4 week clinic follow up
Proportion of days (post discharge until follow up) with a PEFR of less than or equal to 75%, and less than or equal to 50% best predicted
Proportion of days (post discharge until follow up) with a PEFR variability of greater than or equal to 25%
- +4 more secondary outcomes
Study Arms (2)
Montelukast
ACTIVE COMPARATOR1 study capsule at study entry Montelukast 10mg and a further study capsule at 10pm for four weeks
Placebo
PLACEBO COMPARATORInterventions
1 study capsule at study entry Montelukast 10mg and a further study capsule at 10pm for four weeks
1 placebo capsule at study entry and a further placebo capsule at 10pm for four weeks
Eligibility Criteria
You may qualify if:
- Acute Asthma exacerbation requiring hospitalisation
You may not qualify if:
- Smoking history greater than or equal to 10 pack years
- Presenting PEFR greater than or equal to 75% predicted / best
- Failure to demonstrate greater than or equal to 15% variability in PEFR or FEV during the study
- Any significant and active pulmonary pathology other than asthma
- Pregnancy or breastfeeding
- Intended pregnancy or inability to take adequate precautions against conception
- Patient already on Montelukast
- Patient already on Phenobarbitone
- Patient already on Rifampicin
- Patient already on Phenytoin
- Chronic airflow limitation
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of East Anglialead
- Norfolk Association of Asthma Nursescollaborator
- Merck Sharp & Dohme LLCcollaborator
Study Sites (1)
Norfolk and Norwich University Hospital
Norwich, NR47UY, United Kingdom
Related Publications (2)
Ramsay, CF., Oral Motelukast in Patients with Acute Severe Asthma. Abstract NO P3609. ERJ Sept 2007
RESULTRamsay CF, Pearson D, Mildenhall S, Wilson AM. Oral montelukast in acute asthma exacerbations: a randomised, double-blind, placebo-controlled trial. Thorax. 2011 Jan;66(1):7-11. doi: 10.1136/thx.2010.135038. Epub 2010 Oct 18.
PMID: 20956393DERIVED
MeSH Terms
Interventions
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
November 10, 2009
First Posted
November 11, 2009
Study Start
May 1, 2001
Primary Completion
August 1, 2004
Study Completion
October 1, 2004
Last Updated
November 11, 2009
Record last verified: 2009-11