Trial Outcomes & Findings for Childhood Asthma Management Program (CAMP) Phases I (Trial), II (CAMPCS), III (CAMPCS/2), and IV (CAMPCS/3) (NCT NCT00000575)
NCT ID: NCT00000575
Last Updated: 2014-04-03
Results Overview
Change in FEV1 % of predicted, post-bronchodilator use, from baseline to the end of treatment (4-6 years after randomization). Percent predicted determined from three separate published sets of reference equations for white, black, and Hispanic children - see NEJM 343: 1054-1062, 2000 for more details and references.
COMPLETED
PHASE3
1041 participants
At the end of treatment, 4-6 years from baseline assessment
2014-04-03
Participant Flow
Between December 1993 and September 1995, 1041 children from 5 through 12 years of age with mild to moderate asthma at eight clinical centers (two HMOs associated with academic or research institutions and six located in specialty practices within academic or research institutions) were enrolled.
Patients were required to stop all asthma medications except as needed albuterol (prednisone could be used for asthma exacerbations) at the close of the second screening visit. Also at this time, patients began keeping a daily diary of asthma signs and symptoms, medications, school absences, and physician contacts.
Participant milestones
| Measure |
1 Budesonide
Budesonide (Pulmicort), two 100 microgram puffs bid + two microgram puffs albuterol (Ventolin) prn
|
2 Nedocromil
Nedocromil (Tilade), four 2 mg puffs bid + two 90 microgram puffs albuterol prn
|
3 Placebo
Two 100 microgram puffs budesonide placebo bid + two 90 microgram puffs albuterol prn or four 2 mg puffs nedocromil placebo bid + two 90 microgram puffs albuterol prn.
|
|---|---|---|---|
|
Overall Study
STARTED
|
311
|
312
|
418
|
|
Overall Study
COMPLETED
|
311
|
312
|
418
|
|
Overall Study
NOT COMPLETED
|
0
|
0
|
0
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Childhood Asthma Management Program (CAMP) Phases I (Trial), II (CAMPCS), III (CAMPCS/2), and IV (CAMPCS/3)
Baseline characteristics by cohort
| Measure |
1 Budesonide
n=311 Participants
Budesonide (Pulmicort), two 100 microgram puffs bid + two microgram puffs albuterol (Ventolin) prn
|
2 Nedocromil
n=312 Participants
Nedocromil (Tilade), four 2 mg puffs bid + two 90 microgram puffs albuterol prn
|
3 Placebo
n=418 Participants
Two 100 microgram puffs budesonide placebo bid + two 90 microgram puffs albuterol prn or four 2 mg puffs nedocromil placebo bid + two 90 microgram puffs albuterol prn.
|
Total
n=1041 Participants
Total of all reporting groups
|
|---|---|---|---|---|
|
Age, Categorical
<=18 years
|
311 Participants
n=5 Participants
|
312 Participants
n=7 Participants
|
418 Participants
n=5 Participants
|
1041 Participants
n=4 Participants
|
|
Age, Categorical
Between 18 and 65 years
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
0 Participants
n=4 Participants
|
|
Age, Categorical
>=65 years
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
0 Participants
n=4 Participants
|
|
Age, Continuous
|
9.0 years
STANDARD_DEVIATION 2.1 • n=5 Participants
|
8.8 years
STANDARD_DEVIATION 2.1 • n=7 Participants
|
9.0 years
STANDARD_DEVIATION 2.2 • n=5 Participants
|
8.9 years
STANDARD_DEVIATION 2.1 • n=4 Participants
|
|
Sex: Female, Male
Female
|
130 Participants
n=5 Participants
|
106 Participants
n=7 Participants
|
184 Participants
n=5 Participants
|
420 Participants
n=4 Participants
|
|
Sex: Female, Male
Male
|
181 Participants
n=5 Participants
|
206 Participants
n=7 Participants
|
234 Participants
n=5 Participants
|
621 Participants
n=4 Participants
|
|
Region of Enrollment
United States
|
274 participants
n=5 Participants
|
274 participants
n=7 Participants
|
368 participants
n=5 Participants
|
916 participants
n=4 Participants
|
|
Region of Enrollment
Canada
|
37 participants
n=5 Participants
|
38 participants
n=7 Participants
|
50 participants
n=5 Participants
|
125 participants
n=4 Participants
|
PRIMARY outcome
Timeframe: At the end of treatment, 4-6 years from baseline assessmentChange in FEV1 % of predicted, post-bronchodilator use, from baseline to the end of treatment (4-6 years after randomization). Percent predicted determined from three separate published sets of reference equations for white, black, and Hispanic children - see NEJM 343: 1054-1062, 2000 for more details and references.
Outcome measures
| Measure |
1 Budesonide
n=306 Participants
Budesonide (Pulmicort), two 100 microgram puffs bid + two microgram puffs albuterol (Ventolin) prn
|
2 Nedocromil
n=307 Participants
Nedocromil (Tilade), four 2 mg puffs bid + two 90 microgram puffs albuterol prn
|
3 Placebo
n=411 Participants
Two 100 microgram puffs budesonide placebo bid + two 90 microgram puffs albuterol prn or four 2 mg puffs nedocromil placebo bid + two 90 microgram puffs albuterol prn.
|
|---|---|---|---|
|
Pulmonary Function as Measured by Normalized FEV1 Over a 4-6 Year Period
|
0.6 percentage of predicted value
Standard Deviation 9.6
|
-0.5 percentage of predicted value
Standard Deviation 9.6
|
-0.1 percentage of predicted value
Standard Deviation 9.6
|
SECONDARY outcome
Timeframe: 4-6 years from baselineBronchial responsiveness to serial concentrations of inhaled methacholine solution (mg/ml) as measured by serial ratios of follow-up to baseline FEV1 (forced volume of air expired from the lungs in one second). A dose-response curve is calculated from the serial ratios in relation to the serial concentrations to determine PC20, the concentration associated with a 20% drop from baseline in FEV1; this PC20 is the outcome measure with units mg/ml of methacholine.
Outcome measures
| Measure |
1 Budesonide
n=304 Participants
Budesonide (Pulmicort), two 100 microgram puffs bid + two microgram puffs albuterol (Ventolin) prn
|
2 Nedocromil
n=305 Participants
Nedocromil (Tilade), four 2 mg puffs bid + two 90 microgram puffs albuterol prn
|
3 Placebo
n=409 Participants
Two 100 microgram puffs budesonide placebo bid + two 90 microgram puffs albuterol prn or four 2 mg puffs nedocromil placebo bid + two 90 microgram puffs albuterol prn.
|
|---|---|---|---|
|
Bronchial Responsiveness to Serial Methacholine Concentrations Inhaled Into the Lungs
|
3.0 mg/ml of methacholine
Standard Deviation 3.3
|
1.8 mg/ml of methacholine
Standard Deviation 3.3
|
1.9 mg/ml of methacholine
Standard Deviation 3.3
|
SECONDARY outcome
Timeframe: 4-6 years from baselineChange from baseline proportion of days without asthma symptoms or other asthma related events to proportion of days during the 4-6 years of follow-up. Asthma free days were determined from daily asthma diaries kept from baseline to the end of treatment, 4-6 years later.
Outcome measures
| Measure |
1 Budesonide
n=311 Participants
Budesonide (Pulmicort), two 100 microgram puffs bid + two microgram puffs albuterol (Ventolin) prn
|
2 Nedocromil
n=312 Participants
Nedocromil (Tilade), four 2 mg puffs bid + two 90 microgram puffs albuterol prn
|
3 Placebo
n=418 Participants
Two 100 microgram puffs budesonide placebo bid + two 90 microgram puffs albuterol prn or four 2 mg puffs nedocromil placebo bid + two 90 microgram puffs albuterol prn.
|
|---|---|---|---|
|
Change From Baseline in the Rate of Asthma Free Days
|
11.3 days per month
Standard Deviation 10.2
|
9.3 days per month
Standard Deviation 10.2
|
9.3 days per month
Standard Deviation 10.2
|
SECONDARY outcome
Timeframe: 4-6 years from baselineCounts during the period of treatment (4-6 years) of visits to emergency rooms or equivalent urgent care settings for asthma treatment.
Outcome measures
| Measure |
1 Budesonide
n=311 Participants
Budesonide (Pulmicort), two 100 microgram puffs bid + two microgram puffs albuterol (Ventolin) prn
|
2 Nedocromil
n=312 Participants
Nedocromil (Tilade), four 2 mg puffs bid + two 90 microgram puffs albuterol prn
|
3 Placebo
n=418 Participants
Two 100 microgram puffs budesonide placebo bid + two 90 microgram puffs albuterol prn or four 2 mg puffs nedocromil placebo bid + two 90 microgram puffs albuterol prn.
|
|---|---|---|---|
|
Need for Urgent Care for Asthma
|
12 rate per 100 person years
|
16 rate per 100 person years
|
22 rate per 100 person years
|
SECONDARY outcome
Timeframe: 4-6 years from baselineCounts of deaths from asthma.
Outcome measures
| Measure |
1 Budesonide
n=311 Participants
Budesonide (Pulmicort), two 100 microgram puffs bid + two microgram puffs albuterol (Ventolin) prn
|
2 Nedocromil
n=312 Participants
Nedocromil (Tilade), four 2 mg puffs bid + two 90 microgram puffs albuterol prn
|
3 Placebo
n=418 Participants
Two 100 microgram puffs budesonide placebo bid + two 90 microgram puffs albuterol prn or four 2 mg puffs nedocromil placebo bid + two 90 microgram puffs albuterol prn.
|
|---|---|---|---|
|
Mortality
|
0 participants
|
1 participants
|
0 participants
|
SECONDARY outcome
Timeframe: 4-6 years from baselineChange in standing height from baseline to end of treatment. Standing height is measured three times without shoes using a calibrated Harpenden stadiometer; the average of the three repeated heights to the nearest 0.1 cm is the height measure at either baseline or end of treatment.
Outcome measures
| Measure |
1 Budesonide
n=311 Participants
Budesonide (Pulmicort), two 100 microgram puffs bid + two microgram puffs albuterol (Ventolin) prn
|
2 Nedocromil
n=312 Participants
Nedocromil (Tilade), four 2 mg puffs bid + two 90 microgram puffs albuterol prn
|
3 Placebo
n=418 Participants
Two 100 microgram puffs budesonide placebo bid + two 90 microgram puffs albuterol prn or four 2 mg puffs nedocromil placebo bid + two 90 microgram puffs albuterol prn.
|
|---|---|---|---|
|
Change in Height From Baseline to End of Treatment, 4-6 Years Later
|
22.7 cm
Standard Deviation 5.4
|
23.7 cm
Standard Deviation 5.4
|
23.8 cm
Standard Deviation 5.4
|
SECONDARY outcome
Timeframe: 4-6 years from baselineChange in total score on the Children's Depression Inventory from baseline to the end of treatment, 4-6 years later. The total score ranges from 0-54 with higher scores indicating greater levels of depression.
Outcome measures
| Measure |
1 Budesonide
n=311 Participants
Budesonide (Pulmicort), two 100 microgram puffs bid + two microgram puffs albuterol (Ventolin) prn
|
2 Nedocromil
n=312 Participants
Nedocromil (Tilade), four 2 mg puffs bid + two 90 microgram puffs albuterol prn
|
3 Placebo
n=418 Participants
Two 100 microgram puffs budesonide placebo bid + two 90 microgram puffs albuterol prn or four 2 mg puffs nedocromil placebo bid + two 90 microgram puffs albuterol prn.
|
|---|---|---|---|
|
Standardized Depression Scale -- Children's Depression Inventory
|
-3.2 units on a scale
Standard Deviation 5.1
|
-1.8 units on a scale
Standard Deviation 5.1
|
-2.2 units on a scale
Standard Deviation 5.1
|
Adverse Events
1 Budesonide
2 Nedocromil
3 Placebo
Serious adverse events
| Measure |
1 Budesonide
n=311 participants at risk
Budesonide (Pulmicort), two 100 microgram puffs bid + two microgram puffs albuterol (Ventolin) prn
|
2 Nedocromil
n=312 participants at risk
Nedocromil (Tilade), four 2 mg puffs bid + two 90 microgram puffs albuterol prn
|
3 Placebo
n=418 participants at risk
Two 100 microgram puffs budesonide placebo bid + two 90 microgram puffs albuterol prn or four 2 mg puffs nedocromil placebo bid + two 90 microgram puffs albuterol prn.
|
|---|---|---|---|
|
Respiratory, thoracic and mediastinal disorders
Asthma exacerbation
|
0.00%
0/311
|
0.32%
1/312 • Number of events 1
|
0.24%
1/418 • Number of events 1
|
|
Psychiatric disorders
Psychiatric (hallucinations)
|
0.00%
0/311
|
0.00%
0/312
|
0.48%
2/418 • Number of events 2
|
|
Renal and urinary disorders
Renal stone
|
0.00%
0/311
|
0.00%
0/312
|
0.24%
1/418 • Number of events 1
|
Other adverse events
| Measure |
1 Budesonide
n=311 participants at risk
Budesonide (Pulmicort), two 100 microgram puffs bid + two microgram puffs albuterol (Ventolin) prn
|
2 Nedocromil
n=312 participants at risk
Nedocromil (Tilade), four 2 mg puffs bid + two 90 microgram puffs albuterol prn
|
3 Placebo
n=418 participants at risk
Two 100 microgram puffs budesonide placebo bid + two 90 microgram puffs albuterol prn or four 2 mg puffs nedocromil placebo bid + two 90 microgram puffs albuterol prn.
|
|---|---|---|---|
|
Nervous system disorders
Dizziness
|
0.00%
0/311
|
0.32%
1/312 • Number of events 1
|
0.00%
0/418
|
|
Musculoskeletal and connective tissue disorders
Musculoskeletal (low bone mineral density, back pain)
|
0.00%
0/311
|
0.32%
1/312 • Number of events 1
|
0.24%
1/418 • Number of events 1
|
|
Psychiatric disorders
Phsychiatric (behavior)
|
0.32%
1/311 • Number of events 1
|
0.32%
1/312 • Number of events 1
|
0.00%
0/418
|
|
Respiratory, thoracic and mediastinal disorders
Respiratory (cough, wheeze, chest tightness, croup)
|
0.00%
0/311
|
1.6%
5/312 • Number of events 5
|
0.24%
1/418 • Number of events 1
|
Additional Information
Alice Sternberg
Johns Hopkins Bloomberg School of Public Health, Dept of Epidemiology
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place