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.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

1041 participants

Primary outcome timeframe

At the end of treatment, 4-6 years from baseline assessment

Results posted on

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

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

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 assessment

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.

Outcome measures

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 baseline

Bronchial 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

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 baseline

Change 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

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 baseline

Counts during the period of treatment (4-6 years) of visits to emergency rooms or equivalent urgent care settings for asthma treatment.

Outcome measures

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 baseline

Counts of deaths from asthma.

Outcome measures

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 baseline

Change 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

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 baseline

Change 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

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

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

2 Nedocromil

Serious events: 1 serious events
Other events: 8 other events
Deaths: 0 deaths

3 Placebo

Serious events: 4 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

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

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

Phone: 410-955-3752

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place