The Anti-Inflammatory Effect of Extrafine HFA-Beclometasone Versus HFA-Fluticasone, by Means of Inflammometry

NCT ID: NCT00402207

Last Updated: 2006-11-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

33 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-08-31

Study Completion Date

2006-10-31

Brief Summary

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Background Chronic inflammation in peripheral airways plays an important role in the pathophysiology of asthma. Extrafine hydrofluoroalkane (HFA) beclometasone is distinguished from other ICS because of its fine aerosol characteristics. As a result, there is a greater extent of deposition of extrafine HFA-beclometasone in the peripheral airways. Therefore, extrafine HFA-beclometasone may have an extra anti-inflammatory effect in children with asthma.

Aim To analyse the potential extra anti-inflammatory effect of extrafine HFA-beclometasone compared to HFA-flucticasone in children with asthma by means of alveolar nitric oxide (NO) concentration and bronchial NO flux, inflammatory markers in exhaled breath condensate (EBC), and conventional parameters.

Method In a cross-over study design of 6 months, 33 children, aged 6-12 years, with doctor diagnosed mild persistent asthma, were treated with extrafine HFA-beclometasone inhaled from an autohaler and HFA-flucticasone inhaled from a discus. Primary outcome parameters of this study were; alveolar NO concentration and bronchial NO flux. Secondary outcome parameters were inflammatory markers in EBC, lung function parameters, symptoms, presence and duration of exacerbations and adverse effects. All parameters were recorded at baseline and after each treatment period.

Detailed Description

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Conditions

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Asthma

Keywords

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asthma non-invasive inflammometry exhaled nitric oxide exhaled breath condensate paediatric extrafine HFA-beclomethasone HFA-fluticasone

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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extrafine HFA-beclomethasone

Intervention Type DRUG

HFA-fluticasone

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* age 6.5 - 12 years
* children with mild-persistent asthma
* treatment with inhaled corticosteroids(≤ 500 μg HFA-Flucticasone, ≤ 800 μg Budesonide, or ≤ 800 μg HFA-Beclometasone, daily)
* allowed, but needed to be used during the entire study period;

* short / long-acting β2-agonists
* leukotrien receptor antagonists
* antihistamines

Exclusion Criteria

* Instability of asthma during the past 3 months
* Presence of a disease that may intervene with the results of this study
* Active smoking
* Mental retardation
* Inability to perform the measurements properly
Minimum Eligible Age

78 Months

Maximum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AstraZeneca

INDUSTRY

Sponsor Role collaborator

Teva Branded

INDUSTRY

Sponsor Role collaborator

Maastricht University Medical Center

OTHER

Sponsor Role lead

Principal Investigators

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Charlotte M Robroeks, MD

Role: PRINCIPAL_INVESTIGATOR

Maastricht University Medical Center

Rijn Jöbsis, MD, PhD

Role: STUDY_DIRECTOR

Maastricht University Medical Center

Edward Dompeling, MD, PhD

Role: STUDY_DIRECTOR

Maastricht University Medical Center

Locations

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University Hospital Maastricht

Maastricht, , Netherlands

Site Status

Countries

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Netherlands

Other Identifiers

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MEC 05-005

Identifier Type: -

Identifier Source: org_study_id