Orthomolecular Therapy and Asthma in Children

NCT ID: NCT00672529

Last Updated: 2011-02-04

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-02-28

Study Completion Date

2013-03-31

Brief Summary

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The purpose of this study is

1. To pilot the research methodology for a randomized trial on an orthomolecular treatment regime versus placebo as add-on therapy for children with asthma;
2. To obtain a preliminary estimate of the effectiveness of an orthomolecular treatment regime for allowing tapering of inhaled corticosteroids in clinically stable asthmatic children. The obtained estimate will allow sample size calculations for a full-scale randomized trial; and
3. To obtain preliminary information about the safety and tolerability of an orthomolecular treatment regime.

Detailed Description

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An orthomolecular treatment approach that combines supplements has, to date, not been tested, although it is commonly used by naturopathic practitioners to treat respiratory problems in individual children. A well-designed controlled trial is needed to determine if this approach is effective. This smaller study should establish guidelines for a large trial to follow. This proposed research is particularly important, as the trend to use natural treatments may encourage non-compliance with conventional medical treatments, leading to poor asthma control.

Conditions

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Asthma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Intervention Group

Group Type ACTIVE_COMPARATOR

Orthomolecular Therapy or Placebo Comparator

Intervention Type DIETARY_SUPPLEMENT

The custom formulation proposed in this study comprises Vitamins C, E, B6 and B12, magnesium, selenium, quercetin and fish oil in relatively large doses. It is not at present registered as a natural health product or drug product.

Eligible patients will be randomized to an orthomolecular treatment regime or placebo with a 2:1 randomization ratio and will remain on their randomized treatment for 16 weeks. For the first 8 weeks of the intervention period inhaled corticosteroid treatment will be unchanged. In the remaining 8 weeks dose adjustment will occur every two weeks. Participants will be monitored closely for changes in their lung function.

Placebo Group

Group Type PLACEBO_COMPARATOR

Orthomolecular Therapy or Placebo Comparator

Intervention Type DIETARY_SUPPLEMENT

The custom formulation proposed in this study comprises Vitamins C, E, B6 and B12, magnesium, selenium, quercetin and fish oil in relatively large doses. It is not at present registered as a natural health product or drug product.

Eligible patients will be randomized to an orthomolecular treatment regime or placebo with a 2:1 randomization ratio and will remain on their randomized treatment for 16 weeks. For the first 8 weeks of the intervention period inhaled corticosteroid treatment will be unchanged. In the remaining 8 weeks dose adjustment will occur every two weeks. Participants will be monitored closely for changes in their lung function.

Interventions

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Orthomolecular Therapy or Placebo Comparator

The custom formulation proposed in this study comprises Vitamins C, E, B6 and B12, magnesium, selenium, quercetin and fish oil in relatively large doses. It is not at present registered as a natural health product or drug product.

Eligible patients will be randomized to an orthomolecular treatment regime or placebo with a 2:1 randomization ratio and will remain on their randomized treatment for 16 weeks. For the first 8 weeks of the intervention period inhaled corticosteroid treatment will be unchanged. In the remaining 8 weeks dose adjustment will occur every two weeks. Participants will be monitored closely for changes in their lung function.

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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CIN-AST-01

Eligibility Criteria

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Inclusion Criteria

* Male or female aged 7 to 18 years
* Mild to moderate asthma diagnosed by a respirologist
* Use of budesonide at a dose of 200-800 µg/d (or equivalent corticosteroid therapy) for ≥3 months
* Stable asthma, defined as no significant change in the regular asthma medication and no acute asthma exacerbation requiring corticosteroid rescue for at least 3 months before enrollment in the run-in phase. Asthma symptoms must be under good control
* Baseline forced expiratory volume at 1 second (FEV-1) \>= 70% of the predicted normal value.
* Possible participants treated with orthomolecular therapies within the previous year will require a wash out period of 7 days prior to enrolment in the trial. (Vitamin C \> 200mg, Vitamin E \>50IU, Vitamin B12 \> 100µg, Magnesium \> 200mg, Selenium \> 50µg, Omega-3 \> 300mg, Quercetin \> 3mg, Vitamin B6 \> 75mg will all be considered orthomolecular doses).

Exclusion Criteria

* Known hypersensitivity to any component of the orthomolecular therapy or placebo.
* Acute infectious sinusitis or respiratory tract infection or active lung disease other than allergic asthma within 1 month or any other significant systemic disease within 3 months of the study entry visit.
Minimum Eligible Age

7 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Alberta Children's Hospital

OTHER

Sponsor Role collaborator

Alberta Health services

OTHER

Sponsor Role collaborator

Alberta Heritage Foundation for Medical Research

OTHER

Sponsor Role collaborator

SickKids Foundation

OTHER

Sponsor Role collaborator

Lotte & John Hecht Memorial Foundation

OTHER

Sponsor Role collaborator

Canadian Institute of Natural and Integrative Medicine

OTHER

Sponsor Role lead

Responsible Party

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Canadian Institute of Natural and Integrative Medicine

Principal Investigators

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Sabine Moritz, MSc

Role: PRINCIPAL_INVESTIGATOR

Canadian Institute of Natural and Integrative Medicine

Badri Rickhi, MB,BS,FRCPC

Role: PRINCIPAL_INVESTIGATOR

Canadian Institute of Natural and Integrative Medicine

Hude Quan, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Calgary

Sheldon Spier, MD,CM,FRCPC

Role: PRINCIPAL_INVESTIGATOR

Alberta Children's Hospital

Mary Noseworthy, MD, FRCPC

Role: PRINCIPAL_INVESTIGATOR

Alberta Children's Hospital

Eric Arrata, ND

Role: PRINCIPAL_INVESTIGATOR

Paradigm Health Group

Trevor Hoffman, ND

Role: PRINCIPAL_INVESTIGATOR

Paradigm Health Group

Paul Saunders, PhD, ND

Role: PRINCIPAL_INVESTIGATOR

Canadian College of Naturopathic Medicine

Sunita Vohra, MD,FRCPC,MSc

Role: PRINCIPAL_INVESTIGATOR

University of Alberta

Locations

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Alberta Children's Hospital

Calgary, Alberta, Canada

Site Status RECRUITING

Countries

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Canada

Central Contacts

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Sabine Moritz, MSc

Role: CONTACT

(403) 220-0022 ext. 103

Asthma Trial Coordinator

Role: CONTACT

(403) 220-0022 ext. 106

Related Links

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http://www.cinim.org/

Canadian Institute of Natural and Integrative Medicine, Calgary

Other Identifiers

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NHPD 115797

Identifier Type: -

Identifier Source: secondary_id

18376

Identifier Type: -

Identifier Source: org_study_id

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