Effects of Montelukast in Children With Asthma

NCT ID: NCT00675285

Last Updated: 2008-05-09

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

PHASE3

Total Enrollment

26 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-09-30

Study Completion Date

2006-07-31

Brief Summary

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Leukotriene receptor antagonists (LTRAs) reduce fractional exhaled nitric oxide (FENO) concentrations in children with asthma, but the effect of LTRA withdrawal on FENO and lung function is unknown. We will aim to study the effect of treatment and withdrawal of montelukast, a LTRA, on airway inflammation as reflected by FENO and lung function in children with asthma.

A double-blind, randomized, placebo controlled, parallel group study will be undertaken in 18 atopic children with mild persistent asthma who will be treated with oral montelukast (5 mg/day for 4 weeks) and 18 atopic children with mild persistent asthma who will receive matching placebo.

A follow-up visit will be performed 2 weeks after montelukast or placebo withdrawal.

Detailed Description

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Conditions

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Asthma

Keywords

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airway inflammation childhood asthma fractional exhaled nitric oxide leukotriene receptor antagonists lung function

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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1

Group Type ACTIVE_COMPARATOR

montelukast sodium

Intervention Type DRUG

one tablet 5 mg once/day for 4 weeks

2

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type DRUG

one tablet 5 mg once/day for 4 weeks

Interventions

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montelukast sodium

one tablet 5 mg once/day for 4 weeks

Intervention Type DRUG

placebo

one tablet 5 mg once/day for 4 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Children 6 to 14 yrs old, step 1 and step 2 GINA (Global INitiative for Asthma) guidelines
* exhaled nitric oxide (NO) \>20 PPB at visit 2
* symptoms more often than twice a day, FEV1 equal or higher than 80% of predicted value and reversibility equal or higher than 12% to salbutamol, or a positive provocation test with methacholine, or exercise
* no regular medication, inhaled short-acting beta-2 agonists for symptom relief

Exclusion Criteria

* Patient is hospitalized
* Patient has FEV1 \< 80% predicted on visit 1
* Patient has 2 or more nighttime awakenings for asthma per week or pef variability 30% or more
* upper respiratory infection in the previous 3 weeks
* treatment with glucocorticoids or LTRAs in the previous 4 weeks
* treatment with inhaled glucocorticoids for more than 4 weeks in the previous year
Minimum Eligible Age

6 Years

Maximum Eligible Age

14 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role collaborator

Catholic University of the Sacred Heart

OTHER

Sponsor Role lead

Responsible Party

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Catholic University of the Sacred Heart

Principal Investigators

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Paolo Montuschi, M.D.

Role: PRINCIPAL_INVESTIGATOR

Catholic University of the Sacred Heart

Locations

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Catholic University of the Sacred Heart

Rome, , Italy

Site Status

Countries

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Italy

Other Identifiers

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A/1064/2004

Identifier Type: -

Identifier Source: org_study_id

NCT00496496

Identifier Type: -

Identifier Source: nct_alias