Remission in Adults With Severe Asthma in Thailand

NCT ID: NCT07328035

Last Updated: 2026-01-13

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

NOT_YET_RECRUITING

Total Enrollment

230 participants

Study Classification

OBSERVATIONAL

Study Start Date

2026-01-01

Study Completion Date

2026-12-31

Brief Summary

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The goal of this observational study is to determine the prevalence of remission among adults with severe asthma, as well as the factors associated with remission in Thailand.

The main question the study aims to answer is:

What is the prevalence of remission among adults with severe asthma in Thailand? Participants will complete questionnaires on asthma symptoms and undergo pulmonary function testing and a blood test once.

Detailed Description

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This study is a cross-sectional study. Thai patients aged 18 years or older with severe asthma are included in the study. Participants will complete two questionnaires about asthma control: the Global Initiative for Asthma (GINA) and the Asthma Control Test (ACT), and will perform spirometry, a fractional exhaled nitric oxide (FeNO) test, and blood eosinophil counts (BEC).

Conditions

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Severe Asthma Asthma Control Level

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Severe asthma

Asthma that requires treatment with high-dose inhaled corticosteroids plus a second controller, or requires systemic corticosteroids for ≥50% of the previous year to prevent it from becoming uncontrolled, or remains uncontrolled despite this therapy.

Global Initiative for Asthma (GINA) and Asthma Control Test (ACT) questionnaires

Intervention Type OTHER

GINA and ACT are questionnaires used to assess the level of asthma control.

Spirometry

Intervention Type DIAGNOSTIC_TEST

Spirometry is a tool used to assess pulmonary function.

Fractional exhaled nitric oxide (FeNO) test

Intervention Type DIAGNOSTIC_TEST

FeNO is a tool used to assess eosinophilic airway inflammation and asthma remission.

Blood eosinophil count (BEC)

Intervention Type DIAGNOSTIC_TEST

BEC is a tool used to assess eosinophilic inflammation and asthma remission.

Interventions

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Global Initiative for Asthma (GINA) and Asthma Control Test (ACT) questionnaires

GINA and ACT are questionnaires used to assess the level of asthma control.

Intervention Type OTHER

Spirometry

Spirometry is a tool used to assess pulmonary function.

Intervention Type DIAGNOSTIC_TEST

Fractional exhaled nitric oxide (FeNO) test

FeNO is a tool used to assess eosinophilic airway inflammation and asthma remission.

Intervention Type DIAGNOSTIC_TEST

Blood eosinophil count (BEC)

BEC is a tool used to assess eosinophilic inflammation and asthma remission.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* severe asthma
* age 18 years or older

Exclusion Criteria

* inability to perform spirometry or fractional exhaled nitric oxide (FeNO) test
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Thammasat University

OTHER

Sponsor Role lead

Responsible Party

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Narongkorn Saiphoklang, MD

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Narongkorn Saiphoklang

Role: PRINCIPAL_INVESTIGATOR

Thammasat University Faculty of Medicine

Central Contacts

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Narongkorn Saiphoklang, MD

Role: CONTACT

+6629269794

Pacharaporn Tangsathapornpong, MD

Role: CONTACT

+6629269701

References

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McDowell PJ, McDowell R, Busby J, Eastwood MC, Patel PH, Jackson DJ, Mansur A, Patel M, Burhan H, Doe S, Chaudhuri R, Gore R, Dodd JW, Subramanian D, Brown T, Heaney LG; UK Severe Asthma Registry. Clinical remission in severe asthma with biologic therapy: an analysis from the UK Severe Asthma Registry. Eur Respir J. 2023 Dec 14;62(6):2300819. doi: 10.1183/13993003.00819-2023. Print 2023 Dec.

Reference Type RESULT
PMID: 37857423 (View on PubMed)

Tupper OD, Hakansson KEJ, Ulrik CS. Remission and Changes in Severity Over 30 Years in an Adult Asthma Cohort. J Allergy Clin Immunol Pract. 2021 Apr;9(4):1595-1603.e5. doi: 10.1016/j.jaip.2020.11.013. Epub 2020 Nov 19.

Reference Type RESULT
PMID: 33220516 (View on PubMed)

Chipps BE, Lugogo N, Carr W, Zhou W, Patel A, Carstens DD, Trudo F, Ambrose CS. On-treatment clinical remission of severe asthma with real-world longer-term biologic use. J Allergy Clin Immunol Glob. 2024 Oct 30;4(1):100365. doi: 10.1016/j.jacig.2024.100365. eCollection 2025 Feb.

Reference Type RESULT
PMID: 39659738 (View on PubMed)

Perez-de-Llano L, Scelo G, Tran TN, Le TT, Fageras M, Cosio BG, Peters M, Pfeffer PE, Al-Ahmad M, Al-Lehebi RO, Altraja A, Bergeron C, Bjermer LH, Bjerrum AS, Bulathsinhala L, Busby J, Cano Rosales DJ, Canonica GW, Carter VA, Charriot J, Christoff GC, Denton EJ, Dorscheid DR, Fernandez Sanchez MJ, Fonseca JA, Gibson PG, Goh CYY, Heaney LG, Heffler E, Hew M, Iwanaga T, Katial R, Koh MS, Kuna P, Larenas-Linnemann DES, Lehtimaki L, Mahboub B, Martin N, Matsumoto H, Menzies-Gow AN, Papadopoulos NG, Popov TA, Porsbjerg CM, Patel P, Rhee CK, Sadatsafavi M, Taille C, Torres-Duque CA, Tsai MJ, Ulrik CS, Upham JW, von Bulow A, Wang E, Wechsler ME, Price DB. Exploring Definitions and Predictors of Severe Asthma Clinical Remission after Biologic Treatment in Adults. Am J Respir Crit Care Med. 2024 Oct 1;210(7):869-880. doi: 10.1164/rccm.202311-2192OC.

Reference Type RESULT
PMID: 38701495 (View on PubMed)

Hansen S, Baastrup Sondergaard M, von Bulow A, Bjerrum AS, Schmid J, Rasmussen LM, Johnsen CR, Ingebrigtsen T, Hakansson KEJ, Johansson SL, Bisgaard M, Assing KD, Hilberg O, Ulrik C, Porsbjerg C. Clinical Response and Remission in Patients With Severe Asthma Treated With Biologic Therapies. Chest. 2024 Feb;165(2):253-266. doi: 10.1016/j.chest.2023.10.046. Epub 2023 Nov 3.

Reference Type RESULT
PMID: 37925144 (View on PubMed)

Holm M, Omenaas E, Gislason T, Svanes C, Jogi R, Norrman E, Janson C, Toren K; RHINE Study Group. Remission of asthma: a prospective longitudinal study from northern Europe (RHINE study). Eur Respir J. 2007 Jul;30(1):62-5. doi: 10.1183/09031936.00121705. Epub 2007 Mar 14.

Reference Type RESULT
PMID: 17360725 (View on PubMed)

Almqvist L, Ronmark E, Stridsman C, Backman H, Lindberg A, Lundback B, Hedman L. Remission of adult-onset asthma is rare: a 15-year follow-up study. ERJ Open Res. 2020 Nov 23;6(4):00620-2020. doi: 10.1183/23120541.00620-2020. eCollection 2020 Oct.

Reference Type RESULT
PMID: 33263024 (View on PubMed)

Other Identifiers

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MTU-EC-IM-0-283/68

Identifier Type: -

Identifier Source: org_study_id

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