Montelukast Added to Standard Therapy for Acute Asthma in Children Age 6-14 Years

This study has been terminated.
(Results of the interim analysis suggested no significant diff between study groups.)
Sponsor:
Collaborators:
American Academy of Pediatrics
Ambulatory Pediatric Association
Information provided by:
Washington University School of Medicine
ClinicalTrials.gov Identifier:
NCT00353184
First received: July 17, 2006
Last updated: February 23, 2010
Last verified: February 2010

July 17, 2006
February 23, 2010
September 2001
October 2004   (final data collection date for primary outcome measure)
Forced Expiratory Volume in One Second (FEV1)
Same as current
Complete list of historical versions of study NCT00353184 on ClinicalTrials.gov Archive Site
  • Hospitalization Rate
  • Relapse Visit Rate
Same as current
 
 
 
Montelukast Added to Standard Therapy for Acute Asthma in Children Age 6-14 Years
Randomized Controlled Trial of Oral Montelukast Added to Standard Therapy for Acute Asthma Exacerbations in Children Age 6 to 14 Years

Oral montelukast is helpful in chronic asthma. The purpose of this pediatric study was to investigate whether the addition of oral montelukast to standard therapy for acute asthma exacerbations results in further improvement in breathing function over three hours.

We hypothesized that children with moderate acute asthma exacerbations receiving oral montelukast in addition to standard therapy will have at least 12% greater FEV1 improvement in three hours than those receiving standard therapy alone.

In this randomized double-blind placebo-controlled study, we enrolled emergency patients aged 6-14 years with moderate acute asthma exacerbations (initial PEFR 40-70% predicted). Subjects received montelukast 5-mg or placebo orally then standard therapy consisting of weight-based doses of nebulized albuterol, nebulized ipratropium bromide, and oral corticosteroids. We measured FEV1 before study medication administration and hourly for three hours.

We conducted a planned an interim analysis after approximately one-half of the estimated sample had been enrolled.

Interventional
 
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double-Blind
Primary Purpose: Treatment
Asthma
Drug: Montelukast 5-mg orally added to standard therapy
 
 

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Terminated
27
February 2005
October 2004   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Seeking care in ED for acute asthma exacerbation
  • Age 6-14 years inclusive
  • Initial FEV1 = 40-70% predicted (defined as moderate severity)
  • Consent to participate in study

Exclusion Criteria:

  • Severe exacerbation requiring immediate therapy as determined by treating clinician
  • Pregnancy by history
  • Cystic Fibrosis by history
  • Tuberculosis
  • Gastroesophageal reflux disease requiring medications
  • Acute or chronic liver disease
  • Bronchopulmonary dysplasia
  • Premature <34 weeks gestational age by history
  • Having used leukotriene-modifying medication within 48 hours
  • Having used theophylline within four weeks
  • Unable to perform FEV1
Both
6 Years to 14 Years
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00353184
WUSM HSC #01-0464
 
Kyle Nelson, Washington University
Washington University School of Medicine
  • American Academy of Pediatrics
  • Ambulatory Pediatric Association
Principal Investigator: Kyle A Nelson, MD Physician in Division of Pediatric Emergency Medicine at Washington University School of Medicine in St. Louis
Study Chair: David M Jaffe, MD Senior Advisor for Study, Division Director for Pediatric Emergency Medicine at Washington University School of Medicine
Washington University School of Medicine
February 2010

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP