Montelukast in Modulating Exacerbations of Asthma in Children
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
The purpose of the study is to determine if Montelukast added to other therapy, if any, will reduce the severity of asthma symptoms in children during the high incidence of respiratory viral infections that occur in children in the post Labor Day school return period.
Condition | Intervention | Phase |
---|---|---|
Asthma |
Drug: Montelukast (drug) |
Phase 4 |
Study Type: | Interventional |
Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Double-Blind Primary Purpose: Treatment |
Official Title: | Randomized Placebo-controlled Trial of Montelukast in Modulating Exacerbations of Asthma in Children, September 2005 |
- Daily asthma symptom score
- Unscheduled physician visits (including ER)
- Oral-cortico-steroid use
Estimated Enrollment: | 200 |
Study Start Date: | September 2005 |
Estimated Study Completion Date: | November 2005 |
Between 1990- and 2003, we identified in Ontario, and subsequently across Canada, a striking increase in hospital admissions for asthma in children occurring predictably in the third week of September every year.1 In 2000 we undertook a retrospective case-control study comparing the clinical characteristics of children using local emergency rooms for asthma in September, with those of children presenting during the non-epidemic months of July-August. Based on that pilot study of 169 children, we developed a larger prospective case-control study of clinical and biological characteristics of children recruited as they presented to an emergency room for asthma during September 2001. The control group for this study were children recruited from the community who had symptomatic asthma but did not have a September exacerbation requiring emergency room utilization. We identified the presence of rhinovirus in the majority of children attending an ER with acute asthma, and also found rhinovirus in a substantial proportion of the community based controls. We also found a highly significant difference in use of medications for asthma, with the ER cases being much less likely to be receiving adequate anti-inflammatory medication. In September 2004 we conducted a pilot randomized controlled blinded clinical trial of the efficacy of montelukast in reducing morbidity caused by asthma exacerbations associated with respiratory viral infections (RVI) in children aged 2 to 14. We found a highly significant reduction in reported symptom free days in the montelukast group. The current study is a randomized placebo-controlled trial of montelukast, during September 2005 to confirm the results of our pilot study and to examine the effectiveness of montelukast in reducing asthma morbidity during RVIs in different age and sex groups with a range of risk of exacerbations. We also wish to compare the effectiveness of montelukast to placebo in reducing asthma morbidity during RVIs between groups of children concurrently taking no or other classes of asthma control medications.
Ages Eligible for Study: | 2 Years to 14 Years |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Children aged 2-14 years inclusive
- Doctor-diagnosed asthma
- Needing a beta-agonist inhaler at least once weekly on average for symptom relief
- At least one day lost from school in the past year, or significantly limited activity, because of asthma
- A history of asthma exacerbations associated with apparent respiratory viral infections
- Parent or guardian who is willing to provide informed consent
- Willing to give assent
Exclusion Criteria:
- Non-English speaking
- Unable to understand purpose of study and give consent
- Concomitant respiratory or other major illness e.g. cystic fibrosis, cardiac disease
- Currently using montelukast or other leukotriene receptor antagonist
- Using regular oral corticosteroid
- An asthma exacerbation requiring medical intervention during August 2005
Canada, Ontario | |
Firestone Institute for Respiratory Health | |
Hamilton, Ontario, Canada, L8N 4A6 |
Principal Investigator: | Malcolm R Sears, MB. ChB | Firestone Institute for Respiratory Health, St. Joseph's Healthcare, Hamilton |
Study Director: | Neil W Johnston, MSc | Firestone Institute for Respiratory Health, St. Joseph's Healthcare, Hamilton |
Publications:
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
ClinicalTrials.gov Identifier: | NCT00196547 History of Changes |
Other Study ID Numbers: | R.P. #05-2440 |
Study First Received: | September 12, 2005 |
Last Updated: | March 15, 2012 |
Health Authority: | Canada: Health Canada |
Keywords provided by Firestone Institute for Respiratory Health:
Asthma Respiratory viral infections Exacerbations |
Pediatric Leukotriene receptor antagonists School |
Additional relevant MeSH terms:
Asthma Bronchial Diseases Respiratory Tract Diseases Lung Diseases, Obstructive Lung Diseases Respiratory Hypersensitivity Hypersensitivity, Immediate Hypersensitivity Immune System Diseases |
Montelukast Leukotriene Antagonists Hormone Antagonists Hormones, Hormone Substitutes, and Hormone Antagonists Physiological Effects of Drugs Pharmacologic Actions Anti-Asthmatic Agents Respiratory System Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on October 16, 2012