Severe, refractory asthma
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Asthma cases: 1. Patients with refractory asthma (according to the American Thoracic Society Criteria for refractory asthma. Ref. American Journal of Respiratory and Critical Care Medicine 162(6):2341-2351) Controls: 1.Healthy volunteers with no respiratory symptoms Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: 1. Current smokers or ex-smokers with more than 10-pack year smoking history 2. Significant other co-morbidity, including hepatic, renal or endocrine dysfunction 3. Pregnant or breast feeding women 4. Concurrent oral medication likely to interfere with prednisolone pharmacokinetics, e.g. anti-convulsants 5. Concurrent oral prednisolone at a dose of more than 10mg per day
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To assess whether patients with severe asthma have abnormalities in the way that they absorb prednisolone tablets or clear them from the body compared to healthy controls.;Secondary Objective: To determine whether any differences in the absorption or clearing of prednisolone tablets relates to underlying airway inflammation in asthma, and whether patients with severe asthma have abnormal tissue responses to steriod treatment (by means of applying beclometasone dipropionate solution (not an IMP) topically. ;Primary end point(s): Assessment of the difference in pharmacokinetics of prednisolone between patients with refractory asthma, and healthy volunteers. In addition, enteric-coated prednisolone tablets may reduce the systemic absorption of prednisolone in patients with refractory asthma. | — |
Countries
United Kingdom