asthma
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: -Informed consent -Male and female patients between 18 and 65 years -Established diagnosis of asthma at least 3 months before the start of the study and based on: documented reversible airway obstruction of >= 9% of predicted or documented positive metacholine provocation test -Treatment with Symbicort 160/4.5 2*2 during the last 2 months -Clinical stable patients with asthma symptoms =65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: -Patients with severe cardiovascular disease -Smoking -Recent upper airway infection (within one month before the start of the study) -Chronic rhino-sinusitis -Use of systemic steroids 30 days before the start of the study -Use of ß blocking agents -Pregnancy and breast feeding during the study -Addiction to alcohol or drugs that may interfere with the overall compliance -Planned surgical interventions during the study period -Concomitant treatment with anticholinergics, theophyllines and LTRA -At visit 2: infections and unstable asthma (symptoms more than 1time a week, nocturnal symptoms, PEF variability of >20%) or upper respiratory tract infection during run-in
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Comparison between: -clinical symptoms and lung function variables (“gold standard” – primary outcome) and -eNO and markers of inflammation in exhaled breath condensate (secondary outcome) During step-down therapy with combined preparations (Symbicort 160/4.5, budesonide /formoterol) in stable and moderately severe asthma from Symbicort 160/4.5 2 * 2 inhalations to 2 * 1 inhalation. ;Secondary Objective: ;Primary end point(s): -symptom scores, peak flow variability, dynamic lung volumes (FEV1 and FEV1/FV), extra use of bronchodilators (short acting ß2), nocturnal symptoms and -eNO and inflammatory markers in EBC (cytokines, markers of oxidative stress) | — |
Countries
Belgium