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Periostin-guided withdrawal of inhaled corticosteroids in patients with non-eosinophilic asthma

Periostin-guided withdrawal of inhaled corticosteroids in patients with non-eosinophilic asthma

Status
Active, not recruiting
Phases
Phase 4
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2017-002244-33-DK
Enrollment
110
Registered
2017-06-22
Start date
2017-09-21
Completion date
Unknown
Last updated
2024-11-04

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Asthma MedDRA version: 22.1 Level: LLT Classification code 10003555 Term: Asthma bronchial System Organ Class: 100000004855

Interventions

Trade Name: Budesonid Product Name: budesonid Product Code: budesonid Pharmaceutical Form: INN or Proposed INN: BUDESONIDE CAS Number: 51333-22-3 Current Sponsor code: budesonid Trade Name: fluticas

Sponsors

Respiratory Research Unit Hvidovre, Department of Respiratory Medicine, Copenhagen University Hospital Hvidovre
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: - Asthma patients followed in the Respiratory Outpatient Ward, Amager Hvidovre Hospital, Glostrup Hospital, Herlev-Gentofte Hospital, Bispebjerg Hospital. - At least one of the following test suggestive for asthma, performed at any time during the outpatient course: o 1) FEV1-reversibility of at least 12% and 200 ml after administration of bronkodilator or Prednisolon course. o 2) positiv bronkialprovokation test, such as mannitol, or o 3) peakflow (PF)- variation of at least 20% assessed during a 14-day period, measured twice daily and at asthmatic symptoms. o 4) Variability in FEV1 over time on at least 12% and 200 ml - Age 18-65 years - Treated with ICS daily in doses equivalent to Budesonid 800 microgram daily or more - ICS adherence of at least 80% during the last year, assessed from used prescriptions - FeNO =65 years) no F.1.3.1 Number of subjects for this age range

Exclusion criteria

Exclusion criteria: - History of allergic asthma - Doctor-diagnosed pneumonia within 6 weeks prior to screening - Daily smoking or former daily smoking within the last 6 months - Known other respiratory condition such as COPD or pulmonary sarcoidosis - Known other chronic conditions that could impact or prevent study participation, including severe heart conditions and conditions requiring treatment with immunosuppressive drugs such as Prednisolon, Methotrexate or biological treatments, assessed by study doctor - Pregnancy or planned pregnancy - Abuse of alcohol or other recreational drugs

Design outcomes

Primary

MeasureTime frame
Main Objective: The aim is to investigate whether asthma patients expressing low T2-activity, assessed by Serum-Periostin, blood-eosinophils, and FeNO can sustain their level of disease control during tapering of ICS. The overall aim of the study is to reduce the burden of corticosteroids in these patients. ;Secondary Objective: Not applicable;Primary end point(s): Change in Control Questionnaire (ACQ) from baseline to post-tapered ICS and/or time from baseline to drop-out because of worsening of asthma symptoms. Clinically significant change will be 0.5 points. ;Timepoint(s) of evaluation of this end point: 1. Week 0, 4, 8, 12, 16, 26, 52. 2. Single measurement at drop-out

Secondary

MeasureTime frame
Secondary end point(s): 1. Change in FeNO 2. Change in Serum-Periostin. 3. Change in FEV1. 4. Change in Blood-eosinophils 5. Change in Sputum-eosinophils;Timepoint(s) of evaluation of this end point: 1. Week 0, 4, 8, 12, 16, 26, 52. 2. Week 0, 8, 16, 52. 3. Week 0, 4, 8, 12, 16, 26, 52. 4. Week 0, 4, 8, 12, 16, 26, 52. 5. Week 0, 52.

Countries

Denmark

Contacts

Public ContactRespiratory Research Unit Hvidovre

Respiratory Research Unit Hvidovre, Department of Respiratory Medicine, Copenhagen University Hospital Hvidovre

christiane.mosbech@regionh.dk4538621020

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026