Severe asthma with allergy to mould Respiratory Asthma
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Asthma requiring: high dose inhaled steroids or continuous steroids or at least 4 courses oral/intravenous (IV) steroids over previous 12 months or at least 6 courses oral/IV steroids over the previous 24 months
Exclusion criteria
Exclusion criteria: 1. ABPA (IgE >1000, precipitins positive) 2. Recurrent bacterial chest infections 3. Allergy to Azoles 4. Pregnancy 5. Current treatment with drugs that interact with itraconazole and which cannot be stopped 6. Significant cardiac disease 7. Significant immunosuppression other than corticosteroids 8. Abnormal liver function tests
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess whether antifungal treatment with itraconazole is beneficial in the management of severe asthma | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. To investigate whether there are subsets of patients who particularly benefit, or do not benefit from antifungal treatment 2. To determine whether any benefit of itraconazole is related to steroid interaction 3. To archive DNA for molecular genetic studies | — |
Countries
United Kingdom