Asthma
Conditions
Keywords
Randomized clinical trial, Asthma, Adults, Azithromycin
Brief summary
The purpose of this study is to assess the effectiveness of the azalide macrolide azithromycin in adults with persistent asthma. Research Question: Will a 12-week treatment with the antibiotic, azithromycin, result in a statistically significant and clinically meaningful improvement in overall asthma symptoms and other patient-oriented asthma outcomes one year after initiation of treatment of adult primary care patients with asthma? Experimental Design: The investigators propose a one-year randomized, placebo-controlled, blinded (investigator, patient, data collector, data analyst) trial of 12 weekly doses of azithromycin/placebo as adjunctive therapy (in addition to usual care) along with a parallel observational cohort who will participate 'open label' in 100 adult asthma patients recruited from practice-based research networks (e.g., Wisconsin Research and Education Network (WREN) and others). This practical clinical trial will (1) enroll a representative sample of asthma patients encountered in the practices of primary care physicians, (2) employ standard clinical trial methodology to ensure internally valid results and (3) measure outcomes important to patients, so that the results will be valid and applicable to the kinds of asthma patients encountered by family physicians and other primary care providers. Active study sites - * Wisconsin: Augusta, Cross Plains, La Crosse, Marshfield, Milwaukee, Madison, * Mauston, Rice Lake, Tomah, Wausau * Colorado: Monument * Illinois: Peoria * Nevada: Reno * North Carolina: Granite Falls * North Dakota: Minot * Ohio: Cleveland, Berea * Oklahoma: Ardmore, Claremore, Edmond, Lawton, Oklahoma City, Stroud, Tulsa, Weatherford * Rhode Island: East Providence
Detailed description
1.0 PROTOCOL SYNOPSIS Approximately 100 eligible adult patients with physician-diagnosed asthma will either be randomized to 12-week treatment with azithromycin or an identical placebo, or join an observational open-label azithromycin cohort. Azithromycin is a widely marketed azalide antibiotic with an excellent safety profile. Azithromycin or placebo will be adjunctive therapy for usual asthma care. The following patient-reported data will be collected via Zoomerang™ (a commercially-available data collection tool) periodically until one year after randomization: (1) study medication adherence and side effects weekly until 12 weeks, (2) asthma control and exacerbations every 6 weeks until 12 months, and (3) asthma quality of life and asthma controller medication changes every 3 months until 12 months. The primary hypothesis is that azithromycin will significantly improve asthma control (decrease symptoms and medication use) by 3 months (end treatment) and the improvement will continue to 12 months (end study). The primary outcome variable is overall asthma symptoms. Secondary outcomes are asthma medication use, quality of life and exacerbations. We will examine the predictive value of baseline patient characteristics including age, sex, smoking, co-morbid respiratory diagnoses and degree of airflow limitation. We will also examine for any imbalances between study groups in controller medication use, other antibiotic prescriptions and acute respiratory illnesses during the one-year study period. We will enroll subjects from the practices of Wisconsin Research and Education Network (WREN) members, UW Department of Family Medicine physicians, Dean Medical Center primary care physicians, and from other practice-based research networks (PBRNs), medical group practices and individual primary care practices throughout North America. Patients with physician-diagnosed asthma aged 18 and older will be identified at point-of-service (office, urgent care, emergency room or hospital), by administrative data base review, or by physician recall. Most subjects will be the patients of study physicians. Other physicians in the group practice may refer subjects. Subjects also may be self-referred after responding to posters placed in the clinics. Some sites may elect to identify cases by medical record or database review, in which case only the personal physician may initiate patient contacts. Treatment is azithromycin tablets, 600 milligrams orally once daily for 3 days, then 600 milligrams once weekly for an additional 11 weeks (total dose 8400 milligrams) or identical placebo, in addition to usual care for asthma.
Interventions
DRUGAzithromycin
600 mg x 3 days, then 600 mg weekly x 11 weeks
DRUGPlacebo
Matching placebo
Sponsors
American Academy of Family Physicians
Dean Foundation
Pfizer
University of Wisconsin, Madison
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Intervention model description
2 arms are randomized, placebo-controlled, double-blinded, 1 arm was added as an open-label observational cohort
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Age 18 and older (and at least 50 kg/110 pounds) * The lower weight limit was chosen to avoid exposure to greater than 12 mg/kg/day of azithromycin (a currently recommended dose for children) * We specify no upper age limit because asthma occurs throughout the age range and because asthma in the elderly is particularly severe and warrants inclusion. * Physician-diagnosed asthma * At the time of randomization, eligible subjects must either: * be having a documented asthma exacerbation OR * be reporting at least mild persistent asthma symptoms, as defined by GINA (Global Initiative for Asthma) * Subjects must also have asthma symptoms for at least six months prior to randomization * Documentation of objective evidence of reversible airway obstruction, either spontaneously or after treatment, is required prior to randomization. This requirement can be met by documentary evidence, within 2 years of randomization, of either: * a 12% or greater (and ≥200 mL) change in FEV1 OR * a 25% or greater (and \>60 L/min) change in PEFR either spontaneously or as a result of treatment
Exclusion criteria
* Not English literate or without email and internet access * Macrolide allergy * Pregnancy or lactation * Females of childbearing potential must agree to use an acceptable form of contraception during the treatment period * Chronic use of macrolides, tetracyclines or quinolones Chronic use is defined as 4 or more weeks of continuous use within 6 months of randomization * Asthma symptoms for less than 6 months prior to randomization Asthma symptoms must be present for at least 6 months to exclude patients without true chronic asthma * Unstable asthma requiring immediate emergency care All patients with asthma exacerbations will receive usual urgent or emergency care for asthma and must be improving or stable in the judgment of the treating physician prior to being enrolled * Specified co-morbidities likely to interfere with study assessments or follow up. Excluded comorbidities include: * cystic fibrosis * obstructive sleep apnea requiring CPAP * cardiomyopathy * congestive heart failure * terminal cancer * alcohol or other drug abuse * or any other serious medical condition that, in the opinion of the study physician, would seriously interfere with or preclude assessment of study outcomes or completion of study assessments * Specified medical conditions for which macrolide administration may possibly be hazardous * Patients with acute or chronic hepatitis, cirrhosis or other liver disease, chronic kidney disease, or history of prolonged cardiac repolarization and QT interval or torsades de pointes, are excluded * Specified medications for which close monitoring has been recommended in the setting of macrolide administration Patients taking digoxin, theophylline, warfarin, ergotamine or dihydroergotamine, triazolam, carbamazepine, cyclosporine, hexobarbital or phenytoin are excluded. * If any of these medications are started after randomization and before completion of the 12-week treatment phase, study medication will be discontinued and the patient may remain in the study. The intent of this protocol is to enroll a broadly generalizable sample of adult patients with physician-diagnosed asthma, either stable persistent or in exacerbation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Overall Asthma Symptoms From Baseline | Within the past 24 hours; measured every 1.5 months for one year | 5-point scale: 0=none, 1=mild, 2=moderate, 3=severe, 4=worst ever, the lower scores indicate improvement in asthma symptoms |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Asthma Control Over Baseline | Within the past week; every 3 months | Mini-Juniper Asthma Control Questionnaire without pulmonary function. This is a 6-item survey scored on a 7 point scale where 0 is none, or no symptoms and 6 is severe or symptoms all of the time. Answers are averaged for a final score of 0-6. Data are reported as a change from baseline. |
| Change is Asthma-specific Quality-of-Life (AQL) | Within the past 2 weeks; every three months | Juniper Asthma Quality of Life Questionnaire is a 32-item survey, recall of the past 2 weeks, scored on a 7 point Likert scale where 1 is severely impaired, and 7 is not impaired at all. Scores are averaged for a final range of 1-7. Change from Baseline is reported here. |
| Asthma Exacerbations | up to 12 months | A steroid burst, an unscheduled or emergency visit and/or a hospitalization for asthma, reported at Weeks 0, 6, 12, 18, 24, 30, 36, 42, 48, and any time during follow up. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Placebo Adjunctive placebo
Placebo: Matching placebo | 37 |
| Azithromycin Active adjunctive treatment
Azithromycin: 600 mg x 3 days, then 600 mg weekly x 11 weeks | 38 |
| Observational Cohort Eligible participants who declined randomization were offered enrollment in an observational open-label azithromycin arm | 22 |
| Total | 97 |
Baseline characteristics
| Characteristic | Total | Azithromycin | Observational Cohort | Placebo |
|---|---|---|---|---|
| Age, Continuous | 46.3 years STANDARD_DEVIATION 14.8 | 45.7 years STANDARD_DEVIATION 15.5 | 45.4 years STANDARD_DEVIATION 15.2 | 47.4 years STANDARD_DEVIATION 14.2 |
| Allergy Tested Negative | 9 Participants | 1 Participants | 6 Participants | 2 Participants |
| Allergy Tested Positive for 1-3 positive | 15 Participants | 3 Participants | 8 Participants | 4 Participants |
| Allergy Tested Positive for equal to or greater than 4 | 31 Participants | 14 Participants | 5 Participants | 12 Participants |
| Baseline Asthma Measures Asthma Control | 1.78 scores on a scale STANDARD_DEVIATION 1.08 | 1.75 scores on a scale STANDARD_DEVIATION 0.93 | 2.26 scores on a scale STANDARD_DEVIATION 1.35 | 1.56 scores on a scale STANDARD_DEVIATION 1.02 |
| Baseline Asthma Measures Asthma Quality of Life | 4.79 scores on a scale STANDARD_DEVIATION 1.31 | 4.98 scores on a scale STANDARD_DEVIATION 1.27 | 4.12 scores on a scale STANDARD_DEVIATION 1.29 | 4.97 scores on a scale STANDARD_DEVIATION 1.28 |
| Baseline Asthma Measures Overall Asthma Symptoms | 1.57 scores on a scale STANDARD_DEVIATION 0.86 | 1.42 scores on a scale STANDARD_DEVIATION 0.77 | 2.06 scores on a scale STANDARD_DEVIATION 0.73 | 1.48 scores on a scale STANDARD_DEVIATION 0.94 |
| Baseline Asthma Severity Day Symptom Frequency Mild to Moderate | 84 Participants | 34 Participants | 15 Participants | 35 Participants |
| Baseline Asthma Severity Day Symptom Frequency Severe | 13 Participants | 4 Participants | 7 Participants | 2 Participants |
| Baseline Asthma Severity Night Symptom Frequency Mild to Moderate | 81 Participants | 33 Participants | 15 Participants | 33 Participants |
| Baseline Asthma Severity Night Symptom Frequency Severe | 16 Participants | 5 Participants | 7 Participants | 4 Participants |
| Chronic Sinusitis | 44 Participants | 14 Participants | 19 Participants | 11 Participants |
| Coexisting COPD | 15 Participants | 5 Participants | 2 Participants | 8 Participants |
| Controller Medication Inhaled Corticosteroid | 72 Participants | 24 Participants | 18 Participants | 30 Participants |
| Controller Medication Leukotriene Inhibitor | 23 Participants | 9 Participants | 6 Participants | 8 Participants |
| Controller Medication Long-Acting Bronchodilator | 55 Participants | 14 Participants | 15 Participants | 26 Participants |
| Controller Medication Oral Prednisone | 7 Participants | 2 Participants | 1 Participants | 4 Participants |
| Education | 15 years | 14 years | 17 years | 15 years |
| Exacerbations Emergency Visit | 42 Participants | 19 Participants | 9 Participants | 14 Participants |
| Exacerbations Hospitalized | 6 Participants | 2 Participants | 4 Participants | 0 Participants |
| Exacerbations Steroid burst | 59 Participants | 24 Participants | 13 Participants | 22 Participants |
| Infectious Asthma | 36 Participants | 17 Participants | 13 Participants | 6 Participants |
| Lung Function, FEV | 2.36 liters in one second STANDARD_DEVIATION 1.16 | 2.33 liters in one second STANDARD_DEVIATION 1.05 | 2.48 liters in one second STANDARD_DEVIATION 1.19 | 2.35 liters in one second STANDARD_DEVIATION 1.31 |
| Lung Function, PEFR | 272 liters per min STANDARD_DEVIATION 107 | 273 liters per min STANDARD_DEVIATION 109 | 300 liters per min STANDARD_DEVIATION 105 | 251 liters per min STANDARD_DEVIATION 105 |
| Participant Age at Asthma Diagnosis | 25 years | 24 years | 28 years | 24 years |
| Race/Ethnicity, Customized Race Unknown | 10 Participants | 2 Participants | 4 Participants | 4 Participants |
| Race/Ethnicity, Customized Race White | 87 Participants | 36 Participants | 18 Participants | 33 Participants |
| Region of Enrollment United States | 97 participants | 38 participants | 22 participants | 37 participants |
| Sex: Female, Male Female | 61 Participants | 27 Participants | 10 Participants | 24 Participants |
| Sex: Female, Male Male | 36 Participants | 11 Participants | 12 Participants | 13 Participants |
| Smoking Status Current | 11 Participants | 6 Participants | 0 Participants | 5 Participants |
| Smoking Status Former | 37 Participants | 12 Participants | 6 Participants | 19 Participants |
| Smoking Status Never | 49 Participants | 20 Participants | 16 Participants | 13 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk |
|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 37 | 0 / 38 | 0 / 22 |
| other Total, other adverse events | 7 / 34 | 16 / 35 | 14 / 20 |
| serious Total, serious adverse events | 1 / 37 | 0 / 38 | 0 / 22 |
Outcome results
Primary
Change in Overall Asthma Symptoms From Baseline
5-point scale: 0=none, 1=mild, 2=moderate, 3=severe, 4=worst ever, the lower scores indicate improvement in asthma symptoms
Time frame: Within the past 24 hours; measured every 1.5 months for one year
Population: All participants did not adhere to follow-up schedule
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Placebo | Change in Overall Asthma Symptoms From Baseline | Change from Baseline to Week 18 | -0.15 units on a scale | Standard Deviation 1.13 |
| Placebo | Change in Overall Asthma Symptoms From Baseline | Change from Baseline to Week 24 | -0.08 units on a scale | Standard Deviation 0.95 |
| Placebo | Change in Overall Asthma Symptoms From Baseline | Change from Baseline to Week 48 | -0.10 units on a scale | Standard Deviation 1.07 |
| Placebo | Change in Overall Asthma Symptoms From Baseline | Change from Baseline to Week 12 | -0.48 units on a scale | Standard Deviation 1.16 |
| Placebo | Change in Overall Asthma Symptoms From Baseline | Change from Baseline to Week 30 | -0.05 units on a scale | Standard Deviation 1.09 |
| Placebo | Change in Overall Asthma Symptoms From Baseline | Change from Baseline to Week 42 | -0.04 units on a scale | Standard Deviation 0.88 |
| Placebo | Change in Overall Asthma Symptoms From Baseline | Change from Baseline to Week 6 | -0.60 units on a scale | Standard Deviation 1.07 |
| Placebo | Change in Overall Asthma Symptoms From Baseline | Change from Baseline to Week 36 | -0.21 units on a scale | Standard Deviation 1.14 |
| Azithromycin | Change in Overall Asthma Symptoms From Baseline | Change from Baseline to Week 6 | -0.15 units on a scale | Standard Deviation 0.83 |
| Azithromycin | Change in Overall Asthma Symptoms From Baseline | Change from Baseline to Week 42 | -0.12 units on a scale | Standard Deviation 0.93 |
| Azithromycin | Change in Overall Asthma Symptoms From Baseline | Change from Baseline to Week 48 | -0.07 units on a scale | Standard Deviation 0.88 |
| Azithromycin | Change in Overall Asthma Symptoms From Baseline | Change from Baseline to Week 18 | 0.10 units on a scale | Standard Deviation 0.75 |
| Azithromycin | Change in Overall Asthma Symptoms From Baseline | Change from Baseline to Week 36 | -0.22 units on a scale | Standard Deviation 0.7 |
| Azithromycin | Change in Overall Asthma Symptoms From Baseline | Change from Baseline to Week 24 | -0.10 units on a scale | Standard Deviation 0.96 |
| Azithromycin | Change in Overall Asthma Symptoms From Baseline | Change from Baseline to Week 30 | -0.34 units on a scale | Standard Deviation 1.01 |
| Azithromycin | Change in Overall Asthma Symptoms From Baseline | Change from Baseline to Week 12 | -0.31 units on a scale | Standard Deviation 0.74 |
| Observational Cohort | Change in Overall Asthma Symptoms From Baseline | Change from Baseline to Week 48 | -1.07 units on a scale | Standard Deviation 0.95 |
| Observational Cohort | Change in Overall Asthma Symptoms From Baseline | Change from Baseline to Week 12 | -1.0 units on a scale | Standard Deviation 1.37 |
| Observational Cohort | Change in Overall Asthma Symptoms From Baseline | Change from Baseline to Week 18 | -0.94 units on a scale | Standard Deviation 1.12 |
| Observational Cohort | Change in Overall Asthma Symptoms From Baseline | Change from Baseline to Week 24 | -1.0 units on a scale | Standard Deviation 1.17 |
| Observational Cohort | Change in Overall Asthma Symptoms From Baseline | Change from Baseline to Week 30 | -0.81 units on a scale | Standard Deviation 1.17 |
| Observational Cohort | Change in Overall Asthma Symptoms From Baseline | Change from Baseline to Week 36 | -1.27 units on a scale | Standard Deviation 0.7 |
| Observational Cohort | Change in Overall Asthma Symptoms From Baseline | Change from Baseline to Week 42 | -1.21 units on a scale | Standard Deviation 0.7 |
| Observational Cohort | Change in Overall Asthma Symptoms From Baseline | Change from Baseline to Week 6 | -0.88 units on a scale | Standard Deviation 0.81 |
Secondary
Asthma Exacerbations
A steroid burst, an unscheduled or emergency visit and/or a hospitalization for asthma, reported at Weeks 0, 6, 12, 18, 24, 30, 36, 42, 48, and any time during follow up.
Time frame: up to 12 months
Population: This study was not powered to detect significant differences in exacerbation frequency.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Placebo | Asthma Exacerbations | Week 0 | 9 Participants |
| Placebo | Asthma Exacerbations | Week 6 | 9 Participants |
| Placebo | Asthma Exacerbations | Week 24 | 6 Participants |
| Placebo | Asthma Exacerbations | At any time during follow up | 15 Participants |
| Placebo | Asthma Exacerbations | Week 12 | 3 Participants |
| Placebo | Asthma Exacerbations | Week 30 | 4 Participants |
| Placebo | Asthma Exacerbations | Week 18 | 5 Participants |
| Placebo | Asthma Exacerbations | Week 36 | 5 Participants |
| Placebo | Asthma Exacerbations | Week 48 | 5 Participants |
| Azithromycin | Asthma Exacerbations | Week 48 | 7 Participants |
| Azithromycin | Asthma Exacerbations | Week 0 | 9 Participants |
| Azithromycin | Asthma Exacerbations | Week 12 | 6 Participants |
| Azithromycin | Asthma Exacerbations | Week 36 | 7 Participants |
| Azithromycin | Asthma Exacerbations | Week 6 | 6 Participants |
| Azithromycin | Asthma Exacerbations | Week 30 | 6 Participants |
| Azithromycin | Asthma Exacerbations | Week 18 | 6 Participants |
| Azithromycin | Asthma Exacerbations | At any time during follow up | 20 Participants |
| Azithromycin | Asthma Exacerbations | Week 24 | 4 Participants |
| Observational Cohort | Asthma Exacerbations | At any time during follow up | 10 Participants |
| Observational Cohort | Asthma Exacerbations | Week 12 | 4 Participants |
| Observational Cohort | Asthma Exacerbations | Week 18 | 3 Participants |
| Observational Cohort | Asthma Exacerbations | Week 24 | 5 Participants |
| Observational Cohort | Asthma Exacerbations | Week 30 | 6 Participants |
| Observational Cohort | Asthma Exacerbations | Week 36 | 2 Participants |
| Observational Cohort | Asthma Exacerbations | Week 0 | 6 Participants |
| Observational Cohort | Asthma Exacerbations | Week 48 | 2 Participants |
| Observational Cohort | Asthma Exacerbations | Week 6 | 3 Participants |
Secondary
Change in Asthma Control Over Baseline
Mini-Juniper Asthma Control Questionnaire without pulmonary function. This is a 6-item survey scored on a 7 point scale where 0 is none, or no symptoms and 6 is severe or symptoms all of the time. Answers are averaged for a final score of 0-6. Data are reported as a change from baseline.
Time frame: Within the past week; every 3 months
Population: All participants did not adhere to follow-up schedule
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Placebo | Change in Asthma Control Over Baseline | Change from Baseline to Week 36 | -0.39 scores on a scale | Standard Deviation 1 |
| Placebo | Change in Asthma Control Over Baseline | Change from Baseline to Week 12 | -0.41 scores on a scale | Standard Deviation 1.01 |
| Placebo | Change in Asthma Control Over Baseline | Change from Baseline to Week 42 | -0.22 scores on a scale | Standard Deviation 1.32 |
| Placebo | Change in Asthma Control Over Baseline | Change from Baseline to Week 48 | -0.45 scores on a scale | Standard Deviation 1 |
| Placebo | Change in Asthma Control Over Baseline | Change from Baseline to Week 6 | -0.37 scores on a scale | Standard Deviation 0.88 |
| Placebo | Change in Asthma Control Over Baseline | Change from Baseline to Week 24 | -0.37 scores on a scale | Standard Deviation 1.12 |
| Placebo | Change in Asthma Control Over Baseline | Change from Baseline to Week 30 | -0.25 scores on a scale | Standard Deviation 1.22 |
| Placebo | Change in Asthma Control Over Baseline | Change from Baseline to Week 18 | -0.40 scores on a scale | Standard Deviation 1.05 |
| Azithromycin | Change in Asthma Control Over Baseline | Change from Baseline to Week 36 | -0.39 scores on a scale | Standard Deviation 0.79 |
| Azithromycin | Change in Asthma Control Over Baseline | Change from Baseline to Week 30 | -0.56 scores on a scale | Standard Deviation 0.81 |
| Azithromycin | Change in Asthma Control Over Baseline | Change from Baseline to Week 24 | -0.34 scores on a scale | Standard Deviation 1.03 |
| Azithromycin | Change in Asthma Control Over Baseline | Change from Baseline to Week 42 | -0.38 scores on a scale | Standard Deviation 0.72 |
| Azithromycin | Change in Asthma Control Over Baseline | Change from Baseline to Week 12 | -0.40 scores on a scale | Standard Deviation 0.8 |
| Azithromycin | Change in Asthma Control Over Baseline | Change from Baseline to Week 6 | -0.46 scores on a scale | Standard Deviation 0.6 |
| Azithromycin | Change in Asthma Control Over Baseline | Change from Baseline to Week 48 | -0.34 scores on a scale | Standard Deviation 0.88 |
| Azithromycin | Change in Asthma Control Over Baseline | Change from Baseline to Week 18 | -0.28 scores on a scale | Standard Deviation 0.88 |
| Observational Cohort | Change in Asthma Control Over Baseline | Change from Baseline to Week 48 | -1.08 scores on a scale | Standard Deviation 1.2 |
| Observational Cohort | Change in Asthma Control Over Baseline | Change from Baseline to Week 6 | -1.24 scores on a scale | Standard Deviation 1.14 |
| Observational Cohort | Change in Asthma Control Over Baseline | Change from Baseline to Week 18 | -1.18 scores on a scale | Standard Deviation 1.53 |
| Observational Cohort | Change in Asthma Control Over Baseline | Change from Baseline to Week 24 | -1.35 scores on a scale | Standard Deviation 1.69 |
| Observational Cohort | Change in Asthma Control Over Baseline | Change from Baseline to Week 30 | -1.04 scores on a scale | Standard Deviation 1.38 |
| Observational Cohort | Change in Asthma Control Over Baseline | Change from Baseline to Week 36 | -1.63 scores on a scale | Standard Deviation 1.41 |
| Observational Cohort | Change in Asthma Control Over Baseline | Change from Baseline to Week 42 | -1.42 scores on a scale | Standard Deviation 1.41 |
| Observational Cohort | Change in Asthma Control Over Baseline | Change from Baseline to Week 12 | -1.38 scores on a scale | Standard Deviation 1.87 |
Secondary
Change is Asthma-specific Quality-of-Life (AQL)
Juniper Asthma Quality of Life Questionnaire is a 32-item survey, recall of the past 2 weeks, scored on a 7 point Likert scale where 1 is severely impaired, and 7 is not impaired at all. Scores are averaged for a final range of 1-7. Change from Baseline is reported here.
Time frame: Within the past 2 weeks; every three months
Population: All participants did not adhere to follow-up schedule
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Placebo | Change is Asthma-specific Quality-of-Life (AQL) | Change from Baseline to Week 12 | 0.50 score on a scale | Standard Deviation 0.95 |
| Placebo | Change is Asthma-specific Quality-of-Life (AQL) | Change from Baseline to Week 24 | 0.31 score on a scale | Standard Deviation 1.36 |
| Placebo | Change is Asthma-specific Quality-of-Life (AQL) | Change from Baseline to Week 36 | 0.23 score on a scale | Standard Deviation 1.02 |
| Placebo | Change is Asthma-specific Quality-of-Life (AQL) | Change from Baseline to Week 48 | 0.40 score on a scale | Standard Deviation 1.33 |
| Azithromycin | Change is Asthma-specific Quality-of-Life (AQL) | Change from Baseline to Week 48 | 0.50 score on a scale | Standard Deviation 1.1 |
| Azithromycin | Change is Asthma-specific Quality-of-Life (AQL) | Change from Baseline to Week 12 | 0.67 score on a scale | Standard Deviation 1.1 |
| Azithromycin | Change is Asthma-specific Quality-of-Life (AQL) | Change from Baseline to Week 36 | 0.58 score on a scale | Standard Deviation 1.04 |
| Azithromycin | Change is Asthma-specific Quality-of-Life (AQL) | Change from Baseline to Week 24 | 0.49 score on a scale | Standard Deviation 1.11 |
| Observational Cohort | Change is Asthma-specific Quality-of-Life (AQL) | Change from Baseline to Week 48 | 1.70 score on a scale | Standard Deviation 1.42 |
| Observational Cohort | Change is Asthma-specific Quality-of-Life (AQL) | Change from Baseline to Week 24 | 1.36 score on a scale | Standard Deviation 1.75 |
| Observational Cohort | Change is Asthma-specific Quality-of-Life (AQL) | Change from Baseline to Week 36 | 2.05 score on a scale | Standard Deviation 1.4 |
| Observational Cohort | Change is Asthma-specific Quality-of-Life (AQL) | Change from Baseline to Week 12 | 1.54 score on a scale | Standard Deviation 1.91 |