Asthma
Conditions
Keywords
Asthma, Airway responsiveness, Dose-response plateau, Montelukast, Add-on to inhaled corticosteroids
Brief summary
Leukotriene receptor antagonists appear to posses additive anti-inflammatory effects to the effect of inhaled corticosteroids. Hypothesis: Treatment with oral montelukast will lower the dose-response plateau to inhaled methacholine in patients with mild to moderate persistent asthma treated with a stable dose of inhaled corticosteroids.
Interventions
10 mg tablet once daily
Oral placebo once daily
Sponsors
Study design
Eligibility
Inclusion criteria
* Non-smoking adults with mild to moderate persistent asthma: * FEV1 \> 70 % pred * PD20 methacholine \< 3.9 mmol * treated for at least 3 months with a stable dose of inhaled corticosteroids * Documented dose-response plateau to inhaled methacholine on two occasions * Males and non-pregnant females
Exclusion criteria
* Asthma medication other than inhaled corticosteroids and inhaled b2-agonists * Viral respiratory tract infections within the 3 weeks prior to enrollment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Changes from baseline in maximal FEV1 decline at the dose-response plateau | After 12 weeks of treatment |
Secondary
| Measure | Time frame |
|---|---|
| Changes from baseline in PD20 methacholine | After 12 weeks of treatment |