Asthma bronchitis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Non-atopic asthma (negative alatop test and pulmonologist's diagnosis of asthma) neutrophilic and/or eosinophilic inflammation in induced sputum (>53% neutrophils and/or >3% eosinophils) >=18 yrs Documented reversibility in FEV1 of > 12% predicted OR airway hyperresponsiveness to inhaled methacholine
Exclusion criteria
Exclusion criteria: Allergy Pregnancy Contra-indications regarding vitamin D use: hypercalcaemia, malignancy, sarcoidosis, history of kidneystones. Patients with smoking history of >10 packyears and persistent airflow obstruction (post bronchodilator FEV1 100 nmol/l
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main study parameter: The change in percentage of neutrophils and/or eosinophils in induced sputum before and 8-10 weeks after vitamin D administration. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary parameters: The changes in extent of sinus disease as measured on CT-sinus, levels of FEV1 and exhaled NO, quality of life (AQLQ), Asthma control (ACQ) and SNOT before and 8-10 weeks after vitamin D administration. Adverse events will be compared between the intervention group and placebo. Baseline characteristics will be used to identify potential predictors of response. The reproducibility of cell counts in induced sputum, extent of sinus disease as measured on CT-sinus, pulmonary function (FEV1), levels of exhaled nitric oxide (NO), quality of life (AQLQ), and asthma control (ACQ) in non-atopic asthma will be determined in patients who received placebo. | — |
Countries
Netherlands