Asthma Asthma
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Asthmatic patients aged 18 years or more, 2. Uncontrolled asthma despite of inhaled corticosteroid (ICS) or ICS plus long-acting beta2-agonists (ICS/LABA) with budesonide 400 mcg per day or more, or dose equivalence for at least 3 months, and one of following; Asthma Control Test (ACT) scores 17 or less, or history of at least 1 asthma exacerbation in the past year
Exclusion criteria
Exclusion criteria: 1. Smoking history 10 pack-years or more, 2. History of asthma exacerbation within 3 months, 3. FEV1 <60%, 4. Inability to perform spirometry or exhaled nitric oxide testing, 5. Treatment with leukotriene receptor antagonist, theophylline, antihistamine, COX inhibitors (eg. aspirin, diclofenac, celecoxib) within 2 weeks, 6. Comorbid diseases including COPD, lung fibrosis, bronchiectasis, heart disease, chronic kidney disease (GFR<50 mL/min), chronic liver disease (AST and/or ALT and/or bilirubin and/or alkaline phosphatase and/or GGT increase in 1.5 times of upper limit of normal level), malignancy, 7. White blood counts 4000 cells/mm3 or less, hemoglobin 10 g/dL or less, platelets 100,000 /mm3 or less, 8. Allergy to PHLAI (Zingiber cassumunar), 9. Pregnancy or lactation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Asthma Control Test (ACT) scores At day 0, week 4, 8, and 12 Points | — |
Secondary
| Measure | Time frame |
|---|---|
| Fractional exhaled nitric oxide (FeNO) At day 0, week 4, 8, and 12 Parts per billion (ppb),Erythrocyte sedimentation rate (ESR) At day 0, week 4, 8, and 12 mm/hr,C-reactive protein (CRP) At day 0, week 4, 8, and 12 mg/L ,Blood eosinophil counts At day 0, week 4, 8, and 12 cells/mm3,Renal function At day 0, week 4, 8, and 12 BUN and Cr (mg/dL),Liver function At day 0, week 4, 8, and 12 Total bilirubin (mg/dL), AST, ALT, Alkaline phosphatase, and Gamma glutamyl transpeptidase (U/L),Asthma exacerbation At day 0, week 4, 8, and 12 Events | — |
Countries
Thailand
Contacts
Faculty of Medicine, Thammasat University