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Environmental Control as Add-on Therapy in Childhood Asthma (ECATCh)

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ClinicalTrials.gov Identifier: NCT02251379
Recruitment Status : Completed
First Posted : September 29, 2014
Results First Posted : November 4, 2019
Last Update Posted : November 20, 2019
Sponsor:
Information provided by (Responsible Party):
Johns Hopkins University

Study Type Interventional
Study Design Allocation: Randomized;   Intervention Model: Parallel Assignment;   Masking: None (Open Label);   Primary Purpose: Treatment
Condition Asthma
Interventions Drug: Flovent Diskus
Other: Home Environmental Intervention
Drug: Advair Diskus
Enrollment 155
Recruitment Details  
Pre-assignment Details  
Arm/Group Title ECS + Medication Group Medication Group Alone
Hide Arm/Group Description

The Environmental Control Strategy ("Home Environmental Intervention") plus inhaled corticosteroids or inhaled corticosteroids plus long-acting beta agonist. (Flovent Diskus or Advair diskus)

Flovent Diskus: Inhaled corticosteroids

Home Environmental Intervention: Mouse, Cockroach, Furry pets, Dust mites, Smoking, air purifiers, laundered bedding

Advair Diskus: inhaled corticosteroids + long-acting beta agonist

inhaled corticosteroids or inhaled corticosteroids plus long-acting beta agonist. (Flovent Diskus or Advair diskus)

Flovent Diskus: Inhaled corticosteroids

Advair Diskus: inhaled corticosteroids + long-acting beta agonist

Period Title: Overall Study
Started 77 78
Completed 57 58
Not Completed 20 20
Arm/Group Title ECS + Medication Group Medication Group Alone Total
Hide Arm/Group Description

The Environmental Control Strategy ("Home Environmental Intervention") plus inhaled corticosteroids or inhaled corticosteroids plus long-acting beta agonist. (Flovent Diskus or Advair diskus)

Flovent Diskus: Inhaled corticosteroids

Home Environmental Intervention: Mouse, Cockroach, Furry pets, Dust mites, Smoking, air purifiers, laundered bedding

Advair Diskus: inhaled corticosteroids + long-acting beta agonist

inhaled corticosteroids or inhaled corticosteroids plus long-acting beta agonist. (Flovent Diskus or Advair diskus)

Flovent Diskus: Inhaled corticosteroids

Advair Diskus: inhaled corticosteroids + long-acting beta agonist

Total of all reporting groups
Overall Number of Baseline Participants 77 78 155
Hide Baseline Analysis Population Description
[Not Specified]
Age, Continuous  
Mean (Standard Deviation)
Unit of measure:  Years
Number Analyzed 77 participants 78 participants 155 participants
10.1  (3.3) 10.1  (3.3) 10.1  (3.3)
Sex: Female, Male  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 77 participants 78 participants 155 participants
Female
31
  40.3%
30
  38.5%
61
  39.4%
Male
46
  59.7%
48
  61.5%
94
  60.6%
Ethnicity (NIH/OMB)  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 77 participants 78 participants 155 participants
Hispanic or Latino
2
   2.6%
2
   2.6%
4
   2.6%
Not Hispanic or Latino
75
  97.4%
76
  97.4%
151
  97.4%
Unknown or Not Reported
0
   0.0%
0
   0.0%
0
   0.0%
Race (NIH/OMB)  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 77 participants 78 participants 155 participants
American Indian or Alaska Native
0
   0.0%
0
   0.0%
0
   0.0%
Asian
0
   0.0%
0
   0.0%
0
   0.0%
Native Hawaiian or Other Pacific Islander
0
   0.0%
0
   0.0%
0
   0.0%
Black or African American
72
  93.5%
67
  85.9%
139
  89.7%
White
1
   1.3%
3
   3.8%
4
   2.6%
More than one race
4
   5.2%
8
  10.3%
12
   7.7%
Unknown or Not Reported
0
   0.0%
0
   0.0%
0
   0.0%
Region of Enrollment  
Measure Type: Count of Participants
Unit of measure:  Participants
United States Number Analyzed 77 participants 78 participants 155 participants
77
 100.0%
78
 100.0%
155
 100.0%
The treatment step assigned   [1] 
Mean (Standard Deviation)
Unit of measure:  Score on a scale
Number Analyzed 77 participants 78 participants 155 participants
4.34  (1.56) 4.56  (1.57) 4.45  (1.56)
[1]
Measure Description: The controller medication treatment step that was assigned at the visit, which is based on the current controller medication treatment step and the current level of asthma control. The range is from 0-6, with 0 indicating no controller medication and 6 indicating high dose inhaled corticosteroids plus long-acting beta agonist.
1.Primary Outcome
Title The Medication Treatment Step Assigned
Hide Description The controller medication treatment step that was assigned at the visit, which is based on the current controller medication treatment step and the current level of asthma control. The range is from 0-6, with 0 indicating no controller medication and 6 indicating high dose inhaled corticosteroids plus long-acting beta agonist.
Time Frame 6 month clinic visit
Hide Outcome Measure Data
Hide Analysis Population Description
participants completing the final 6 month follow-up visit
Arm/Group Title ECS + Medication Group Medication Group Alone
Hide Arm/Group Description:

The Environmental Control Strategy ("Home Environmental Intervention") plus inhaled corticosteroids or inhaled corticosteroids plus long-acting beta agonist. (Flovent Diskus or Advair diskus)

Flovent Diskus: Inhaled corticosteroids

Home Environmental Intervention: Mouse, Cockroach, Furry pets, Dust mites, Smoking, air purifiers, laundered bedding

Advair Diskus: inhaled corticosteroids + long-acting beta agonist

inhaled corticosteroids or inhaled corticosteroids plus long-acting beta agonist. (Flovent Diskus or Advair diskus)

Flovent Diskus: Inhaled corticosteroids

Advair Diskus: inhaled corticosteroids + long-acting beta agonist

Overall Number of Participants Analyzed 63 62
Mean (Standard Deviation)
Unit of Measure: score on a scale
4.03  (1.91) 4.05  (1.87)
2.Secondary Outcome
Title Daily Inhaled Corticosteroid Dose
Hide Description micrograms of inhaled corticosteroids (daily)
Time Frame 6 months
Hide Outcome Measure Data
Hide Analysis Population Description
participants who completed the final follow-up visit at 6 months
Arm/Group Title ECS + Medication Group Medication Group Alone
Hide Arm/Group Description:

The Environmental Control Strategy ("Home Environmental Intervention") plus inhaled corticosteroids or inhaled corticosteroids plus long-acting beta agonist. (Flovent Diskus or Advair diskus)

Flovent Diskus: Inhaled corticosteroids

Home Environmental Intervention: Mouse, Cockroach, Furry pets, Dust mites, Smoking, air purifiers, laundered bedding

Advair Diskus: inhaled corticosteroids + long-acting beta agonist

inhaled corticosteroids or inhaled corticosteroids plus long-acting beta agonist. (Flovent Diskus or Advair diskus)

Flovent Diskus: Inhaled corticosteroids

Advair Diskus: inhaled corticosteroids + long-acting beta agonist

Overall Number of Participants Analyzed 63 62
Mean (Standard Deviation)
Unit of Measure: micrograms/day
557.5  (347.8) 527.7  (401.7)
3.Secondary Outcome
Title Exhaled Nitric Oxide
Hide Description Exhaled nitric oxide in parts per billion.
Time Frame 6 months
Hide Outcome Measure Data
Hide Analysis Population Description
participants completing the final follow-up visit at 6 months with valid exhaled nitric oxide measurement. Not all participants had valid measures.
Arm/Group Title ECS + Medication Group Medication Group Alone
Hide Arm/Group Description:

The Environmental Control Strategy ("Home Environmental Intervention") plus inhaled corticosteroids or inhaled corticosteroids plus long-acting beta agonist. (Flovent Diskus or Advair diskus)

Flovent Diskus: Inhaled corticosteroids

Home Environmental Intervention: Mouse, Cockroach, Furry pets, Dust mites, Smoking, air purifiers, laundered bedding

Advair Diskus: inhaled corticosteroids + long-acting beta agonist

inhaled corticosteroids or inhaled corticosteroids plus long-acting beta agonist. (Flovent Diskus or Advair diskus)

Flovent Diskus: Inhaled corticosteroids

Advair Diskus: inhaled corticosteroids + long-acting beta agonist

Overall Number of Participants Analyzed 58 61
Median (Inter-Quartile Range)
Unit of Measure: parts per billion
20
(10 to 38)
20
(8 to 52)
4.Secondary Outcome
Title Number of Asthma Symptom Days
Hide Description Number of asthma symptom days in the past two weeks will be a measure of asthma control.
Time Frame 6 months
Hide Outcome Measure Data
Hide Analysis Population Description
participants who completed the final follow-up visit at 6 months.
Arm/Group Title ECS + Medication Group Medication Group Alone
Hide Arm/Group Description:

The Environmental Control Strategy ("Home Environmental Intervention") plus inhaled corticosteroids or inhaled corticosteroids plus long-acting beta agonist. (Flovent Diskus or Advair diskus)

Flovent Diskus: Inhaled corticosteroids

Home Environmental Intervention: Mouse, Cockroach, Furry pets, Dust mites, Smoking, air purifiers, laundered bedding

Advair Diskus: inhaled corticosteroids + long-acting beta agonist

inhaled corticosteroids or inhaled corticosteroids plus long-acting beta agonist. (Flovent Diskus or Advair diskus)

Flovent Diskus: Inhaled corticosteroids

Advair Diskus: inhaled corticosteroids + long-acting beta agonist

Overall Number of Participants Analyzed 62 63
Mean (Standard Deviation)
Unit of Measure: days
2.5  (3.2) 2.7  (3.6)
5.Secondary Outcome
Title Number of Asthma Exacerbations
Hide Description Asthma exacerbations will be assessed by number of acute visits to the emergency department (ED), hospitalizations and urgent doctor visits.
Time Frame 6 months
Hide Outcome Measure Data
Hide Analysis Population Description
participants completing the 6 month follow-up visit
Arm/Group Title ECS + Medication Group Medication Group Alone
Hide Arm/Group Description:

The Environmental Control Strategy ("Home Environmental Intervention") plus inhaled corticosteroids or inhaled corticosteroids plus long-acting beta agonist. (Flovent Diskus or Advair diskus)

Flovent Diskus: Inhaled corticosteroids

Home Environmental Intervention: Mouse, Cockroach, Furry pets, Dust mites, Smoking, air purifiers, laundered bedding

Advair Diskus: inhaled corticosteroids + long-acting beta agonist

inhaled corticosteroids or inhaled corticosteroids plus long-acting beta agonist. (Flovent Diskus or Advair diskus)

Flovent Diskus: Inhaled corticosteroids

Advair Diskus: inhaled corticosteroids + long-acting beta agonist

Overall Number of Participants Analyzed 63 62
Measure Type: Number
Unit of Measure: acute visits
35 53
6.Secondary Outcome
Title FEV1/FVC
Hide Description Forced expiratory volume at one second/forced vital capacity (FEV1/FVC) will be evaluated as a continuous variable. This is a ratio without any units.
Time Frame 6 months
Hide Outcome Measure Data
Hide Analysis Population Description
participants completing the 6 month follow-up visit
Arm/Group Title ECS + Medication Group Medication Group Alone
Hide Arm/Group Description:

The Environmental Control Strategy ("Home Environmental Intervention") plus inhaled corticosteroids or inhaled corticosteroids plus long-acting beta agonist. (Flovent Diskus or Advair diskus)

Flovent Diskus: Inhaled corticosteroids

Home Environmental Intervention: Mouse, Cockroach, Furry pets, Dust mites, Smoking, air purifiers, laundered bedding

Advair Diskus: inhaled corticosteroids + long-acting beta agonist

inhaled corticosteroids or inhaled corticosteroids plus long-acting beta agonist. (Flovent Diskus or Advair diskus)

Flovent Diskus: Inhaled corticosteroids

Advair Diskus: inhaled corticosteroids + long-acting beta agonist

Overall Number of Participants Analyzed 63 62
Mean (Standard Deviation)
Unit of Measure: ratio
79.3  (8.1) 80.8  (8.8)
Time Frame During the enrollment period, approximately 7 months
Adverse Event Reporting Description Hospitalizations, including asthma-related hospitalizations, were considered serious adverse events. Participants were asked at each clinic visit about adverse events.
 
Arm/Group Title ECS + Medication Group Medication Group Alone
Hide Arm/Group Description

The Environmental Control Strategy ("Home Environmental Intervention") plus inhaled corticosteroids or inhaled corticosteroids plus long-acting beta agonist. (Flovent Diskus or Advair diskus)

Flovent Diskus: Inhaled corticosteroids

Home Environmental Intervention: Mouse, Cockroach, Furry pets, Dust mites, Smoking, air purifiers, laundered bedding

Advair Diskus: inhaled corticosteroids + long-acting beta agonist

inhaled corticosteroids or inhaled corticosteroids plus long-acting beta agonist. (Flovent Diskus or Advair diskus)

Flovent Diskus: Inhaled corticosteroids

Advair Diskus: inhaled corticosteroids + long-acting beta agonist

All-Cause Mortality
ECS + Medication Group Medication Group Alone
Affected / at Risk (%) Affected / at Risk (%)
Total   0/77 (0.00%)      0/78 (0.00%)    
Hide Serious Adverse Events
ECS + Medication Group Medication Group Alone
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total   2/77 (2.60%)      10/78 (12.82%)    
Gastrointestinal disorders     
hospitalization   0/77 (0.00%)  0 1/78 (1.28%)  1
Psychiatric disorders     
hospitalization   0/77 (0.00%)  0 1/78 (1.28%)  1
Respiratory, thoracic and mediastinal disorders     
asthma hospitalization   2/77 (2.60%)  2 8/78 (10.26%)  11
Indicates events were collected by systematic assessment
Hide Other (Not Including Serious) Adverse Events
Frequency Threshold for Reporting Other Adverse Events 5%
ECS + Medication Group Medication Group Alone
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total   0/77 (0.00%)      0/78 (0.00%)    
Certain Agreements
All Principal Investigators ARE employed by the organization sponsoring the study.
Results Point of Contact
Layout table for Results Point of Contact information
Name/Title: Corinne Keet
Organization: Johns Hopkins University
Phone: 410-955-5883
EMail: ckeet1@jhmi.edu
Layout table for additonal information
Responsible Party: Johns Hopkins University
ClinicalTrials.gov Identifier: NCT02251379    
Other Study ID Numbers: NA_00093323
First Submitted: September 22, 2014
First Posted: September 29, 2014
Results First Submitted: October 15, 2019
Results First Posted: November 4, 2019
Last Update Posted: November 20, 2019