Environmental Control as Add-on Therapy in Childhood Asthma (ECATCh)
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. |
ClinicalTrials.gov Identifier: NCT02251379 |
Recruitment Status :
Completed
First Posted : September 29, 2014
Results First Posted : November 4, 2019
Last Update Posted : November 20, 2019
|
- Study Details
- Tabular View
- Study Results
- Disclaimer
- How to Read a Study Record
Condition or disease | Intervention/treatment | Phase |
---|---|---|
Asthma | Drug: Flovent Diskus Other: Home Environmental Intervention Drug: Advair Diskus | Phase 2 |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 155 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | Environmental Control as Add-on Therapy in Childhood Asthma |
Actual Study Start Date : | October 1, 2014 |
Actual Primary Completion Date : | November 2018 |
Actual Study Completion Date : | November 2018 |
Arm | Intervention/treatment |
---|---|
Experimental: ECS + Medication Group
The Environmental Control Strategy ("Home Environmental Intervention") plus inhaled corticosteroids or inhaled corticosteroids plus long-acting beta agonist. (Flovent Diskus or Advair diskus)
|
Drug: Flovent Diskus
Inhaled corticosteroids
Other Name: Flovent Diskus, 50 mcg, 100mcg, 250 mcg Other: Home Environmental Intervention Mouse, Cockroach, Furry pets, Dust mites, Smoking, air purifiers, laundered bedding Drug: Advair Diskus inhaled corticosteroids + long-acting beta agonist |
Active Comparator: Medication Group Alone
inhaled corticosteroids or inhaled corticosteroids plus long-acting beta agonist. (Flovent Diskus or Advair diskus)
|
Drug: Flovent Diskus
Inhaled corticosteroids
Other Name: Flovent Diskus, 50 mcg, 100mcg, 250 mcg Drug: Advair Diskus inhaled corticosteroids + long-acting beta agonist |
- The Medication Treatment Step Assigned [ Time Frame: 6 month clinic visit ]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.
- Daily Inhaled Corticosteroid Dose [ Time Frame: 6 months ]micrograms of inhaled corticosteroids (daily)
- Exhaled Nitric Oxide [ Time Frame: 6 months ]Exhaled nitric oxide in parts per billion.
- Number of Asthma Symptom Days [ Time Frame: 6 months ]Number of asthma symptom days in the past two weeks will be a measure of asthma control.
- Number of Asthma Exacerbations [ Time Frame: 6 months ]Asthma exacerbations will be assessed by number of acute visits to the emergency department (ED), hospitalizations and urgent doctor visits.
- FEV1/FVC [ Time Frame: 6 months ]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.
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
Ages Eligible for Study: | 5 Years to 17 Years (Child) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Have physician-diagnosed asthma at least 1 year prior to the baseline visit, or asthma symptoms for at least 1 year
-
Meet criteria for current persistent asthma defined as either:
- On a long-term controller medication for asthma, or
- Meet National Asthma Education and Prevention Program (NAEPP) guideline requirements for persistent disease:(46)
- Asthma symptoms 3 or more days per week over the past 2 weeks or
- Nocturnal asthma symptoms at least 3 times in the past month
-
Have evidence of uncontrolled disease as defined by at least one of the following:
- One asthma-related unscheduled visit to an emergency department (ED), clinic or urgent care facility in the previous 12 mo
- One asthma-related overnight hospitalization in the previous 12 mo
- One or more bursts of oral corticosteroids in the previous 12 mo
- Reside within a geographic area of the study site so that home visits are feasible.
- Have no plans to move within the upcoming 6 months
- Have insurance to cover prescription medications.
- Have a positive skin test (net wheal ≥2mm) to cat, dog, mouse, cockroach, or dust mites or have a positive cat, dog, mouse, German cockroach, or D. farinae-specific immunoglobulin E (IgE) test, as quantified using the ImmunoCAP system (≥0.35 kU/L)
Exclusion Criteria:
- Lung disease, other than asthma, that requires daily medication
- Cardiovascular disease that requires daily medication, excluding hypertension
- Taking a beta-blocker
- Allergy to dairy
- On Xolair < 5 months
- On immunotherapy and has not reached maintenance dose
- Sleeping in another home 4 or more nights/week
- Active smoker defined as a positive urine screen for high levels of urine cotinine
- Unable to access areas of home necessary to conduct extermination
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02251379
United States, Maryland | |
Johns Hopkins University | |
Baltimore, Maryland, United States, 21287 |
Study Chair: | Elizabeth C Matsui, MD MHS | Johns Hopkins University | |
Principal Investigator: | Meredith McCormack, MD MHS | Johns Hopkins University | |
Principal Investigator: | Corinne Keet, MD PHD | Johns Hopkins University |
Documents provided by Johns Hopkins University:
Responsible Party: | Johns Hopkins University |
ClinicalTrials.gov Identifier: | NCT02251379 |
Other Study ID Numbers: |
NA_00093323 |
First Posted: | September 29, 2014 Key Record Dates |
Results First Posted: | November 4, 2019 |
Last Update Posted: | November 20, 2019 |
Last Verified: | November 2019 |
Asthma Bronchial Diseases Respiratory Tract Diseases Lung Diseases, Obstructive Lung Diseases Respiratory Hypersensitivity Hypersensitivity, Immediate Hypersensitivity Immune System Diseases Fluticasone Xhance Fluticasone-Salmeterol Drug Combination Bronchodilator Agents |
Autonomic Agents Peripheral Nervous System Agents Physiological Effects of Drugs Anti-Asthmatic Agents Respiratory System Agents Glucocorticoids Hormones Hormones, Hormone Substitutes, and Hormone Antagonists Sympathomimetics Anti-Inflammatory Agents Dermatologic Agents Anti-Allergic Agents |