Prediction of Future Risk in Patients With Controlled Asthma
NCT01565031 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 338
Last updated 2012-03-28
Summary
The optimal score to predict unfavourable outcome in well-controlled asthma patients who are undergoing a step-wise down-titration of their medication is still lacking. Thus, a study is warranted to prospectively develop a prognostic system -easy to perform (suitable for use in the clinical rather the research setting)- for asthmatic patients in this clinical setting.
HYPOTHESIS: A simple score system can accurately predict clinical deterioration of asthma in well-controlled patients who are undergoing a step-wise down-titration of their medication according to international guidelines.
METHODS The investigators designed a prospective, multicenter, observational study at five centers in cities across Spain.
The patients group (N = 225) will be evaluated to produce a clinical prediction rule for loss of control. The investigators will consider the following variables in the risk factor analysis: documented history of previous bronchial obstruction (FEV1/FVC \< 70%), coefficient of variation (CV) of morning peak expiratory flow (PEF), history of exacerbations, fraction of exhaled nitric oxide (FENO), Asthma control test (ACT), ACT item 3 and adherence.
The score model will be prospectively validated in an independent set of 113 patients.
Conditions
Interventions
- PROCEDURE
-
Step-wise down-titration according to international guidelines.
The medication will be adjusted according to each patient´s level of control. Depending on the state of control of asthma, the dose will be adjusted up or down (step-up therapy and step-down therapy, respectively) in accordance with GINA.
Sponsors & Collaborators
-
Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau
collaborator OTHER -
Hospital Clinic of Barcelona
collaborator OTHER -
Hospital Galdakao-Usansolo
collaborator OTHER_GOV -
Complexo Hospitalario Universitario de A Coruña
collaborator OTHER -
Luis Perez de Llano
lead OTHER
Principal Investigators
-
Luis Perez de Llano, Md, PhD · Servicio Galego de Saude
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2012-05-31
- Primary Completion
- 2015-05-31
- Completion
- 2015-06-30
Countries
- Spain
Study Locations
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