Childhood Asthma Research and Education (CARE) Network Trial - Treating Children to Prevent Exacerbations of Asthma (TREXA)
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| Study Type: | Interventional |
|---|---|
| Study Design: | Allocation: Randomized; Endpoint Classification: Safety/Efficacy Study; Intervention Model: Parallel Assignment; Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor); Primary Purpose: Treatment |
| Condition: |
Asthma |
| Interventions: |
Drug: Beclomethasone dipropionate Drug: Albuterol sulfate |
Participant Flow
Recruitment Details
| Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations |
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| No text entered. |
Pre-Assignment Details
| Significant events and approaches for the overall study following participant enrollment, but prior to group assignment |
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Reporting Groups
| Description | |
|---|---|
| A: Daily ICS + Rescue ICS |
Beclomethasone dipropionate administered via a hydrofluoroalkane (HFA) inhaler (QVAR® 40 mcg Inhalation Aerosol) one puff bid + beclomethasone dipropionate HFA (QVAR® 40 mcg Inhalation Aerosol) rescue puffs as needed + albuterol sulfate HFA (ProAir®™ 90 mcg Inhalation Aerosol) rescue puffs as needed Beclomethasone dipropionate: Beclomethasone dipropionate HFA (QVAR® 40 mcg Inhalation Aerosol) one puff bid Albuterol sulfate : Albuterol sulfate HFA (ProAir® 90 mcg Inhalation Aerosol) rescue puffs as needed Beclomethasone dipropionate : Beclomethasone dipropionate HFA (QVAR® 40 mcg Inhalation Aerosol) rescue puffs as needed |
| B: Daily ICS |
Beclomethasone dipropionate administered via a hydrofluoroalkane (HFA) inhaler (QVAR® 40 mcg Inhalation Aerosol) one puff bid + albuterol sulfate HFA (ProAir® 90 mcg Inhalation Aerosol) rescue puffs as needed Beclomethasone dipropionate: Beclomethasone dipropionate HFA (QVAR® 40 mcg Inhalation Aerosol) one puff bid Albuterol sulfate : Albuterol sulfate HFA (ProAir® 90 mcg Inhalation Aerosol) rescue puffs as needed |
| C: Rescue ICS |
Beclomethasone dipropionate administered via a hydrofluoroalkane (HFA) inhaler (QVAR® 40 mcg Inhalation Aerosol) rescue puffs as needed + albuterol sulfate HFA (ProAir® 90 mcg Inhalation Aerosol) rescue puffs as needed Albuterol sulfate: Albuterol sulfate HFA (ProAir® 90 mcg Inhalation Aerosol) rescue puffs as needed Beclomethasone dipropionate: Beclomethasone dipropionate HFA (QVAR® 40 mcg Inhalation Aerosol) rescue puffs as needed |
| D: Placebo |
Albuterol sulfate administered via a hydrofluoroalkane (HFA) inhaler (ProAir® 90 mcg Inhalation Aerosol) rescue puffs as needed Albuterol sulfate: Albuterol sulfate HFA (ProAir® 90 mcg Inhalation Aerosol) rescue puffs as needed |
Participant Flow: Overall Study
| A: Daily ICS + Rescue ICS | B: Daily ICS | C: Rescue ICS | D: Placebo | |
|---|---|---|---|---|
| STARTED | 71 | 72 | 71 | 74 |
| COMPLETED | 63 | 63 | 58 | 50 |
| NOT COMPLETED | 8 | 9 | 13 | 24 |
Baseline Characteristics
Reporting Groups
| Description | |
|---|---|
| A: Daily ICS + Rescue ICS |
Beclomethasone dipropionate administered via a hydrofluoroalkane (HFA) inhaler (QVAR® 40 mcg Inhalation Aerosol) one puff bid + beclomethasone dipropionate HFA (QVAR® 40 mcg Inhalation Aerosol) rescue puffs as needed + albuterol sulfate HFA (ProAir®™ 90 mcg Inhalation Aerosol) rescue puffs as needed Beclomethasone dipropionate: Beclomethasone dipropionate HFA (QVAR® 40 mcg Inhalation Aerosol) one puff bid Albuterol sulfate: Albuterol sulfate HFA (ProAir® 90 mcg Inhalation Aerosol) rescue puffs as needed Beclomethasone dipropionate: Beclomethasone dipropionate HFA (QVAR® 40 mcg Inhalation Aerosol) rescue puffs as needed |
| B: Daily ICS |
Beclomethasone dipropionate administered via a hydrofluoroalkane (HFA) inhaler (QVAR® 40 mcg Inhalation Aerosol) one puff bid + albuterol sulfate HFA (ProAir® 90 mcg Inhalation Aerosol) rescue puffs as needed Beclomethasone dipropionate: Beclomethasone dipropionate HFA (QVAR® 40 mcg Inhalation Aerosol) one puff bid Albuterol sulfate: Albuterol sulfate HFA (ProAir® 90 mcg Inhalation Aerosol) rescue puffs as needed |
| C: Rescue ICS |
Beclomethasone dipropionate administered via a hydrofluoroalkane (HFA) inhaler (QVAR® 40 mcg Inhalation Aerosol) rescue puffs as needed + albuterol sulfate HFA (ProAir® 90 mcg Inhalation Aerosol) rescue puffs as needed Albuterol sulfate: Albuterol sulfate HFA (ProAir® 90 mcg Inhalation Aerosol) rescue puffs as needed Beclomethasone dipropionate: Beclomethasone dipropionate HFA (QVAR® 40 mcg Inhalation Aerosol) rescue puffs as needed |
| D: Placebo |
Albuterol sulfate administered via a hydrofluoroalkane (HFA) inhaler (ProAir® 90 mcg Inhalation Aerosol) rescue puffs as needed Albuterol sulfate: Albuterol sulfate HFA (ProAir® 90 mcg Inhalation Aerosol) rescue puffs as needed |
| Total | Total of all reporting groups |
Baseline Measures
| A: Daily ICS + Rescue ICS | B: Daily ICS | C: Rescue ICS | D: Placebo | Total | |
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Number of Participants
[units: participants] |
71 | 72 | 71 | 74 | 288 |
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Age
[units: participants] |
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| <=18 years | 71 | 72 | 71 | 74 | 288 |
| Between 18 and 65 years | 0 | 0 | 0 | 0 | 0 |
| >=65 years | 0 | 0 | 0 | 0 | 0 |
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Age
[units: years] Mean ± Standard Deviation |
11.4 ± 3.1 | 10.8 ± 3.5 | 10.4 ± 2.8 | 10.4 ± 3.2 | 10.7 ± 3.2 |
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Gender
[units: participants] |
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| Female | 32 | 30 | 34 | 33 | 129 |
| Male | 39 | 42 | 37 | 41 | 159 |
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Region of Enrollment
[units: participants] |
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| United States | 71 | 72 | 71 | 74 | 288 |
Outcome Measures
| 1. Primary: | Participants Experiencing an Asthma Exacerbation That Requires Systemic Corticosteroid Therapy [ Time Frame: Measured during the 44-week treatment period ] |
| 2. Secondary: | Asthma Control Days [ Time Frame: Measured during the 44-week treatment period ] |
| 3. Secondary: | Albuterol Use [ Time Frame: Measured during the 44-week treatment period ] |
| 4. Secondary: | Spirometry, Pre- and Post-bronchodilator [ Time Frame: Measured during the 44-week treatment period ] |
| 5. Secondary: | Morning (AM) and Evening (PM) Peak Expiratory Flow Rate [ Time Frame: Measured during the 44-week treatment period ] |
| 6. Secondary: | Peak Expiratory Flow Rate Variability [ Time Frame: Measured during the 44-week treatment period ] |
| 7. Secondary: | Impulse Oscillometry [ Time Frame: Measured during the 44-week treatment period ] |
| 8. Secondary: | Methacholine Provocative Concentration at 20% (PC20) [ Time Frame: Measured during the 44-week treatment period ] |
| 9. Secondary: | Exhaled Nitric Oxide [ Time Frame: Measured during the 44-week treatment period ] |
| 10. Secondary: | Asthma-specific Quality of Life Assessment [ Time Frame: Measured during the 44-week treatment period ] |
| 11. Secondary: | Asthma Control Test [ Time Frame: Measured during the 44-week treatment period ] |
| 12. Secondary: | Adverse Events [ Time Frame: Measured during the 44-week treatment period ] |
More Information
| Principal Investigators are NOT employed by the organization sponsoring the study. |
| There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed. |
Limitations and Caveats
| Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data |
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| No text entered. |
Results Point of Contact:
Organization: Penn State College of Medicine
phone: 717-531-4262
e-mail: vchinchi@psu.edu
Publications of Results:
| Responsible Party: | Vernon M. Chinchilli, PhD, Milton S. Hershey Medical Center |
| ClinicalTrials.gov Identifier: | NCT00394329 History of Changes |
| Other Study ID Numbers: | 445, 5U10HL064313, 5U10HL064288, 5U10HL064305, 5U10HL064295, 5U10HL064287, 5U10HL064307 |
| Study First Received: | October 30, 2006 |
| Results First Received: | February 24, 2013 |
| Last Updated: | April 5, 2013 |
| Health Authority: | United States: Food and Drug Administration |