Unique ID issued by UMIN | UMIN000009599 |
---|---|
Receipt number | R000011259 |
Scientific Title | Effect of adjusting the combination of budesonide/formoterol on asthma management for 24 weeks |
Date of disclosure of the study information | 2012/12/21 |
Last modified on | 2018/06/26 11:22:50 |
Effect of adjusting the combination of budesonide/formoterol on asthma management for 24 weeks
Effect of ICS/LABA on asthma management
Effect of adjusting the combination of budesonide/formoterol on asthma management for 24 weeks
Effect of ICS/LABA on asthma management
Japan |
asthma
Pneumology |
Others
NO
We analyzed the relationship between asthma symptoms, including peak expiratory flow rate (PEFR) and adjustment of the dose by the patient.
Efficacy
Confirmatory
Pragmatic
Not applicable
asthmatic symptpms and peak expiratory flow rate
Observational
20 | years-old | <= |
Not applicable |
Male and Female
Patients with asthma who are stable at least last 4 weeks.
Patients who need the corticosteroid excepting the inhale corticosteroid.
Patients with other respiratory diseases, malignant diseases, pregnancy and/or lactation.
40
1st name | |
Middle name | |
Last name | Takeshi Fukuda |
Dokkyo Medical University
Department of Pulmonary Medicine and Clinical Immunology
880 Kita-kobayashi, Mibu, Tochigi, 321-0293, Japan
0282-86-1111
t-fukuda@dokkyomed.ac.jp
1st name | |
Middle name | |
Last name | syomuka |
Dokkyo Medical University
The ethics committee
880 Kita-kobayashi, Mibu, Tochigi, 321-0293, Japan
0282-86-1111
syomuka@dokkyomed.ac.jp
Dokkyo Medical University
Dokkyo Medical University
Self funding
NO
2012 | Year | 12 | Month | 21 | Day |
Published
https://asthmarp.biomedcentral.com/articles/10.1186/s40733-018-0043-8
Background
The combination of budesonide + formoterol (BFC) offers the advantages of dose adjustment in a single inhaler according to asthma symptoms. We analyzed the relationship between asthma symptoms in terms of peak expiratory flow (PEF) and dose adjustment by the patient.
Methods
Twenty-eight patients with asthma who used BFC for alleviation of their symptoms (12 men, 16 women; 60 years old) were instructed that the inhaled BFC dose could be increased to a maximum of 8 inhalations per day according to symptom severity. Patients measured and recorded PEF every morning and evening in their asthma diary along with their symptoms and the dose of drugs taken.
Results
Sixteen of the 28 patients increased their dose for asthma symptoms. The time to recovery from the asthma symptoms was significantly shorter when cough was the only symptom present compared with dyspnea or wheeze (1.4 vs. 5.3 or 6.6 days, p?<?0.05) and when they had only one symptom compared with two or three symptoms (1.3 vs. 5.7 or 10.5, p?<?0.01). The relationship between PEF (% of personal best) when the dose was increased (Y) and the days for the increased dose to achieve a PEF greater than PEF in the symptom-free state (X) was determined to be Y?=?-0.591X?+?89.2 (r2?=?0.299, p?<?0.001).
Completed
2011 | Year | 01 | Month | 11 | Day |
2011 | Year | 01 | Month | 11 | Day |
2016 | Year | 04 | Month | 30 | Day |
2016 | Year | 05 | Month | 31 | Day |
2016 | Year | 11 | Month | 30 | Day |
2017 | Year | 05 | Month | 31 | Day |
As a guide for increasing the BFC dose when patients with mild asthma have asthma symptoms, the dose should be increased when cough is present or PEF is decreased to 88.9% (i.e., X?=?0.5).
2012 | Year | 12 | Month | 21 | Day |
2018 | Year | 06 | Month | 26 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000011259