UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000058333
Receipt number R000066689
Scientific Title Stepping Down LAMA from Triple Therapy in Adult Asthma Patients
Date of disclosure of the study information 2025/07/01
Last modified on 2025/07/01 15:20:23

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Basic information

Public title

Stepping Down LAMA from Triple Therapy in Adult Asthma Patients

Acronym

Stepping Down LAMA from Triple Therapy in Adult Asthma Patients

Scientific Title

Stepping Down LAMA from Triple Therapy in Adult Asthma Patients

Scientific Title:Acronym

Stepping Down LAMA from Triple Therapy in Adult Asthma Patients

Region

Japan


Condition

Condition

adult asthma

Classification by specialty

Pneumology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The aim of this study is to evaluate the efficacy and safety of discontinuing LAMA while continuing ICS/LABA in patients with stable asthma who have been receiving triple therapy.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

rate of asthma exacerbations

Key secondary outcomes

Median time to asthma exacerbation
Change from baseline in FEV1 and FEV1 predicted
Change from baseline in ACT score
Change from baseline in FeNO
Change from baseline in blood eosinophil count
Univariate analysis of baseline characteristics between patients with and without asthma exacerbation
Univariate analysis of the association between asthma exacerbation and checklist items related to airway hyperresponsiveness


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

withdrawing LAMA from ICS/LABA/LAMA therapy

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

16 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients attending the outpatient internal medicine clinic of Yamanashi Red Cross Hospital between August 1, 2025, and July 31, 2026, will be screened. Eligible patients are those aged 18 years or older who have been diagnosed with asthma according to the 2024 Asthma Prevention and Management Guidelines, and who meet all of the following criteria within 28 days prior to Visit 1, with the ability to provide written informed consent:

1 Have been receiving ICS/LABA/LAMA therapy for at least 6 months
2 Have an Asthma Control Test (ACT) score >2
3 Have had no asthma exacerbation in the past year (regardless of severity), defined as any of the following: treatment with oral or systemic corticosteroids, emergency department visits, or hospitalization
4 Have had no use of oral corticosteroids as maintenance therapy within the past year

Key exclusion criteria

1 asthma COPD overlap diagnosed according to the Guidelines for the Diagnosis and Treatment of Asthma COPD Overlap 2nd edition
2 Cough variant asthma
3 Unable to provide written informed consent

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Yosuke
Middle name
Last name Fukuda

Organization

Yamanashi Red Cross Hospital

Division name

Department of Medicine, Division of Respiratory Medicine

Zip code

401-0301

Address

6663-1 Funatsu, Fujikawaguchiko-machi, Yamanashi, Japan

TEL

+81-555-72-2222

Email

yosukefukuda.showa@gmail.com


Public contact

Name of contact person

1st name Yosuke
Middle name
Last name Fukuda

Organization

Yamanshi Red Cross Hospital

Division name

Department of Medicine, Division of Respiratory Medicine

Zip code

401-0301

Address

6663-1 Funatsu, Fujikawaguchiko-machi, Yamanashi, Japan

TEL

+81-555-72-2222

Homepage URL


Email

yosukefukuda.showa@gmail.com


Sponsor or person

Institute

Yamanashi Red Cross Hospital

Institute

Department

Personal name

Yosuke Fukuda


Funding Source

Organization

N/A

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Yamanashi Red Cross Hospital Ethics Committee

Address

6663-1 Funatsu, Fujikawaguchiko-machi, Yamanashi

Tel

+81-555-72-2222

Email

yosukefukuda.showa@gmail.com


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW

--- Select One ---


Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 07 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2025 Year 07 Month 01 Day

Date of IRB


Anticipated trial start date

2025 Year 08 Month 01 Day

Last follow-up date

2027 Year 07 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2025 Year 07 Month 01 Day

Last modified on

2025 Year 07 Month 01 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000066689