Status:

COMPLETED

Effects of Macrolides on Asthma Control

Lead Sponsor:

Euan J Cameron

Collaborating Sponsors:

University of Glasgow

NHS Greater Glasgow and Clyde

Conditions:

Asthma

Eligibility:

All Genders

18-70 years

Phase:

PHASE3

Brief Summary

Asthma is a common disease in Westernised societies, affecting up to 10% of the population. Corticosteroids are the most effective treatment for asthma but the therapeutic response varies considerably...

Eligibility Criteria

Inclusion

  • Diagnosis of asthma
  • Age 18-70
  • Current smoker
  • Duration of symptoms \>1yr with stability for 4 weeks
  • Able to maintain asthma without exacerbations during run in period
  • Able to wean off other asthma medication

Exclusion

  • Ex-smokers or never smokers
  • Planning to quit smoking during duration of trial
  • Patients with unstable asthma
  • Patients with current epilepsy, psychosis or history of significant atrial or ventricular tachyarrhythmia
  • Corrected QT-interval greater than 450msec in women, 430msec in men
  • Low potassium levels. If can be corrected then screening can continue with confirmation of normal levels prior to taking study medication
  • Liver disease (ALT and/or AST levels 2 or more times ULN)
  • Significant renal disease (Creatinine or urea levels 2 or more times ULN)
  • Any previous severe adverse reactions to macrolides
  • Patients who are known to have specific IgE sensitivity or skin test positivity to grass pollen and a history of worsening of asthma due to hay fever will not be recruited from mid May to the end of July
  • Upper or lower respiratory tract infection in the 4 weeks prior to randomisation. Run in period can be prolonged in this situation to have 4 weeks with no respiratory infection prior to randomisation.
  • Patients who require medications known to interact with azithromycin
  • On other immunosuppressants or chronic antibiotics
  • Weight less than 45kg
  • Frequent asthma exacerbations (greater than 4) requiring oral corticosteroids in the year prior to randomisation
  • Current or past diagnosis of allergic-bronchopulmonary-aspergillosis
  • Pregnancy and breast feeding
  • Mental impairment or language difficulties that makes informed consent not possible

Key Trial Info

Start Date :

March 1 2009

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

August 1 2011

Estimated Enrollment :

77 Patients enrolled

Trial Details

Trial ID

NCT00852579

Start Date

March 1 2009

End Date

August 1 2011

Last Update

October 19 2011

Active Locations (2)

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Page 1 of 1 (2 locations)

1

Gartnavel General Hospital

Glasgow, United Kingdom, G12 0YN

2

Crosshouse Hospital

Kilmarnock, United Kingdom, KA2 0BE