Ex Vivo Pilot Study of the Impact of Nasal Breathing During the Administration of Inhaled Corticosteroids by Inhalation Chamber in Asthmatic Children Ages Between 1 and 4-year-old

Asthma in Children Clinical Trial

— MASQUE  

Official title:

Ex Vivo Pilot Study of the Impact of Nasal Breathing During the Administration of Inhaled Corticosteroids by Inhalation Chamber in Asthmatic Children Ages Between 1 and 4-year-old

Clinical Trial Details — Status: Terminated

Administrative data

• NCT number: NCT03364959
• Other study ID #: 2016-47
• Secondary ID: 2016-A01839-42
• Status: Terminated
• Phase: N/A
• Start date: October 23, 2018
• Est. completion date: July 9, 2021

Study information

• Verified date: June 2024
• Source: Assistance Publique Hopitaux De Marseille
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The main purpose of this open randomized, ex-vivo comparative study, is to assess and to compare the inhalable dose of inhaled corticosteroid collected through a nasal filter and a mouth filter located in a partitioned face mask and delivered to an infant with asthma via a Tipshaler® holding chamber

Description:

The use of a face mask is recommended for inhaled treatments delivered from a pressurized metered-dose inhaler and a spacer device in infants and young children with respiratory disorders such as asthma.

The nose effectively filters the air particles and it may reduce the amount of inhaled drug. Thus it is reported that the drug deposited in the lung dose is halved in older children inhaling through the nose with respect to those inhaling through the mouth.

In very young children the efficiency of nasal filtration is unknown for inhaled treatment. In infants, an in-vitro study suggests that nasal breathing allows a similar or more important drug delivery than mouth breathing, contrary to what is observed in the oldest and adults.

So it seems of great import to characterize the drug delivery in this age group comparing the nasal with the mouth breathing.

The main purpose of this open randomized, ex-vivo comparative study, is to assess and to compare the inhalable dose of inhaled corticosteroid collected through a nasal filter and a mouth filter located in a partitioned face mask and delivered to an infant with asthma via a Tipshaler® holding chamber. 60 children, aged between 1 and 4 years old, with a medically diagnosed asthma will be recruited. Each child will inhale four puffs of both Fluticasone 125 µg/puff and Beclometasone dipropionate 100 µg/puff administered by a single observer in a standardized and randomized way. No drug will be inhaled by the children. The drugs collected on the filters between the holding chamber and patient will be analysed by high performance liquid chromatography HPLC). Filter doses will be expressed in percentage of the total dose filtered. The analysis will cover the difference between oral dose and nasal dose compared to zero. Student's test will be performed with p < 0.05.

Recruitment information / eligibility

• Status: Terminated
• Enrollment: 60
• Est. completion date: July 9, 2021
• Est. primary completion date: October 10, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 1 Year to 4 Years

Eligibility

Inclusion Criteria:

• Aged from 1 to 4 years old

• Male or female

• With medically diagnosed asthma

• Patients who are used to use an inhalation chamber with a face mask

• Patients who have not had asthmatic decompensation for at least 1 month.

• Patients' parents having given their written consent

• With normal clinical respiratory examination on the day of the test.

Exclusion Criteria:

• Patients whose parents are unable to understand the purpose and conditions of the study

• Patients whose parents are unable to give their consent

• Patients participating in another clinical trial or exclusion period from a previous clinical trial

• Patients presenting with a nasopharyngeal infection in the previous month

• Child with nasal obstruction, nocturnal snoring, adenoid facies or facial malformation

• Patient presenting with an asthmatic decompensation episode in the previous month

Related Conditions & MeSH terms

• Asthma
• Asthma in Children
• Respiratory Aspiration

Intervention

Other:
• Corticosteroids inhalation
Flixotide inhalation followed by Qvar inhalation through a nasal filter and a mouth filter located in a partitioned face mask and delivered to an infant with asthma via a Tipshaler® holding chamber
• Corticosteroids inhalation
Qvar inhalation followed by Flixotide inhalation through a nasal filter and a mouth filter located in a partitioned face mask and delivered to an infant with asthma via a Tipshaler® holding chamber

Locations

Country	Name	City	State
France	Assistance Publique Hopitaux de Marseille	Marseille

Sponsors (1)

Lead Sponsor	Collaborator
Assistance Publique Hopitaux De Marseille

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Percentage (%) of corticoisteroids proportion delivered to the nose with respect to the mouth by chromatography.	Compare by chromatography the proportion of product administered to the nose with respect to the mouth for the administration of inhaled corticosteroids in children with asthma. Filter doses will be expressed as a percentage of the total filtered dose.	12 months