Asthma Clinical Trial
Official title:
Randomized Controlled Trial of Oral Montelukast Added to Standard Therapy for Acute Asthma Exacerbations in Children Age 6 to 14 Years
Oral montelukast is helpful in chronic asthma. The purpose of this pediatric study was to investigate whether the addition of oral montelukast to standard therapy for acute asthma exacerbations results in further improvement in breathing function over three hours.
We hypothesized that children with moderate acute asthma exacerbations receiving oral
montelukast in addition to standard therapy will have at least 12% greater FEV1 improvement
in three hours than those receiving standard therapy alone.
In this randomized double-blind placebo-controlled study, we enrolled emergency patients
aged 6-14 years with moderate acute asthma exacerbations (initial PEFR 40-70% predicted).
Subjects received montelukast 5-mg or placebo orally then standard therapy consisting of
weight-based doses of nebulized albuterol, nebulized ipratropium bromide, and oral
corticosteroids. We measured FEV1 before study medication administration and hourly for
three hours.
We conducted a planned an interim analysis after approximately one-half of the estimated
sample had been enrolled.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double-Blind, Primary Purpose: Treatment
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