The Effect of Montelukast Treatment in Wheezy Infants

Overview[ - collapse ][ - ]

Purpose The study is designed to evaluate the efficacy of montelukast on symptom-free days in unselected group of very young children with wheeze and recurrent asthma like symptoms. The secondary aim was to evaluate the effect of montelukast on lung function, airway responsiveness, airway inflammation and use of rescue medication.
ConditionLung Disease, Obstructive
Signs and Symptoms, Respiratory
InterventionDrug: montelukast
PhasePhase 4
SponsorHelsinki University
Responsible PartyHelsinki University
ClinicalTrials.gov IdentifierNCT00934713
First ReceivedJuly 7, 2009
Last UpdatedJuly 7, 2009
Last verifiedOctober 2003

Tracking Information[ + expand ][ + ]

First Received DateJuly 7, 2009
Last Updated DateJuly 7, 2009
Start DateSeptember 2004
Estimated Primary Completion DateApril 2008
Current Primary Outcome Measuressymptom free days [Time Frame: 2 weeks runin and 8 weeks treatment] [Designated as safety issue: Yes]
Current Secondary Outcome Measureslung function, airway responsiveness, exhale nitric oxide, use of rescue medication [Time Frame: before and after 8 weeks treatment] [Designated as safety issue: Yes]

Descriptive Information[ + expand ][ + ]

Brief TitleThe Effect of Montelukast Treatment in Wheezy Infants
Official TitleThe Effect of Montelukast Therapy on Respiratory Symptoms, Lung Function and Airway Responsiveness in Wheezy Very Young Children
Brief Summary
The study is designed to evaluate the efficacy of montelukast on symptom-free days in
unselected group of very young children with wheeze and recurrent asthma like symptoms. The
secondary aim was to evaluate the effect of montelukast on lung function, airway
responsiveness, airway inflammation and use of rescue medication.
Detailed Description
The aim of this study was to investigate the effectiveness of montelukast in wheezy very
young children with persistent respiratory symptoms. This study was a prospective,
double-blind, placebo-controlled study of 6 to 24 months old children, who had at least one
physician-diagnosed wheezing episode and persistent asthmatic symptoms. Patients were
randomised to placebo or montelukast 4 mg / day for 8 weeks period. The clinical response to
treatment was determined, the functional residual capacity (FRC) and specific air-way
conductance (sGaw) was measured using an infant whole-body pletys-mograph, the maximal flow
at functional residual capacity (V´maxFRC) was re-corded using the squeeze technique and
airway responsiveness was evaluated by performing a dosimetric methacholine challenge test.
Study TypeInterventional
Study PhasePhase 4
Study DesignAllocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
Condition
  • Lung Disease, Obstructive
  • Signs and Symptoms, Respiratory
InterventionDrug: montelukast
montelukast 4mg once per day for 8 weeks period
Other Names:
singulair
Study Arm (s)Active Comparator: montelukast
montelukast 4 mg once per day for 8 weeks

Recruitment Information[ + expand ][ + ]

Recruitment StatusCompleted
Estimated Enrollment112
Estimated Completion DateApril 2008
Estimated Primary Completion DateApril 2008
Eligibility Criteria
Inclusion Criteria:

- at least one physician-diagnosed wheezing episode and history of recurrent cough,
dyspnoea and wheeze and successfully performed methacholine challenge test were
included.

Exclusion Criteria:

- use of ICS within 8 weeks prior to the first visit, a cumulative life-time systemic
prednisolone use more than 3 days at a dose of 2 mg/kg, an equipotent dose of another
systemic corticosteroid or ICS use more than 4 weeks, respiratory infection in the 14
days preceding lung function measurement and obvious tracheobronchomalacia or other
structural defect.
GenderBoth
Ages6 Months
Accepts Healthy VolunteersNo
ContactsNot Provided
Location CountriesFinland

Administrative Information[ + expand ][ + ]

NCT Number NCT00934713
Other Study ID Numbers33902
Has Data Monitoring CommitteeNo
Information Provided ByHelsinki University
Study SponsorHelsinki University
CollaboratorsMerck Sharp & Dohme Corp.
Investigators Study Chair: Anna S Pelkonen, MD Helsinki University Central Hospital
Verification DateOctober 2003

Locations[ + expand ][ + ]

Skin and Allergy Hospital, Helsinki University Central Hospital
Helsinki, P.O.Box 160, Finland, FIN-00029 HUS