The Leukotriene Modifier Or Corticosteroid or Corticosteroid-Salmeterol Trial (The LOCCS Trial)

Overview[ - collapse ][ - ]

Purpose This research study will compare the treatment effects of three different asthma medications in asthma subjects whose asthma is well controlled when they take fluticasone, an inhaled corticosteroid. The treatments are fluticasone, montelukast (an anti?leukotriene drug), and a combination therapy of fluticasone and salmeterol (a long-acting beta-agonist). Fluticasone, montelukast, and the combination therapy of fluticasone and salmeterol (Advair Diskus®) are all approved for the treatment of asthma. We are looking at whether the three treatments are equally effective for reducing the number and the severity of asthma attacks in subjects with mild to moderately severe asthma.
ConditionAsthma
InterventionDrug: fluticasone
Drug: montelukast
Drug: fluticasone/salmeterol combination
PhasePhase 4
SponsorAmerican Lung Association Asthma Clinical Research Centers
Responsible PartyAmerican Lung Association Asthma Clinical Research Centers
ClinicalTrials.gov IdentifierNCT00156819
First ReceivedSeptember 8, 2005
Last UpdatedAugust 26, 2011
Last verifiedAugust 2011

Tracking Information[ + expand ][ + ]

First Received DateSeptember 8, 2005
Last Updated DateAugust 26, 2011
Start DateJune 2003
Estimated Primary Completion DateJuly 2005
Current Primary Outcome MeasuresAsthma treatment failure
Current Secondary Outcome Measures
  • Pulmonary function
  • Symptoms
  • Medication use
  • Patient measures (questionnaires)
  • Markers of inflammation

Descriptive Information[ + expand ][ + ]

Brief TitleThe Leukotriene Modifier Or Corticosteroid or Corticosteroid-Salmeterol Trial (The LOCCS Trial)
Official TitleThe Leukotriene Modifier Or Corticosteroid or Corticosteroid-Salmeterol Trial (The LOCCS Trial)
Brief Summary
This research study will compare the treatment effects of three different asthma medications
in asthma subjects whose asthma is well controlled when they take fluticasone, an inhaled
corticosteroid. The treatments are fluticasone, montelukast (an anti?leukotriene drug), and
a combination therapy of fluticasone and salmeterol (a long-acting beta-agonist).
Fluticasone, montelukast, and the combination therapy of fluticasone and salmeterol (Advair
Diskus®) are all approved for the treatment of asthma. We are looking at whether the three
treatments are equally effective for reducing the number and the severity of asthma attacks
in subjects with mild to moderately severe asthma.
Detailed Description
This trial will attempt to investigate whether asthmatic patients that are well controlled
with low-dose twice daily inhaled corticosteroid (ICS) therapy can safely be switched to
other modes of controller therapy without loss of asthma control. Patients demonstrating
good control on twice-daily low-dose ICS will be randomized to one of three treatment
groups: once-daily low-dose ICS (fluticasone), leukotriene receptor antagonist
(montelukast), or once-daily combination therapy (fluticasone-salmeterol).
Study TypeInterventional
Study PhasePhase 4
Study DesignAllocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double-Blind, Primary Purpose: Treatment
ConditionAsthma
InterventionDrug: fluticasone
Drug: montelukast
Drug: fluticasone/salmeterol combination
Study Arm (s)Not Provided

Recruitment Information[ + expand ][ + ]

Recruitment StatusCompleted
Estimated Enrollment495
Estimated Completion DateJuly 2005
Estimated Primary Completion DateNot Provided
Eligibility Criteria
Inclusion Criteria:

- physician-diagnosed asthma

- age 6 or older

- pre-bronchodilator FEV1 of at least 60% of predicted

- beta-agonist reversibility OR airways hyperreactivity by methacholine challenge

- Juniper Asthma Control Score of 1.5 or greater if not on daily controller

- good current health

Exclusion Criteria:

- current or past smoking (greater than 20 pack-years)

- chronic or current oral steroid therapy

- pregnancy, lack of effective contraception (when appropriate), lactation
GenderBoth
Ages6 Years
Accepts Healthy VolunteersNo
ContactsNot Provided
Location CountriesUnited States

Administrative Information[ + expand ][ + ]

NCT Number NCT00156819
Other Study ID NumbersALAACRC-03
Has Data Monitoring CommitteeNot Provided
Information Provided ByAmerican Lung Association Asthma Clinical Research Centers
Study SponsorAmerican Lung Association Asthma Clinical Research Centers
CollaboratorsGlaxoSmithKline
Investigators Study Chair: Nicholas Anthonisen, MD University of Winnipeg
Verification DateAugust 2011

Locations[ + expand ][ + ]

University of Alabama at Birmingham
Birmingham, Alabama, United States, 35233
National Jewish Hospital
Denver, Colorado, United States, 80206
Nemour's Childrens Center
Jacksonville, Florida, United States, 32207
University of Miami (and University of South Florida in Tampa)
Miami, Florida, United States, 33136
Emory University
Atlanta, Georgia, United States, 30322
Illinois Consortium (Northwestern, Univ. of Chicago, Univ. of Illinois)
Chicago, Illinois, United States, 60611
Indiana University
Indianapolis, Indiana, United States, 46202
Louisiana State University
New Orleans, Louisiana, United States, 70112
University of Minnesota
Minneapolis, Minnesota, United States, 55455
University of Missouri at Kansas City
Kansas City, Missouri, United States, 64108
Washington University
St. Louis, Missouri, United States, 63110
Long Island Jewish Hospital (and North Shore Hospital)
New Hyde Park, New York, United States, 11040
New York Consortium (New York Univ. and Columbia Univ.)
New York, New York, United States, 10016
New York Medical College
Valhalla, New York, United States, 10595
Duke University School of Medicine
Durham, North Carolina, United States, 27710
Ohio State University
Columbus, Ohio, United States, 43210
Thomas Jefferson Hospital
Philadelphia, Pennsylvania, United States, 19107
Baylor College of Medicine
Houston, Texas, United States, 77030
Northern New England Consortium (Univ. of Vermont and other locations)
Burlington, Vermont, United States, 05405