ClinicalTrials.gg
CompletedNCT03291808PLANUpdated Sep 21, 2022Results posted

Pilot of Lifestyle and Asthma Intervention

An interventional study of Weight loss intervention in Asthma, sponsored by Johns Hopkins University. Completed at 2 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-09-21.

Sponsored by Johns Hopkins University · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
43
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 33 studies in Asthma by Johns Hopkins University — 3 open to participants now, 4 under way, none of them phase 3. Asthma · Johns Hopkins University.

Enrollment
20th of 30
43 · median 118
Started
2017
with 2 others
No phase
18 of 33
1 open now
Registered
27th of 33
by date

Among the 33 studies in Asthma by Johns Hopkins University, this one is the 20th largest by enrollment of the 30 interventional ones that give a count, is one of 3 that started in 2017, is one of 18 with no phase, and was the 27th registered.

Asthma

4,841 studies on the registry are indexed under Asthma; 600 are open to participants now.

Browse Asthma studies →

Open to participants now

3 of the 33 studies in Asthma by Johns Hopkins University are open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

All 3 open studies →

Where they have run

Who these studies take

Of the 417 Asthma studies recruiting now, 140 (34%) set no upper age limit and 205 (49%) stop at 75 or younger; 146 take children under 18; 104 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 33 studies in Asthma by Johns Hopkins University, or all of them as a file.
02

Study summary

This is to pilot test a weight loss intervention in obese patients with poorly controlled asthma.

Obesity is a risk factor for the development of asthma (approximately 250,000 cases per year of asthma in the U.S. are related to obesity).

Investigators' ultimate purpose is to test the hypothesis that weight loss through an intensive life style intervention will improve asthma control. But investigators first need to establish whether the weight loss intervention is effective in patients with asthma.

Objectives

  1. The primary objective of this study is to determine the effectiveness of an internet-based weight loss intervention in producing weight loss in obese patients with poorly controlled asthma.
  2. The ultimate purpose is to implement a multi-center weight loss intervention trial for obese patients with poorly controlled asthma.
Read the detailed description

This will be a pilot study of a weight loss intervention at two centers, the University of Arizona and the University of Vermont. The primary outcome of interest will be the percent of participants achieving a 5% weight loss, which is the amount of weight loss that prior studies suggest is required to improve asthma control.

This will be a single arm-phase II futility trial; the "futility" to be assessed is the ability to produce weight loss. Such designs are widely used in efficiently informing decisions to proceed to Phase III clinical trials. This trial design is appropriate when the effect of the placebo arm can reasonably be estimated (weight loss is likely to be close to 0), and the toxicity of the treatment is minimal (no toxicity is anticipated related to weight loss). This is a 6-month study of 40 participants (20 at each site). All participants will be assigned to the weight loss intervention, which is described in detail below

03

Conditions studied

  • Asthma

Keywords

  • Obesity
  • Asthma
  • Weight loss
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Physician diagnosis of asthma on regular prescribed controller therapy for at least 3 months
  • Age: ≥18 years of age
  • Obese: > 30 kg/m2
  • Poorly controlled asthma

    • Asthma Control Test Score \< 19,19,20 or
    • Use of rescue inhaler, on average, > 2 uses/week for preceding month, or
    • Nocturnal asthma awakening, on average,1 or more times / week in preceding month, or
    • Emergency Department (ED)/hospital visit or prednisone course for asthma in past six months
  • Ability and willingness to provide
  • Ability to access internet weight loss program for trial period
  • Completion of asthma diary cards and weight loss diary cards for same 3 consecutive days at visit 2

Exclusion criteria

Exclusion Criteria:

  • Prior history of bariatric surgery
  • Any condition that puts the participant at risk from participation in a weight loss study or a condition that precludes participation in regular exercise as judged by the site physician.
  • Pregnancy (by patient self-report)
  • Participation in another weight loss intervention within the last month
  • Weight loss of ≥ 10 pounds in the last 6 months by self-report
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
43 participants (actual)

Study arms

  • Experimental
    Weight loss intervention

    Such designs are widely used in efficiently informing decisions to proceed to Phase III clinical trials. This trial design is appropriate when the effect of the placebo arm can reasonably be estimated (weight loss is likely to be close to 0), and the toxicity of the treatment is minimal (no toxicity is anticipated related to weight loss).18 Therefore, this will be a single arm 6-month study of 40 participants (20 at each site). All participants will be assigned to the weight loss intervention.

    Behavioral: Weight loss intervention

Interventions

  • BehavioralWeight loss intervention

    This 6-month intervention will include restricted calorie intake and increased physical activity. Key behavioral strategies to facilitate changes in dietary habits and activity patterns will be introduced, promoted and reinforced throughout the program. Weekly "group meetings" in a synchronous chat (i.e., in real time) led by a facilitator will be the venue for the group process. Extensive web-based resources to support behavior changes will be offered. Group chat sessions will meet online weekly for 6 months.

06

What researchers measure

Primary outcomes

  1. Weight Loss

    The primary outcome of interest will be the percent of participants achieving a 5% weight loss, which is the amount of weight loss that prior studies suggest is required to improve asthma control.

    Time frame: 6 months

07

Results

Posted Sep 21, 2022

Participant flow

Forty-three were enrolled in the weight loss intervention in five cohorts, four English speaking and one Spanish speaking. Ten subjects dropped out before study completion, four reported this was related to research burden and six were lost to follow up: 33 participants completed the 6-month study. Recruitment was conducted at University of Vermont and University of Arizona.

Participant flow — Overall Study
MilestoneWeight Loss Intervention
Started43
Completed33
Not completed10
Withdrew: Lost to follow-up6
Withdrew: Research burden4

Outcome measures

PrimaryWeight Loss

The primary outcome of interest will be the percent of participants achieving a 5% weight loss, which is the amount of weight loss that prior studies suggest is required to improve asthma control.

Time frame:
6 months
Reported as:
Count of participants · Participants
Weight Loss
ParticipantsWeight Loss Intervention
Weight Loss43
Statistical analysis
  • Weight Loss Intervention · Kruskal-Wallis · p = .35

Adverse events

Collected over 6 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Weight Loss Intervention0/43 (0%)11/43 (25.6%)6/43 (14%)
Most frequent serious events
Showing 9 of 10
Most frequent serious events
EventWeight Loss Intervention
Asthma ExacerbationsRespiratory, thoracic and mediastinal disorders5/43
Emergency Department visitGeneral disorders4/43
Small bowel obstructionGastrointestinal disorders2/43
GastroenteritisGastrointestinal disorders1/43
Chest pain with other symptomsCardiac disorders1/43
FallGeneral disorders1/43
HypertensionVascular disorders1/43
Allergic reactionImmune system disorders1/43
Knee painMusculoskeletal and connective tissue disorders1/43
Most frequent other events
Most frequent other events
EventWeight Loss Intervention
Chest pain with other symptomsGeneral disorders6/43

Baseline characteristics

People with poorly controlled asthma with a BMI of greater than 30

Age, Continuous
Age, Continuous(years)Weight Loss Intervention
Median48 (41 to 59)
Sex: Female, Male
Sex: Female, Male(Participants)Weight Loss Intervention
Female38
Male5
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Weight Loss Intervention
Hispanic or Latino8
Not Hispanic or Latino35
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Weight Loss Intervention
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander1
Black or African American2
White40
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(Participants)Weight Loss Intervention
United States43
Forced Expiratory Vital Capacity %
Forced Expiratory Vital Capacity %(Percent predicted)Weight Loss Intervention
Median80 (69 to 97)
Forced Vital Capacity %
Forced Vital Capacity %(Percent predicted)Weight Loss Intervention
Median85 (77 to 98)
Forced Expiratory Vital Capacity/Forced vital capacity
Forced Expiratory Vital Capacity/Forced vital capacity(Percent predicted)Weight Loss Intervention
Median79 (71 to 83)

8 further baseline measures are reported on the registry.

08

Study locations

2 sites
  • University of Arizona
    Tucson, Arizona 85724, United States
  • University of Vermont
    Burlington, Vermont 05401, United States
09

References and documents

Publications

  • Johnson O, Gerald LB, Harvey J, Roy G, Hazucha H, Large C, Burke A, McCormack M, Wise RA, Holbrook JT, Dixon AE. An Online Weight Loss Intervention for People With Obesity and Poorly Controlled Asthma. J Allergy Clin Immunol Pract. 2022 Jun;10(6):1577-1586.e3. doi: 10.1016/j.jaip.2022.02.040. Epub 2022 Mar 15. PubMed 35304842 ↗

Related links

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Nov 2017 to primary completion in May 2020, 30 months.

Results were first posted in Sep 2022, 2 years 3 months after primary completion.

Of 599 non-industry interventional studies with no phase under Asthma, half reached primary completion within 24 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 50. This study's 30 months is above that.

Counting every sponsor, half of 649 studies reached it within 23 months; a quarter within 10 and three quarters within 48.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 21, 2017
First posted
Sep 25, 2017
StartActual
Nov 15, 2017
Primary completionActual
May 31, 2020
CompletionActual
May 31, 2020
Results first posted
Sep 21, 2022
Last update
Sep 21, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 21, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03291808
Responsible party
Sponsor
First posted
Sep 25, 2017
Start date
Nov 15, 2017
Primary completion
May 31, 2020
Completion
May 31, 2020
Results posted
Sep 21, 2022
Last update
Sep 21, 2022

Study contacts

Anne Dixon, MD
principal investigator · University of Vermont
Robert Wise, MD
principal investigator · Johns Hopkins School of Medicine
Janet Holbrook, PhD
principal investigator · Johns Hopkins Bloomberg School of Public Health

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2022. You cannot join it, but the record below documents what was studied.

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