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CompletedNCT03321877DOSISUpdated Oct 26, 2017

Down-titration of Steroids in Patients With Difficult Asthma With no Bronchial Hyperreactivity

An interventional study of Change to dose of patient's regular medication in Asthma, sponsored by Bispebjerg Hospital. Completed at 1 site in Denmark. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2017-10-26.

Sponsored by Bispebjerg Hospital · Not applicable, Interventional, and Other

From the registry’s dates

  • Registered 1 year after the study started (first participant enrolled Oct 2016, registered Oct 2017).
Phase
Not applicable
Study type
Interventional
Enrollment
9
Allocation
Not applicable
Ages
18 Years to 80 Years
Sex
All
01

Study summary

An 8 week 'real-life' inhaled corticosteroid (ICS) dose reduction study in patients with severe asthma without evidence of bronchial hyperactivity.

Read the detailed description

We aim to describe the proportion of patients with severe asthma, but without objective evidence of active disease, who can successfully be reduced in ICS dose for a period of 8 weeks. This is also intended as an exploration of the methodology and feasibility of step-down studies with this patient group, to act as a pilot for future projects.

This study enrolled patients from the SATS severe asthma study, in which they had undergone systematic investigation for comorbidities, triggers and barriers to good asthma control.

After baseline investigations, the patient's ICS dose is halved (or as close as possible to, but not below, 50%). Patients continued on the same inhaled steroid drug and device. Patients taking a combined ICS/LABA inhaler halve the dose of this, as per usual clinical practice. Other asthma medicaitons are continued unchanged.

02

Conditions studied

  • Asthma

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03

In context

Asthma

4,010 studies on the registry are indexed under Asthma; 514 are open to participants now.

This study's enrollment of 9 is below the median of 83 across 2,814 interventional studies indexed under Asthma.

Browse Asthma studies →

Lead sponsor

Bispebjerg Hospital is the lead sponsor of 289 studies on the registry; 29 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 80 Years
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-diagnosed asthma for at least 6 months
  • Fulfill ERS/ATS giudelines for severe asthma
  • Stable dose of ICS for at least 4 weeks
  • Able to carry out study procedures
  • Negative metacholine provocation test at screening
  • Negative reversibility to beta agonist at screening
  • FeNO under 50 ppb

Exclusion criteria

Exclusion Criteria:

  • Treatment with prednisolone, methotrexate, ciclosporin, omalizumab or nucala in the last 6 months
  • FEV1 under 70% of predicted
  • Acute upper or lower airway infection requiring antibiotics in the last 4 weeks
  • Exacerbation of asthma requiring prednisolone in the last 6 months
  • Current smoking
  • Pregnancy or breastfeeding
  • Other clinically significant lung disease
  • Current participation in another interventional study
05

Study design

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

Study arms

  • Experimental
    Study group

    All included patients underwent dose reduction.

    Drug: Change to dose of patient's regular medication

Interventions

  • DrugChange to dose of patient's regular medication

    Dose reduction of the drug each patient was already taking

06

What researchers measure

Primary outcomes

  1. Responsiveness to metacholine bronchial challenge

    PD(20) if positive test

    Time frame: 8 weeks

Secondary outcomes

  1. ACQ score

    asthma control questionnaire

    Time frame: 8 weeks

  2. miniAQLQ score

    asthma quality of life score

    Time frame: 8 weeks

  3. Pulmonary function tests

    FEV1, FVC, reversibility to beta agonist

    Time frame: 8 weeks

  4. FeNO

    fraction of exhaled nitric oxide

    Time frame: 8 weeks

  5. Sputum cell differentials

    sputum neutrophil and eosinophil counts

    Time frame: 8 weeks

07

Study locations

1 site
  • Lungemedicinsk Forskningsenhed
    Copenhagen, 2400, Denmark
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 26, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03321877
Responsible party
Eileen Wedge (Research doctor, Bispebjerg Hospital) — Principal investigator
First posted
Oct 26, 2017
Start date
Oct 1, 2016
Primary completion
May 31, 2017
Completion
May 31, 2017
Last update
Oct 26, 2017

Oversight

Data monitoring committee
No
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 Oct 2017. You cannot join it, but the record below documents what was studied.

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