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CompletedNCT06657066Updated Oct 24, 2024

EFFECTIVENESS of PROBIOTICS in ADULTS with MODERATE to SEVERE PERSISTENT ASTHMA

A Phase 2/3 interventional study of Beclomethasone 200mcg, salbutamol 100mcg , Beclomethasone 200 mcg/Formoterol 6 mcg, 250 mg of lyophilized saccharomyces boulardii and Control (Standard treatment) in Asthma Patients, sponsored by King Edward Medical University. Completed at 1 site in Pakistan. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2024-10-24.

Sponsored by King Edward Medical University · Phase 2/3, Interventional, and Treatment

From the registry’s dates

  • Registered 2 years 10 months after the study started (first participant enrolled Dec 2021, registered Oct 2024).
Phase
Phase 2/3
Study type
Interventional
Enrollment
74
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

The objective of this study is to compare the effectiveness of probiotic as an adjuvant to standard therapy versus standard therapy alone in adult with moderate to severe persistent asthma in terms of

  1. Frequency of asthma exacerbations in terms of number of asthma attacks and severity of each episode.
  2. Improvement in pulmonary function tests as recorded by an increase in FEV1 and FEV1/FVC ratio.
  1. HYPOTHESIS Probiotics as an adjuvant to standard therapy is more effective as compared to the standard therapy alone in managing moderate to severe persistent bronchial asthma.
Read the detailed description

Design of Study This was a Randomized controlled trial

Follow up protocol The patient was evaluated at the beginning of the study, and then again at one and three months following enrolment for a follow-up evaluation of the main and secondary outcomes.

Primary outcome To assess the frequency of exacerbations within 3 months.

Secondary outcome:

To observe improvement in

  1. FEV1 and the FEV1/FVC ratio. Improvement in one step and more than 12% Improvement in FEV1 from baseline. Improvement in asthma control test. Sample Size - The calculated sample size is 74 individuals (37 in each category i.e Intervention \& Control arm)

Sampling technique - Simple random sampling Sample selection Inclusion Criteria

  1. Patients of both genders between the ages of 18 and 80 years.
  2. Diagnosed cases of moderate to severe persistent asthma, as determined by ACT Score and FEV1/FVC ratio as per operational definition.

Exclusion Criteria

  1. Patients with Mild asthma.
  2. Pregnant females.
  3. Patients who have taken fiber supplement or probiotics during the last four weeks.
  4. Other pulmonary disorders, such as Churg-Strauss syndrome, allergic bronchopulmonary aspergillosis (ABPA), chest wall deformities, bronchiectasis, pulmonary fibrosis, and lung cancer.
  5. Asthma and chronic obstructive pulmonary disease overlap syndrome (ACOS).
02

Conditions studied

  • Asthma Patients

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Keywords

  • Asthma
  • Probiotics
  • Standard Therapy
  • adjuvant
03

In context

Asthma

3,921 studies on the registry are indexed under Asthma; 507 are open to participants now.

This study's enrollment of 74 is below the median of 83 across 2,752 interventional studies indexed under Asthma.

Browse Asthma studies →

Lead sponsor

King Edward Medical University is the lead sponsor of 78 studies on the registry; 24 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

Inclusion criteria

  1. Patient of both genders between the ages of 18 and 80 years.
  2. Diagnosed cases of moderate to severe persistent asthma, as determined by ACT Score and FEV1/FVC ratio as per operational definition.

Exclusion criteria

Exclusion Criteria

  1. Patients with Mild asthma.
  2. Pregnant females.
  3. Patients who have taken fiber supplements or probiotics during the last four weeks.
  4. Other pulmonary disorders, such as Churg-Strauss syndrome, allergic bronchopulmonary aspergillosis (ABPA), chest wall deformities, bronchiectasis, pulmonary fibrosis, and lung cancer.
  5. Asthma and chronic obstructive pulmonary disease overlap syndrome (ACOS).
05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
74 participants (actual)

Study arms

  • Experimental
    Intervention arm - Group A

    Standar Therapy- Daily low dose inhaled corticosteroid (ICS)/ Beclomethasone 200 microgram as needed Short acting beta 2 agonist (SABA)/salbutamol 100mcg ,OR as needed low dose inhaled corticosteroid (ICS)/ Beclomethasone 200 microgram -Long acting Beta2 Agonist (LABA)/Formeterol 6 microgram. Along with Probiotics i.e Saccharomyces boulardii, available in sachet from employed in this research containing 250 mg of lyophilized saccharomyces boulardii

    Drug: Beclomethasone 200mcg, salbutamol 100mcg , Beclomethasone 200 mcg/Formoterol 6 mcg, 250 mg of lyophilized saccharomyces boulardii

  • Placebo comparator
    Control arm- Group B

    Standard therapy only: Daily low dose inhaled corticosteroid (ICS)/ Beclomethasone 200 microgram as needed Short acting beta 2 agonist (SABA)/salbutamol 100mcg ,OR as needed low dose inhaled corticosteroid (ICS)/ Beclomethasone 200 microgram -Long acting Beta2 Agonist (LABA)/Formeterol 6 microgram

    Drug: Control (Standard treatment)

Interventions

  • DrugBeclomethasone 200mcg, salbutamol 100mcg , Beclomethasone 200 mcg/Formoterol 6 mcg, 250 mg of lyophilized saccharomyces boulardii

    Daily low dose inhaled corticosteroid (ICS)/ Beclomethasone 200 microgram as needed Short acting beta 2 agonist (SABA)/salbutamol 100mcg ,OR as needed low dose inhaled corticosteroid (ICS)/ Beclomethasone 200 microgram -Long acting Beta2 Agonist (LABA)/Formeterol 6 microgram plus Saccharomyces boulardii, available in sachet from employed in this research containing 250 mg of lyophilized saccharomyces boulardii. It was given daily for three months

    Also known as: Group A

  • DrugControl (Standard treatment)

    The control arm will receive only standard treatment for asthma i.e Daily low dose inhaled corticosteroid (ICS)/ Beclomethasone 200 microgram as needed Short acting beta 2 agonist (SABA)/salbutamol 100mcg ,OR as needed low dose inhaled corticosteroid (ICS)/ Beclomethasone 200 microgram -Long acting Beta2 Agonist (LABA)/Formeterol 6 microgram.

    Also known as: Group B

06

What researchers measure

Primary outcomes

  1. Frequencies of exacerbation

    Assessment of the frequency of exacerbations within 3 months will be observed among the intervention \& control grouo

    Time frame: 3 months

Secondary outcomes

  1. Improvment of FEV1 and FEV1/FVC ratio

    To observe improvement in 1. FEV1 and the FEV1/FVC ratio. Improvement in one step and more than 12% Improvement in FEV1 from baseline. Improvement in asthma control test.

    Time frame: 3 months

07

Study locations

1 site
  • King Edward Medical University, Neelagumbad, Anarkali, Lahore, Pakistan. Postal Code: 54000 Telephone: +92 (42) 99211145-54
    Lahore, Punjab 54000, Pakistan
08

References and documents

Individual participant data

Plan to share: No — Only the principal investigator, supervisor, and Institution Review Board will have access with patients data upon request

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 24, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06657066
Lead sponsor
King Edward Medical University
Responsible party
binayak singh (MD (Postgraduate Trainee), King Edward Medical University) — Principal investigator
First posted
Oct 24, 2024
Start date
Dec 6, 2021
Primary completion
Apr 24, 2022
Completion
Aug 8, 2023
Last update
Oct 24, 2024

Study contacts

Dr. Binayak Singh, MD
principal investigator · King Edward Medical University Lahore

Oversight

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

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