CClinicalTrials.gg
CompletedNCT06869798Updated Mar 26, 2025

EFFECTIVENESS of ZINC AS an ADJUVANT to STANDARD THERAPY VERSUS STANDARD THERAPY ALONE in CHILDREN

A Phase 3 interventional study of zinc sulphate in Asthma in Children, sponsored by King Edward Medical University. Completed at 1 site in Pakistan. Open to participants aged 5 Years to 10 Years. Per ClinicalTrials.gov, last updated 2025-03-26.

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

From the registry’s dates

  • Registered 9 months after the study started (first participant enrolled Sep 2021, registered Jun 2022).
Phase
Phase 3
Study type
Interventional
Enrollment
84
Allocation
Randomized
Ages
5 Years to 10 Years
Sex
All
01

Study summary

The objective of this study is to compare the effectiveness of zinc as an adjuvant to standard therapy versus standard therapy alone in children with moderate persistent asthma, as assessed by the Asthma Control Test, in terms of:

  1. Improvement in asthma control as measured by the Asthma Control Test (ACT) score.
  2. Association of continuous variables (e.g., age and duration of illness) and categorical variables (e.g., sex) with asthma control.

HYPOTHESIS Zinc as an adjuvant to standard therapy is more effective than standard therapy alone in managing moderate persistent asthma in children.

Read the detailed description

DESIGN OF STUDY This is a Randomized Controlled Trial. FOLLOW-UP PROTOCOL The patients will be evaluated at the beginning of the study and then followed up at four weeks and eight weeks after enrollment to assess the primary and secondary outcomes. PRIMARY OUTCOME To assess the improvement in asthma control based on the Asthma Control Test (ACT) score at 4 weeks and 8 weeks, respectively. SECONDARY OUTCOMES

To observe improvement in:

  1. Asthma symptoms and medication use, as recorded in patient diaries.
  2. Association of continuous variables (e.g., age, duration of illness) and categorical variables (e.g., sex) with asthma control. SAMPLE SIZE The Calculated sample size is 84 children (42 in each group: Intervention \& Control arm). SAMPLING TECHNIQUE Simple random sampling using the lottery method. SAMPLE SELECTION INCLUSION CRITERIA
  1. Children ( 5-10) years. 2. Either gender. 3.Patient diagnosed with asthma according to the operational definition 4.Child with acute exacerbation of asthma EXCLUSION CRITERIA
  1. Children with diarrhea and malnutrition
  2. Children with pulmonary disease(pneumonia, viral infection,cystic fibrosis)
  3. Children with cardiovascular disease. . 4. Children already taking zinc supplementation. STUDY PROCEDURE After approval from the Institutional Review Board of King Edward Medical University, Mayo Hospital, Lahore, all children aged 5 to 10 years, of either gender, diagnosed with asthma as per the operational definition and fulfilling the inclusion criteria, presenting to the Department of Pediatric Medicine, Mayo Hospital, will be enrolled in this study. Verbal and informed written consent will be obtained from the parents/guardians of all participants. Data Collection \& Randomization
  1. Demographic data will be collected. 2. A detailed history regarding symptoms, onset, duration of illness, progression, medication, level of asthma control, and general physical and systemic examination will be conducted. 3. Patients with moderate persistent asthma will be identified. 4. Using simple random sampling (lottery method), patients will be assigned into two groups:
  1. Group A (Intervention): Standard therapy + Oral Zinc 20mg/day OD for 2 months.
  2. Group B (Control): Standard therapy only. Follow-Up \& Assessment All patients will be trained to maintain a diary, documenting responses to the

    1. Asthma Control Test (ACT) and medication use.
    2. Patients will be followed up every 4 weeks for 8 weeks to evaluate asthma control and symptom improvement.
02

Conditions studied

  • Asthma in Children

Browse trials for

Keywords

  • asthma in children
  • zinc
  • 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 84 is close to 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
5 Years to 10 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Children ( 5-10) years.
  • Either gender.
  • Patient diagnosed with asthma according to the operational definition
  • Child with acute exacerbation of asthma

Exclusion criteria

Exclusion criteria

  • Children with diarrhea and malnutrition
  • Children with pulmonary disease(pneumonia, viral infection,cystic fibrosis)
  • Children with cardiovascular disease. . • Children already taking zinc supplementation.
05

Study design

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

Study arms

  • Experimental
    n Group A will receive standard therapy along with oral zinc 20mg/day OD for 2 months

    n Group A will receive standard therapy along with oral zinc 20mg/day OD for 2 months., all the patients of both groups will be trained to maintain diary regarding questionnaire asked in asthma control test, followed up 4 weekly for 8 weeks

    Drug: zinc sulphate

  • Experimental
    n Group B will receive only Standard therapy.

    n Group B will receive only Standard therapy., all the patients of both groups will be trained to maintain diary regarding questionnaire asked in asthma control test, followed up 4 weekly for 8 weeks

    Drug: zinc sulphate

Interventions

  • Drugzinc sulphate

    Group A (intervention) and Group B (non-intervention). The patients in Group A will receive standard therapy along with oral zinc 20mg/day OD for 2 months. While the patients in Group B will receive only Standard therapy. Then, all the patients of both groups will be trained to maintain diary regarding questionnaire asked in asthma control test, followed up 4 weekly for 8 weeks

06

What researchers measure

Primary outcomes

  1. Change in Asthma Control Test (ACT) Scores From Baseline to 8 Weeks

    The effectiveness of zinc as an adjuvant to standard therapy in children with moderate persistent asthma will be assessed by changes in Asthma Control Test (ACT) scores. Scores will be categorized as: * Controlled- if ACT score ≥ 20 * Partially Controlled- if ACT score is 16-19 * Uncontrolled- if ACT score \< 16 The intervention will be considered effective if there is a statistically significant increase in ACT scores from baseline to 8 weeks.

    Time frame: Baseline, 4 weeks and 8 Weeks

  2. Number of Emergency Visits Due to Asthma Exacerbation

    The total number of emergency visits due to asthma exacerbation will be recorded at each follow-up. A reduction in emergency visits will be considered indicative of effective treatment.

    Time frame: Baseline, 4 weeks and 8 Weeks

07

Study locations

1 site
  • King Edward Medical University Lahore Pakistan
    Lahore, Punjab 05499, Pakistan
08

References and documents

Publications

  • King GG, James A, Harkness L, Wark PAB. Pathophysiology of severe asthma: We've only just started. Respirology. 2018 Mar;23(3):262-271. doi: 10.1111/resp.13251. Epub 2018 Jan 9. PubMed 29316003 ↗
  • Vijverberg SJH, Farzan N, Slob EMA, Neerincx AH, Maitland-van der Zee AH. Treatment response heterogeneity in asthma: the role of genetic variation. Expert Rev Respir Med. 2018 Jan;12(1):55-65. doi: 10.1080/17476348.2018.1403318. Epub 2017 Nov 21. PubMed 29115880 ↗
  • Siripornpanich S, Chongviriyaphan N, Manuyakorn W, Matangkasombut P. Zinc and vitamin C deficiencies associate with poor pulmonary function in children with persistent asthma. Asian Pac J Allergy Immunol. 2022 Jun;40(2):103-110. doi: 10.12932/AP-100620-0878. PubMed 33274952 ↗
  • Rerksuppaphol S, Rerksuppaphol L. Zinc Supplementation in Children with Asthma Exacerbation. Pediatr Rep. 2016 Dec 9;8(4):6685. doi: 10.4081/pr.2016.6685. eCollection 2016 Nov 17. PubMed 28058103 ↗
  • Khanbabaee G, Omidian A, Imanzadeh F, Adibeshgh F, Ashayeripanah M, Rezaei N. Serum level of zinc in asthmatic patients: a case-control study. Allergol Immunopathol (Madr). 2014 Jan-Feb;42(1):19-21. doi: 10.1016/j.aller.2012.07.008. Epub 2013 Jan 9. PubMed 23312452 ↗
  • Chen M, Sun Y, Wu Y. Lower circulating zinc and selenium levels are associated with an increased risk of asthma: evidence from a meta-analysis. Public Health Nutr. 2020 Jun;23(9):1555-1562. doi: 10.1017/S1368980019003021. Epub 2019 Nov 5. PubMed 31685060 ↗

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 Mar 26, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06869798
Lead sponsor
King Edward Medical University
Responsible party
Kaushal Shah (MD (Postgraduate Trainee), King Edward Medical University) — Principal investigator
First posted
Mar 11, 2025
Start date
Sep 1, 2021
Primary completion
Oct 1, 2022
Completion
Aug 28, 2023
Last update
Mar 26, 2025

Study contacts

Sadia Shabbir, MBBS,FCPS
principal investigator · Pediatrics Department 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 ↗

Not currently enrolling

This study is completed, as verified in Mar 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion