ClinicalTrials.gg
RecruitingNCT07328035Updated Apr 17, 2026

Remission in Adults With Severe Asthma in Thailand

An observational study in Severe Asthma and Asthma Control Level, sponsored by Thammasat University. Recruiting at 1 site in Thailand. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-04-17.

Sponsored by Thammasat University · Observational

From the registry’s dates

  • Started Jan 2026; still recruiting 10 months later.
Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
230
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this observational study is to determine the prevalence of remission among adults with severe asthma, as well as the factors associated with remission in Thailand.

The main question the study aims to answer is:

What is the prevalence of remission among adults with severe asthma in Thailand? Participants will complete questionnaires on asthma symptoms and undergo pulmonary function testing and a blood test once.

Read the detailed description

This study is a cross-sectional study. Thai patients aged 18 years or older with severe asthma are included in the study. Participants will complete two questionnaires about asthma control: the Global Initiative for Asthma (GINA) and the Asthma Control Test (ACT), and will perform spirometry, a fractional exhaled nitric oxide (FeNO) test, and blood eosinophil counts (BEC).

02

Conditions studied

  • Severe Asthma
  • Asthma Control Level

Keywords

  • asthma
  • remission
  • Thailand
  • severe
  • FeNO
  • blood eosinophil count
03

In context

Asthma

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

This study's planned enrollment of 230 is above the median of 158 across 1,250 observational studies indexed under Asthma.

Browse Asthma studies →

Lead sponsor

Thammasat University is the lead sponsor of 85 studies on the registry; 16 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Thai patients aged 18 years or older with severe asthma are included in the study

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

  • severe asthma
  • age 18 years or older

Exclusion criteria

Exclusion Criteria:

  • inability to perform spirometry or fractional exhaled nitric oxide (FeNO) test
05

Study design

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
230 participants (estimated)
Patient registry
No
Biospecimen retention
Samples without dna

Groups and cohorts

  • Severe asthma

    Asthma that requires treatment with high-dose inhaled corticosteroids plus a second controller, or requires systemic corticosteroids for ≥50% of the previous year to prevent it from becoming uncontrolled, or remains uncontrolled despite this therapy.

    Other: Global Initiative for Asthma (GINA) and Asthma Control Test (ACT) questionnaires · Diagnostic Test: Spirometry · Diagnostic Test: Fractional exhaled nitric oxide (FeNO) test · Diagnostic Test: Blood eosinophil count (BEC)

Interventions

  • OtherGlobal Initiative for Asthma (GINA) and Asthma Control Test (ACT) questionnaires

    GINA and ACT are questionnaires used to assess the level of asthma control.

  • Diagnostic testSpirometry

    Spirometry is a tool used to assess pulmonary function.

  • Diagnostic testFractional exhaled nitric oxide (FeNO) test

    FeNO is a tool used to assess eosinophilic airway inflammation and asthma remission.

  • Diagnostic testBlood eosinophil count (BEC)

    BEC is a tool used to assess eosinophilic inflammation and asthma remission.

06

What researchers measure

Primary outcomes

  1. Prevalence rate of severe asthma remission

    Prevalence rate of remission in adults with severe asthma

    Time frame: The beginning of the study

Secondary outcomes

  1. Association of clinical characteristics with severe asthma remission

    The association between severe asthma remission and the following variables will be evaluated: 1. Asthma symptom control; Asthma Control Test (ACT) score (range 5-25) 2. Exacerbation history; Number of asthma exacerbations requiring systemic corticosteroids in the previous 12 months 3. Oral corticosteroid use; Daily oral corticosteroid use (yes/no) and cumulative dose (mg/year) 4. Asthma duration; Years since asthma diagnosis

    Time frame: The beginning of the study

  2. Association of lung function with severe asthma remission

    The association between severe asthma remission (binary outcome: remission vs. non-remission) and pulmonary function assessed using spirometry (FEV1 % predicted and FEV1/FVC ratio).

    Time frame: The beginning of the study

  3. Association of inflammatory biomarkers with severe asthma remission

    The association between severe asthma remission (binary outcome: remission vs. non-remission) and inflammatory biomarkers assessed using blood eosinophil count (cells/µL) and fractional exhaled nitric oxide (FeNO) (parts per billion, ppb).

    Time frame: The beginning of the study

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • McDowell PJ, McDowell R, Busby J, Eastwood MC, Patel PH, Jackson DJ, Mansur A, Patel M, Burhan H, Doe S, Chaudhuri R, Gore R, Dodd JW, Subramanian D, Brown T, Heaney LG; UK Severe Asthma Registry. Clinical remission in severe asthma with biologic therapy: an analysis from the UK Severe Asthma Registry. Eur Respir J. 2023 Dec 14;62(6):2300819. doi: 10.1183/13993003.00819-2023. Print 2023 Dec. PubMed 37857423 ↗
  • Tupper OD, Hakansson KEJ, Ulrik CS. Remission and Changes in Severity Over 30 Years in an Adult Asthma Cohort. J Allergy Clin Immunol Pract. 2021 Apr;9(4):1595-1603.e5. doi: 10.1016/j.jaip.2020.11.013. Epub 2020 Nov 19. PubMed 33220516 ↗
  • Chipps BE, Lugogo N, Carr W, Zhou W, Patel A, Carstens DD, Trudo F, Ambrose CS. On-treatment clinical remission of severe asthma with real-world longer-term biologic use. J Allergy Clin Immunol Glob. 2024 Oct 30;4(1):100365. doi: 10.1016/j.jacig.2024.100365. eCollection 2025 Feb. PubMed 39659738 ↗
  • Perez-de-Llano L, Scelo G, Tran TN, Le TT, Fageras M, Cosio BG, Peters M, Pfeffer PE, Al-Ahmad M, Al-Lehebi RO, Altraja A, Bergeron C, Bjermer LH, Bjerrum AS, Bulathsinhala L, Busby J, Cano Rosales DJ, Canonica GW, Carter VA, Charriot J, Christoff GC, Denton EJ, Dorscheid DR, Fernandez Sanchez MJ, Fonseca JA, Gibson PG, Goh CYY, Heaney LG, Heffler E, Hew M, Iwanaga T, Katial R, Koh MS, Kuna P, Larenas-Linnemann DES, Lehtimaki L, Mahboub B, Martin N, Matsumoto H, Menzies-Gow AN, Papadopoulos NG, Popov TA, Porsbjerg CM, Patel P, Rhee CK, Sadatsafavi M, Taille C, Torres-Duque CA, Tsai MJ, Ulrik CS, Upham JW, von Bulow A, Wang E, Wechsler ME, Price DB. Exploring Definitions and Predictors of Severe Asthma Clinical Remission after Biologic Treatment in Adults. Am J Respir Crit Care Med. 2024 Oct 1;210(7):869-880. doi: 10.1164/rccm.202311-2192OC. PubMed 38701495 ↗
  • Hansen S, Baastrup Sondergaard M, von Bulow A, Bjerrum AS, Schmid J, Rasmussen LM, Johnsen CR, Ingebrigtsen T, Hakansson KEJ, Johansson SL, Bisgaard M, Assing KD, Hilberg O, Ulrik C, Porsbjerg C. Clinical Response and Remission in Patients With Severe Asthma Treated With Biologic Therapies. Chest. 2024 Feb;165(2):253-266. doi: 10.1016/j.chest.2023.10.046. Epub 2023 Nov 3. PubMed 37925144 ↗
  • Holm M, Omenaas E, Gislason T, Svanes C, Jogi R, Norrman E, Janson C, Toren K; RHINE Study Group. Remission of asthma: a prospective longitudinal study from northern Europe (RHINE study). Eur Respir J. 2007 Jul;30(1):62-5. doi: 10.1183/09031936.00121705. Epub 2007 Mar 14. PubMed 17360725 ↗
  • Almqvist L, Ronmark E, Stridsman C, Backman H, Lindberg A, Lundback B, Hedman L. Remission of adult-onset asthma is rare: a 15-year follow-up study. ERJ Open Res. 2020 Nov 23;6(4):00620-2020. doi: 10.1183/23120541.00620-2020. eCollection 2020 Oct. PubMed 33263024 ↗

Individual participant data

Plan to share: Yes — IPD and documents

Supporting information: Study protocol, Statistical analysis plan

Time frame: IPD and documents will be available for sharing immediately after publication for a period of 2 years.

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Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jan 2026 (actual). Primary completion is estimated for Oct 2026, 9 months after the start.

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

Registered
Dec 26, 2025
First posted
Jan 8, 2026
StartActual
Jan 1, 2026
Primary completionEst.
Oct 31, 2026
CompletionEst.
Dec 31, 2026
Last update
Apr 17, 2026
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 Apr 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07328035
Lead sponsor
Thammasat University
Responsible party
Narongkorn Saiphoklang, MD (Associate Professor, Thammasat University) — Principal investigator
First posted
Jan 8, 2026
Start date
Jan 1, 2026
Primary completion
Oct 31, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Apr 17, 2026

Study contacts

Narongkorn Saiphoklang, MD
Contact
M_narongkorn@hotmail.com
+6629269794
Pacharaporn Tangsathapornpong, MD
Contact
pacharaporn.kaimook@gmail.com
+6629269701
Narongkorn Saiphoklang
principal investigator · Thammasat University Faculty of Medicine

Oversight

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

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