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RecruitingNCT07351916Updated Apr 17, 2026

Remission in Adults With Mild-to-moderate Asthma in Thailand

An observational study in Asthma, Mild-to-moderate Asthma and Asthma Control Level, sponsored by Thammasat University. Recruiting at 2 sites 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 Feb 2026; still recruiting 8 months later.
Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
289
Ages
18 Years and older
Sex
All
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Study summary

The goal of this observational study is to determine the prevalence of remission among adults with mild-to-moderate 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 a questionnaire 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 mild-to-moderate 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).

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

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Conditions studied

  • Asthma
  • Mild-to-moderate Asthma
  • Asthma Control Level

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Keywords

  • asthma
  • asthma control
  • mild-to-moderate asthma
  • Thailand
  • remission
  • FeNO
  • blood eosinophil count
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In context

Asthma

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

This study's planned enrollment of 289 is above the median of 150 across 970 observational studies indexed under Asthma.

Browse Asthma studies →

Lead sponsor

Thammasat University is the lead sponsor of 83 studies on the registry; 16 are open to participants now.

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

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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 mild-to-moderate asthma are included in the study

Inclusion criteria

  • mild-to-moderate asthma
  • age 18 years or older

Exclusion criteria

Exclusion Criteria:

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

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
289 participants (estimated)
Patient registry
No

Groups and cohorts

  • Mild-to-moderate asthma

    Patients aged 18 years or older with mild-to-moderate asthma. Mild asthma refers to asthma patients who experience symptoms \<3 times per week, have preserved lung function (FEV₁ or PEF \>80% of predicted), and whose symptoms can be adequately controlled with low-dose inhaled corticosteroids (low-dose ICS) alone, without the need for long-acting bronchodilators or other controller medications. Moderate asthma refers to asthma patients who have symptoms \>4-5 days per week or experience nocturnal asthma symptoms \>1 per week, and who require treatment with medium-dose inhaled corticosteroids (medium-dose ICS) or low-dose ICS in combination with a long-acting β₂-agonist (low-dose ICS/LABA) to achieve symptom control and prevent exacerbations.

    Other: Global Initiative for Asthma (GINA) and Asthma Control Test (ACT) questionnaires · Other: Spirometry · Other: Fractional exhaled nitric oxide (FeNO) test · Other: 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.

  • OtherSpirometry

    Spirometry is a tool used to assess pulmonary function.

  • OtherFractional exhaled nitric oxide (FeNO) test

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

  • OtherBlood eosinophil count (BEC)

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

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What researchers measure

Primary outcomes

  1. Prevalence rate of mild-to-moderate asthma remission

    Prevalence rate of mild-to-moderate asthma remission (%)

    Time frame: An average of 1 year

Secondary outcomes

  1. Asthma control in patients with mild-to-moderate asthma

    Rate of patients with well-controlled asthma. Well-controlled asthma is defined as an Asthma Control Test (ACT) score of 20 or higher.

    Time frame: At baseline and at 12 months

  2. Airway obstruction in patients with mild-to-moderate asthma

    Airway obstruction is assessed using FEV1/FVC ratio on spirometry.

    Time frame: At baseline and at 12 months

  3. Severity of aiway obstruction in patients with mild-to-moderate asthma

    The severity of aiway obstruction is assessed using FEV1 % predicted on spirometry.

    Time frame: At baseline and at 12 months

  4. Eosinophil airway inflammation in patients with mild-to-moderate asthma

    Eosinophil airway inflammation is assessed using blood eosinophil count (cells/µL).

    Time frame: At baseline and at 12 months

  5. Type 2 airway inflammation in patients with mild-to-moderate asthma

    Type 2 airway inflammation is assessed using fractional exhaled nitric oxide (FeNO, ppb).

    Time frame: At baseline and at 12 months

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Study locations

2 of 2 sites recruiting
  • Narongkorn Saiphoklang
    Pathum Thani, Changwat Pathum Thani 12120, Thailand
    Recruiting
  • Faculty of Medicine, Thammasat University
    Pathum Thani, 12120, Thailand
    Recruiting
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References and documents

Publications

  • Ishizuka M, Sugimoto N, Kobayashi K, Takeshita Y, Imoto S, Koizumi Y, Togashi Y, Tanaka Y, Nagata M, Hattori S, Uehara Y, Suzuki Y, Toyota H, Ishii S, Nagase H. Clinical remission of mild-to-moderate asthma: Rates, contributing factors, and stability. J Allergy Clin Immunol Glob. 2025 Jan 30;4(2):100431. doi: 10.1016/j.jacig.2025.100431. eCollection 2025 May. PubMed 40091885 ↗
  • 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 ↗
  • 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 ↗
  • Chiewchalermsri C, Kanjanawasee D, Saiphoklang N, Chirakalwasan N, Sriprasart T, Senavonge A, Sanguanwong N, Kamalaporn H, Athipongarporn A, Hachai S, Boonsawat W, Brannan JD, Song WJ, Ruxrungtham K, Poachanukoon O. Asthma remission: A path to cure? Asian Pac J Allergy Immunol. 2025 Jun;43(2):135-150. doi: 10.12932/AP-240525-2082. PubMed 40652405 ↗

Individual participant data

Plan to share: Yes — IPD and documents will be available for sharing immediately after publication for a period of 2 years.

Supporting information: Study protocol, Sap

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Updates

Tracking since Sep 25, 2026
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
NCT07351916
Lead sponsor
Thammasat University
Responsible party
Narongkorn Saiphoklang, MD (Associate Professsor, Thammasat University) — Principal investigator
First posted
Jan 20, 2026
Start date
Feb 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
Sirashat Hanvivattanakul, MD
Contact
boss32_@hotmail.com
+6629269701
Narongkorn Saiphoklang, MD
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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