Study of Efficacy of Lamotrigine in Therapy of Bronchial Asthma
The purpose of this study is to determine whether antiepileptic drug lamotrigine is effective in the treatment of chronic asthma.
|Study Design:||Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Primary Purpose: Treatment
|Official Title:||Randomised, Placebo Controlled, Double Blind, Parallel Group 3-Months Study of Lamotrigine Efficacy in Asthma Therapy|
- At 3 months of treatment: Change from baseline of the FEV1 and PEFR (also %predicted); Number of patients without asthma symptoms
- At 3 months of treatment: FEV1 before and after salbutamol inhalation; Difference in PEF pm-am (in %); The daily (daytime and night-time) symptoms scores; % of symptom free days during the treatment period; Use of other antiasthmatic medication
|Study Start Date:||August 2002|
|Estimated Study Completion Date:||May 2003|
Effective therapy of asthma still remains quite serious problem. According GINA definition, asthma is an inflammatory disorder. Consequently, modern pharmacotherapy of asthma provides wide use of anti-inflammatory drugs. But asthma also is a paroxysmal disorder: many specialists and even some guidelines underline paroxysmal clinical picture of asthma. Besides this, according to some authors, neurogenic inflammation may play important role in asthma mechanism. But some other neurogenic inflammatory paroxysmal disorders exist, and they are migraine and trigeminal neuralgia. Some antiepileptic drugs, like carbamazepine and valproate, are very effective in therapy of migraine and trigeminal neuralgia - more than in 80% of cases. If bronchial asthma also is paroxysmal inflammatory disease, like migraine and trigeminal neuralgia, it is possible that some antiepileptic drugs also are very effective in asthma therapy.
We performed double-blind placebo-controlled 3-month trial for evaluation of lamotrigine efficacy in therapy of poorly controlled bronchial asthma. Lamotrigine is antiepileptic drug of new generation, produced by Glaxo SmithCline.
Comparison: Patients received investigational drug in addition to their usual routine antiasthmatic treatment, compared to patients received placebo in addition to their usual routine antiasthmatic treatment.
|Principal Investigator:||Merab Lomia, MD, PhD||Rea Rehabilitation Centre, Georgia|
|Study Chair:||Manana Tchaia, MD||Centre of Chinese Medicine|
|Study Director:||Tamara Tchelidze, MD||CRO Evidence|