Effect of Specific Immunotherapy to Dust Mites in Children With Asthma
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Purpose
The aim of the study is to assess the effect of specific immunotherapy (SIT) to dust mites on clinical symptoms, reliever drugs usage, inhaled glucocorticosteroid usage, quality of life, lung function, chosen markers of inflammation, induction of regulatory lymphocytes, bronchial hyperreactivity with methacholine, and presence and type of allergy after two years of SIT in children with asthma.
| Condition | Intervention | Phase |
|---|---|---|
|
Asthma |
Biological: subcutaneous immunotherapy (House Dust Mites) Other: placebo of subcutaneous immunotherapy (House Dust Mites) |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Evaluation of Early Clinical and Immunological Efficacy of Specific Immunotherapy to Dust Mites in Children With Asthma |
- clinical symptoms, reliever drugs usage, controller medication usage, quality of life, lung function, chosen markers of inflammation (ECP, specific IgE, specific IgG) induction of regulatory lymphocytes (Treg) - Foxp3 mRNA expression [ Time Frame: baseline (first visit), after 3 months (second visit), 12 months (third visit), 24 months (fourth visit) ] [ Designated as safety issue: No ]
- bronchial hyperreactivity with methacholine, and presence and type of allergy after two years of SIT (skin prick tests) [ Time Frame: after 24 months from first visit (fourth visit) ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 80 |
| Study Start Date: | August 2006 |
| Estimated Study Completion Date: | December 2013 |
| Estimated Primary Completion Date: | November 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: 1
subcutaneous immunotherapy (House Dust Mites)
|
Biological: subcutaneous immunotherapy (House Dust Mites)
subcutaneous immunotherapy (House Dust Mites)
|
|
Placebo Comparator: 2
placebo of subcutaneous immunotherapy (House Dust Mites)
|
Other: placebo of subcutaneous immunotherapy (House Dust Mites)
placebo of subcutaneous immunotherapy (House Dust Mites)
Other Name: placebo of subcutaneous immunotherapy (House Dust Mites)
|
Detailed Description:
Specific immunotherapy is the only one causal treatment method of atopic diseases including bronchial asthma in children.
The aim of the study is to assess the effect of specific immunotherapy (SIT) to dust mites on clinical symptoms,reliever drugs usage, inhaled glucocorticosteroid usage, quality of life, lung function, chosen markers of inflammation, induction of regulatory lymphocytes, bronchial hyperreactivity with methacholine, and presence and type of allergy after two years of SIT in children with asthma.
Eligibility| Ages Eligible for Study: | 6 Years to 18 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- patients allergic to house dust mites
- patients with moderate bronchial asthma
- patients with controlled asthma
- patients who were qualified for immunotherapy and gave written informed consent for immunotherapy (active treatment group)
- patients who were qualified for immunotherapy and did not agree with this kind of treatment - did not give written informed consent for immunotherapy (control group)
Exclusion Criteria:
- patients allergic for other perennial and seasonal allergens
- patients with other chronic diseases that either put the patient at risk when participating in the study or could influence the results of the study or the patient's ability to participate in the study as judged by the investigator
- medications that resulted in patient exclusion included:anti-parasites or oral corticosteroids within 6 months before the first visit.
Contacts and Locations| Contact: Dorota Jurałowicz, MD | 00 48 42 6895972 | alergol@kopernik.lodz.pl |
| Poland | |
| Department of Pediatrics and Allergy, Medical University of Lodz | Recruiting |
| Lodz, Poland, 93-513 | |
| Contact: Dorota Jurałowicz, MD 00 48 42 6895972 alergol@kopernik.lodz.pl | |
| Principal Investigator: Iwona Stelmach, MD, PhD, Prof | |
| Sub-Investigator: Dorota Jurałowicz, MD | |
| Study Chair: | Iwona Stelmach, MD, PhD, Prof | Department of Pediatrics and Allergy, Medical University of Lodz, Poland |
| Principal Investigator: | Dorota Jurałowicz, MD | Department of Pediatrics and Allergy, Medical University of Lodz, Poland |
More Information
No publications provided
| Responsible Party: | Iwona Stelmach, MD, PhD, Professor, Medical Universtity of Lodz |
| ClinicalTrials.gov Identifier: | NCT00496561 History of Changes |
| Other Study ID Numbers: | RNN-149-06-KE |
| Study First Received: | July 3, 2007 |
| Last Updated: | February 6, 2013 |
| Health Authority: | Poland: Ministry of Health |
Keywords provided by Medical Universtity of Lodz:
|
asthma immunotherapy children regulatory T cells ECP |
PC20M Quality of Life Symptoms score Spirometry |
Additional relevant MeSH terms:
|
Asthma Bronchial Diseases Respiratory Tract Diseases Lung Diseases, Obstructive Lung Diseases |
Respiratory Hypersensitivity Hypersensitivity, Immediate Hypersensitivity Immune System Diseases |
ClinicalTrials.gov processed this record on May 16, 2013