Full Text View
Tabular View
Study Results
Related Studies
Study of Inhaled Corticosteroid Plus Montelukast Compared With Inhaled Corticosteroid Therapy Alone in Patients With Chronic Asthma
This study has been completed.
Study NCT00666679   Information provided by Merck

First Received on April 23, 2008.   Last Updated on April 20, 2010   History of Changes
Results First Received: January 7, 2010  
Study Type: Interventional
Study Design: Allocation: Randomized;   Endpoint Classification: Safety/Efficacy Study;   Intervention Model: Crossover Assignment;   Masking: Double Blind (Subject, Investigator);   Primary Purpose: Treatment
Condition: Asthma
Interventions: Drug: Comparator: mometasone
Drug: Comparator: montelukast
Drug: Comparator: placebo (unspecified)

  Participant Flow
  Hide Participant Flow

Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations

Patients were recruited from 25 centers worldwide. Patient screening began 05-May-2008 and the first patient was randomized on 29-May-2008.

The last patient's last visit was completed on 16-Feb-2009.


Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
278 participants were screened; 144 were excluded. Randomized patients met the following criteria: FEV1 (Forced expiratory volume in one second) 50-80% predicted while withholding short-acting beta agonist (SABA) and reversibility of airway obstruction >12% following SABA documented on at least two of the following visits: Visits 1, 2, and 3.

Reporting Groups
  Description
Montelukast + Mometasone Then Placebo + Mometasone Patients were randomized to receive montelukast 1 mg (milligram) and open-label mometasone 220 mcg (micrograms) once daily by inhalation in the first intervention; and placebo for montelukast and open-label mometasone 220 mcg once daily by inhalation in the second intervention (after washout). During washout, patients received open-label inhaled mometasone 220 mcg and single-blind placebo for montelukast once daily by inhalation.
Placebo + Mometasone Then Montelukast + Mometasone Patients were randomized to receive placebo for montelukast and open-label mometasone 220 mcg once daily by inhalation in the first intervention; and montelukast 1 mg and open-label mometasone 220 mcg once daily by inhalation in the second intervention (after washout). During washout, patients received open-label inhaled mometasone 220 mcg and single-blind placebo for montelukast once daily by inhalation.

Participant Flow for 3 periods

Period 1:   First Intervention
    Montelukast + Mometasone Then Placebo + Mometasone     Placebo + Mometasone Then Montelukast + Mometasone  
STARTED     66     68  
COMPLETED     62     67  
NOT COMPLETED     4     1  
Lost to Follow-up                 1                 0  
Protocol Violation                 1                 0  
Withdrawal by Subject                 1                 0  
Randomized did not start treatment                 1                 1  

Period 2:   Washout Period of 1 Week
    Montelukast + Mometasone Then Placebo + Mometasone     Placebo + Mometasone Then Montelukast + Mometasone  
STARTED     62     67  
COMPLETED     62     65  
NOT COMPLETED     0     2  
Lost to Follow-up                 0                 1  
Protocol Violation                 0                 1  

Period 3:   Second Intervention
    Montelukast + Mometasone Then Placebo + Mometasone     Placebo + Mometasone Then Montelukast + Mometasone  
STARTED     62     65  
COMPLETED     61     64  
NOT COMPLETED     1     1  
Adverse Event                 1                 0  
Death                 0                 1  



  Baseline Characteristics
  Hide Baseline Characteristics

Reporting Groups
  Description
Montelukast + Mometasone Then Placebo + Mometasone Patients were randomized to receive montelukast 1 mg (milligram) and open-label mometasone 220 mcg (micrograms) once daily by inhalation in the first intervention; and placebo for montelukast and open-label mometasone 220 mcg once daily by inhalation in the second intervention (after washout). During washout, patients received open-label inhaled mometasone 220 mcg and single-blind placebo for montelukast once daily by inhalation.
Placebo + Mometasone Then Montelukast + Mometasone Patients were randomized to receive placebo for montelukast and open-label mometasone 220 mcg once daily by inhalation in the first intervention; and montelukast 1 mg and open-label mometasone 220 mcg once daily by inhalation in the second intervention (after washout). During washout, patients received open-label inhaled mometasone 220 mcg and single-blind placebo for montelukast once daily by inhalation.

Baseline Measures
    Montelukast + Mometasone Then Placebo + Mometasone     Placebo + Mometasone Then Montelukast + Mometasone     Total  
Number of Participants  
[units: participants]
  66     68     134  
Age  
[units: years]
Mean ± Standard Deviation
  39.2  ± 15.5     42.6  ± 14.8     40.9  ± 15.2  
Gender  
[units: participants]
     
Female     37     32     69  
Male     29     36     65  
Daytime Asthma Symptom Score (0 [best] to 6 [worst] Point Scale)  
[units: Units on a Scale]
Mean ± Standard Deviation
  2.04  ± 0.90     2.18  ± 0.81     2.11  ± 0.85  
FEV1 (Forced Expiratory Volume in One Second)  
[units: L (Liter)]
Mean ± Standard Deviation
  2.14  ± 0.67     2.18  ± 0.55     2.16  ± 0.61  
Nighttime Asthma Symptom Score (0 [best] to 3 [worst] Point Scale)  
[units: Units on a Scale]
Mean ± Standard Deviation
  0.51  ± 0.53     0.46  ± 0.48     0.49  ± 0.50  
Total Daily Beta-Agonist Use  
[units: Puffs]
Mean ± Standard Deviation
  3.52  ± 2.49     3.55  ± 2.19     3.53  ± 2.34  
Total Peripheral Blood Eosinophils  
[units: 10^3/microliters]
Mean ± Standard Deviation
  0.46  ± 0.39     0.38  ± 0.31     0.42  ± 0.35  



  Outcome Measures
  Show All Outcome Measures

1.  Primary:   Change From Baseline in FEV1 (Forced Expiratory Volume; Volume of Air That is Exhaled During the First Second of a Forced Exhalation)   [ Time Frame: Baseline and 2 weeks ]

2.  Secondary:   Change From Baseline in Daytime Asthma Symptom Score   [ Time Frame: Baseline and 2 weeks ]

3.  Secondary:   Change From Baseline in Nighttime Asthma Symptom Score   [ Time Frame: Baseline and 2 weeks ]

4.  Other Pre-specified:   Change From Baseline in Total Daily β-agonist Use   [ Time Frame: Baseline and 2 weeks ]

5.  Other Pre-specified:   Percentage of Days With Asthma Control   [ Time Frame: 2 weeks ]

6.  Other Pre-specified:   Percentage of Days With Asthma Exacerbations   [ Time Frame: 2 Weeks ]

7.  Other Pre-specified:   Change From Baseline in Total Peripheral Blood Eosinophils   [ Time Frame: Baseline and 2 weeks ]

8.  Post-Hoc:   Change From Baseline in FEV1 (Forced Expiratory Volume; Volume of Air That is Exhaled During the First Second of a Forced Exhalation) in Patients Who Met Lung Function Eligibility Criteria Specifically at the Randomization Visit.   [ Time Frame: Baseline and 2 Weeks ]


  Serious Adverse Events
  Show Serious Adverse Events


  Other Adverse Events
  Show Other Adverse Events


  More Information
  Hide More Information

Certain Agreements:  
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.
The agreement is:
unchecked The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 60 days. The sponsor cannot require changes to the communication and cannot extend the embargo.
unchecked The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days. The sponsor cannot require changes to the communication and cannot extend the embargo.


Limitations and Caveats
Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data
No text entered.  


Results Point of Contact:  
Name/Title: Executive Vice President, Clinical and Quantitative Sciences
Organization: Merck Sharp & Dohme Corp
phone: 1-800-672-6372


No publications provided


Responsible Party: Executive Vice President, Clinical and Quantitative Sciences, Merck Sharp & Dohme Corp
ClinicalTrials.gov Identifier: NCT00666679     History of Changes
Other Study ID Numbers: 2007_654, MK0476-386
Study First Received: April 23, 2008
Results First Received: January 7, 2010
Last Updated: April 20, 2010
Health Authority: United States: Food and Drug Administration