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Phase 2 N=50 Randomized Double-blind Treatment

L-arginine in Severe Asthma Patients Grouped by Exhaled Nitric Oxide Levels

Asthma · Inflammation

Enrolled (actual)
50
Serious AEs
3.0%
Results posted
Apr 2020
Primary outcome: Primary: Number of Acute Exacerbation at 3 Months — 2.7; 2.2; 1.6; 2.2 Events — p=0.78

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
L-Arginine (Drug); Placebo (Drug)
Age
Adult, Older Adult · 19+ yrs
Sex
All
Sponsor
Nicholas Kenyon
Primary completion
Aug 2018

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Acute Exacerbation at 3 Months
2.7; 2.2; 1.6; 2.2; 2.1; 2.7 0.78
SECONDARY
Forced Expiratory Volume in One Second (FEV1)/Forced Vital Capacity (FVC)
-0.02; 0.01; 0.03; -0.03; 0.01; 0.13 0.09

Summary

The major impact of this study will be to identify the adult severe asthma cohort that will benefit from supplemental L-arginine therapy. The investigators hypothesize that a subset of adult severe asthma patients will respond to supplemental L-arginine and derive clinical benefit from the addition of this therapy to standard-of-care asthma medications. The investigators hypothesize that the patients that benefit most will have low exhaled nitric oxide concentrations (< 20 ppb) at baseline.

Eligibility Criteria

Inclusion Criteria

  • Adults >18 yrs of age
  • Diagnosis of severe asthma based on American Thoracic Society Workshop definition (Am J Respir Crit Care Med 2000; 162:2341)
  • Active asthma medications of high dose inhaled corticosteroids plus long-acting beta agonist
  • History of recent asthma exacerbations or Asthma control test score 15 pack years
  • Actively taking or known intolerance to L-arginine
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01841281). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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