Phase 2
N=54
Inhaled Mometasone to Reduce Painful Episodes in Patients With Sickle Cell Disease
Sickle Cell Disease
Bottom Line
View on ClinicalTrials.gov: NCT02061202 ↗Enrolled (actual)
54
Serious AEs
0.0%
Results posted
Mar 2019
Primary outcome: Primary: Number of Participants Who Completed Follow up — 35; 17 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- Mometasone Furoate (Drug); Placebo (Drug)
- Age
- Pediatric, Adult, Older Adult · 15+ yrs
- Sex
- All
- Sponsor
- Jeffrey Glassberg
- Primary completion
- Nov 2017
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants Who Completed Follow up |
35; 17 | — |
| SECONDARY Change in Exhaled Nitric Oxide (eNO) |
0.63; 2.71 | — |
| SECONDARY Change in Soluble Vascular Cell Adhesion Molecule (sVCAM) Level |
-182.47; 170.25 | — |
| SECONDARY Change in Adult Sickle Cell Quality of Life Measurement Information System (ASCQ-Me) |
2.8; 6.9 | — |
| SECONDARY The Medication Adherence Report Scale |
17.7; 17.1 | — |
| SECONDARY Change in the Numerical Rating Scale (NRS) for Pain |
2.09; 2.82 | — |
| SECONDARY Asthma Control Test |
17.7; 17.1 | — |
| SECONDARY Admissions or Visits to the Hospital |
0.97; 1.12; 0.37; 0.59; 0.37; 0.47 | — |
| SECONDARY Change in Reticulocytes Count |
-0.15; 0.07 | — |
| SECONDARY Change in FEV1/FVC |
-0.71; -1.41 | — |
Summary
The proposed research is designed to test the global hypothesis that inhaled corticosteroids (ICS), a therapy developed to treat asthma, will prevent vasoocclusive painful episodes in adults with Sickle Cell Disease (SCD) who wheeze, but do not meet criteria for a diagnosis of asthma. The specific aims of this proposal are 1) Conduct a feasibility study - a randomized controlled trial of ICS for adults with SCD who do not meet criteria for a diagnosis of asthma but report recurrent cough or wheezing, 2) Measure the effects of ICS on biological correlates of pulmonary inflammation (as determined by exhaled nitric oxide) and vascular injury (as determined by sVCAM) in SCD, and 3) Compare properties of traditional and Bayesian adaptive clinical trial design for therapeutic trials in SCD in preparation for designing a definitive trial of ICS. These aims have the potential to 1) change the standard of care for individuals with SCD and recurrent cough or wheeze, 2) provide insight into the pathogenesis of non-asthmatic wheezing in SCD and its response to treatment, 3) explore the suitability of innovative clinical trial designs to overcome the challenges that have hindered therapeutic innovation for SCD.
Eligibility Criteria
Inclusion Criteria
- Age 15 or older
- Sever SCD phenotypes (Hb SS and Sβthalassemia0)
- A positive response to cough/wheeze questions
Exclusion Criteria
- Patient carries a physician diagnosis of asthma
- Patient is prescribed asthma medications
- Patient is currently having a painful crisis (as defined by validated pain diary questions)
- Patient has acute respiratory symptoms
- Known hypersensitivity to milk proteins
- Meets criteria for our operational diagnosis of asthma
- More than 15 ED visits for pain over the preceding 12 months
- Admitted or discharged from the hospital for SCD pain within the last 7 days
Data sourced from ClinicalTrials.gov (NCT02061202). 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.