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Trial registered on ANZCTR
Registration number
ACTRN12611000562976
Ethics application status
Approved
Date submitted
11/05/2011
Date registered
1/06/2011
Date last updated
6/03/2019
Date data sharing statement initially provided
6/03/2019
Date results provided
6/03/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
Corticosteroids in Asthma
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Scientific title
Randomised, placebo controlled trial investigating adverse effects of Oral Corticosteroids in adults with stable asthma
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Secondary ID [1]
262140
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Nil
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Universal Trial Number (UTN)
U1111-1121-2419
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Trial acronym
CIA
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Asthma
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Condition category
Condition code
Respiratory
265972
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0
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Asthma
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Adults with stable asthma will be randomised to receive a 10 day course of either 1 x Prednisolone 25mg oral capsule twice daily or 1 x placebo oral capsule twice daily and after a 6 week wash out period subjects will begin a 10 day course of the alternate treatment.
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Intervention code [1]
264554
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Treatment: Drugs
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Comparator / control treatment
As this is a cross-over design, all subjects will receive in random order the active drug and the placebo, which is identical in taste and appearance to the prednisolone without containing the active drug, in the form of an oral microcellulose capsule.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Serum Leptin levels
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Assessment method [1]
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Timepoint [1]
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Visit 1 on day 1, visit 2 on day 10, visit 3 on day 52 and visit 4 on day 62.
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Primary outcome [2]
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Subject body weight (kg) to nearest 100g using NU Weigh Log842 scales and weighing in light clothing
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Assessment method [2]
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Timepoint [2]
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Visit 1 on day 1, visit 2 on day 10, visit 3 on day 52 and visit 4 on day 62.
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Primary outcome [3]
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Serum Osteocalcin levels
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Assessment method [3]
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Timepoint [3]
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Visit 1 on day 1, visit 2 on day 10, visit 3 on day 52 and visit 4 on day 62.
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Secondary outcome [1]
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Body composition - changes in fat, lean muscle and fluid compartments using whole body scans from dual energy x-ray absoptiometry (DEXA) GE Lunar machine.
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Assessment method [1]
276244
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Timepoint [1]
276244
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visit 2 on day 10 - visit 1 on day 1, visit 4 on day 62 -visit 3 on day 52, visit 4 on day 62 - visit 1 on day 1. (all subjects have the same visits at the same time points regardless of whether they are on the active or alternate treatment, with treatment starting at day 1/visit 1 and ending at day 62/visit 4)
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Secondary outcome [2]
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Dietary Intake in kJ measured by 4 day food records and 24hr recalls. Records will be analysed by Foodworks nutritional analysis software (Xyris). A change in intake of 2000 kJ will be considered significant.
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Assessment method [2]
276271
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Timepoint [2]
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Visit 1 on day 1, visit 2 on day 10, visit 3 on day 52 and visit 4 on day 62.
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Eligibility
Key inclusion criteria
Adults with stable asthma not currently taking oral corticosteroid medication or other medications known to interact with them. No asthma exacerbation, respiratory tract infection or oral corticosteroids in the previous 4 weeks.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Under 18 years old, diabetes mellitus.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
After a screening visit eligible participants will be randomised by hospital pharmacy to receive either the treatment drug or placebo first. Treatment group allocation will not be revealed to the study investigators.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Pharmacy will generate randomisation code using computer generated random numbers.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Pharmacokinetics / pharmacodynamics
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/07/2011
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Actual
1/11/2011
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Date of last participant enrolment
Anticipated
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Actual
30/04/2013
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Date of last data collection
Anticipated
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Actual
3/07/2013
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Sample size
Target
65
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Accrual to date
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Final
60
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment postcode(s) [1]
4008
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2305
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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University of Newcastle
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Address [1]
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University Drive, Callaghan, 2308, NSW
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
A/Prof Lisa Wood
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Address
Center for Asthma & Respiratory Diseases
Hunter Medical Research Institute
Level 2, West Wing, Lot 1 Kookaburra Circuit
New Lambton Heights, 2305, NSW, Australia
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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University of Newcastle
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Address [1]
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University Drive, Callaghan, 2308, NSW
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Country [1]
264146
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Hunter New England Human Research Ethics Committee
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Ethics committee address [1]
267036
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Ethics committee country [1]
267036
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Australia
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Date submitted for ethics approval [1]
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13/05/2011
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Approval date [1]
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25/07/2011
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Ethics approval number [1]
267036
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11/06/15/3.03
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Summary
Brief summary
There is some evidence to suggest that oral corticosteroid medications may increase appetite and lead to weight gain. However it is unknown whether people with asthma experience these effects when prescribed oral corticosteroids when their asthma symptoms worsen. This study is designed to examine whether taking oral corticosteroids for a short time affects appetite, dietary intake, body weight or body composition and bone metabolism.
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Trial website
N/A
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Trial related presentations / publications
Berthon BS, Gibson PG, McElduff P, et al. Effects of short term oral corticosteroid intake on dietary intake, body weight and body composition in adults with asthma- a randomised controlled trial. Clin Exp Allergy 2015 (epub before print).
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Public notes
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Contacts
Principal investigator
Name
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Prof Lisa Wood
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Address
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The University of Newcastle (UON)
Hunter Medical Research Institute
Level 2, West Wing
C/- University Drive
Callaghan NSW 2308
Australia
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Country
32591
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Australia
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Phone
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+61240420147
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Bronwyn Berthon
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Address
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The University of Newcastle (UON)
Hunter Medical Research Institute
Level 2, West Wing
C/- University Drive
Callaghan NSW 2308
Australia
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Country
15838
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Australia
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Phone
15838
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+61 2 40420116
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Fax
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+61 2 40420046
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Email
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[email protected]
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Contact person for scientific queries
Name
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Lisa Wood
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Address
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Center for Asthma & Respiratory Diseases
Hunter Medical Research Institute
Level 2, West Wing, Lot 1 Kookaburra Circuit
New Lambton Heights, 2305, NSW, Australia
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Country
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Australia
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Phone
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+61 2 4042 0147
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Fax
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+61 2 4042 0046
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
There is no plan for IPD sharing for this trial
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Effects of short-term oral corticosteroid intake on dietary intake, body weight and body composition in adults with asthma - a randomized controlled trial.
2015
https://dx.doi.org/10.1111/cea.12505
Embase
A sputum gene expression signature predicts oral corticosteroid response in asthma.
2017
https://dx.doi.org/10.1183/13993003.00180-2017
N.B. These documents automatically identified may not have been verified by the study sponsor.
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