About this trial
* Assess response to treatment in children with bronchial asthma attending Assiut university children hospital. * Role of comorbidities in controlling symptoms of bronchial asthma. * Evaluate the role of the soluable interleukin 5 receptor, I C-telopeptide of type I collagen (ICTP), miR-223-3p and miR-191-5p in bronchial asthma.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Children aged 6-12 years diagnosed asthma, inpatient or attending pediatric outpatient clinic of Assiut university children hospital.
Disqualifiers
- Chronic respiratory illness other than asthma (e.g., bronchiectasis, CF)
Known immunodeficiency or systemic illness
patients with skeletal deformities
patients suspected inborn errors of metabolism
Trial population
Data Collection Tools: History * Personal history * A detailed history including the outline of respiratory symptoms, triggers for cough, wheeze, shortness of breath * Asthma history (duration, triggers, control status) * Therapeutic history (medications used during previous 12 months) History suggestive of GERD as: heart burn, regurgitation, vomiting * Past history of other allergic diseases as: Allergic rhinitis ,urtcaria and food allergy * positive family history of asthma and other allergic diseases Complete physical examination * BMI to assess obesity * Chest examination Investigations: * CBC (neutrophils-esinophils) * Inflammatory markers (ESR-CRP) * Total IgE * lipid profile * The soluable interleukin 5 receptor 1 * I C-telopeptide of type I collagen (ICTP) * miR-223-3p * miR-191-5p chest xray Pulmonary function test (spirometry) follow up patients as regards asthma control,exacerbation in one year
Trial design
Cohort
Prospective
Treatments tested in this trial
Short Acting Beta 2 Agonist
Drugshort acting drug
Treatment groups
Trial outcomes
Primary outcomes
-proportion of participants achieving clinical treatment response (forced expiratory volume in one second (FEV1) increase >12% from baseline). -association between baseline circulating micro RNA (miR-223-3p- miR-191-5p) and clinical treatment response.
* number and percentage of children showing improvment in lung function defined as an increase in forced expiratory volume in one second \>12 from baseline measured by standardized spirometry (pre and post bronchodilator) at one year. * correlation and between- group differences in baseline serum micoRNA levels (miR-223-3p- miR-191-5p) comparing responders vs non-responders in 1 year.
Locations
Sponsors and contacts
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