About this trial
Significant advancements have been made in asthma medication over the past decades. Highly effective treatments are available for patients; however, both adherence and proper device usage remain below the desired levels, based on our experience and literature data. Despite the availability of numerous excellent drug-device combinations, personalized treatment for patients is still not adequately addressed.
In the present study, the aim is to improve patient compliance and educate symptomatic, partially, or uncontrolled asthma patients on the correct use of a specific inhalation device (Nexthaler). Considering the characteristics of the medication, the patient's lung function data, inhalation technique, and drug retention time can help estimate the expected lung deposition of the medication. By refining the inhalation technique under the guidance of the treating physician, it is hypothesized that the expected therapeutic effects of the medication may improve.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Physician-confirmed clinical diagnosis of asthma according to GINA guidelines
Uncontrolled asthma according to the physician's clinical assessment despite the use of appropriate therapy of Step 2 or 3, according to GINA guidelines
Patients who are eligible for the use of Foster Nexthaler 100/6 mcg according to the SmPC
Inhaled asthma therapy was changed independent from the study to Foster Nexthaler 100/6 mcg DPI maximum 1 week prior to OR on the day of study inclusion
Disqualifiers
Participation in any clinical trial, 30 days prior to inclusion
Patient is unable to execute a spirometry test
Patients hospitalized due to an exacerbation of their asthma within the last 4 weeks prior to enrolment.
Patients with other significant diseases of the respiratory system or other organ systems that may significantly contribute to asthma symptoms (such as severe heart failure, symptomatic anaemia, functional respiratory disorders, malignant diseases etc.) according to the physician's clinical assessment.
Trial population
Asthma patients, treated in routine clinical practice, symptomatic on previous therapy, and switched to Foster 100/6 micrograms in Nexthaler device, irrespective of study inclusion,
Trial design
Cohort
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Pulmonary deposition
Difference of pulmonary deposition between patients performing different lengths of breath hold and it's changes after 3 months of treatment.
Asthma control questionnaire
Change in asthma control questionnaire (ACQ-6) scores after 3 months of treatment between patients performing different lengths of breath hold.
Secondary outcomes
Asthma control
Proportion of patients achieving improvement in asthma control at Visit 3 between patients performing different lengths of breath hold
Lung function
Change in spirometry parameters: Forced expiratory volume in 1 second, Forced vital capacity and their ratio, at Visit 3, compared to the baseline between patients performing different lengths of breath hold
Rescue medication
Change in the need for rescue medications at Visit 3, compared to the baseline between patients performing different lengths of breath hold
Adherence
Changes in treatment adherence based on prescription filled at Visit 3, compared to the baseline between patients performing different lengths of breath hold
Sponsors and contacts
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