Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2004-5-25
pubmed:abstractText
Pediatric asthma remains an important public health concern as its prevalence and cost to the health care system is rising. In order to promote innovative research in asthma therapies, the National Heart, Lung and Blood Institute created the Childhood Asthma Research and Education Network in 1999. As its first study, the steering committee of the Childhood Asthma Research and Education Network designed a randomized clinical trial to determine if persistent asthma could be prevented in children at a high risk to develop the disease. This communication presents the design of its first clinical trial, the Prevention of Asthma in Kids (PEAK) trial and the organization of the Childhood Asthma Research and Education Network that developed and implemented this trial. Studies of the natural history of asthma have shown that, in persistent asthma, the initial asthma-like symptoms and loss of lung function occur predominately during the first years of life. Therefore, in the Prevention of Asthma in Kids study, children 2 and 3 years old with a positive asthma predictive index were randomized to twice daily treatment with fluticasone 88 microg or placebo via metered-dose inhaler and Aerochamber for 2 years. The double blind treatment period was followed by a 1-year observational period. Lung function was measured by spirometry and oscillometry technique at 4-month intervals throughout the study. Bronchodilator reversibility and exhaled nitric oxide (ENO) studies were performed at the end of the treatment and observation periods. The primary outcome measure was the number of asthma-free days. Other secondary outcomes included number of exacerbations, use of asthma medications and lung function. These measures were chosen to reflect the progression of the disease from intermittent wheezing to persistent asthma and measurement of the extent of airflow limitation and airway reactivity.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
0197-2456
pubmed:author
pubmed:issnType
Print
pubmed:volume
25
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
286-310
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:15157730-Administration, Inhalation, pubmed-meshheading:15157730-Age Factors, pubmed-meshheading:15157730-Androstadienes, pubmed-meshheading:15157730-Asthma, pubmed-meshheading:15157730-Bronchodilator Agents, pubmed-meshheading:15157730-Child, Preschool, pubmed-meshheading:15157730-Cohort Studies, pubmed-meshheading:15157730-Double-Blind Method, pubmed-meshheading:15157730-Female, pubmed-meshheading:15157730-Galvanic Skin Response, pubmed-meshheading:15157730-Humans, pubmed-meshheading:15157730-Male, pubmed-meshheading:15157730-Patient Education as Topic, pubmed-meshheading:15157730-Patient Selection, pubmed-meshheading:15157730-Predictive Value of Tests, pubmed-meshheading:15157730-Preventive Health Services, pubmed-meshheading:15157730-Prospective Studies, pubmed-meshheading:15157730-Randomized Controlled Trials as Topic, pubmed-meshheading:15157730-Respiratory Function Tests, pubmed-meshheading:15157730-Spirometry
pubmed:year
2004
pubmed:articleTitle
The Prevention of Early Asthma in Kids study: design, rationale and methods for the Childhood Asthma Research and Education network.
pubmed:affiliation
Division of Pediatric Pulmonary Medicine, Arizona Respiratory Center, University of Arizona, 1501 N Campbell Avenue, PO Box 245073, Tucson, AZ 85724, USA. guilbert@resp-sci.arizona.edu
pubmed:publicationType
Journal Article, Clinical Trial, Research Support, U.S. Gov't, P.H.S., Randomized Controlled Trial, Multicenter Study