The Journal of Pediatrics
Volume 154, Issue 5 , Pages 682-687.e7 , May 2009

Long-Term Budesonide or Nedocromil Treatment, Once Discontinued, Does Not Alter the Course of Mild to Moderate Asthma in Children and Adolescents

  • Robert C. Strunk, MD

      Affiliations

    • Department of Pediatrics, Washington University School of Medicine, St. Louis, MO
    • Corresponding Author InformationCorrespondence: Robert C. Strunk, MD, Washington University School of Medicine, Department of Pediatrics, St Louis Children's Hospital, One Children's Place, St Louis, MO 63110
  • ,
  • Alice L. Sternberg, ScM

      Affiliations

    • Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
  • ,
  • Stanley J. Szefler, MD

      Affiliations

    • Department of Pediatrics, National Jewish Medical and Research Center, Denver, CO
  • ,
  • Robert S. Zeiger, MD, PhD

      Affiliations

    • Department of Pediatrics, University of California, San Diego, San Diego, CA
  • ,
  • Bruce Bender, PhD

      Affiliations

    • Department of Pediatrics, National Jewish Medical and Research Center, Denver, CO
  • ,
  • James Tonascia, PhD

      Affiliations

    • Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
  • ,
  • Childhood Asthma Management Program (CAMP) Research Group

Received 24 July 2008 ,Revised 3 October 2008 ,Accepted 17 November 2008.

  • Image Result

    Mean values for measures of morbidity, lung function after the use of a bronchodilator, and bronchodilator reversibility during 9 years of follow-up after randomization to the budesonide, nedocromil,

    Mean values for measures of morbidity, lung function after the use of a bronchodilator, and bronchodilator reversibility during 9 years of follow-up after randomization to the budesonide, nedocromil, and placebo groups. A, Annual prednisone course rate. B, Annual urgent care visit rate. C, Postbronchodilator FEV1 % of predicted. D, Postbronchodilator FVC % of predicted. E, Postbronchodilator FEV1/FVC. F, Bronchodilator reversibility. All data to the left of the vertical line on each graph were obtained during the trial when participants were treated regularly with budesonide 200 μg twice daily, nedocromil 8 mg twice daily, or placebo. All data to the right of the vertical line on each graph were obtained during the posttrial follow-up period after regular treatment with study medications was discontinued. Budesonide; Nedocromil; Placebo.

 The Childhood Asthma Management Program is supported by the National Heart, Lung, and Blood Institute (contracts NO1-HR-16044, -16045, -16046, -16047, -16048, -16049, -16050, -16051, and -16052) and the National Center for Research Resources (General Clinical Research Center grants M01RR00051, M01RR0099718-24, M01RR02719-14, and RR00036). The authors declare no conflicts of interest.

 No reprints are available from the authors.

PII: S0022-3476(08)01034-2

doi: 10.1016/j.jpeds.2008.11.036

The Journal of Pediatrics
Volume 154, Issue 5 , Pages 682-687.e7 , May 2009