One-inhaler daily-and-rescue asthma treatment for children

Single Maintenance And Reliever Therapy Strategies for Implementation and Effectiveness Trial

NIH-funded research Children's Hosp of Philadelphia · NIH-11193776

This project offers a single inhaler approach for children with moderate to severe asthma to simplify daily care and reduce flare-ups.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionChildren's Hosp of Philadelphia NIH-funded
Lab location1 site (Philadelphia, United States)
Project IDNIH-11193776 on NIH RePORTER

What this research studies

If your child is treated at one of the participating pediatric clinics, clinicians will be supported to identify kids who could use a single maintenance-and-reliever inhaler (SMART) and given tools to teach families how to use it. Clinics are randomly assigned to receive decision support, provider training, patient education, and system-level fixes versus usual care, and researchers will follow children over time to see how well the approach works in real practice. The team will track medication use, symptoms, asthma attacks, and insurance/administration barriers to using SMART. The study focuses on pediatric patients within a large U.S. health system and aims to address common problems like poor daily adherence and inhaler confusion.

Who could benefit from this research

Good fit: Children (ages 0–11) with moderate to severe bronchial asthma who receive care at participating pediatric primary care clinics and use inhaler therapy are the best fit for this effort.

Not a fit: Children with very mild intermittent asthma, those who cannot use inhalers properly, or those with contraindications to the inhaler medications may not benefit from this approach.

Why it matters

Potential benefit: If successful, this could make inhaler routines simpler for children, improve daily medication use, and lower the number of asthma attacks.

How similar studies have performed: International real-world studies have shown SMART can improve adherence and outcomes, but it has not been widely tested in U.S. pediatric populations.

Where this research is happening

Philadelphia, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.