Clinical trial Recruiting at 2 sites Observational Ages 6 to 17

ASMact: Managing bronchial asthma attacks in children

Official title: Standardization According to GINA 2025 Recommendations for the Treatment, Management, and Follow-up of Acute Asthma Attacks: Observational, Multicenter Cohort Study.

Run by Meyer Children's Hospital IRCCS · NCT07412769 · Data updated 2026-11-12

This study tries a GINA 2025-based staff education and care-standardization approach to see if emergency treatment for children aged 6–17 with acute asthma attacks improves outcomes.

Quick facts

Study typeObservational
Ages6 Years to 17 Years
SexAll
Enrollment500 (estimated)
SponsorMeyer Children's Hospital IRCCS
Academic / other
Locations2 sites (Ferrara, FE and 1 other locations)
StatusRecruiting
StartedNovember 5, 2025
Main results expectedMay 31, 2026
Study endsJune 30, 2026
Registry record updatedFebruary 17, 2026
Trial IDNCT07412769 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are children aged 6–17 who present to one of the participating emergency departments with an acute asthma exacerbation and have complete clinical data available.

Probably not a fit

Patients younger than 6 or older than 17, those with diagnoses other than an acute asthma exacerbation, patients transferred after initial treatment elsewhere, or those with incomplete records are unlikely to benefit from participation.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

ASMact is a multicenter observational cohort comparing clinical outcomes before and after a structured educational intervention based on the 2025 GINA recommendations. Children aged 6–17 presenting to participating emergency departments with acute asthma exacerbations were included during a pre-intervention period (October 2024–May 2025) and a post-intervention period (October 2025–May 2026). The intervention targeted medical and nursing staff with didactic lectures, clinical simulation sessions, case-based discussions, and updated diagnostic and therapeutic flowcharts. Clinical outcomes and care processes were compared between the two periods to measure changes in management and patient outcomes.

Why it matters

Potential benefit: If successful, standardizing emergency care to GINA 2025 and training staff could reduce treatment variability, lower hospital admissions, and speed recovery for children with asthma attacks.

How similar studies have gone: Previous implementations of guideline-based emergency asthma protocols and staff education have shown improvements in treatment consistency and some clinical outcomes, so this approach builds on existing evidence.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age between 6 and 17 years
* Presentation to the emergency department with a diagnosis of acute asthma exacerbation
* Evaluation in the emergency department of one of the participating centers during the study periods

Exclusion Criteria:

* Age \< 6 years or \> 17 years
* Diagnosis other than acute asthma exacerbation
* Incomplete or missing clinical data
* Patients transferred from other hospitals already treated for the same episode
* history of allergy to any drugs used in the protocol

Where it's running

  • Arcispedale S. Anna
    Ferrara, Fe, Italy
    Recruiting
  • Meyer Children's Hospital IRCCS, Firenze
    Florence, Italy
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 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.