Methacholine challenge to measure airway sensitivity in school-aged children with and without asthma
Official title: RISKA: Respiratory Irritability With School Kids With/Without Asthma - Assessment of Methacholine Responsiveness in Pediatric Asthma: A Comparative Study With Healthy Controls
Run by Helsinki University Central Hospital · NCT07031102 · Data updated 2026-11-12
We will test whether a methacholine breathing test and exhaled nitric oxide levels differ between children aged 7–15 who have well-controlled asthma, need stronger asthma treatment, or have no asthma.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 7 Years to 15 Years |
| Sex | All |
| Enrollment | 260 (estimated) |
| Sponsor | Helsinki University Central Hospital Academic / other |
| Locations | 1 site (Helsinki) |
| Status | Recruiting |
| Started | November 6, 2024 |
| Main results expected | December 2027 |
| Study ends | December 2027 |
| Registry record updated | June 22, 2025 |
| Trial ID | NCT07031102 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Children aged 7–15 with either physician-diagnosed asthma on inhaled corticosteroids (with either well-controlled disease or a physician-confirmed need to intensify medication) or healthy children with no asthma symptoms or inhaled asthma medication in the prior two years, able to attend the Helsinki site and provide guardian consent.
✕Probably not a fit
Children with other chronic cardiopulmonary or neurological diseases, recent acute respiratory infection, prematurity before 32 weeks, active immunologic disease, use of beta-blockers, or implanted active medical devices are excluded and 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
This observational study will enroll about 110 children with physician-diagnosed asthma (split between well-controlled and those needing intensified medication) and 150 healthy controls aged 7–15. At a single study visit participants complete background and asthma questionnaires, undergo a methacholine bronchial provocation test to measure PD20FEV1, and have exhaled nitric oxide measured. Healthy controls are pre-screened by telephone and asthma patients who have medication changes are contacted again by phone 1–2 months later to capture effects of intensification. Key exclusions include recent respiratory infection, other chronic cardiopulmonary or neurological disease, prematurity before 32 weeks, active immunologic disease, and beta-blocker use.
Why it matters
Potential benefit: If successful, the findings could help clinicians better identify which children have clinically important airway hyperresponsiveness and tailor asthma treatment accordingly.
How similar studies have gone: Methacholine bronchial challenge and exhaled nitric oxide are established tests for airway hyperresponsiveness and inflammation, and prior research supports their use in pediatric and adult populations though pediatric comparison data are more limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: Healthy Controls * • Aged 7-15 years, both sexes * No diagnosis of asthma in childhood * No inhaled asthma medication during the previous 2 years * No wheezing or shortness of breath during the previous 2 years * Written informed consent from the participant and guardian Inclusion Criteria: Children with Asthma * Aged 7-15 years, both sexes * Physician-diagnosed asthma (ICD-10 codes J45.0/J45.1/J45.9) * Inhaled corticosteroid treatment for at least 6 months * Either: * Well-controlled asthma (c-ACT/ACT score ≥20) and no clinical need to intensify medication, or * Poorly controlled asthma with physician-confirmed need for intensified asthma medication Exclusion Criteria: * • Premature birth before 32 gestational weeks * Other chronic cardiopulmonary or neurological conditions affecting airways (excluding asthma) * Severe underlying illness such as malignancy * Beta-blocker medication * Active immunological disease
Where it's running
-
HUS Skin and Allergy Hospital
Helsinki, Finland Recruiting
Study contacts
- Study coordinator: Janne Burman, PhD, MD
- Email: janne.burman@hus.fi
- Phone: +358406517912
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Trimbow fixed triple inhaler for adults with uncontrolled asthma in routine care
This project will try Trimbow (beclometasone/formoterol/glycopyrronium) in adults with uncontrolled asthma who switch from high‑dose ICS/LABA or multiple‑inhaler triple therapy to see if symptoms and adherence improve over six months.
-
Evaluating how inhaled medications work for asthma and COPD patients
This study is testing how well inhaled medications work for adults with asthma and COPD by looking at their breathing patterns to see if we can improve how they use their inhalers.
-
Early lung development in preterm babies with and without fetal growth restriction
This study will test whether ultrasound measurements of fetal lung volume, diaphragm thickness and heart function before 32 weeks can help predict breathing problems and later lung function in preterm babies with or without fetal growth restriction.
-
Investigating the Role of Y Chromosome Mutations in Autoimmune Diseases
This study is trying to see how changes in the Y chromosome might affect the immune system and contribute to autoimmune diseases like Giant Cell Arteritis and Polymyalgia Rheumatica.
-
Evaluating the effectiveness of a fixed triple inhaled combination for asthma patients in real-life settings
This study is trying to see if a new inhaler combination can help people with uncontrolled asthma feel better after switching from their previous treatments.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.