Clinical trial Recruiting at 1 site Observational Ages 7 to 15

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.

More Asthma Bronchiale trials

Quick facts

Study typeObservational
Ages7 Years to 15 Years
SexAll
Enrollment260 (estimated)
SponsorHelsinki University Central Hospital
Academic / other
Locations1 site (Helsinki)
StatusRecruiting
StartedNovember 6, 2024
Main results expectedDecember 2027
Study endsDecember 2027
Registry record updatedJune 22, 2025
Trial IDNCT07031102 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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.