The DOI matches its Crossref record; 25 of the 25 references it cites were found in a registry or an index.
Montelukast reduces airway eosinophilic inflammation in asthma: a randomized, controlled trial
Open accessAbstract
Leukotrienes are pro-inflammatory mediators which may contribute to tissue, sputum, and blood eosinophilia seen in allergic and inflammatory diseases, including asthma. Montelukast is a cysteinyl leukotriene1 (CysLT1) receptor antagonist which improves asthma control; the aim of this study was to investigate its effect on induced sputum eosinophils. Montelukast 10 mg (n=19) or placebo (n=21) were administered orally once in the evening for 4 weeks to 40 chronic adult asthmatic patients, aged 19-64 yrs, in a double-blind, randomized, parallel group study. Patients were included if, at prestudy, they had >5% sputum eosinophils, symptomatic asthma with a forced expiratory volume in one second > or =65% of the predicted value and were being treated only with "as needed" inhaled beta2-agonists. In addition to sputum eosinophils, blood eosinophils and clinical endpoints were also assessed. Four weeks of montelukast treatment decreased sputum eosinophils from 7.5% to 3.9% (3.6% decrease, 95% confidence interval (CI) -16.6-0.4). In contrast, placebo treatment was associated with an increase in sputum eosinophils from 14.5% to 17.9% (3.4% increase, 95% CI -3.5-9.8). The least squares mean difference between groups (-11.3%, 95% CI -21.1-(-1.4)) was significant (p=0.026). Compared with placebo, montelukast significantly reduced blood eosinophils (p=0.009), asthma symptoms (p=0.001) and beta2-agonist use (p<0.001) while significantly increasing morning peak expiratory flow (p=0.001). Montelukast was generally well tolerated in this study, with a safety profile similar to the placebo. These results demonstrate that montelukast decreases airway eosinophilic inflammation in addition to improving clinical parameters. Its efficacy in the treatment of chronic asthma may be due, in part, to the effect on airway inflammation.
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Cites
A concordance correlation coefficient to evaluate reproducibility.
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Eosinophilic Inflammation in Asthma
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Self-citationUse of induced sputum cell counts to investigate airway inflammation in asthma.
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Self-citationStatistic Notes: Regression towards the mean
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Leukotriene E4 and granulocytic infiltration into asthmatic airways
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Cited by
Allergic Rhinitis and Its Impact on Asthma
Bousquet, J., van Cauwenberge, P., & Khaltaev, N. (2001) · Journal of Allergy and Clinical Immunology · doi:10.1067/mai.2001.118891 · Cited by 3,588
Asthma exacerbations and sputum eosinophil counts: a randomised controlled trial
Green, R. H., Brightling, C. E., McKenna, S., Hargadon, B., Parker, D., Bradding, P., Wardlaw, A. J., & Pavord, I. D. (2002) · The Lancet · doi:10.1016/s0140-6736(02)11679-5 · Cited by 1,755
Szefler, S. J., Wenzel, S., Brown, R., Erzurum, S. C., Fahy, J. V., Hamilton, R. G., Hunt, J. F., Kita, H., Liu, A. H., Panettieri, R. A., et al. (2012) · Journal of Allergy and Clinical Immunology · doi:10.1016/j.jaci.2011.12.979 · Cited by 395
Meltzer, E. O. (2000) · Annals of Allergy, Asthma & Immunology · doi:10.1016/s1081-1206(10)62750-0 · Cited by 67
Suppression of the early and late cutaneous allergic responses using fexofenadine and montelukast
Simons, F. E. R., Johnston, L., Gu, X., & Simons, K. J. (2001) · Annals of Allergy, Asthma & Immunology · doi:10.1016/s1081-1206(10)62354-x · Cited by 48
Metadata
- Authors
- Pizzichini, E., Leff, J. A., Reiss, T. F., Hendeles, L., Boulet, L.-P., Wei, L. X., Efthimiadis, A. E., Zhang, J., & Hargreave, F. E.
- Venue
- European Respiratory Journal
- Publisher
- European Respiratory Society (ERS)
- Published
- 1999-07
- Volume
- 14
- Issue
- 1
- Pages
- 12
- ISSN
- 0903-1936 (ISSN-L)
- 1399-3003
- OpenAlex
- W2033984690
- Cited by
- 332
- References
- 25
- FWCI
- 16.78
- Type
- journal article
- Language
- en
- Open access
- bronze
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- Pizzichini, E., Leff, J. A., Reiss, T. F., Hendeles, L., Boulet, L.-P., Wei, L. X., Efthimiadis, A. E., Zhang, J., & Hargreave, F. E. (1999). Montelukast reduces airway eosinophilic inflammation in asthma: a randomized, controlled trial. European Respiratory Journal. https://doi.org/10.1034/j.1399-3003.1999.14a04.x
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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