Evidence map›Paper›PMID 38590934›Full record

ArticleERJ open research2024

START CARE: a protocol for a randomised controlled trial of step-wise budesonide-formoterol reliever-based treatment in children.

Tasmin Barry, Mark Holliday, Jenny Sparks, Rowan Biggs, Atalie Colman, Rebekah Lamb, Karen Oldfield, Nick Shortt, Kyley Kerse, John Martindale and 14 more

Open access · goldAbstract read
In one paragraph

Article in ERJ open research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.3field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Update on Pediatric asthma management: Recent advances.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

24 authors at 6 institutions in 2 countries.

Tasmin BarryMedical Research Institute of New Zealand, Wellington, New Zealand.ORCID https://orcid.org/0000-0002-7890-9594
Mark HollidayMedical Research Institute of New Zealand, Wellington, New Zealand.
Jenny SparksMedical Research Institute of New Zealand, Wellington, New Zealand.
Rowan BiggsMedical Research Institute of New Zealand, Wellington, New Zealand.
Atalie ColmanMedical Research Institute of New Zealand, Wellington, New Zealand.
Rebekah LambMedical Research Institute of New Zealand, Wellington, New Zealand.
Karen OldfieldMedical Research Institute of New Zealand, Wellington, New Zealand.
Nick ShorttMedical Research Institute of New Zealand, Wellington, New Zealand.
Kyley KerseMedical Research Institute of New Zealand, Wellington, New Zealand.
John MartindaleMedical Research Institute of New Zealand, Wellington, New Zealand.
Allie EathorneMedical Research Institute of New Zealand, Wellington, New Zealand.
Michaela WaltonMedical Research Institute of New Zealand, Wellington, New Zealand.
Bianca BlackMedical Research Institute of New Zealand, Wellington, New Zealand.ORCID https://orcid.org/0000-0002-0559-5635
Matire HarwoodMedical Research Institute of New Zealand, Wellington, New Zealand.
Pepa BruceMedical Research Institute of New Zealand, Wellington, New Zealand.ORCID https://orcid.org/0000-0002-0317-0641
Ruth SempriniMedical Research Institute of New Zealand, Wellington, New Zealand.
Andrew BushDepartment of Respiratory Paediatrics, Royal Brompton Hospital, London, UK.
Louise FlemingDepartment of Respiratory Paediatrics, Royal Brompton Hospital, London, UK.ORCID https://orcid.org/0000-0002-7268-7433
Catherine A ByrnesDepartment of Paediatrics, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
David McNamaraStarship Children's Health, Te Toka Tumai, Auckland, New Zealand.
Lee HatterMedical Research Institute of New Zealand, Wellington, New Zealand.ORCID https://orcid.org/0000-0003-2062-7225
Stuart R DalzielMedical Research Institute of New Zealand, Wellington, New Zealand.
Mark WeatherallDepartment of Medicine, University of Otago, Wellington, New Zealand.
Richard BeasleyMedical Research Institute of New Zealand, Wellington, New Zealand.ORCID https://orcid.org/0000-0003-0337-406X
Medical Research Institute of New Zealand · NZUniversity of Auckland · NZVictoria University of Wellington · NZRoyal Brompton Hospital · GBStarship Children's Health · NZUniversity of Otago · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Asthma is the most common chronic childhood respiratory condition globally. Inhaled corticosteroid (ICS)-formoterol reliever-based regimens reduce the risk of asthma exacerbations compared with conventional short-acting β Objective: The study aim is to determine the efficacy and safety of budesonide-formoterol reliever alone or maintenance and reliever therapy (MART) compared with standard therapy: budesonide or budesonide-formoterol maintenance, both with terbutaline reliever, in children aged 5 to 11 years with mild, moderate and severe asthma. Methods: A 52-week, multicentre, open-label, parallel group, phase III, two-sided superiority RCT will recruit 400 children aged 5 to 11 years with asthma. Participants will be randomised 1:1 to either budesonide-formoterol 100/6 µg Turbuhaler reliever alone or MART; or budesonide or budesonide-formoterol Turbuhaler maintenance, with terbutaline Turbuhaler reliever. The primary outcome is moderate and severe asthma exacerbations as rate per participant per year. Secondary outcomes are asthma control, lung function, exhaled nitric oxide and treatment step change. Assessment of Turbuhaler technique and cost-effectiveness analysis are also planned. Conclusion: This will be the first RCT to compare the efficacy and safety of a step-wise budesonide-formoterol reliever alone or MART regimen with conventional inhaled ICS or ICS-long-acting β-agonist maintenance plus SABA reliever in children. The results will provide a much-needed evidence base for the treatment of asthma in children.

Identifiers

PMID38590934
PMCPMC11000271
OpenAlexW4393032512

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.