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Uncontrolled AsthmaPRECISIONNCT07718724

Impact of GDMT in Uncontrolled Asthma Patients Receiving MHD Inhaled Corticosteroids + Long-acting β2 Agonist

A study testing Intervention group in people with Uncontrolled Asthma, run by AstraZeneca at 20 sites in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The primary objective of this study is to evaluate whether GDMT can bring significant benefits to disease management in uncontrolled asthma patients receiving medium- to high-dose ICS-LABA. The intervention period will be up to 48 weeks; The frequency of follow-up is every 12 weeks. Read more about this study

Who is it for?
Any age
Conditions the study is for
Uncontrolled Asthma
What is being tested?
Intervention group
Could I receive a placebo?
No, everyone receives an active treatment
How many people
540 participants
Where
20 sitesChina
Study dates
5 Sep 2026to 30 Apr 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Sign the informed consent form before any study-related procedures;
  • Age 18-75 years (inclusive) at Visit 0;
  • Have a written diagnosis of asthma for more than 6 months prior to Visit 0, and have evidence of reversible airflow limitation prior to Visit 0. Evidence of reversible airflow limitation includes: post-bronchodilator increase in Forced Expiratory Volume in 1 second (FEV1) of ≥12% and an absolute increase of ≥200 mL, or average daily diurnal Peak Expiratory Flow (PEF) variability >10%, or an increase in FEV1 of ≥12% and an absolute increase of ≥200 mL compared to baseline after 4 weeks of treatment containing ICS, or a positive bronchial provocation test record. If no prior record exists, reversible airflow limitation must be confirmed and documented via a bronchodilator test during Visit 0;
  • Under the usage of MD/HD ICS-LABA;
  • Experienced one or more exacerbations within the past year;
  • Exacerbation is defined as meeting any of the following criteria:
Show all 9Show fewer
  • Use of systemic corticosteroids (or a temporary increase in the stable dose of baseline oral corticosteroids) for at least 3 days; a single injection of a depot long-acting corticosteroid can be considered equivalent to a 3-day course of systemic corticosteroids;
  • An emergency department or urgent care site visit for asthma (defined as being evaluated and treated in the emergency department or urgent care site for < 24 hours) requiring the use of systemic corticosteroids for at least 3 days (as described above);
  • Hospitalization for asthma (defined as admission to a hospital and/or being evaluated and treated in a healthcare facility for ≥ 24 hours).

Who cannot join

  • Previous written diagnosis as "Severe Asthma"; Diagnosis of Severe Asthma includes: severe asthma, or related diagnoses containing "severe asthma", or "bronchial asthma (severe)".
  • Imaging suggests the presence of bullae or cystic bronchiectasis;
  • Currently participating in other interventional studies;
  • Previous use of biologics for asthma treatment;
  • Using systemic glucocorticoids for other diseases;
  • History of respiratory tract infection within 4 weeks prior to Visit 0 (upper respiratory tract infections and lower respiratory tract infections);
  • Any significant disease or disorder (e.g., cardiovascular, gastrointestinal, hepatic, renal, neurological, musculoskeletal, endocrine/metabolic, malignant, psychiatric, or significant physical impairment, etc.) which, in the opinion of the investigator, may put the patient at risk because of participation in the study, or may influence the results of the study, or the patient's ability to comply with GDMT.

Trial locations and contacts

20 sites in 1 country. Contact the study team or a site near you to ask about taking part.

AstraZeneca Clinical Study Information Center contact

1-877-240-9479

information.center@astrazeneca.com

20 sites in 1 country

China20 sites, 20 recruiting
  • Research Site

    Chengdu, 611130

    Not yet recruiting
  • Research Site

    Chifeng, 024206

    Recruiting
  • Research Site

    Dongyang, 322100

    Not yet recruiting
  • Research Site

    Hefei, 133500

    Not yet recruiting
  • Research Site

    Hefei, 230041

    Not yet recruiting
  • Research Site

    Hengyang, 421001

    Not yet recruiting
  • Research Site

    Heze, 274099

    Not yet recruiting
  • Research Site

    Jiaxing, 314001

    Not yet recruiting
  • Research Site

    Langfang, 065000

    Not yet recruiting
  • Research Site

    Meizhou, 514031

    Not yet recruiting
  • Research Site

    Quanzhou, 362000

    Not yet recruiting
  • Research Site

    Shanghai, 200433

    Not yet recruiting
  • Research Site

    Shiyan, 442000

    Not yet recruiting
  • Research Site

    Tai’an, 271000

    Not yet recruiting
  • Research Site

    Ürümqi, 830054

    Not yet recruiting
  • Research Site

    Xi'an, 710114

    Not yet recruiting
  • Research Site

    Yantai, 264000

    Not yet recruiting
  • Research Site

    Yongzhou, 426100

    Not yet recruiting
  • Research Site

    Yunnan, 661000

    Not yet recruiting
  • Research Site

    Zhanjiang, 524001

    Not yet recruiting

Other trials in China

About this study

Official title: A Prospective, Multicenter, Cluster-Randomized Trial to Evaluate the Impact of Guideline-Directed Medical Therapy in Uncontrolled Asthma Patients Receiving Medium-to-High Dose Inhaled Corticosteroids Plus Long-acting β2 Agonist

The primary objective of this study is to evaluate whether GDMT can bring significant benefits to disease management in uncontrolled asthma patients receiving medium- to high-dose ICS-LABA.

  • The intervention period will be up to 48 weeks;
  • The frequency of follow-up is every 12 weeks.
Read the detailed description

This study is a prospective, multicenter, cluster-randomized trial conducted in China, designed to evaluate the application effect of Guideline-Directed Medical Therapy (GDMT). A scientific committee will be established to be responsible for developing GDMT educational materials and facilitating the implementation of GDMT. The study will introduce a GDMT pathway in intervention group aimed at guiding physicians and specialized nurses in the diagnosis and management of participants who are receiving medium- to high-dose ICS-LABA therapy but have uncontrolled asthma.

This study plans to include approximately 60 study sites and consecutively recruit approximately 540 participants. These sites will cover as many provinces and cities as possible to balance geographical distribution. For the 60 selected sites meeting the hospital qualification requirements, a stratified block randomization method will be used, with the stratification factor being the prior written diagnosis rate for severe asthma (the proportion of severe asthma written diagnoses among patients with asthma on medium-to-high dose ICS-LABA). Sites will be randomly allocated in a 1:1 ratio to either the intervention group or the control group (30 sites per group). To minimize selection bias, each site will consecutively enroll 9 participants who meet all inclusion criteria and have provided signed informed consent. All participants must complete the baseline study assessments before entering the study. This is a cluster-randomized interventional study, with an expected duration of 48 weeks. The intervention is implemented at the hospital level. Participants in the two groups will be managed as follows:

  • Intervention Group: Physicians at the study sites will receive GDMT-related training and manage participants according to the GDMT diagnosis and treatment pathway.
  • Control Group: Physicians at the study sites will manage participants using usual clinical care.

Participant data (including but not limited to: demographic characteristics, number of exacerbations, asthma medication use, ACT scores, pulmonary function, SGRQ scores, medical costs) will be collected according to the Schedule of Study Activities.

The benefits and effectiveness of GDMT will be determined by assessing changes in physician behavior, improvements in patient outcomes, and savings in healthcare resources.

The intervention consists of 5 distinct components: routine training, GDMT education, clinical monitoring, targeted training, and material revision.

Being tested
Intervention group
Keywords
PRECISION

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Intervention groupBehavioural

    The GDMT pathway targets physicians and specialized nurses for implementation. It ensures that physicians at intervention groups conduct standardized diagnosis and treatment following GDMT, and that specialized nurses deliver patient education and follow-up reminders according to GDMT. This is achieved through regular knowledge training, provision of a series of reminder/support tools, and a bi-weekly (every 12 weeks) monitoring, and feedback system for Key Performance Indicators (KPIs).

Study groups in NCT07718724
Study groupRoleWhat they receive
Intervention groupExperimentalThe intervention will be implemented at the hospital level.
Receives: Behavioral: Intervention group
Control groupNo interventionNo intervention action will be taken at hospital level, even patient level.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Difference in the proportion of participants with a written diagnosis of "Severe Asthma" between the intervention and control groups at Week 24

    To evaluate the effect of GDMT education on diagnosis rates of severe asthma

    Measured: Week 24

  2. Difference in the annualized asthma exacerbation rate between the intervention and control groups at Week 48

    To evaluate the effect of GDMT education on asthma exacerbations

    Measured: Week 48

Secondary outcomes (37)
  1. Difference in the proportion of participants with asthma exacerbation between the intervention and control groups at Week 48

    To evaluate the effect of GDMT education on asthma control

    Measured: Week48

  2. Difference in the change in mean ACT score from baseline between the intervention and control groups at Week 48

    To evaluate the effect of GDMT education on asthma control

    Measured: Baseline, week 48

  3. Change in mean ACT score from baseline in the intervention group at Week 24 and 48

    To evaluate the effect of GDMT education on asthma control

    Measured: Baseline, week 24, week 48

  4. Change in the proportion of participants achieving asthma symptom control (ACT ≥20) from baseline in the intervention group at Week 24 and 48

    To evaluate the effect of GDMT education on asthma control

    Measured: Baseline, week 24, week 48

  5. Difference in the proportion of participants with asthma symptom control (ACT ≥20) between the intervention and control groups at Week 48

    To evaluate the effect of GDMT education on asthma control

    Measured: Week 48

  6. Difference in the proportion of participants achieved the Minimal Clinically Important Difference (MCID) in asthma symptom control (ACT improvement ≥3 points) between the intervention and control groups at Week 48

    To evaluate the effect of GDMT education on asthma control

    Measured: Week 48

  7. The proportion of participants achieved ACT MCID (ACT improvement ≥3 points) in the intervention group at Week 24 and 48

    To evaluate the effect of GDMT education on asthma control

    Measured: Week 24, week 48

  8. Difference in pre-bronchodilator Forced Expiratory Volume in 1 second (Pre-BD FEV1) between the intervention and control groups at Week 48

    To evaluate the effect of GDMT education on pulmonary function

    Measured: Week 48

  9. Change in pre-bronchodilator FEV1 (Pre-BD FEV1) from baseline in the intervention group at Week 24 and 48

    To evaluate the effect of GDMT education on pulmonary function

    Measured: Baseline, week 24, week 48

  10. Difference in the proportion of participants with combined persistent airflow obstruction (PAO, FEV1/FVC <70%) between the intervention and control groups at Week 48

    To evaluate the effect of GDMT education on pulmonary function

    Measured: Week 48

  11. Difference in St. George's Respiratory Questionnaire (SGRQ) scores (total and domain scores) between the intervention and control groups at Week 48

    To evaluate the effect of GDMT education on quality of life

    Measured: Week 48

  12. Change in SGRQ scores from baseline in the intervention group at Week 24 and Week 48

    To evaluate the effect of GDMT education on quality of life

    Measured: Baseline, week 24, week 48

  13. Difference in the proportion of participants who achieved SGRQ MCID (decrease in total score ≥4 points) between the intervention and control groups at Week 48

    To evaluate the effect of GDMT education on quality of life

    Measured: Week 48

  14. The proportion of participants achieved SGRQ MCID (decrease in total score ≥4 points) in the intervention group at Week 24 and 48

    To evaluate the effect of GDMT education on quality of life

    Measured: Week 24, week 48

  15. Difference in the proportion of participants with a written diagnosis of "Severe Asthma" between the intervention and control groups at Week 48

    To evaluate the effect of GDMT education on diagnosis rate

    Measured: Week 48

  16. Difference in the time to written diagnosis of "Severe Asthma" between the intervention and control groups during the 48-week study period;

    To evaluate the effect of GDMT education on diagnosis rate

    Measured: During the 48-week study period

  17. Reasons for not meeting the diagnostic criteriac for severe asthma among participants in the intervention group not diagnosed with "severe asthma" at Week 48

    To evaluate the effect of GDMT education on diagnosis rate

    Measured: Week 48

  18. Difference in the proportion of participants with peripheral blood eosinophil (bEOS) test records within the past 3 months, excluding those during asthma exacerbation, between the intervention and control groups at Week 24 and 48

    To evaluate the effect of GDMT education on biomarkers tests rate

    Measured: Week 24, week 48

  19. Difference in the proportion of participants with Fractional exhaled Nitric Oxide (FeNO) test records within the past 3 months between the intervention and control groups at Week 24 and 48

    To evaluate the effect of GDMT education on biomarkers tests rate

    Measured: Week 24, week 48

  20. Difference in the proportion of participants with Immunoglobulin E (IgE) test records within the past 3 months between the intervention and control groups at Week 24 and 48

    To evaluate the effect of GDMT education on biomarkers tests rate

    Measured: Week 24, week 48

  21. Difference in the cumulative number of bEOS test records between the intervention and control groups during the 48-week study period

    To evaluate the effect of GDMT education on biomarkers tests rate

    Measured: During the 48-week study period

  22. Difference in the cumulative number of IgE test records between the intervention and control groups during the 48-week study period

    To evaluate the effect of GDMT education on biomarkers tests rate

    Measured: During the 48-week study period

  23. Difference in the cumulative number of FeNO test records between the intervention and control groups during the 48-week study period

    To evaluate the effect of GDMT education on biomarkers tests rate

    Measured: During the 48-week study period

  24. Difference in the proportion of participants with typing records between the intervention and control groups over the 48-week study period

    To evaluate the effect of GDMT education on typing records

    Measured: Week 48

  25. Difference in the time to first asthma typing record between the intervention and control groups during the 48-week study period

    To evaluate the effect of GDMT education on typing records

    Measured: During the 48-week study period

  26. Difference in the proportion of participants with record of eosinophilic asthma phenotype between the intervention and control groups over the 48-week study period

    To evaluate the effect of GDMT education on typing records

    Measured: Week 48

  27. Difference in the time to first eosinophilic asthma phenotype record between the intervention and control groups during the 48-week study period

    To evaluate the effect of GDMT education on typing records

    Measured: During the 48-week study period

  28. Difference in the proportion of participants with a recorded Type 2 (T2) asthma phenotype between the intervention and control groups during the 48-week study period

    To evaluate the effect of GDMT education on typing records

    Measured: Week 48

  29. Difference in the proportion of participants with record of allergic asthma phenotype between the intervention and control groups during the 48-week study period

    To evaluate the effect of GDMT education on typing records

    Measured: Week 48

  30. Difference in the cumulative number of pulmonary function test records between the intervention and control groups during the 48-week study period

    To evaluate the effect of GDMT education on pulmonary function test utilization

    Measured: Week 48

  31. Difference in the proportion of participants using biologics between the intervention and control groups during the 48-week study period

    To evaluate the effect of GDMT education on biologic utilization

    Measured: Week 48

  32. Difference in the duration of biologic use between the intervention and control groups

    To evaluate the effect of GDMT education on biologic utilization

    Measured: During the 48-week study period

  33. Distribution of different treatment pattern in the intervention group during the 48-week study period

    To evaluate the effect of GDMT education on treatment pattern

    Measured: During the 48-week study period

  34. Distribution of different treatment pattern in the control group at Week 48

    To evaluate the effect of GDMT education on treatment pattern

    Measured: Week 48

  35. Difference in the proportion of participants regularly completing scheduled follow-ups visitse between the intervention and control groups over the 48-week study period

    To evaluate the effect of GDMT education on regular follow-up visits

    Measured: Week 48

  36. Difference in the drop-out rate between the intervention and control groups at Week 48

    To evaluate the effect of GDMT education on regular follow-up visits

    Measured: Week 48

  37. Subgroup analyses will be conducted as appropriate; planned subgroups to explore include: Hospital classification, Participant classification.

    Describe the differences in physician behavior, participant benefit, and healthcare resource conservation across different hospital and participant subgroups after GDMT education

    Measured: During the 48-week study period

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Jul 2026
  2. Study start5 Sep 2026
  3. Primary completion30 Apr 2028 (estimated)
  4. Study completion30 Apr 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Model description
This study employs a cluster-randomized design, with the hospital as the unit of randomization. A stratified block randomization method will be used, with the stratification factor being the historical rate of written severe asthma diagnosis (the proportion of patients on medium-to-high dose ICS-LABA therapy who received a written diagnosis of severe asthma), cutoff value refers to the median historical severe asthma diagnosis rate among all sites involved in feasibility survey. They will then be randomly allocated in a 1:1 ratio to either the intervention group or the control group (30 sites in the intervention group, 30 sites in the control group). The intervention will be implemented at the hospital level. Each site plans to recruit approximately 9 participants. Participants who meet the inclusion/exclusion criteria will be enrolled to intervention or control group after hospital cluster-randomization.
Masking
None (open label)
Enrolment
540 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07718724
Sponsor's protocol ID
D3250L00058
Acronym
PRECISION
Status last verified
Sep 2026
First submitted
16 Jul 2026
Last updated
24 Sep 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Intervention group in people with Uncontrolled Asthma, run by AstraZeneca at 20 sites in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 24 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 20 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact AstraZeneca Clinical Study Information Center (1-877-240-9479, information.center@astrazeneca.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Difference in the proportion of participants with a written diagnosis of "Severe Asthma" between the intervention and control groups at Week 24 (time frame: Week 24). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Sep 2026.

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