Research Article

Induced Sputum Substance P in Children with Difficult-to-Treat Bronchial Asthma and Gastroesophageal Reflux: Effect of Esomeprazole Therapy

Table 4

ACT, FEV1, PEF variability, and induced sputum SP in children with difficult-to-treat asthma with GERD treated with esomeprazole and children with difficult-to-treat asthma without GERD treated with placebo before and after treatment.

Before treatmentAfter treatmenttP

Children with difficult-to-treat asthma and GERD (n 29)

C-ACT 1 2 . 7 ± 3 . 9 9 1 5 . 0 3 ± 4 . 4 11.6<0.001*
FEV1 (% of predicted) 5 7 . 1 ± 7 . 9 5 7 . 6 ± 7 . 6 1.2>0.05
PEF variability (%) 4 0 . 7 ± 5 . 5 4 0 . 3 ± 5 . 2 1.6>0.05
SP (pg/mL) 1 5 0 2 ± 8 3 . 6 1 1 9 8 ± 2 2 3 . 5 9.4<0.001*

Children with difficult-to-treat asthma without GERD (n 30)

C-ACT 1 2 . 9 ± 3 . 3 1 2 . 7 ± 2 . 9 1.97>0.05
FEV1 (% of predicted) 6 0 . 2 ± 4 . 6 6 0 . 4 ± 4 . 5 0.59>0.05
PEF variability (%) 3 9 . 3 ± 3 . 6 3 8 . 9 ± 3 . 2 1.6>0.05
SP (pg/mL) 1 . 6 8 . 6 ± 6 5 . 3 1 0 6 7 . 6 ± 6 7 . 1 0.25>0.05

BMI: body mass index; C-ACT: childhood asthma control test; EFV1: forced expiratory volume in 1 second; PEF variability: peak expiratory flow variability; sputum SP: sputum levels of substance P.
*Significant.