04/11/2025
A game-changing new inhaler is showing a 45% reduction in asthma attacks in children.
It could potentially transform how mild-to-moderate asthma is treated worldwide.
The budesonide-formoterol inhaler, which combines an inhaled corticosteroid (ICS) with a fast-acting bronchodilator, has been proven to be more effective than the standard asthma relief treatment, salbutamol. In a groundbreaking trial involving 360 children in New Zealand, this 2-in-1 inhaler reduced the frequency of asthma attacks compared to the widely used salbutamol, with no significant safety concerns.
For the first time, children aged 5 to 15 who received the combined treatment experienced fewer asthma attacks, and the treatment was confirmed to be safe – with no issues in growth, lung function, or asthma control.
The findings, published in The Lancet, are poised to reshape global asthma guidelines and bring children’s asthma treatments in line with adults, where the 2-in-1 inhaler has been the standard for some time.
Asthma remains a significant public health issue, affecting an estimated 113 million children worldwide, and this new treatment offers hope for more effective and accessible care. The research, conducted by a team from Imperial College London, MRINZ, and other global collaborators, is a crucial step toward improving asthma care and reducing the burden of asthma attacks for millions of children.
This trial’s findings show that with just a small change in the inhaler, asthma care could become safer and more efficient, especially for children who’ve been relying on less effective treatments for years.
Read the study:
"Budesonide–formoterol versus salbutamol as reliever therapy in children with mild asthma (CARE): a 52-week, open-label, multicentre, superiority, randomised controlled trial." The Lancet, 2025