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budesonide + formoterol + prednisone refers to a specific therapeutic regimen investigated in a Phase 4 clinical trial (NCT01717703) led by Rafael Stelmach at the University of São Paulo. The protocol was designed to treat difficult-to-control severe asthma using a systematic approach that combines high-dose inhaled corticosteroids (ICS) and long-acting beta2-agonists (LABA) with a short course of oral corticosteroids (OCS). Specifically, the regimen utilizes budesonide and formoterol (administered as a maintenance and reliever therapy, or SMART) alongside a two-week induction course of prednisone. Budesonide and prednisone function as glucocorticoid receptor agonists to suppress airway inflammation, while formoterol acts as a selective beta-2 adrenergic receptor agonist to provide prolonged bronchodilation. This multidisciplinary strategy aimed to achieve disease control and characterize clinical, structural, and inflammatory phenotypes in patients who remain symptomatic despite standard care.
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