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African American/Black children with asthma sometimes don’t get better when they take the usual dose of inhaled steroids (controller medication). When this happens, doctors do not know if they should increase the dose of the inhaled steroid, or add another medication. This study aims to find out why some African American/Black children with asthma need to take different or more medications than other children with asthma.

The BARD study will compare four different treatments for asthma in a large population of African American/Black people who have asthma that is not well controlled on a low dose of inhaled corticosteroids. This study will also try to find out if African American/Black adults and children differ in how they respond to the medications used in this study.