Call freephone

What Triggers Asthma and Could a Clinical Trial Help?

April 20, 2026

This content is for informational purposes only and is not a substitute for professional medical advice. If you have any health concerns, please speak to your GP or another qualified healthcare professional.

Asthma affects over 5.4 million people in the UK. It is one of the most common long-term health conditions in the country, yet for many people it still is not fully under control. If you live with asthma, you will know that some days are worse than others. But do you know what is actually making your symptoms flare up?

Understanding your triggers is one of the most useful things you can do to manage asthma. And once you know what sets it off, you might also start to wonder whether there are better treatments out there. That is where asthma research comes in.

 

What Is Asthma?

Asthma is a condition that affects your airways, the tubes that carry air in and out of your lungs. In people with asthma, these airways can become swollen, narrowed, and clogged with mucus. This makes it harder to breathe.

Common symptoms include:

  • Wheezing (a whistling sound when you breathe)
  • Shortness of breath
  • A tight feeling in your chest
  • Coughing, especially at night or early in the morning

These symptoms can come and go. Sometimes they are mild. Other times they can be severe, which is called an asthma attack.

 

What Are Asthma Triggers?

A trigger is anything that irritates your airways and causes your symptoms to get worse. Triggers are different for everyone, but there are some common ones that affect a lot of people with asthma.

The NHS lists a wide range of asthma triggers, including allergens, infections, exercise, and environmental factors.

Common Asthma Triggers

Trigger Why It Affects Asthma
Pollen Can cause an allergic reaction that inflames the airways
Dust mites Tiny creatures in household dust that trigger allergies
Pet dander Flakes of skin from animals like cats and dogs
Mould Spores released by damp or mouldy areas
Cold air Can cause airways to tighten quickly
Exercise Physical activity increases breathing rate and can irritate airways
Smoke Cigarette smoke and pollution both irritate the lining of the airways
Stress Can make breathing patterns change and worsen symptoms
Colds and flu Respiratory infections are a very common cause of flare-ups
Strong smells Cleaning products, paint, and perfume can all be irritants

Allergic vs Non-Allergic Triggers

Some triggers work through the immune system. Your body sees something harmless (like pollen) as a threat and overreacts, causing swelling in your airways. These are called allergic triggers.

Other triggers, like cold air or exercise, do not involve an allergic reaction. They irritate the airways directly. These are called non-allergic triggers.

Many people with asthma have both types.

 

Why Are Triggers So Hard to Avoid?

The honest answer is that some triggers are almost impossible to avoid completely. You cannot always stay indoors when the pollen count is high. You cannot always avoid cold weather. Stress is a normal part of life.

Current asthma treatments like inhalers can help reduce symptoms and prevent attacks. But for some people, these treatments do not work well enough. Around one in 12 people with asthma in the UK has what is known as severe asthma, where symptoms are much harder to control even with regular medication.

This is why asthma research is so important.

 

How Are Asthma Clinical Trials Trying to Help?

Asthma clinical trials test new treatments to see if they work better, or with fewer side effects, than the options already available. Researchers are looking at new types of inhalers, biological medicines, and other approaches that target the immune system more precisely.

Understanding how asthma clinical trials are organised in the UK can help you see what is involved and whether it might be right for you.

At 4MCS, we run asthma clinical trials at our clinics in Manchester and London (Ilford). Our team has over 130 years of combined experience in clinical research, and we have a database of more than 35,000 participants. All our trials are approved by the MHRA (Medicines and Healthcare products Regulatory Agency), the UK’s medicines regulator.

Taking part does not mean giving up your current treatment. You continue with your regular asthma care throughout the study.

 

What Are the Benefits of Joining an Asthma Trial?

If you take part in an asthma trial with 4MCS, you could:

  • Access new treatments that are not yet widely available
  • Receive more detailed monitoring of your asthma than a typical GP appointment
  • Contribute to research that could help millions of others living with asthma in the UK
  • Have your travel expenses covered for all clinic visits

Trials are unpaid, but travel expenses are reimbursed.

 

Who Could Take Part?

Eligibility will depend on the specific trial that is running at the time. You may be eligible if you:

  • Have a confirmed diagnosis of asthma
  • Are aged 18 or over
  • Are a non-smoker or have not smoked for a certain period
  • Have had asthma symptoms that are not fully controlled by current medication

The best way to find out is to get in touch. You can find out if you qualify for an asthma trial with 4MCS by reading about the current study and submitting your details online.

 

What Happens When You First Express Interest?

When you get in touch with 4MCS, the process is straightforward:

  1. Initial conversation – A member of the team will ask you some basic questions about your asthma history. This is completely confidential.
  2. Screening visit – If you appear to be eligible, you will be invited to one of our clinics for a more thorough assessment. This includes lung function tests and a full review of your medical history.
  3. Decision – After the screening, you and the team will discuss whether the trial is a good fit for you. You are never under any pressure to take part.

You can learn more about what to expect at your first screening appointment before you decide.

 

Could a Clinical Trial Help You?

If your asthma symptoms are not as well controlled as you would like, or if you are curious about what new research is available, an asthma clinical trial might be worth exploring. You would be helping to develop treatments that could make a real difference to millions of people in the UK.

To find out more or express your interest, contact 4MCS on 03300 575 838 or email info@4mcs.co.uk. You can also visit us at our clinics in Swinton, Manchester, or Ilford, London.

speak to an expert

Enquire to participate

Become A Participant