Circulating Innate Lymphoid Cell Type 2 (ILC2) Levels and Asthma: a Case-control Study (ILC2-Asthma)

April 27, 2017 updated by: University Hospital, Montpellier
The primary objective of this study is to demonstrate differences in ILC2 blood levels between asthma patients and control patients.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

The secondary objectives of this study are:

To show that ILC2 levels differ between asthma patients with a "TH2" (helper T cell type 2) profile and asthma patients with a "non-TH2" profile. A TH2 profile is defined as (for a given patient):

  • circulating eosinophils > 500 mm^3 at least once during the year AND
  • positive allergy skin or specific IgE (Immunoglobulin E) test AND
  • induced sputum eosinophil level >3% of leukocytes AND
  • exhaled nitric oxide > 25 ppb.

To study the variation in ILC2 levels over time among asthma patients who obtained a good level of control compared to other patients. A good level of control is defined as:

  • no exacerbations during 6 months of followup (an exacerbation is defined as the un-planned need for care that modifies the patient's prescription for >48h)
  • FEV1 (forced expiratory volume in 1 second) value current / FEV1 best value > 0.8
  • symptom levels correspond to an ACQ (Asthma Control Questionnaire) questionnaire score of < 0.75 over the last 7 days

Study Type

Observational

Enrollment (Actual)

36

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

This case-control study compares cases (asthma patients) with healthy control subjects. Patients and controls are matched by sex and age (+- 5 years).

Description

Inclusion Criteria for Cases:

  • The subject has given his/her informed consent and signed the consent form
  • The subject is affiliated with or beneficiary of a medical insurance system
  • The subject has had asthma for over a year
  • The following are present in the patient's medical file: (i) a positive methacholine test (PC20 < 16 mg/ml) OR (ii) reversibility > 200 ml and 12% of the FEV1 after inhaling 400 µg or less of a short acting bronchodilator.
  • Treatment with >= 1000 µg inhaled beclometasone equivalents

Exclusion Criteria for Cases:

  • The subject is pregnant
  • The subject is breastfeeding
  • The subject is participating in another interventional study
  • The subject has participated in another study in the 3 months preceding inclusion
  • The subject is in an exclusion period determined by a previous study
  • The subject is under judicial protection or is an adult under any kind of guardianship
  • The subject refuses to sign the consent
  • It is impossible to correctly inform the subject
  • The subject cannot fluently read French
  • Chronic respiratory disease present, known or suspected (other than asthma)
  • Treated with Montelukast

Inclusion Criteria for Controls:

  • The subject has given his/her informed consent and signed the consent form
  • The subject is affiliated with or beneficiary of a medical insurance system

Exclusion Criteria for Controls:

  • The subject is pregnant
  • The subject is breastfeeding
  • The subject is participating in another interventional study
  • The subject has participated in another study in the 3 months preceding inclusion
  • The subject is in an exclusion period determined by a previous study
  • The subject is under judicial protection or is an adult under any kind of guardianship
  • The subject refuses to sign the consent
  • It is impossible to correctly inform the subject
  • The subject cannot fluently read French
  • Any kind of bronchial problem
  • Smokers
  • Chronic respiratory disease present, known or suspected
  • Treated with Montelukast

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
Cases

Patients in this group are asthmatic (see inclusion/exclusion) criteria.

Intervention: ILC2 levels in blood

The levels of circulating ILC2 cells relative to other lymphocytes will be determined via flow cytometry
Controls

Controls are non-asthmatic subjects that are age and gender matched to asthma cases.

Intervention: ILC2 levels in blood

The levels of circulating ILC2 cells relative to other lymphocytes will be determined via flow cytometry

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
% ILC2 cells among total blood lymphocytes
Time Frame: Day 0
Determined by flow cytometry
Day 0

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
% ILC2 cells among total blood lymphocytes
Time Frame: 6 months
Determined by flow cytometry; Asthma patients only.
6 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

June 25, 2014

Primary Completion (Actual)

April 14, 2015

Study Completion (Actual)

June 23, 2015

Study Registration Dates

First Submitted

April 20, 2017

First Submitted That Met QC Criteria

April 20, 2017

First Posted (Actual)

April 25, 2017

Study Record Updates

Last Update Posted (Actual)

May 1, 2017

Last Update Submitted That Met QC Criteria

April 27, 2017

Last Verified

April 1, 2017

More Information

Terms related to this study

Other Study ID Numbers

  • 9243
  • 2013-A01443-42 (Other Identifier: RCB number)

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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