Ciliation and Mucus Rheology Parameters Determined Via Air-liquid-interface Cell Cultures in Non-smoking, Smoking, COPD and Asthmatic Patients (RhéMuc)

June 8, 2023 updated by: University Hospital, Montpellier

Demonstration of the Diagnostic Character of the Rheology of Mucus

This is a prospective study comparing 4 groups: (1) non-smoking controls, (2) smokers without chronic obstructive pulmonary disease (COPD), (3) smokers with COPD, (4) severe asthma.

Bronchial biopsy specimens from each subject will be obtained to produce air-liquid-interface cell cultures. These will then be used to make observations concerning cilia and mucus rheology.

This is a first pilot study. The working hypothesis is that the largest group differences will be found for cilia densities; the latter metric was thus chosen as a primary criterion.

Study Overview

Status

Terminated

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

30

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Montpellier, France, 34295
        • CHU Montpellier

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

No

Description

Inclusion criteria for non smoking controls:

  • The subject has given free and informed consent and signed the consent form
  • The subject is affiliated with or beneficiary of a medical insurance program
  • The subject has never smoked
  • No obstructive breathing disorder (forced expiratory volume at one second (FEV1) >70% of predicted value; the ratio of FEV1 to forced vital capacity (FEV1/FVC) is > 0.7)
  • No known respiratory disease

Inclusion criteria for smokers without COPD:

  • The subject has given free and informed consent and signed the consent form
  • The subject is affiliated with or beneficiary of a medical insurance program
  • Smoker or former smoker (>= 30 pack years)
  • No obstructive breathing disorder (forced expiratory volume at one second (FEV1) >70% of predicted value; the ratio of FEV1 to forced vital capacity (FEV1/FVC) is > 0.7)

Inclusion criteria for smokers with COPD:

  • The subject has given free and informed consent and signed the consent form
  • The subject is affiliated with or beneficiary of a medical insurance program
  • Smoker or former smoker (>= 30 pack years)
  • Subject presenting with COPD: FEV1/FVC < 0.7 (based on spirometry values in the medical file and performed in the 3 months prior to inclusion)
  • The subject requires bronchial fibroscopy (decision made by pneumologist)
  • COPD of grade "2" or "3" according to GOLD criteria (Global Initiative for Chronic Obstructive Lung Disease)

Inclusion criteria for subjects with severe asthma:

  • The subject has given free and informed consent and signed the consent form
  • The subject is affiliated with or beneficiary of a medical insurance program
  • Non-smoker or former smoker (<10 pack years)
  • Subject presenting with severe asthma: FEV1/FVC >= 0.7 and FEV1 < 80%
  • The subjects requires bronchial fibroscopy (decision made by pneumologist)

Exclusion criteria:

  • The subject has an extensive neoplastic disease
  • The subject has another active lung disease (tuberculosis, pulmonary interstitium disease, active or recent pulmonary infection)
  • The subject has had a recent psychiatric disorder (within one year prior to inclusion and documented by a specialist consultation)
  • Emergency situations (object extractions...)
  • Subject consuming illicit drugs or alcohol
  • 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
  • It is impossible to correctly inform the patient
  • The subject cannot fluently read French

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

  • Primary Purpose: Diagnostic
  • Allocation: Non-Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Non-smoking controls

Subjects in this group have never smoked and have no known lung disorders.

Intervention: Bronchial Biopsy + ALI culture (Air Liquid Interface)

Bronchial biopsies will be performed on all subjects.
Air-liquid-interface cell cultures will be derived from bronchial biopsy specimens. We are expecting several replicate cell lines from each biopsy specimen.
Experimental: Smokers without COPD

Subjects in this group are smokers or former smokers who do not have signs of obstructive disease (no chronic obstructive pulmonary disease (COPD))

Intervention: Bronchial Biopsy + ALI culture

Bronchial biopsies will be performed on all subjects.
Air-liquid-interface cell cultures will be derived from bronchial biopsy specimens. We are expecting several replicate cell lines from each biopsy specimen.
Experimental: Smokers with COPD

Subjects in this group are smokers or former smokers who have COPD

Intervention: Bronchial Biopsy + ALI culture

Bronchial biopsies will be performed on all subjects.
Air-liquid-interface cell cultures will be derived from bronchial biopsy specimens. We are expecting several replicate cell lines from each biopsy specimen.
Experimental: Severe asthma

Subjects in this group are non-smokers or former (light) smokers who have severe asthma.

Intervention: Bronchial Biopsy + ALI culture

Bronchial biopsies will be performed on all subjects.
Air-liquid-interface cell cultures will be derived from bronchial biopsy specimens. We are expecting several replicate cell lines from each biopsy specimen.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Surface density of active cilia
Time Frame: Day 0 + approximately 2 months of cell culture time
Surface density of active cilia
Day 0 + approximately 2 months of cell culture time

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Cilia beating frequency
Time Frame: Day 0 + approximately 2 months of cell culture time
The frequency at which cilia beat.
Day 0 + approximately 2 months of cell culture time
Mucus viscosity
Time Frame: Day 0 + approximately 2 months of cell culture time
The viscosity of mucus produced by cell cultures.
Day 0 + approximately 2 months of cell culture time
Mucus elasticity
Time Frame: Day 0 + approximately 2 months of cell culture time
The elasticity of mucus produced by cell cultures.
Day 0 + approximately 2 months of cell culture time
Cilia beat orientation
Time Frame: Day 0 + approximately 2 months of cell culture time
The direction in which cilia beat
Day 0 + approximately 2 months of cell culture time

Collaborators and Investigators

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

Sponsor

Investigators

  • Study Director: Anne Sophie Gamez, MD, Montpellier University Hospitals

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 19, 2019

Primary Completion (Actual)

April 26, 2022

Study Completion (Actual)

December 26, 2022

Study Registration Dates

First Submitted

June 12, 2017

First Submitted That Met QC Criteria

June 12, 2017

First Posted (Actual)

June 15, 2017

Study Record Updates

Last Update Posted (Actual)

June 12, 2023

Last Update Submitted That Met QC Criteria

June 8, 2023

Last Verified

September 1, 2022

More Information

Terms related to this study

Other Study ID Numbers

  • RECHMPL18_0222

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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