Ciliation and Mucus Rheology Parameters Determined Via Air-liquid-interface Cell Cultures in Non-smoking, Smoking, COPD and Asthmatic Patients (RhéMuc)
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
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Montpellier, France, 34295
- CHU Montpellier
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
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
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / 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
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
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
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Anne Sophie Gamez, MD, Montpellier University Hospitals
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- RECHMPL18_0222
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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