- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01718197
Severe Asthma Research Program (SARP)- San Francisco Clinical Site (SARP)
Clinical and Molecular Phenotypes of Severe Asthma
Study Overview
Status
Conditions
Detailed Description
The mission of the SARP is to improve the understanding of severe asthma to develop better treatments. The SARP will gain a better understanding of asthma and its endotypes, in children and adults, by defining the disease at the molecular and cellular levels in the context of the temporal phenotypic expression of the disease. To this end, the SARP investigators will utilize both mechanistic and evoked phenotype approaches to: 1) characterize developmental molecular, cellular and physiologic phenotypes in children and adults with mild to severe asthma, and 2) to further elucidate the evolving pathobiology and pathogenesis of severe asthma and its sub-phenotypes and 3) compare these features over time.
This approach involves a shared longitudinal protocol conducted across all participating centers which includes common information on all SARP participants. Additionally, the SARP-SF has identified mechanistic research questions to be included in the shared longitudinal protocol. This will be explored through additional sample collections of sputum and fluids and biopsied tissue collected by bronchoscopy. Together, these longitudinal and mechanistic approaches will enable prediction of phenotype stability/fluctuation and pharmacologic responses and identification of novel, disease-modifying targets for treatment.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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California
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San Francisco, California, United States, 94143
- University of California, San Francisco
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- FEV1 bronchodilator reversibility ≥12% or airway hyperresponsiveness reflected by a methacholine PC20 ≤16 mg/mL
- An exception will be made for enrollees whose FEV1 is < 50% predicted (<70% in children aged 6 to 17 years), precluding methacholine challenge testing. If bronchodilator reversibility is <12% in these participants, a diagnosis of asthma acceptable to the investigator is sufficient for inclusion in SARP.
Exclusion Criteria:
- Pregnancy during the characterization phase,
- Current smoking,
- Smoking history > 10 pack years if ≥30 years of age, or smoking history > 5 pack years if <30 years of age,
- Other chronic pulmonary disorders associated with asthma-like symptoms, including (but not limited to) cystic fibrosis, chronic obstructive pulmonary disease, chronic bronchitis, vocal cord dysfunction (that is the sole cause of respiratory symptoms and at the PI's discretion), severe scoliosis or chest wall deformities that affect lung function, or congenital disorders of the lungs or airways,
- History of premature birth before 35 weeks gestation,
- Unwillingness to receive an intramuscular triamcinolone acetonide injection
- Evidence that the participant or family may be unreliable or poorly adherent to their asthma treatment or study procedures,
- Planning to relocate from the clinical center area before study completion,
- Any other criteria that place the subject at unnecessary risk according to the judgment of the Principal Investigator and/or attending physician(s) of record, or
- Currently participating in an investigational drug trial.
Healthy Controls:
Inclusion criteria: Healthy subjects between the age of 18y and 65y. At least 3 of the 7 subjects per center should be aged 35y or older.
Exclusion criteria
- History of chronic diseases that affect the lungs.
- A history suggestive of allergic rhinitis, eczema or chronic sinusitis.
- An improvement in FEV1 of more than 12% following 4 puffs of albuterol.
- Smoking history > 10 pack years if ≥30 years of age, or smoking history > 5 pack years if <30 years of age, or any smoking within the past year.
- Respiratory tract infection within the past 4 weeks.
- Pregnancy.
- History of premature birth (<35 weeks).
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
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Mild-to-Moderate Asthma
Those with mild-to-moderate persistent asthma as defined by the NAEPP EPR-3 guidelines.
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Healthy Controls
Those without asthma or other chronic lung disease.
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Severe Asthma
Major Criteria: (1 required)
Minor Criteria: (2 required)
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Lung function decline
Time Frame: Enrollment, 1 year, 2 years, 3 years
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Changes in lung function parameters over time.
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Enrollment, 1 year, 2 years, 3 years
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Exacerbation frequency
Time Frame: Monthly for 3 years
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Number of oral corticosteroid requiring exacerbations of asthma
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Monthly for 3 years
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Inflammatory cellular markers
Time Frame: Enrollment, 1 year, 2 years, 3 years
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Changes in inflammatory cellular markers in sputum, exhaled breath, and blood.
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Enrollment, 1 year, 2 years, 3 years
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Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: John V Fahy, MD, MSc, University of California, San Francisco
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimated)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- SARP-SF
- 5U10HL109146-04 (U.S. NIH Grant/Contract)
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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