- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02123667
AssessmenT of smalL Airways involvemeNT In aSthma (ATLANTIS) (ATLANTIS)
AssessmenT of smalL Airways involvemeNT In aSthma (ATLANTIS); Multinational, Multicentre, Non-pharmacological Intervention, Cross-sectional and Longitudinal Study.
Study Overview
Status
Conditions
Detailed Description
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
-
-
-
Florianópolis, Brazil
- Prof. Dr. Emilio Pizzichini
-
São Paulo, Brazil
- Prof. Dr. Alberto Cukier
-
São Paulo, Brazil
- Prof. Dr. Rafael Stelmach
-
-
-
-
Quebec
-
Montreal, Quebec, Canada, H2X 2P4
- Chiesi Clinical Trial Site #0201
-
-
-
-
-
Hangzhou, China, 510120
- Qingling Zhang
-
-
Beijing Municipality
-
Beijing, Beijing Municipality, China, 100730
- Gao
-
-
Shanghai Municipality
-
Shanghai, Shanghai Municipality, China, 200032,
- Yuanlin Song
-
-
-
-
-
Großhansdorf, Germany, D-22927
- Chiesi Clinical Trial Site #0303
-
Hanover, Germany, 30625
- Chiesi Clinical Trial Site #0301
-
Leipzig, Germany, D-04357
- Chiesi Clinical Trial Site #0302
-
-
-
-
-
Ferrara, Italy, 44124
- Chiesi Clinical Trial Site #0104
-
Naples, Italy
- Chiesi Clinical Trial Site #0101
-
Palermo, Italy
- Scichilone
-
Parma, Italy
- Chetta
-
Pisa, Italy, 56124
- Chiesi Clinical Trial Site #0103
-
Verona, Italy, 37134
- Chiesi Clinical Trial Site #0102
-
-
-
-
-
's-Hertogenbosch, Netherlands
- Dr. M. Broeders
-
Alkmaar, Netherlands
- W. Boersma
-
Groningen, Netherlands
- Dr. J. Vroegop
-
Groningen, Netherlands
- Dr. M. vd Berge
-
-
-
-
-
Barcelona, Spain, 08026
- Chiesi Clinical Trial Site #0402
-
Lugo, Spain, 27003
- Chiesi Clinical Trial Site #0401
-
-
-
-
Colorado
-
Denver, Colorado, United States, 80206
- Chiesi Clinical Trial Site #0503
-
-
North Carolina
-
Durham, North Carolina, United States, 27710
- Chiesi Clinical Trial Site #0502
-
-
Ohio
-
Cleveland, Ohio, United States, 44106
- Chiesi Clinical Trial Site #0504
-
-
Texas
-
Houston, Texas, United States, 77030
- Chiesi Clinical Trial Site #0501
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Asthmatic patient inclusion criteria
- Male or female patients aged ≥ 18 and ≤ 65 years, who have signed an Informed Consent form
Clinical diagnosis of asthma f
- Positive response to methacholine challenge test
- Positive response to a reversibility test or
- Peak Flow variability (i.e. highest - lowest PEF over the day/mean value of the two, × 100) > 20% or
- Documented response (defined as ΔFEV1 ≥ 12% and ≥ 200 mL) after a cycle (e.g., 4 weeks) of regular maintenance anti-asthma treatment.
- Patients with stable asthma.
- Current smoker, ex-smoker or lifelong non-smoker Healthy subject inclusion criteria
1. Male or female patients aged ≥ 18 and ≤ 65 years 2. No clinical history of asthma or COPD 3. Current smoker, ex-smoker or lifelong non-smokers 4. Normal spirometry 5. Normal airways responsiveness Asthmatic patient exclusion criteria
- Cigarette smoking > 10 packyears
- diagnosis of COPD
- Asthma exacerbation in the 8 weeks prior to baseline visit
- Clinical or functional uncontrolled respiratory, haematological, immunologic, renal, neurologic, hepatic, endocrinal or other disease, or any condition that might compromise the results or interpretation of the study.
- Pregnant or lactating women
- Participation in an interventional clinical trial <12 weeks preceding baseline visit
- Inability to comply with study procedures.
- Alcohol or drug abuse. Healthy subject exclusion criteria
1. Cigarette smoking history > 10 packyears 2. Diagnosed upper and/or lower respiratory disease(s). 3. Clinical or functional uncontrolled haematological, immunologic, renal, neurologic, hepatic, endocrinal or other disease, or any condition that mightp compromise the results or interpretation of the study.
4. Pregnant or lactating women 5. Participation in an interventional clinical trial <12 weeks preceding baseline visit 6. Inability to comply with study procedures. 7. Alcohol or drug abuse.
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
|---|
|
Asthmatic patients
asthmatic patients 18 to 65
|
|
Healthy volunteers
Volunteers 18 to 65
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
To determine the role of small airways abnormalities in the clinical manifestations of asthma.
Time Frame: 1 year
|
1 year
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Dirkje S Postma, Prof. Dr., University Medical Center Groningen
- Principal Investigator: Monica Kraft, MD, Duke University
Publications and helpful links
General Publications
- Galant SP, Kuks PJM, Kole TM, Kraft M, Siddiqui S, Fabbri LM, Beghe B, Rabe KF, Papi A, Brightling CE, Singh D, Kocks JWH, Franzini L, Vonk JM, Kerstjens HAM, Heijink IH, Pouwels SD, Slebos DJ, van den Berge M. Assessment of the role of small airway dysfunction in relation to exacerbation risk in patients with well controlled asthma (ATLANTIS): an observational study. Lancet Respir Med. 2025 Nov;13(11):990-1000. doi: 10.1016/S2213-2600(25)00283-8. Epub 2025 Sep 29.
- Kole TM, Vanden Berghe E, Kraft M, Vonk JM, Nawijn MC, Siddiqui S, Sun K, Fabbri LM, Rabe KF, Chung KF, Nicolini G, Papi A, Brightling C, Singh D, van der Molen T, Dahlen SE, Agusti A, Faner R, Wedzicha JA, Donaldson GC, Adcock IM, Lahousse L, Kerstjens HAM, van den Berge M; ATLANTIS; U-BIOPRED; CADSET investigators. Predictors and associations of the persistent airflow limitation phenotype in asthma: a post-hoc analysis of the ATLANTIS study. Lancet Respir Med. 2023 Jan;11(1):55-64. doi: 10.1016/S2213-2600(22)00185-0. Epub 2022 Jul 27.
- Karp T, Merid SK, Kermani NZ, Faiz A, Gillett TE, Bults R, Raby KL, Kerstjens HAM, Nawijn MC, Piraino A, Kraft M, Beghe B, Rabe KF, Papi A, Brightling C, Singh D, Kocks JH, Siddiqui S, Adcock IM, Chung KF, Bhavsar P, Koppelman GH, Melen E, Guryev V, van den Berge M. Nasal gene expression shows a distinct signature in type 2-high asthma but not in type 2-low disease. J Allergy Clin Immunol. 2026 Apr;157(4):879-889. doi: 10.1016/j.jaci.2025.10.036. Epub 2026 Jan 2.
- Postma DS, Brightling C, Baldi S, Van den Berge M, Fabbri LM, Gagnatelli A, Papi A, Van der Molen T, Rabe KF, Siddiqui S, Singh D, Nicolini G, Kraft M; ATLANTIS study group. Exploring the relevance and extent of small airways dysfunction in asthma (ATLANTIS): baseline data from a prospective cohort study. Lancet Respir Med. 2019 May;7(5):402-416. doi: 10.1016/S2213-2600(19)30049-9. Epub 2019 Mar 12.
- Kole TM, Muiser S, Kraft M, Siddiqui S, Fabbri LM, Rabe KF, Papi A, Brightling C, Singh D, van der Molen T, Nawijn MC, Kerstjens HAM, van den Berge M. Sex differences in asthma control, lung function and exacerbations: the ATLANTIS study. BMJ Open Respir Res. 2024 Jun 19;11(1):e002316. doi: 10.1136/bmjresp-2024-002316.
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
Additional Relevant MeSH Terms
Other Study ID Numbers
- CCD-01535AC1-01 (Other Identifier: Chiesi Farmaceutici)
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.