- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02270827
A Pilot Study Into Health Pre and Post Treatment With Intravenous Aminophylline and Hydrocortisone in Severe Asthmatics (SARAH)
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The participant will be involved in this project for approximately 3 - 4 weeks, depending on how long they usually come into hospital for, for clinical treatment. For 1 week they will wear a physical activity monitor before the first course of Aminophylline and Hydrocortisone, during the treatment, and for 1 more week post treatment. This monitor records how active the participants are and is a small monitor worn on the upper arm.
Both study visits will happen while the patients are already in hospital, on admission and on discharge and will take approximately 2-3 hours to complete.
Both study visits include:
• 3 types of breathing tests: Impulse oscillometry in the asthma laboratory, which means they will breath through a mouth piece in and out at a comfortable, steady rate.
Exhaled nitric oxide which measures gas produced by cells in the lungs. This is a comfortable, steady blow into a handheld machine.
Spirometry which involves filling the lungs and blowing out hard into a machine.
- A blood test - Full Blood Count (FBC) including eosinophils, glucose, fibrinogen, C-Reactive Protein (CRP), total Immunoglobulin-E (IgE), citrate coagulation and platelet aggregation.
- 3 short questionnaires which ask about symptoms, control of asthma, and how the patient feels asthma affects them.
- A 6 Minute Walk Test which involves walking up and down a ward corridor for 6 minutes to see distance covered in 6 minutes.
- Cardiovascular test:
Arterial stiffness which is a series of blood pressures on the leg, arm and neck.
Some of these tests will be performed as part of their usual hospital care. These include blood test, 6 Minute Walk Test, and spirometry.
Blood samples will be done routinely as part of normal care. Blood will only be collected if they do not have a clinical blood test before the administration of IV Aminophylline and IV Hydrocortisone and after the final dose. The clinical trial is observing patients on a clinical treatment. All decisions regarding the treatment dose and duration will be made by the clinical team. All samples will go to the standard accredited hospital routine laboratory on the trial site. No samples will be stored, moved off site or leave the UK.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
-
-
-
London, United Kingdom, SW3 6HP
- Royal Brompton Hospital
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Age 18-65 years
- Diagnosis of severe asthma
- Confirmed therapy adherence via serum Prednisolone and cortisol levels
Exclusion Criteria:
- Mild and moderate asthma
- Community acquired pneumonia
- Acute porphyria
- Pregnant and breast feeding women
- Patients hypersensitive to ethylenediamine or allergic to the theophyllines, caffeine and/or theorbromine.
- Patient with known hypersensitivity to components and in systemic fungal infection
- Patients that are being administered live attenuated vaccines.
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
To measure a significant improvement in lung function in severe asthmatic patients after receiving a course of IV Aminophylline and IV Hydrocortisone
Time Frame: Day 0 and Day 7 (+/- 3 days)
|
Lung function will be measured via spirometry (large airways) and impulse oscillometry (small airways) before and after treatment
|
Day 0 and Day 7 (+/- 3 days)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
To measure a significant improvement in symptoms in severe asthmatic patients after receiving a course of IV Aminophylline and IV Hydrocortisone
Time Frame: Day 0 and Day 7 (+/- 3 days)
|
This will be measured by looking at symptoms via 2 questionnaires, ACQ-7, Dyspnoea-12, before and after treatment
|
Day 0 and Day 7 (+/- 3 days)
|
To measure a significant improvement in quality of life in severe asthmatic patients after receiving a course of IV Aminophylline and IV Hydrocortisone
Time Frame: Day 0 and Day 7 (+/- 3 days)
|
This will be measured by giving each patient the EuroQOL questionnaire before and after treatment
|
Day 0 and Day 7 (+/- 3 days)
|
To measure a significant improvement in exercise tolerance in severe asthmatic patients after receiving a course of IV Aminophylline and IV Hydrocortisone
Time Frame: Day 0 and Day 7 (+/- 3 days)
|
This will be measured by asking each patient to perform a 6 Minute Walk Test before and after treatment
|
Day 0 and Day 7 (+/- 3 days)
|
To measure a significant cardiovascular change in severe asthmatic patients after receiving a course of IV Aminophylline and IV Hydrocortisone
Time Frame: Day 0 and Day 7 (+/- 3 days)
|
This will be measured by performing Arterial Stiffness on each patient which involves measuring a series of blood pressures on the carotid, femoral and brachial arteries before and after treatment
|
Day 0 and Day 7 (+/- 3 days)
|
Collaborators and Investigators
Investigators
- Principal Investigator: Andrew Menzies-Gow, Royal Brompton & Harefield NHS Foundation Trust
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Respiratory Tract Diseases
- Immune System Diseases
- Lung Diseases
- Hypersensitivity, Immediate
- Bronchial Diseases
- Lung Diseases, Obstructive
- Respiratory Hypersensitivity
- Hypersensitivity
- Asthma
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Autonomic Agents
- Peripheral Nervous System Agents
- Enzyme Inhibitors
- Anti-Inflammatory Agents
- Purinergic Antagonists
- Purinergic Agents
- Protective Agents
- Cardiotonic Agents
- Bronchodilator Agents
- Anti-Asthmatic Agents
- Respiratory System Agents
- Phosphodiesterase Inhibitors
- Purinergic P1 Receptor Antagonists
- Aminophylline
- Hydrocortisone
Other Study ID Numbers
- 2013AT001B
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.
Clinical Trials on Asthma
-
Vanderbilt University Medical CenterNot yet recruitingAsthma in Children | Asthma Attack | Asthma Acute | Acute Asthma Exacerbation | Asthma; StatusUnited States
-
University of California, San FranciscoCompletedAsthma in Children | Asthma Attack | Asthma Acute | Asthma ChronicUnited States
-
Johann Wolfgang Goethe University HospitalCompleted
-
Universita di VeronaCompleted
-
Parc de Salut MarActive, not recruitingAsthma in Children | Persistent Asthma | Asthma ExacerbationSpain
-
Forest LaboratoriesCompleted
-
Brunel UniversityKarolinska InstitutetUnknown
-
Value Outcomes Ltd.AstraZenecaCompletedAsthma, Bronchial | Bronchial Asthma | Asthma Chronic | Asthma; EosinophilicCzechia
-
Johann Wolfgang Goethe University HospitalCompletedExercise-induced AsthmaGermany
Clinical Trials on Aminophylline
-
Cairo UniversityRecruiting
-
King Faisal UniversityCompleted
-
University of VirginiaCompletedBladder CancerUnited States
-
Tanta UniversityCompletedPain | Aminophylline | Ureterocopic LithotripsyEgypt
-
Tanta UniversityCompletedDexmedetomidine | Functional Endoscopic Sinus Surgery | AminophyllineEgypt
-
Thies SchroederCompletedHigh Altitude Pulmonary HypertensionUnited States
-
Tel-Aviv Sourasky Medical CenterUnknownVenoarteriolar Reflex
-
National Institute of Cardiovascular Diseases,...Not yet recruitingComplete Heart Block | Inferior Wall Myocardial Infarction
-
Vancouver General HospitalHeart and Stroke Foundation of Canada; Vancouver Coastal Health Research InstituteCompleted
-
Shanghai Jiao Tong University Affiliated Sixth...UnknownAcute Kidney Injury