- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03058497
Laminar Airflow in Severe Asthma for Exacerbation Reduction (LASER)
A Multi-centre Randomised, Double Blind, Placebo-controlled, Parallel Group Trial of the Effectiveness of the Nocturnal Use of a Temperature Controlled Laminar Airflow (TLA) Device (Airsonett®) in Adults With Poorly-controlled, Severe Allergic Asthma
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
We will include 222 adults, half of whom will be given a TLA device that is working, and the other half will be given a device which has been inactivated (the filtering process will be switched off, although the participants will not be able to tell that this has occurred). Which participant receives the working or deactivated device will be decided by a random process and will be unknown to the researcher and the participant. An engineering team from the manufacturer will install the device in the participants' home at the beginning of the study and be available throughout the study period to deal with any queries.
All participants will continue receiving their usual treatments. Participants will be in the study for 12 months, and will report their asthma attacks to the trial team whenever they occur during this period. In addition, they will visit the trial team 4 times (after 3, 6, 9 and 12 months) to assess their asthma control and quality of life. At the end of the trial, we will invite participants at each site to join a group discussion where researchers will explore the participant's thoughts about the TLA device. At the end of their participation in the trial, all participants who have used the device for more than 6 months, regardless of their initial study group, will be offered the opportunity to keep an active device in their home free of charge for a further four years.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
UK
-
Portsmouth, UK, United Kingdom, PO6 3LY
- Portsmouth Hospital NHS Trust
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- A clinical diagnosis of asthma for ≥6 months with either: Airflow variability Airway reversibility Airway hyper-responsiveness
- Requirement for high-dose inhaled corticosteroids (ICS) (≥1000μg/day beclomethasone (BDP) or equivalent
Poorly controlled asthma demonstrated by BOTH
≥2 severe asthma exacerbations, ACQ (7-point) score >1 at Screening Visit 1 and Randomisation Visit 2
- Atopic status
- Exacerbation free
- Able to use the TLA device during sleep on at least five nights per week
- Able to understand and give written informed consent prior
Exclusion Criteria:
- Current smokers or ex-smokers abstinent for <6months
- Ex-smokers with ≥15 pack year smoking history
- Partner who is a current smoker and smokes within the bedroom where the TLA device is installed
- TLA device cannot be safely installed within the bedroom
- Intending to move out of study area within the follow-up period
- Documented poor treatment adherence
- Occupational asthma with continued exposure to known sensitising agents in the workplace
- Previous bronchial thermoplasty within 12 months of randomisation
- Treatment with Omalizumab (anti-IgE) within 120 days of randomisation
- Using long-term oxygen, Continuous Positive Airway Pressure (CPAP) or Non-Invasive Ventilation (NIV)
- Presence of clinically significant lung disease other than asthma, including smoking-related chronic obstructive pulmonary disease (COPD), bronchiectasis associated with recurrent bacterial infection, allergic bronchopulmonary aspergillosis (mycosis), pulmonary fibrosis, sleep apnoea, pulmonary hypertension, or lung cancer,
- Patients currently taking part in other interventional respiratory clinical trials
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Temperature-Controlled Laminar Airflow Device Active
Temperature-Controlled Laminar Airflow Device
|
|
Placebo Comparator: Temperature-Controlled Laminar Airflow Device Placebo
Temperature-Controlled Laminar Airflow Device
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Exacerbation frequency
Time Frame: 12 months
|
The frequency of severe asthma exacerbations occurring within the 12 month follow-up
|
12 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Asthma Control
Time Frame: 12 months
|
• To assess the impact of nocturnal TLA treatment on asthma control which includes: Current clinical asthma control
|
12 months
|
Treatment effect on quality of Life
Time Frame: 12 months
|
• To ascertain the effect of TLA treatment on quality of life in poorly-controlled severe allergic asthmatic participants and their carers. This will be measured via patient questionnaires |
12 months
|
Evaluate the device
Time Frame: 12 months
|
• To qualitatively evaluate the perceptions, values and opinions of the device to identify potential modifications to improve patient acceptance and to inform future implementation of the device within the NHS setting This will be measured by the participants usage via a completed diary over the 12m period. |
12 months
|
NHS Costs
Time Frame: 12 months
|
To evaluate the impact of TLA treatment on healthcare utilisation and related costs, and its impact on education/work days lost
|
12 months
|
NHS Costs
Time Frame: 12 months
|
To fully assess the cost-effectiveness, both at one-year and over the lifetime of the patient, of nocturnal TLA treatment using a cost-utility analysis to determine the incremental cost per QALY gained
|
12 months
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Study Chair: Anoop[ Chauhan, Portsmouth Hospitals NHS Trust
Publications and helpful links
Helpful Links
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 (Actual)
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
- 12/33/28
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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