- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05270278
Characteristics of Type 2- High Inflammatory Endotype of Asthma Using New Biomarkers From Peripheral Blood and Exhaled Air and Its Effect on the Outcome of Therapy
Study Overview
Status
Detailed Description
According to WHO, asthma bronchiale (AB) is the most frequent non-infectious disease in adults. There are 340 million patients with AB in the world. Approximately 500 000 patients in the Czech Republic are suffering from AB and 2,1 % have severe AB with the indication for conventional anti-inflammatory treatment. This subgroup of patients represents significantly high costs for the healthcare system.
There are many clinical phenotypes and molecular endotypes of AB and each of these groups has a different response to treatment. In the Czech republic is recommended classification into two main groups: eosinophil AB (type 2- high) and non-eosinophil AB (type 2- low). Eosinophil AB is furthered classified into two groups: eosinophil allergic (Th2-high) and eosinophil non-allergic (ILC2-high).
New biologicals, indicated for patients with the most severe form of AB, have entered the market during the last 15 years. These biologicals have confirmed their potential in randomized controlled studies. It can be assumed that there are 4 000 - 5000 patients suffering from this type of AB who could be indicated to this treatment in the Czech republic but, unfortunately, only 10 % of them have the access to such therapies in real practice.
Recommended markers of type 2- high AB don´t have strictly set critical values that are often unspecific, unstable in time, and often affected by other diseases or treatments. Some of the widely accepted predictors of response to biological treatment are eosinophilia, allergic reactivity, level of total and allergic-specific IgE, NO production in inhaled air (FeNO), gender, number of previous exacerbations, and duration of disease. Some of these predictors are used as decision criteria also in Global Initiative for Asthma (GINA) guidelines.
With respect to these facts, enormous efforts are being made worldwide to search for new biomarkers, which would be reliable, valid, easily measurable, interpretable, and useful for a more accurate description of the pathogenetic processes of asthma
Study Type
Enrollment (Actual)
Contacts and Locations
Study Contact
- Name: Jan Tužil
- Phone Number: +420 727824059
- Email: jan.tuzil@valueoutcomes.cz
Study Locations
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Královehradecký Kraj
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Hradec Králové, Královehradecký Kraj, Czechia, 50005
- Fakultni nemocnice Hradec Kralove
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
> Group 1 <
Inclusion Criteria:
- severe persistent eosinophilic AB (type 2- high)
- initiated biological treatment against IL-5 or IL-5R (mepolizumab, benralizumab) on this study visit
- judged by the treating physician, the patient cannot be indicated to treatment against anti IgE or anti IL-4R (omalizumab, dupilumab)
- signed informed consent
- signed consent to the processing of personal data
- willingness and ability to undergo examination
Exclusion Criteria:
- active smoker
- BMI higher than 40kg/m2
- ongoing oncological disease or oncological disease during the last 12 months
- severe cardiovascular disease
- uncontrolled diabetes mellitus
contraindication of choosen biological treatment per SPC
- Group 2 <
Inclusion Criteria:
- severe persistent eosinophil AB (type 2- high)
- initiated biological treatment against IgE or IL-4R (omalizumab, dupilumab) at this study visit
- judged by the treating physician, a patient cannot be indicated to treatment against anti IL-5 or anti IL-5R (mepolizumab, benralizumab)
- signed informed consent
- signed consent to the processing of personal data
- willingness and ability to undergo examination
Exclusion Criteria:
- active smoker
- BMI higher than 40kg/m2
- ongoing oncological disease or oncological disease during the last 12 months
- severe cardiovascular disease
- uncontrolled diabetes mellitus
contraindication of choosen biological treatment per SPC
- Group 3 <
Inclusion Criteria:
- severe persistent eosinophil AB (type 2- high)
- initiated biological treatment against IgE or IL-4R (omalizumab, dupilumab) or against IL-5 or IL-5R (mepolizumab, benralizumab) at this study visit was
- judged by the treating physician, the patient could be potentially indicated to treatment with all 4 alternatives
- signed informed consent
- signed consent to the processing of personal data
- willingness and ability to undergo examination
Exclusion Criteria:
- active smoker
- BMI higher than 40kg/m2
- ongoing oncological disease or oncological disease during the last 12 months
- severe cardiovascular disease
- uncontrolled diabetes mellitus
contraindication of choosen biological treatment per SPC
- Group 4 <
Inclusion Criteria:
- severe persistent non-eosinophil AB (type 2- low)
- judged by the treating physician, the patient cannot be indicated for biological treatment
- signed informed consent
- signed consent to the processing of personal data
- willingness and ability to undergo examination
Exclusion Criteria:
- active smoker
- BMI higher than 40kg/m2
- ongoing oncological disease or oncological disease during the last 12 months
- severe cardiovascular disease
- uncontrolled diabetes mellitus
Study Plan
How is the study designed?
Design Details
- Observational Models: Other
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
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1. Eosinophilic AB - initiated biological treatment against IL-5 or IL-5R
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2. Eosinophilic AB - initiated biological treatment against IgE or IL-4R
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3. Eosinophilic AB - initiated biological treatment against IgE or IL-4R, or against IL-5 or IL-5R
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4. Non-eosinophilic AB - without indication for biological treatment
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Laboratory parameters (peripheral blood) - blood count
Time Frame: Baseline
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Baseline
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Laboratory parameters (peripheral blood) - atopy
Time Frame: Baseline
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Baseline
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Laboratory parameters (peripheral blood) - rheumatology
Time Frame: Baseline
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ANF, ENA, RF, ANCA (if not in the last 12 months)
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Baseline
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Laboratory parameters (peripheral blood) - immunology
Time Frame: Baseline
|
IgE, ECP, IgG, IgA, IgM, classes IgG
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Baseline
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Laboratory parameters (peripheral blood) - flow cytometry (FACS)
Time Frame: Baseline
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The evaluation of eosinophil surface charakteristics per MFI
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Baseline
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Clinical parameters (exhaled air) - FeNO
Time Frame: Baseline
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Baseline
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Clinical parameters (exhaled air) - alveolar NO
Time Frame: Baseline
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Baseline
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Clinical parameters (exhaled air) - eNOSE
Time Frame: Baseline
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The examination with "the electronical nose"
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Baseline
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Jakub Novosad, MUDr.,Ph.D., Fakultni nemocnice Hradec Kralove
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 (Actual)
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
- eNOSE
- D3250L00044 (Other Identifier: AstraZeneca plc)
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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