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Genomic/ Proteomic/ Metabonomic Profiling in Chronic Obstructive Pulmonary Disease (COPD)

8. juli 2019 opdateret af: Imperial College London

A Non Interventional Study to Asses the Utility of Genomic/ Proteomic/ Metabonomic Profiling Approaches to the Classification and Pathological Basis of Inflammatory Lung Disease in Smokers, and Ex-smokers vs. Non-smokers and Asthmatics

Chronic obstructive pulmonary disease (COPD) is a chronic disease characterized by progressive airflow obstruction, chronic cough and dyspnoea in advanced stages.

We hope to develop a better understanding of lung disease. Information from these studies will only be used for research purposes, to help develop safer and more effective treatments for asthma and COPD.

Studieoversigt

Detaljeret beskrivelse

Techniques such as genomics, proteomics and metabonomics, Technologies that aim to identify and quantify the dynamic set of all small molecules and metabolites present in an organism or a biological sample, offer the prospect of efficiently distinguishing individuals with particular diseases. The advantages of proteomics and metabonomics is that it can be carried out on a standard preparation of serum, plasma or urine, circumventing the need for specialist preparation of cellular mRNA required for genomics This methodology is based on mass spectrometry (MS), gas chromatography-mass spectrometry (GC-MS), and nuclear magnetic resonance (NMR) to analyze metabolites. High-performance liquid chromatography (HPLC) may also be applied. Several peak alignment algorithms have been developed to match the chromatograms before applying pattern recognition. Based on the pattern recognition, several potential biomarkers may be found and further identified by MS.. Finally, a number of potential biomarkers will be identified for distinguishing asthma and COPD.

Undersøgelsestype

Observationel

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

35 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

N/A

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Inclusion Criteria - Healthy non-smokers

    • Non-smoking volunteer aged 40 -75 years (age matched to COPD patients)
    • Normal spirometry (FEV1/FVC ratio >70% and FEV1>80% predicted)
    • Subjects are able to give informed consent Inclusion Criteria-COPD patients (stage 2-3 according to the GOLD guidelines)
    • Current and/or ex-smokers with no less than 10 pack-year smoking history aged 40-75 years
    • 30% FEV1 < 80% of predicted (the upper value is a postbronchodilator value)
    • FEV1/FVC < 70%
    • Stable COPD (no chest infection requiring antibiotics and/ or oral steroids in the past 2 months)
    • Long-acting beta2-agonists and long-acting antimuscarinic bronchodilators need to be stopped at least 8 hours before the study visit
    • The subjects are able to give informed consent
  • Inclusion Criteria - healthy smokers

    • Current smokers aged 40 -75 years (age matched to COPD patients)
    • Normal spirometry (normal FEV1/FVC ratio >70% and FEV1>80% predicted)
    • Subjects are able to give informed consent
  • Inclusion Criteria - asthmatics

    • Non-smoking asthma patients aged 40 -75 years (age matched to COPD patients)
    • Normal spirometry (normal FEV1/FVC ratio >70% and FEV1>80% predicted)
    • Subjects are able to give informed consent

Exclusion Criteria:

  • Exclusion Criteria - Healthy non-smokers

    • Chest infection that required treatment with antibiotics within the last 4 weeks
    • Subjects who have received research medication within the previous one month
    • Subjects unable to give informed consent
    • Any psychiatric condition rendering the patient unable to understand the nature, scope and possible consequences of the study Exclusion Criteria-COPD patients
    • Bronchodilator reversibility > 12%
    • Chest infection that required treatment with antibiotics within the last 4 weeks
    • Subjects who have received research medication within the previous one month
    • Subjects unable to give informed consent
    • Patients with significant co-morbidities including any psychiatric condition rendering the patient unable to understand the nature, scope and possible consequences of the study as judged by the investigator
    • Any other respiratory disease, which is considered by the investigator to be clinically significant
  • Exclusion Criteria - healthy smokers

    • Chest infection that required treatment with antibiotics within the last 4 weeks
    • Subjects who have received research medication within the previous one month
    • Subjects unable to give informed consent
  • Exclusion Criteria - asthmatics

    • Chest infection that required treatment with antibiotics within the last 4 weeks
    • Patients with significant co-morbidities as judged by the investigator
    • Subjects who have received research medication within the previous one month
    • Subjects unable to give informed consent

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Efterforskere

  • Ledende efterforsker: Sergei A Kharitonov, MD PhD, National Heart and Lung Institute

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Forventet)

1. januar 2005

Primær færdiggørelse (Forventet)

1. september 2007

Studieafslutning (Forventet)

1. september 2007

Datoer for studieregistrering

Først indsendt

4. april 2008

Først indsendt, der opfyldte QC-kriterier

9. april 2008

Først opslået (Skøn)

10. april 2008

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

10. juli 2019

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

8. juli 2019

Sidst verificeret

1. juli 2019

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • 05/Q0410/97

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

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