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Mechanisms of Response to Diesel Exhaust in Subjects With Asthma

6. april 2017 opdateret af: University of Pennsylvania
In a controlled exposure setting, the study's goal is to determine the acute effect of diesel exhaust (DE) inhalation on airway inflammation and hyperresponsiveness (AHR) in subjects with mild to moderate stable asthma, using non-invasive measures.

Studieoversigt

Status

Trukket tilbage

Betingelser

Detaljeret beskrivelse

The investigators will also characterize selected polymorphisms in glutathione-S-transferase (GST) genes that have been implicated in susceptibility to air pollutants. Outcome measures will include lung function, bronchial responsiveness to bronchodilator, exhaled nitric oxide, induced sputum for inflammatory markers (IL6 and IL8), and exhaled breath condensate for nitrite, 8-isoprostane, 20-HETE (20-hydroxyeicosatetraenoic acid), nitrotyrosine and pH.

In this pilot project, parallel studies are being carried out in the human exposure chambers at two NIEHS centers, the EOHSI-CEED (Environmental and Occupational Health Sciences Institute- Center for Environmental Exposure and Disease) and the Penn-CEET (University of Pennsylvania-Center of Excellence in Environmental Toxicology). The joint project will enable each center to validate research results in a second population and include new biomarkers of pulmonary inflammation. Each center will recruit, consent, and collect data on its own subjects. Only de-identified data will be shared between the centers.

Undersøgelsestype

Observationel

Kontakter og lokationer

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

Studiesteder

    • Pennsylvania
      • Philadephia, Pennsylvania, Forenede Stater, 19104
        • Airways Biology Initiative at Penn Presbyterian Medical Center

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

18 år til 55 år (Voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

All subjects will have been verified to meet criteria for mild/moderate asthma. At the same time all subjects will have been verified to be able to produce adequate sputum plugs for analysis.

Beskrivelse

Inclusion Criteria:

  1. Subject is an adult male or female between 18 and 55 years of age inclusive.
  2. Subject must have a prior history of a physician's diagnosis of asthma with reversible airway obstruction (shown by a greater than 12% increase in FEV1 following bronchodilator; or a positive methacholine challenge done following the screening visit. If methacholine challenge is required for qualification, a physician will be on-site for the test. Subject's asthma has been stable for the past six months with no change in asthma therapy.
  3. The subject has been a non-smoker for the past year and should have less than a 10-pack year history.
  4. Subject must be free of other significant pulmonary diseases (i.e., cystic fibrosis, tuberculosis, interstitial lung disease and bronchopulmonary dysplasia.
  5. The subject must be capable of and willing to provide written informed consent.
  6. The subject is able to understand and comply with protocol requirements and timetables, instructions and protocol-stated restrictions.
  7. The subject has no significant DE exposure that would include occupations such as truck driver, heavy equipment operator and railroad maintenance.

    -

Exclusion Criteria:

  1. As a result of the medical interview, physical examination or screening investigations, the physician responsible considers the volunteer unfit for the study.
  2. The subject has received an investigational drug or participated in any other research trial within 30 days or five half-lives or twice the duration of the biological effect of any drug (whichever is longer) prior to the current study.
  3. Oral steroids within the last 6 months.
  4. Less than 12% FEV1 response to bronchodilator or negative methacholine challenge.
  5. Hospital admission for asthma in past 6 months.
  6. The subject has a history of alcohol or drug abuse within the last 5 years.
  7. The subject has history of hepatitis B, hepatitis C or HIV virus.
  8. The subject has a history of cardiovascular disease including hypertension or says yes to one of the cardiovascular risk questions on the screening questionnaire.
  9. The subject has a history of diabetes.
  10. The subject is pregnant or lactating.
  11. The subject has daily exposure to DE, i.e., trucking or heavy machine operators.

    -

Studieplan

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

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Tidsramme
FEV1 response to bronchodilator, following DE compared with filtered air (primary outcome)
Tidsramme: Up to 3 weeks
Up to 3 weeks

Sekundære resultatmål

Resultatmål
Tidsramme
Exhaled nitric oxide
Tidsramme: Up to 3 weeks
Up to 3 weeks
8-isoprostane in exhaled breath condensate
Tidsramme: 1 year
1 year
Nitrite in exhaled breath condensate
Tidsramme: 1 year
1 year
pH in exhaled breath condensate
Tidsramme: 1 year
1 year
20-HETE(20-hydroxyeicosatetraenoic acid)levels in exhaled breath condensate
Tidsramme: 1 year
1 year
Cell differential in induced sputum
Tidsramme: 1 year
1 year
Glutathione-S-transferase (GST)polymorphisms
Tidsramme: Visit 1
Visit 1
Peak Flow
Tidsramme: Up to 3 weeks
Up to 3 weeks
Forced Vital Capacity (FVC)
Tidsramme: Up to 3 weeks
Up to 3 weeks
FEV1/FVC ratio
Tidsramme: Up to 3 weeks
Up to 3 weeks

Samarbejdspartnere og efterforskere

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

Samarbejdspartnere

Efterforskere

  • Ledende efterforsker: Reynold A Panettieri, Jr., MD, University of Pennsylvania

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

1. marts 2013

Primær færdiggørelse (Faktiske)

1. december 2015

Studieafslutning (Faktiske)

31. december 2015

Datoer for studieregistrering

Først indsendt

12. februar 2013

Først indsendt, der opfyldte QC-kriterier

25. februar 2013

Først opslået (Skøn)

27. februar 2013

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

10. april 2017

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

6. april 2017

Sidst verificeret

1. april 2017

Mere information

Begreber relateret til denne undersøgelse

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

UBESLUTET

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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