- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT04716023
Physiology and Structure of the Small Airways in Patients With Chronic Airflow Obstruction or COVID-19 (PASSPORT)
18. januar 2021 opdateret af: Imperial College London
The purpose of this research project is to study small airways physiological function in patients with chronic obstructive lung disease or COVID-19 and explore the relationship with in-vivo microanatomical small airway structure as measured by OCT.
Correlating endobronchial assessment with multiple breath nitrogen washout and impulse oscillometry will allow the characterisation of the relationship between small airway structural findings and these validated investigations.
A small volume lung wash, endobronchial brushings and the collection of a limited number of endobronchial cryobiopsy samples will be performed to better understand the endobronchial environment of the small airways through inflammatory studies.
Following the completion of any such work, residual samples will be stored in a "bio-bank" to enable the completion of future work.
Understanding the relationship with symptom-based quality of life scoring questionnaires and a functional assessment of exercise capacity will help elucidate the clinical impact of in-vivo small airways findings.
Studieoversigt
Status
Ukendt
Betingelser
Undersøgelsestype
Observationel
Tilmelding (Forventet)
42
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiekontakt
- Navn: Christopher M Orton, MBBS
- Telefonnummer: 8029 02073518029
- E-mail: c.orton@rbht.nhs.uk
Studiesteder
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London, Det Forenede Kongerige
- Rekruttering
- The Royal Brompton
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Kontakt:
- Christopher M Orton, MBBS
- Telefonnummer: 8029 02073518029
- E-mail: c.orton@rbht.nhs.uk
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-
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
16 år og ældre (Barn, Voksen, Ældre voksen)
Tager imod sunde frivillige
Ingen
Køn, der er berettiget til at studere
Alle
Prøveudtagningsmetode
Ikke-sandsynlighedsprøve
Studiebefolkning
Subjects over the age of 16 with either chronic airflow obstruction or COVID-19
Beskrivelse
Inclusion Criteria:
- Age 16 or over
- Scheduled for bronchoscopy as part of clinical care or research protocol
- No bleeding diathesis or therapeutic anticoagulation
COPD:
- FEV1/FVC ratio <70% or
Asthma:
- Diagnosed by standard clinical methods
- Post-bronchodilator FEV1 ≥60% predicted or COVID-19 infection or previous COVID-19 infection (confirmed as per local guidelines)
Exclusion Criteria:
- Unable to provide informed consent
- Exacerbation of obstructive airways disease or respiratory infection requiring systemic antibiotics or corticosteroids in the 6 weeks prior to enrolment unless suffering from COVID-19 infection and bronchoscopy is required for clinical reasons
Contra-indications to performing lung function testing
- Aortic aneurysm >6cm
- Unstable cardiovascular disease (unstable angina, myocardial infarction or pulmonary embolism <4 weeks prior)
- Severe aortic stenosis
- Pneumothorax
- Cerebral aneurysm
- Thoracic or abdominal surgery <4 weeks prior
Contra-indications to passing oesophageal balloons
- Oesophageal ulceration or varices
- Sinusitis, recent nasal surgery or epistaxis
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
Kohorter og interventioner
Gruppe / kohorte |
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Chronic Airflow obstruction / COVID-19
Patients with either chronic airflow obstruction of COVID-19
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
---|---|---|
Respiratory resistance at 5Hz - 20Hz (R5-R20) (kPa/l/s) related to airtrapping as determined by quantitative CT (Expiratory phase low attenuation area <856 HU (%LAA <856 HU)
Tidsramme: Baseline, pre-procedure
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Impulse Oscillometry
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Baseline, pre-procedure
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
---|---|---|
Respiratory reactance at 5Hz: X5 (kPa/l/s)
Tidsramme: Baseline, pre-procedure
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Impulse Oscillometry
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Baseline, pre-procedure
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Reactance area: Ax (kPa/l/s)
Tidsramme: Baseline, pre-procedure
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Impulse Oscillometry
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Baseline, pre-procedure
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Functional residual capacity by MBNW: FRCgas (L)
Tidsramme: Baseline, pre-procedure
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Multiple Breath Nitrogen Washout
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Baseline, pre-procedure
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Lung clearance index: LCI
Tidsramme: Baseline, pre-procedure
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Multiple Breath Nitrogen Washout
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Baseline, pre-procedure
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Ventilation heterogeneity conducting airways: Scond (L/s)
Tidsramme: Baseline, pre-procedure
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Multiple Breath Nitrogen Washout
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Baseline, pre-procedure
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Ventilation heterogeneity acinar airways: Sacin (L/s)
Tidsramme: Baseline, pre-procedure
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Multiple Breath Nitrogen Washout
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Baseline, pre-procedure
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Forced expiratory volume in 1 second: FEV1 (L)
Tidsramme: Baseline, pre-procedure
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Spirometry
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Baseline, pre-procedure
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Forced vital capacity: FVC (L)
Tidsramme: Baseline, pre-procedure
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Spirometry
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Baseline, pre-procedure
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Total lung capacity: TLC (L)
Tidsramme: Baseline, pre-procedure
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Plethysmography
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Baseline, pre-procedure
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Residual volume: RV (L)
Tidsramme: Baseline, pre-procedure
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Plethysmography
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Baseline, pre-procedure
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Functional residual capacity by plethysmography: FRCpleth (L)
Tidsramme: Baseline, pre-procedure
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plethysmography
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Baseline, pre-procedure
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Airway mean luminal diameter (Dmean)
Tidsramme: Baseline, during the procedure
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Optical Coherence Tomography
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Baseline, during the procedure
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Airway inner lumen area (Ai)
Tidsramme: Baseline, during the procedure
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Optical Coherence Tomography
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Baseline, during the procedure
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Airway wall area (Aw), airway wall percentage (Aw%) as determined by [Aw/(Ai + Aw) × 100%]
Tidsramme: Baseline, during the procedure
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Optical Coherence Tomography
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Baseline, during the procedure
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Air trapping - expiratory phase low attenuation area <856 HU (%LAA <856 HU)
Tidsramme: Baseline, pre-procedure
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Quantitative CT
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Baseline, pre-procedure
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Modified MRC dyspnoea score
Tidsramme: Baseline, pre-procedure
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Patient reported outcome measure
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Baseline, pre-procedure
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St George's Respiratory Questionnaire Score
Tidsramme: Baseline, pre-procedure
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Patient reported outcome measure
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Baseline, pre-procedure
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Asthma-related Quality of Life Questionnaire (AQLQ) (if asthmatic)
Tidsramme: Baseline, pre-procedure
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Patient reported outcome measure
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Baseline, pre-procedure
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Asthma Control Questionnaire (ACQ) (if asthmatic)
Tidsramme: Baseline, pre-procedure
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Patient reported outcome measure
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Baseline, pre-procedure
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6-minute walk distance (m)
Tidsramme: Baseline, pre-procedure
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6-minute walk distance (m)
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Baseline, pre-procedure
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Andre resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Exploratory: Inflammatory and pathological studies of airways brush, wash and cryobiopsy samples
Tidsramme: Baseline, during the procedure
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Laboratory based scientific studies
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Baseline, during the procedure
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Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Sponsor
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 (Faktiske)
23. august 2019
Primær færdiggørelse (Forventet)
22. august 2021
Studieafslutning (Forventet)
2. februar 2022
Datoer for studieregistrering
Først indsendt
2. juli 2020
Først indsendt, der opfyldte QC-kriterier
18. januar 2021
Først opslået (Faktiske)
20. januar 2021
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
20. januar 2021
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
18. januar 2021
Sidst verificeret
1. januar 2021
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- 18IC4688
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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