Exercise in Air Pollution and Lung Health in Asthmatics
28. september 2021 oppdatert av: Michael Koehle, University of British Columbia
The Effects of Inhaled Beta-2-Agonists and Air Pollution on Lung Function and Athletic Capacity
When exposed to air pollution, the asthma symptoms are aggravated and lung function is impaired.
Due to high breathing rates and volumes, physically active individuals are at particular risk of lung health impairment due to the high breathing rates and volumes.
Greater doses of air pollutants reach deeper areas in the lungs where they can trigger asthma-symptoms.
When treating these symptoms with inhaled beta-2-agonists the airways widen even more, allowing the air pollutants to reach even deeper areas of the lung.
With this study the investigators investigate how inhaled beta-2-agonists affect athletic capacity and lung health in physically active asthmatics.
Studieoversikt
Status
Fullført
Studietype
Intervensjonell
Registrering (Forventet)
20
Fase
- Ikke aktuelt
Kontakter og plasseringer
Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.
Studiesteder
-
-
British Columbia
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Vancouver, British Columbia, Canada, V6T 1Z1
- University of British Columbia, Environmental Physiology Laboratory
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Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
19 år til 40 år (Voksen)
Tar imot friske frivillige
Ja
Kjønn som er kvalifisert for studier
Alle
Beskrivelse
Inclusion Criteria:
- mild-moderate asthmatics with controlled treatment (definition of "mild": percent fall index at eucapnic voluntary hyperpnea (EVH) test on screening day between 10-15%; "moderate": percent fall index at EVH test on screening day between 15 - 20%).
- men and non-pregnant women
Exclusion Criteria:
- any history of uncontrolled respiratory or cardiac disease
- pregnancy
- allergic reactions to lidocaine and salbutamol
- any recent infections or orthopaedic nasal issues/injuries that may interfere with the insertion of the catheter needed to assess expiratory flow limitation or work of breathing
- claustrophobia in small rooms, comparable to the air pollution chamber used for this study.
- English as a second language (ESL) - participants who are not able to understand the risk that may be associated with the participation in this study due to language difficulties after following the University of British Clinical Research Ethics Board Guidance Notes 13.2.1. (ESL participants will be given a consent form in the most appropriate language or an appropriate translator will be present during the initial consent process).
Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Grunnvitenskap
- Tildeling: Randomisert
- Intervensjonsmodell: Crossover-oppdrag
- Masking: Trippel
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
|
Aktiv komparator: Resting in diesel exhaust following salbutamol inhalation
Participants will be sitting in an air pollution chamber while being exposed to diesel exhaust (PM2.5 of 300 μg/m3) for a total of 1hour following the inhalation of 400ug of salbutamol.
|
Study participants will sit on a chair for 60min.
This is to simulate physical resting condition.
Study participants will be exposed to 400ug of salbutamol prior to entering the air pollution chamber.
Participants will be exposed to PM2.5 of 300 μg/m3
|
|
Placebo komparator: Resting in diesel exhaust following placebo inhalation
Participants will be sitting in an air pollution chamber while being exposed to diesel exhaust (PM2.5 of 300 μg/m3) for a total of 1hour following the inhalation of a placebo.
|
Study participants will sit on a chair for 60min.
This is to simulate physical resting condition.
Participants will be exposed to PM2.5 of 300 μg/m3
Study participants will inhale a placebo (placebo for salbutamol) prior to entering the air pollution chamber
|
|
Aktiv komparator: Cycling in diesel exhaust following salbutamol inhalation
Participants will be cycling while being exposed to diesel exhaust (PM2.5 of 300 μg/m3) for a total of 1 hr following the inhalation of 400ug of salbutamol.
|
Study participants will be exposed to 400ug of salbutamol prior to entering the air pollution chamber.
Participants will be exposed to PM2.5 of 300 μg/m3
Study participants will exercise on a cycle ergometer for 45min.
Participants will start their 30-min long constant workload exercise test test 60-min after the drug intervention.
The exercise test will be set to a resistance of 50% of the maximal wattage that was reached on the graded exercise test on the screening day.
The cycling exercise intervention will follow the rest-intervention.
|
|
Placebo komparator: Cycling in diesel exhaust following placebo inhalation
Participants will be cycling while being exposed to diesel exhaust (PM2.5 of 300 μg/m3) for a total of 1 hr following the inhalation of a placebo
|
Participants will be exposed to PM2.5 of 300 μg/m3
Study participants will inhale a placebo (placebo for salbutamol) prior to entering the air pollution chamber
Study participants will exercise on a cycle ergometer for 45min.
Participants will start their 30-min long constant workload exercise test test 60-min after the drug intervention.
The exercise test will be set to a resistance of 50% of the maximal wattage that was reached on the graded exercise test on the screening day.
The cycling exercise intervention will follow the rest-intervention.
|
|
Sham-komparator: Resting in filtered air following salbutamol inhalation
Participants will be sitting while being exposed to filtered air for a total of 1hour following the inhalation of 400ug of salbutamol.
|
Study participants will sit on a chair for 60min.
This is to simulate physical resting condition.
Participants will be breathing filtered air
|
|
Placebo komparator: Resting in filtered air following placebo inhalation
Participants will be sitting while being exposed to filtered air for a total of 1hour following the inhalation of a placebo.
|
Study participants will sit on a chair for 60min.
This is to simulate physical resting condition.
Participants will be breathing filtered air
|
|
Sham-komparator: Cycling in filtered air following salbutamol inhalation
Participants will be cycling while being exposed to filtered air for a total of 1 hr following the inhalation of 400ug of salbutamol.
|
Study participants will be exposed to 400ug of salbutamol prior to entering the air pollution chamber.
Study participants will exercise on a cycle ergometer for 45min.
Participants will start their 30-min long constant workload exercise test test 60-min after the drug intervention.
The exercise test will be set to a resistance of 50% of the maximal wattage that was reached on the graded exercise test on the screening day.
The cycling exercise intervention will follow the rest-intervention.
Participants will be breathing filtered air
|
|
Placebo komparator: Cycling in filtered air following placebo inhalation
Participants will be cycling while being exposed to filtered air for a total of 1 hr following the inhalation of a placebo
|
Study participants will inhale a placebo (placebo for salbutamol) prior to entering the air pollution chamber
Study participants will exercise on a cycle ergometer for 45min.
Participants will start their 30-min long constant workload exercise test test 60-min after the drug intervention.
The exercise test will be set to a resistance of 50% of the maximal wattage that was reached on the graded exercise test on the screening day.
The cycling exercise intervention will follow the rest-intervention.
Participants will be breathing filtered air
|
Hva måler studien?
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Change in rating of perceived exertion for breathing, dyspnea
Tidsramme: Difference in perceived dyspnea between salbutamol and placebo exposure as well as polluted air and filtered air. Dyspnea ratings will be collected every 2.5min for a duration of 45min during the exercise test.
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Difference in perceived dyspnea between salbutamol and placebo exposure as well as polluted air and filtered air. Dyspnea ratings will be collected every 2.5min for a duration of 45min during the exercise test.
|
Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Change in work of breathing (WOB) between filtered air and polluted air
Tidsramme: work of breathing will be assessed every 2.5min for a time period of 45min during the exercise bout
|
work of breathing will be assessed every 2.5min for a time period of 45min during the exercise bout
|
Andre resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Change in spirometry (FEV1 and FVC) between filtered air and polluted air
Tidsramme: Spirometry will be assessed at baseline and 45min after the start of the exercise bout.
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Spirometry will be assessed at baseline and 45min after the start of the exercise bout.
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|
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Change in cognitive function
Tidsramme: Cognitive function will be assessed at baseline (prior to entering the air pollution chamber) and 45 min after the start of the exercise intervention.
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cognitive function will be assessed using the NIH toolbox tests and the brain derived neurotrophic factor (BDNF) blood serum measurements
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Cognitive function will be assessed at baseline (prior to entering the air pollution chamber) and 45 min after the start of the exercise intervention.
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Retinal Imaging
Tidsramme: The retina will be imaged at baseline (prior to entering the air pollution chamber) and 20 min after the completion of the exercise intervention.
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The blood vessels in the eye will be imaged using a camera.
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The retina will be imaged at baseline (prior to entering the air pollution chamber) and 20 min after the completion of the exercise intervention.
|
Samarbeidspartnere og etterforskere
Det er her du vil finne personer og organisasjoner som er involvert i denne studien.
Studierekorddatoer
Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.
Studer hoveddatoer
Studiestart
1. mai 2015
Primær fullføring (Faktiske)
1. august 2016
Studiet fullført (Faktiske)
1. mai 2021
Datoer for studieregistrering
Først innsendt
16. september 2014
Først innsendt som oppfylte QC-kriteriene
29. september 2014
Først lagt ut (Anslag)
30. september 2014
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
30. september 2021
Siste oppdatering sendt inn som oppfylte QC-kriteriene
28. september 2021
Sist bekreftet
1. september 2021
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
- Fysiologiske effekter av legemidler
- Adrenerge midler
- Nevrotransmittere agenter
- Molekylære mekanismer for farmakologisk virkning
- Autonome agenter
- Agenter fra det perifere nervesystemet
- Adrenerge agonister
- Bronkodilatatorer
- Anti-astmatiske midler
- Luftveismidler
- Reproduktive kontrollmidler
- Adrenerge beta-2-reseptoragonister
- Adrenerge beta-agonister
- Tokolytiske midler
- Albuterol
Andre studie-ID-numre
- H13-01079
Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .