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LCI and Bronchial Inflammation in Patients With BO (FRABO-02)

22 juli 2015 uppdaterad av: Dr. med. Martin Rosewich, Johann Wolfgang Goethe University Hospital

Lung Clearance Index (LCI) and Bronchial Inflammation in Patients With Bronchiolitis Obliterans (BO)

The investigators here compare lung function parameters (RV, RV/TLC and FEF75) with the results of the Lung Clearance index (LCI) . Further this study evaluates bronchial inflammatory markers in 20 patients with bronchiolitis obliterans at the age of 6 to 28 years compared with an age- and sex-matched control group. The investigators will perform a pulmonary function test (body plethysmography with DLCO) and compare the results with the LCI. Further we will measure the fraction of exhaled nitric oxide (FeNO) and draw a blood sample to determine the level of systemic inflammation. Finally induced sputum is collected and a cell count is performed, and cells and supernatants are analyzed for inflammatory markers. This study will set baseline markers for future interventional studies.

Studieöversikt

Status

Avslutad

Detaljerad beskrivning

The purpose of this study is to compare lung function values with the Lung clearance index of 20 Patients with Bronchiolitis obliterans aged between 6 up to 28 years. Further we aim to compare the bronchial Inflammation between the patients and a reference group with similar age conditions to determine possible outcome-parameters for following interventional studies.

The sputum samples will be processed and quantitatively analyzed to get a profile of the cytological composition.

(Sputum and serum samples are analyzed by quantitative real-time polymerase chain reaction (PCR) (qRT-PCR) and by cytometric bead assay (CBA).)

Methods and Work Programme:

  • Measurement of nitric oxide in expired air (FeNO)
  • Lung function testing with spirometry and body plethysmography
  • Lung clearance index (LCI)
  • Bronchodilation
  • Blood test: blood count, CRP, RAST, serum inflammatory mediators, (genetic markers of the non-specific pulmonary defense system)
  • Induced sputum for inflammatory mediators and microbiological investigations

Studietyp

Observationell

Inskrivning (Faktisk)

37

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

    • Hessen
      • Frankfurt am Main, Hessen, Tyskland, 60590
        • Children's Hospital, Goethe-University

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

6 år till 28 år (Barn, Vuxen)

Tar emot friska volontärer

Ja

Kön som är behöriga för studier

Allt

Testmetod

Icke-sannolikhetsprov

Studera befolkning

Patients suffering from Bronchiolitis obliterans and controls

Beskrivning

Inclusion Criteria:

  • informed consent
  • between 6 and 28 years of age
  • Known Bronchiolitis obliterans

    • no Bronchiolitis obliterans(depending on the study group)
  • Ability to perform lung function tests and inhalation

Exclusion Criteria:

  • Acute illness with systemic or bronchial inflammation
  • every chronic condition or infection (eg HIV, tuberculosis, malignancy)
  • pregnancy
  • known alcohol and/ or drug abuse
  • Inability to understand the extent and scope of the study
  • Participation in another study

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

Kohorter och interventioner

Grupp / Kohort
Intervention / Behandling
Ämnesgrupp
Patienter som lider av läkare diagnostiserade bronchiolit obliterans
Kontrollgrupp
ålder och kön anpassas till ämnesgrupp

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
LCI compared to RV/TLC%-pred.
Tidsram: during Visit 1 (single day, single observation)
Correlation of these lung function Parameters in patients with BO compared to healthy controls
during Visit 1 (single day, single observation)

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
change of sputum cell count over time (percentage of neutrophils)
Tidsram: during Visit 1 (single day, single observation)
induced sputum will be analyzed for different cellular components such as alveolar macrophages, neutrophils, lymphocytes and others. Epithelial cells will be excluded
during Visit 1 (single day, single observation)
Comparison of low CrP
Tidsram: during Visit 1 (single day, single observation)
serum parameter for systemic inflammation
during Visit 1 (single day, single observation)
FVC (%-pred.)
Tidsram: during Visit 1 (single day, single observation)
To compare FVC (%-pred.)of patients suffering from BO with FVC (%-pred.)of a healthy control group
during Visit 1 (single day, single observation)
FEV1 (%-pred.)
Tidsram: during Visit 1 (single day, single observation)
To compare FEV1 (%-pred.)of patients suffering from BO withFEV1 (%-pred.)of a healthy control group
during Visit 1 (single day, single observation)
Tiffeneau-Index
Tidsram: during Visit 1 (single day, single observation)
To compare Tiffeneau-Index of patients suffering from BO with Tiffeneau-Index of a healthy control group
during Visit 1 (single day, single observation)
sRtot (%-pred.)
Tidsram: during Visit 1 (single day, single observation)
To compare sRtot (%-pred.) of patients suffering from BO with sRtot (%-pred.) of a healthy control group
during Visit 1 (single day, single observation)
RV/TLC (%-pred.)
Tidsram: during Visit 1 (single day, single observation)
To compare RV/TLC (%-pred.) of patients suffering from BO with RV/TLC (%-pred.) of a healthy control group
during Visit 1 (single day, single observation)
IL-6 (pg/ml)
Tidsram: during Visit 1 (single day, single observation)
comparing IL-6 in Serum of patients with BO with healthy controls
during Visit 1 (single day, single observation)
IL-8 (pg/ml)
Tidsram: during Visit 1 (single day, single observation)1
comparing IL-8 in Serum of patients with BO with healthy controls
during Visit 1 (single day, single observation)1
IL-17 (pg/ml)
Tidsram: during Visit 1 (single day, single observation)
comparing IL-17 in Serum of patients with BO with healthy controls
during Visit 1 (single day, single observation)
IL-6 (mRNA delta-delta-ct)
Tidsram: during Visit 1 (single day, single observation)
compare IL-6 mRNA in Sputum cells of patients with BO with healthy controls
during Visit 1 (single day, single observation)
IL-8 (mRNA delta-delta-ct)
Tidsram: during Visit 1
compare IL-8 mRNA in Sputum cells of patients with BO with healthy controls
during Visit 1
IL-17 (mRNA delta-delta-ct)
Tidsram: during Visit 1 (single day, single observation)
compare IL-17 mRNA in Sputum cells of patients with BO with healthy controls
during Visit 1 (single day, single observation)
Percentage of FOXP3 positive cells in Sputum
Tidsram: during Visit 1 (single day, single observation)
compare percentage of FOXP3 positive cells in Sputum cells of patients with BO with healthy controls
during Visit 1 (single day, single observation)

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Utredare

  • Huvudutredare: Martin Rosewich, MD, Johann Wolfgang Goethe University Hospital

Publikationer och användbara länkar

Den som ansvarar för att lägga in information om studien tillhandahåller frivilligt dessa publikationer. Dessa kan handla om allt som har med studien att göra.

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart

1 april 2013

Primärt slutförande (Faktisk)

1 november 2013

Avslutad studie (Faktisk)

1 december 2014

Studieregistreringsdatum

Först inskickad

6 juli 2015

Först inskickad som uppfyllde QC-kriterierna

8 juli 2015

Första postat (Uppskatta)

13 juli 2015

Uppdateringar av studier

Senaste uppdatering publicerad (Uppskatta)

23 juli 2015

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

22 juli 2015

Senast verifierad

1 juli 2015

Mer information

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