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

2019年7月8日 更新者: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.

研究概览

详细说明

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.

研究类型

观察性的

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习地点

      • London、英国、SW3 6LY
        • National Heart and Lung Institute

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

35年 及以上 (成人、年长者)

接受健康志愿者

不适用

有资格学习的性别

全部

描述

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

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

调查人员

  • 首席研究员:Sergei A Kharitonov, MD PhD、National Heart and Lung Institute

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (预期的)

2005年1月1日

初级完成 (预期的)

2007年9月1日

研究完成 (预期的)

2007年9月1日

研究注册日期

首次提交

2008年4月4日

首先提交符合 QC 标准的

2008年4月9日

首次发布 (估计)

2008年4月10日

研究记录更新

最后更新发布 (实际的)

2019年7月10日

上次提交的符合 QC 标准的更新

2019年7月8日

最后验证

2019年7月1日

更多信息

与本研究相关的术语

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)?

不

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