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临床试验/ACTRN12614001109695
ACTRN12614001109695招募中未知

A study to investigate the underlying molecular characteristics of allergic asthma by comparing biomarkers in the airways or blood among healthy subjects, mild and severe asthmatics.

John Hunter Hospital0 个研究点目标入组 50 人开始时间: 2014年10月20日最近更新:
适应症

试验速览

阶段
未知
状态
招募中
入组人数
50

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional
分配方式
Non-randomised trial
主要目的
Diagnosis

入排标准

年龄范围
6 Years 至 75 Years(—)
性别
All

入选标准

  • Participants:
  • This is a prospective case control study; we will recruit the following subjects:
  • 1.Stable allergic asthma. Subjects aged 6 – 75 years with mild-to-moderate asthma (control of asthma symptoms (Asthma control questionnaire (ACQ6) score <1.5), and who have evidence of AHR to hypertonic saline and allergic sensitization to common inhalant allergens. On less than 1000mcg/d beclomethasone equivalent.
  • 2.Severe uncontrolled allergic asthma, suitable for Omalizumab. Participants with severe refractory asthma, 18 years and older who have persistent poor asthma control (ACQ6 >1.5) despite treatment with greater than 1000mcg/d beclomethasone equivalent per day and a history of an acute exacerbation in the last 12 months requiring systemic corticosteroids for 3 days or more, and who are suitable for commencement of treatment with omalizumab.
  • 3.Healthy controls. Non-asthmatic subjects aged 6 – 75 years with normal lung function and no allergic sensitization.
  • Key inclusion criteria
  • Cases with severe allergic asthma
  • *Asthma diagnosis, and who have evidence of AHR to hypertonic saline or change in FEV1 following bronchodilator >12% and at least 200mls.
  • *Age: 18 years and older and determined to be suitable for omalizumab treatment
  • *Regular maintenance treatment with inhaled corticosteroid and long acting beta agonist (dose of ICS >1000mcg/d fluticasone or 1600mcg/d of budesonide)
  • *Evidence of atopy, defined by positive skin prick test or RAST.
  • *Total serum IgE >75 IU/ml
  • *Persistent poor symptom control (ACQ6 >1.5).
  • *Oral corticosteroid use of at least 10mg/d of prednisone for at least 6 weeks in the last 12 months.
  • *Current non-smoker with <10 pack year history of smoking
  • Cases with controlled mild to moderate allergic asthma
  • *Asthma diagnosis, and who have evidence of AHR to hypertonic saline or change in FEV1 following bronchodilator >12% and at least 200mls.
  • *Age 6 -75 years
  • *Regular maintenance treatment with inhaled corticosteroid (dose of ICS <1000mcg/d fluticasone or 1600mcg/d of budesonide)
  • *Evidence of atopy, defined by positive skin prick test or RAST.
  • *Good asthma symptom control (ACQ6 <1.5)
  • *Current non-smoker with <10 pack year history of smoking
  • Healthy controls
  • *Normal lung function; FEV1 >80% predicted, FER >70% predicted and no evidence of AHR to hypertonic saline or change in FEV1 following bronchodilator >12% and at least 200mls.
  • *Age 6 -75 years
  • *No previous history of chronic cardiac or respiratory disease
  • *Non-atopic, negative skin prick test or RAST
  • *Current non-smoker with <10 pack year history of smoking

排除标准

  • *Acute exacerbation of asthma within the last 4 weeks that required a change in treatment
  • *History of a viral respiratory tract infection within the last 4 weeks.
  • *Current smoker or former smoker with >10 pack year history of smoking.
  • *Inability to understand or comply with the study requirements

研究者

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