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Microbioma in Sputa From COPD With Alpha-1 Antitrypsin Deficiency

Completed
Conditions
Alpha-1 Antitrypsin Deficiency
Interventions
Other: collection of sputum
Registration Number
NCT02547532
Lead Sponsor
Fondazione Salvatore Maugeri
Brief Summary

In the context of the increasing evidence of the pathogenetic role of microbiome in COPD, our aim is to determine the total and specific bacterial and viral load in sputa from patients with COPD due to AATD and to correlate these findings with cellular, biochemical and immunological characteristics of sputa. These quantitative data obtained from sputum will be analyzed in the context of the clinical and physiological parameters of the patients.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
100
Inclusion Criteria
  • diagnosis of COPD and a clinical stable condition, i.e. at least three months from the last AECOPD and/or antibiotic treatment.

For patients with AATD this condition will be diagnosed by laboratory tests showing low levels of AAT and genotyping of AATD-related genes.

.

Exclusion Criteria
  • The presence of important co-morbidities (diabetes, systemic or organ infections, immunodeficiency, tumors, moderate-severe heart failure) will be considered as exclusion criteria.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
normal smokerscollection of sputumsubjects with a history of smoking, without symptoms, without AATD and with normal lung function
AATD treatedcollection of sputumpatients with COPD, with AATD on augmentation therapy for AATD
usual COPDcollection of sputumPatients meeting the diagnostic criteria for COPD and without AATD
normal non smokerscollection of sputumsubjects without a history of smoking, without symptoms, without AATD and with normal lung function
AATD not treatedcollection of sputumpatients with COPD, with AATD and not on augmentation therapy for AATD
Primary Outcome Measures
NameTimeMethod
composition of microbioma in sputa2 years
Secondary Outcome Measures
NameTimeMethod
correlation with clinical and physiological parameters2 years
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