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Precision Medicine Intervention in Severe Asthma (PRISM) Study

Conditions
Severe Asthma
Registration Number
NCT05164939
Lead Sponsor
Asan Medical Center
Brief Summary

The Korea-UK Precision Medicine Intervention in Severe Asthma (PRISM) study aims to identify molecular phenotypes of severe asthma by analyzing multi-omics data including genomics, epigenomics, transcriptomics, proteomics, metagenomics, and metabolomics.

Detailed Description

This is a prospective, observational cohort study. The participants are composed of the patients having severe asthma treated with biologic agents or conventional medication. Once enrolled, regular evaluation of clinical characteristics and obtainment of samples for omics analysis is conducted to identify clinically relevance molecular signals in severe asthmatics.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
200
Inclusion Criteria
  • Male or female subject aged between 18 years and 80 years
  • Give written informed consent prior to participation in the study including all procedures
  • Comply with study protocol requirements
  • Able to read, comprehend, and write at a sufficient level to complete study related materials
  • Able to complete the study and all measurements
  • All patients have been through a severe asthma protocol that have ascertained the diagnosis of severe asthma, maximised treatments and ensured adherence to therapy.
  • Stable asthma therapy for at least a month before screening
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Exclusion Criteria
  • As a result of medical interview, physical examination or screening investigation the investigators consider the subject unfit either because of risk to the subject due to the study or the influence this may have on the study results.
  • A history of recreational drug use or allergy which in the opinion of the investigators contraindicates their participation.
  • Participation within 3 months in any a trial testing a new molecular entity or drug.
  • Those, in the opinion of the investigator, who may prove non-compliant with study procedures.
  • Within 4 weeks of screening visit been hospitalized or required high dose oral corticosteroid (>30 mg prednisolone per day) therapy, asthma not been stable.
  • Patients who have had prior treatment with bronchial thermoplasty, defined as completion of all thermoplasty treatment sessions within 6 months of screening
  • History of significant pulmonary disease other than severe asthma.
  • History of pulmonary eosinophilic syndrome or hyper eosinophilic syndrome.
  • History of bronchopulmonary aspergillosis
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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Asthma exacerbationsbaseline, 1month, 6month, 10 month

Changes of number of asthma exacerbations

Secondary Outcome Measures
NameTimeMethod
Induced sputum eosinophilbaseline, 1month, 6month, 10 month

Changes in sputum eosinophil

Quality of Life Questionnairebaseline, 1month, 6month, 10 month

Change in quality of life using EuroQol-5 dimension

Forced Exahled Volume in 1 second (FEV1)baseline, 1month, 6month, 10 month

Changes in FEV1 in liter and % from baseline

Fraction of exhaled nitric oxide, FENObaseline, 1month, 6month, 10 month

Changes in FENO in ppb

Rhinosinusitis symptomsbaseline, 1month, 6month, 10 month

Change in nasal symptoms using 22-item Sino-Nasal Outcome Test (SNOT-22)

Forced Vital Capacity (FVC)baseline, 1month, 6month, 10 month

Changes in FVC in liter and % from baseline

Asthma symptom controlbaseline, 1month, 6month, 10 month

Changes in symptom score using the Asthma Control Test (ACT)

Blood eosinophilsbaseline, 1month, 6month, 10 month

Changes in blood eosinophil

Trial Locations

Locations (2)

Asan medical center

🇰🇷

Seoul, Songpagu, Korea, Republic of

Imperial college

🇬🇧

London, United Kingdom

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