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Airway Inflammation and Remodeling in Asthma and COPD.

Completed
Conditions
Asthma
COPD
Registration Number
NCT02069054
Lead Sponsor
Medical University of Warsaw
Brief Summary

Asthma and chronic obstructive pulmonary disease (COPD) are inflammatory airway diseases. Although the clinical features of asthma and COPD may be similar, the pathogenesis of these diseases differs in many aspects.

The aim of this study is:

* to evaluate airway inflammation in asthma and COPD,

* to evaluate airway remodeling in asthma and COPD as compared to healthy subjects,

* to assess the relationship between markers of airway inflammation and airway remodeling in asthma and COPD patients.

Material and methods:

* mild to moderate asthma patients diagnosed in accordance with Global Initiative for Asthma (GINA) guidelines,

* mild to moderate COPD patients diagnosed in accordance with Global initiative for chronic Obstructive Lung Disease (GOLD) guidelines,

* healthy subjects as controls.

Airway inflammation is assessed in induced sputum (IS), exhaled breath condensate (EBC), bronchoalveolar lavage fluid (BALF) and specimens from endobronchial forceps biopsy. Airway wall thickness is evaluated in high resolution computed tomography (HRCT), endobronchial ultrasound (EBUS) and basement membrane thickness (BMT) in biopsy specimens.

We plan to compare airway inflammation and features of airway remodeling in asthma and COPD patients.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
72
Inclusion Criteria
  • a clinical diagnosis of asthma or COPD in accordance with GINA or GOLD, respectively
  • control group - healthy volunteers without any history of lung disease
Exclusion Criteria
  • age below 18 years
  • exacerbation in the past 6 weeks
  • inhaled corticosteroid therapy at least 6 weeks prior to study enrollment
  • significant co-morbidities

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Inflammatory markersApproximately 1-2 months after completion of study procedures (bronchoscopy, induced sputum, etc.) in all patients (probably January 2015)

Inflammatory markers in exhaled breath condensate and induced sputum in healthy subjects, COPD and asthma patients.

Airway wall thicknessApproximately 1-2 months after completion of study procedures (bronchoscopy with EBUS, HRCT) in all patients (probably January 2015)

Airway wall thickness in healthy subject, COPD and asthma patients assessed by HRCT and EBUS

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Department of Internal Medicine, Pneumonology and Allergology, Medical University of Warsaw 02-097

🇵🇱

Warsaw, Poland

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