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临床试验/NL-OMON52412
NL-OMON52412招募中不适用

Bronchial and nasal and hyperreactivity in chronic (non-) allergic rhinitis - BANA(H)NA

Academisch Medisch Centrum0 个研究点目标入组 36 人开始时间: 待定最近更新:
适应症

试验速览

阶段
不适用
状态
招募中
入组人数
36

研究概览

简要总结

暂无简介。

研究设计

研究类型
Observational

入排标准

年龄范围
18 至 99(—)

入选标准

  • 1. Inclusion criteria for all groups
  • Adults 18-70 years of age
  • 2. Inclusion criteria per group
  • 2.1 Chronic allergic rhinitis
  • - Symptoms of rhinitis: rhinorrhoea/ nasal blockage/ sneezing/ itchy nose for
  • at lease 1 hour daily for a minimum of 12 weeks per year.
  • - No signs of chronic rhinosinusitis (CRS) on nasal endoscopy (i.e. nasal
  • polyps, mucopurulent discharge primarily from the middle meatus, oedema/mucosal
  • obstruction primarily in the middle meatus) or computerized tomography scan
  • (i.e. mucosal changes in the ostiomeatal complex and/or sinuses).
  • - Positive for inhalational allergens test (skin-prick test, Phadiatop) with
  • clinically relevant sensitization in the last two years.
  • 2.2 Chronic non-allergic rhinitis
  • - Symptoms of rhinitis: rhinorrhoea/ nasal blockage/ sneezing/ itchy nose for
  • at lease 1 hour daily for a minimum of 12 weeks per year.
  • - No signs of CRS on nasal endoscopy (i.e. nasal polyps, mucopurulent
  • discharge primarily from the middle meatus, oedema/mucosal obstruction
  • primarily in the middle meatus) or computerized tomography scan (i.e. mucosal
  • changes in the ostiomeatal complex and/or sinuses).
  • - Negative allergy test (skin-prick test, Phadiatop) in the last two years.
  • 2.3 Controls
  • - No symptoms of rhinitis/rhinosinusitis like rhinorrhorea, nasal blockage,
  • itch, sneezing, facial pain, post nasal drip and loss of smell;
  • - No middle ear pathology;
  • - No asthma.
  • - Normal lung function (FEV1 >80% of predicted and FEV1/FVC ratio >0.75).
  • - Negative allergy test (skin-prick test).
  • - FeNO < 25 ppb.
  • - PC20 to histamine > 8 mg/ml

排除标准

  • 1) Acute upper or lower respiratory tract infection within 3 weeks before the
  • inclusion visit;
  • 2) Chronic rhinosinusitis;
  • 3) Systemic diseases affecting the nose (e.g., Wegener*s, granulomatosis,
  • sarcoid, primary ciliary dyskinesia, cystic fibrosis);
  • 4) Inverted papilloma or malignant tumours of the sinonasal region;
  • 5) Nasal/sinus surgery in the last 3 months;
  • 6) Skin prick test or serum IgE measurement older than 2 years;
  • 7) The presence of nasal mucosal erosion, nasal ulceration, or nasal septal
  • perforation;
  • 8) A known history of alcohol or drug abuse within the last 2 years;
  • 9) Recreational drug use in the past 72 hours;
  • 10) Existence of any surgical or medical condition or physical or laboratory
  • findings, which in the opinion of the investigator, might significantly affect
  • the patient*s ability to complete this trial; or their safety in this trial;
  • 11) Smoking (including participants who stopped smoking <6 months pre-testing
  • or participants who stopped smoking >6 months ago but smoked more than 5
  • packyears);
  • 12) Exposed to passive smoking in the past 72 hours;
  • 13) BMI > 30;
  • 14) Topical nasal decongestant abuse;
  • 15) Severe septal deviation, nasal valve dysfunction;
  • 16) Pregnancy and nursing;
  • 17) Medication affecting nasal function (e.g., β-blockers);
  • 18) Subjects unable to stop using medication presented in Table 3 within the
  • corresponding timeframes;
  • 19) Subjects unable to withdraw the use of medication presented in Attachment 1
  • with corresponding time periods before HBPT;
  • 20) FEV1 < 60% predicted or 1.5 L;
  • 21) Inability to perform acceptable and repeatable spirometry manoeuvres
  • throughout the test procedure;
  • 22) Myocardial infarction or stroke in last 3 months;
  • 23) Uncontrolled hypertension (BP systolic > 200 mmHg, diastolic > 100 mmHg);
  • 24) Known aortic aneurysm;
  • 25) Recent eye surgery or intracranial pressure elevation risk;
  • 26) Inability to perform any of the testing manoeuvres, such as inhaling the
  • challenge agent consistently;
  • 27) Use of cholinesterase inhibitor medication (e.g. for myasthenia gravis):
  • neostigmine, pyridostigmine
  • 28) A positive COVID-19 self-test (within maximum of 48 hours prior to
  • bronchial provocation).
  • 29) Any other physical or psychological factors precluding subjects of
  • participation in this protocol (either safety, compliance-wise) or as deemed by
  • the investigator.

研究者

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