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Development and Validation of a Sputum Biomarker mRNA Panel for the Diagnostic Work-up of Asthma 3

Not Applicable
Terminated
Conditions
Asthmatic Patients
Interventions
Drug: long acting beta2 mimetic
Registration Number
NCT01224964
Lead Sponsor
Universitaire Ziekenhuizen KU Leuven
Brief Summary

The main objectives of the study are:

1. To unravel the importance of molecular phenotyping in predicting the response to classical anti-asthma treatment (leukotriene antagonists)

The investigators have developed a non-invasive technique based on mRNA analysis of induced sputum that enables us to study airway inflammation in detail. This technique forms the basis for our current project based on the following hypotheses:

1. Different molecular asthma phenotypes exist: a Th2 phenotype and a non Th2 phenotype as reported by Woodruff and colleagues (Woodruff PG et al). Sputum mRNA cytokine levels can be used to diagnose Th2 asthma and discriminate this from non-Th2 asthma.

2. Based on our previous research and preliminary data that non-Th2 asthma can be further divided in Th17 asthma and Th1+Th2 asthma; besides these, a fourth group without Th2, Th17 or Th1 characteristics also exist.

3. These subgroups have different responses to anti-leukotrienes.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
1
Inclusion Criteria
  • uncontrolled persistent asthmatics on daily inhaled corticosteroids (GINA)
Exclusion Criteria
  • viral/fungal/bacterial infection +fever (<1 month)
  • asthma exacerbation (<3 months)
  • other respiratory disease (CF, ciliary dyskinesia,bronchiectasis)
  • cardiac patients using beta-blockers

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
MontelukastMontelukast-
long-acting beta2-mimeticlong acting beta2 mimetic-
Primary Outcome Measures
NameTimeMethod
sputum cytokine mRNA8 weeks
Secondary Outcome Measures
NameTimeMethod
responsiveness to the medication8 weeks

Trial Locations

Locations (1)

University Hospital of Leuven

🇧🇪

Leuven, Vlaams-Brabant, Belgium

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