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临床试验/NCT03718793
NCT03718793招募中不适用

Small Airway Inflammation and Dysfunction in Different Asthma Phenotypes

Tampere University Hospital2 个研究点 分布在 1 个国家目标入组 160 人开始时间: 2019年2月15日最近更新:
适应症

试验速览

阶段
不适用
状态
招募中
入组人数
160
试验地点
2
主要终点
Prevalence of small airway inflammation (measured by peripheral NO output) in untreated asthma

研究概览

简要总结

Small airway inflammation and dysfunction will be measured in 40 children and 40 adults with asthma before and after 8 weeks of treatment with inhaled budesonide. The same measurements will be conducted once in 80 age and sex matched healthy controls.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Diagnostic
盲法
None

入排标准

年龄范围
4 Years 至 65 Years(Child, Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • symptoms of asthma and objective evidence of variable or reversible airway obstruction according to at least one of the following criteria
  • significant response to bronchodilator (in subjects 7 years or older: FEV1 (forced expiratory volume in 1st second) or FVC (forced vital capacity) increases at least 12 % and 200 ml; in 4-6 years old subjects R5 decreases at least 40 %)
  • in at least 12 years old subjects significant diurnal variation (at least 20 % and 60 l/min on at least three days) or significant response to bronchodilator ( at least 15 % and 60 l/min on at least three occasions) in PEF (peak expiratory flow) during a two-week monitoring
  • significant airway hyperreactivity (PD20 FEV1 of methacholine less than 600 µg in at least 16 years old subjects, FEV1 decreases at least 15 % in exercise test in 7-15 years old, or R5 increases at least 40 % during free-running test in 4-6 years old subjects)

排除标准

  • current smoking
  • regular anti-inflammatory asthma medication (will be paused for at least 4 weeks before enrollment)
  • other chronic pulmonary disease
  • other diseases that in the opinion of the treating physician prevents participation

结局指标

主要结局

Prevalence of small airway inflammation (measured by peripheral NO output) in untreated asthma

时间窗: Baseline

Change in peripheral NO output

Prevalence of small airway dysfunction (measured by peripheral airway resistance) in untreated asthma

时间窗: Baseline

Change in peripheral airway resistance

次要结局

  • Correlation between ECP/B-Eos ratio and peripheral NO output in untreated asthma(Baseline)
  • Difference in Eosinophil Cationic Protein (ECP)/B-Eos ratio between asthmatics and controls(Baseline)
  • Correlation between ECP/B-Eos ratio and peripheral airway resistance in untreated asthma(Baseline)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Lauri Lehtimäki

Associate professor

Tampere University Hospital

研究点 (2)

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