Cystic FibrosisNCT01880723
Utilizing Exhaled Breathe Condensate Collection to Study Ion Regulation in Cystic Fibrosis
A study testing Albuterol in people with Cystic Fibrosis and Healthy, run by University of Arizona at 1 site in United States.
Trial summary
Our aims were to determine if exhaled breath condensate (EBC) could detect differences in ion regulation between cystic fibrosis (CF) and healthy and measure the effect of the albuterol on EBC ions in these populations. Read more about this study
- Who is it for?
- Ages 15 to 55 yearsHealthy volunteers can take part
- Conditions the study is for
- Cystic Fibrosis, Healthy
- What is being tested?
- Albuterol
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 32 participants
- Where
- 1 siteUnited States
- Study dates
- May 2009to Jan 2013
- Phase
- Interventional
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 15 to 55 years
- All sexes
- Healthy volunteers accepted
- Child, Adult
Who may be able to join
- Healthy subjects:
- no cardiovascular abnormalities
- not overweight BMI>25
- 18-55 years of age
- CF subjects:
- mild to moderate CF (FEV1>40% predicted)
Show all 9Show fewer
- clinically diagnosed with positive sweat test (sweat Cl->60mmol/L)
- 10-55 years of age
- clinically stable
Who cannot join
- Healthy subjects will be excluded if:
- If unable to consent for him/herself (cognitive impairment)
- Have a history or evidence of cardiovascular and/or pulmonary abnormalities.
- Have an abnormal 12-lead EKG
- Have an abnormal pulmonary function test
- Have a history of asthma
Show all 20Show fewer
- Have a history of renal disease or estimated creatinine clearance < 55ml/min
- Women who are pregnant or planning to become pregnant during the study
- CF subjects:
- If unable to consent for him/herself (cognitive impairment)
- Physically unable to perform exercise or breathing tests
- Have a history of renal disease or estimated creatinine clearance < 55ml/min
- Women who are pregnant or planning to become pregnant during the study.
- Have an abnormal 12-lead EKG
- Cystic Fibrosis related diabetes is uncontrolled
- Forced Expiratory Volume after 1 second (FEV1) is less than 40% predicted
- Have a history of joint disease
- Have history of pulmonary exacerbation within the last two weeks
- Experienced pulmonary hemorrhage within 6 months resulting in greater than 50cc of blood in the sputum
- not currently enrolled in any other research study
Trial locations and contacts
1 site in 1 country.
United States1 site
Department of Pharmacy Practice and Science, University of Arizona, Tucson, Arizona
Tucson, Arizona, 85721
About this study
Official title: Modifying Genes in Cystic Fibrosis: The Beta-2 Adrenergic Receptors and Epithelial Na+ Channels
Our aims were to determine if exhaled breath condensate (EBC) could detect differences in ion regulation between cystic fibrosis (CF) and healthy and measure the effect of the albuterol on EBC ions in these populations. We hypothesized EBC chloride and sodium would be lower in CF patients at baseline and that albuterol would decrease EBC sodium and increase EBC chloride.
- Conditions
- Cystic Fibrosis, Healthy
- Being tested
- Albuterol, Placebo saline
- Keywords
- exhaled breath condensate, diffusion capacity of the lungs for carbon monoxide and nitric oxide, albuterol, peripheral oxygen saturation, ion regulation
- Medical subject headings
- Cystic Fibrosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AlbuterolDrug
2.5 mg diluted in 3mL normal saline nebulized using a Power Neb2 nebulizer
Placebo salineDrug
nebulized 3mL normal saline) using a Power Neb2 nebulizer
| Study group | Role | What they receive |
|---|---|---|
| Albuterol | Experimental | 2.5 mg diluted in 3mL normal saline nebulized using a Power Neb2 nebulizer Receives: Drug: Albuterol |
| Saline (healthy only) | Placebo comparator | nebulized 3 ml normal saline using a Power Neb2 nebulizer Receives: Drug: Placebo saline |
What is being measured
The primary outcome is the main question the study is designed to answer.
Exhaled Sodium (mmol/L)
We collected exhaled breath condensate (EBC) samples, with subjects breathing on a Jaeger EcoScreen for 20 minutes. EBC samples were collected in cystic fibrosis and healthy subjects before and 30-, 60-, and 90-minutes following albuterol administration.
Measured: up to 90-minutes post albuterol
Net Exhaled Chloride
The calculation of net chloride efflux was used to account for the paracellular reabsorption of Cl- that will follow the reabsorption of Na+ to maintain electroneutral ion flux. Thus, the net chloride efflux calculation used was the gross chloride concentration plus the absolute value of the percent change in sodium from baseline multiplied by the gross chloride concentration for each time point:
Net Cl- efflux - [Cl- X-min post] + (([Na+ X-min post]-[Na+Baseline])/ [Na+Baseline]) x [Cl- X-min post])
Measured: baseline to 90 minutes post albuterol administration
Secondary outcomes (3)
Diffusion Capacity of the Lungs for Carbon Monoxide
Using the rebreathe technique the diffusion capacity of the lungs for carbon monoxide and nitric oxide were measured, and this allowed for the determination of alveolar-capillary membrane conductance and pulmonary capillary blood volume. These measurements were made at baseline and 30-, 60- and 90-minutes post albuterol administration in cystic fibrosis and healthy subjects.
Measured: baseline, 30-, 60- and 90-minutes post albuterol administration
Diffusion Capacity of the Lungs for Nitric Oxide
Using the rebreathe technique the diffusion capacity of the lungs for carbon monoxide and nitric oxide were measured, and this allowed for the determination of alveolar-capillary membrane conductance and pulmonary capillary blood volume. These measurements were made at baseline and 30-, 60- and 90-minutes post albuterol administration in cystic fibrosis and healthy subjects.
Measured: baseline, 30-, 60- and 90-minutes post albuterol administration
Peripheral Oxygen Saturation
A finger pulse oximeter allowed for the measurement of peripheral oxygen saturation at baseline, 30-, 60- and 90-minutes post albuterol in cystic fibrosis and healthy subjects.
Measured: baseline, 30-, 60- and 90-minutes post albuterol
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Jun 2013 (estimated)
- Study startMay 2009
- Primary completionJul 2012
- Study completionJan 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for Cystic FibrosisStudies of the same condition, open and under way.
- More trials run by University of ArizonaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Basic science
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 32 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Arizona
- Sponsor type
- University, hospital or other
- Collaborators
- National Heart, Lung, and Blood Institute (NHLBI)
- Responsible party
- Principal investigator, Courtney Wheatley, University of Arizona
- Investigators
- Wayne J Morgan, MD, Principal investigator, Department of Pediatrics- Pulmonology, Allergy and Immunology, University of Arizona, Tucson, ArizonaCori M Daines, MD, Principal investigator, Department of Pediatrics- Pulmonology, Allergy and Immunology, University of Arizona, Tucson, ArizonaEric M Snyder, PhD, Principal investigator, Department of Pharmacy Practice and Science, University of Arizona, Tucson, ArizonaHanna Phan, PharmD, Principal investigator, Department of Pharmacy Practice and Science, University of Arizona, Tucson, ArizonaAsad Patanwalla, PharmD, Principal investigator, Department of Pharmacy Practice and Science, University of Arizona, Tucson, Arizona
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01880723
- Sponsor's protocol ID
- 08-1123-01
- Other IDs
- 1R01HL108962-01
- Status last verified
- Nov 2023
- First submitted
- 15 Jun 2013
- Last updated
- 29 Nov 2023
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Foxx-Lupo WT, Wheatley CM, Baker SE, Cassuto NA, Delamere NA, Snyder EM. Genetic variation of the alpha subunit of the epithelial Na+ channel influences exhaled Na+ in healthy humans. Respir Physiol Neurobiol. 2011 Dec 15;179(2-3):205-11. doi: 10.1016/j.resp.2011.08.008. Epub 2011 Aug 26.
PubMed 21889619Baker SE, Wheatley CM, Cassuto NA, Foxx-Lupo WT, Sprissler R, Snyder EM. Genetic variation of alphaENaC influences lung diffusion during exercise in humans. Respir Physiol Neurobiol. 2011 Dec 15;179(2-3):212-8. doi: 10.1016/j.resp.2011.08.007. Epub 2011 Aug 26.
PubMed 21893217Wheatley CM, Foxx-Lupo WT, Cassuto NA, Wong EC, Daines CL, Morgan WJ, Snyder EM. Impaired lung diffusing capacity for nitric oxide and alveolar-capillary membrane conductance results in oxygen desaturation during exercise in patients with cystic fibrosis. J Cyst Fibros. 2011 Jan;10(1):45-53. doi: 10.1016/j.jcf.2010.09.006. Epub 2010 Nov 2.
PubMed 21050829Traylor BR, Wheatley CM, Skrentny TT Jr, Foxx-Lupo WT, Phan H, Patanwala AE, Morgan WJ, Daines CL, Sprissler R, Snyder EM. Influence of genetic variation of the beta2-adrenergic receptor on lung diffusion in patients with cystic fibrosis. Pulm Pharmacol Ther. 2011 Oct;24(5):610-6. doi: 10.1016/j.pupt.2011.06.001. Epub 2011 Jun 15.
PubMed 21703359Snyder EM, Wong EC, Foxx-Lupo WT, Wheatley CM, Cassuto NA, Patanwala AE. Effects of an inhaled beta2-agonist on cardiovascular function and sympathetic activity in healthy subjects. Pharmacotherapy. 2011 Aug;31(8):748-56. doi: 10.1592/phco.31.8.748.
PubMed 21923601
Study at a glance
From the registry record, last updated by the sponsor on 29 Nov 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Modifying Genes in Cystic Fibrosis: The Beta-2 Adrenergic Receptors and Epithelial Na+ Channels
- ClinicalTrials.gov ID
- NCT01880723
- Acronym / sponsor ID
- 08-1123-01
- Conditions
- Cystic Fibrosis, Healthy
- Keywords
- exhaled breath condensate, diffusion capacity of the lungs for carbon monoxide and nitric oxide, albuterol, peripheral oxygen saturation, ion regulation
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 32 participants (actual)
- Lead sponsor
- University of ArizonaUniversity, hospital or other
- Collaborators
- National Heart, Lung, and Blood Institute (NHLBI)
- Study start
- May 2009
- Primary completion
- Jul 2012 (actual)
- Study completion
- Jan 2013 (actual)
- First posted
- 19 Jun 2013 (estimated)
- Results
- Posted 25 Jun 2014
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Our aims were to determine if exhaled breath condensate (EBC) could detect differences in ion regulation between cystic fibrosis (CF) and healthy and measure the effect of the albuterol on EBC ions in these populations. We hypothesized EBC chloride and sodium would be lower in CF patients at baseline and that albuterol would decrease EBC sodium and increase EBC chloride.
Study design
- Primary purpose
- Basic science
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Albuterol | Experimental | Drug: Albuterol2.5 mg diluted in 3mL normal saline nebulized using a Power Neb2 nebulizer |
| Saline (healthy only) | Placebo comparator | Drug: Placebo salinenebulized 3 ml normal saline using a Power Neb2 nebulizer |
Who may qualify
- Ages
- 15 to 55 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult
Key inclusion criteria (9 listed)
- no cardiovascular abnormalities
- not overweight BMI>25
- 18-55 years of age
- mild to moderate CF (FEV1>40% predicted)
- clinically diagnosed with positive sweat test (sweat Cl->60mmol/L)
Key exclusion criteria (20 listed)
- If unable to consent for him/herself (cognitive impairment)
- Have a history or evidence of cardiovascular and/or pulmonary abnormalities.
- Have an abnormal 12-lead EKG
- Have an abnormal pulmonary function test
- Have a history of asthma
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Albuterol2.5 mg diluted in 3mL normal saline nebulized using a Power Neb2 nebulizer | Drug | Albuterol |
| Placebo salinenebulized 3mL normal saline) using a Power Neb2 nebulizer | Drug | Saline (healthy only) |
Primary outcome
Exhaled Sodium (mmol/L)
Time frame: up to 90-minutes post albuterol
We collected exhaled breath condensate (EBC) samples, with subjects breathing on a Jaeger EcoScreen for 20 minutes. EBC samples were collected in cystic fibrosis and healthy subjects before and 30-, 60-, and 90-minutes following albuterol administration.
Net Exhaled Chloride
Time frame: baseline to 90 minutes post albuterol administration
The calculation of net chloride efflux was used to account for the paracellular reabsorption of Cl- that will follow the reabsorption of Na+ to maintain electroneutral ion flux. Thus, the net chloride efflux calculation used was the gross chloride concentration plus the absolute value of the percent change in sodium from baseline multiplied by the gross chloride concentration for each time point: Net Cl- efflux - [Cl- X-min post] + (([Na+ X-min post]-[Na+Baseline])/ [Na+Baseline]) x [Cl- X-min post])
3 secondary outcomes
Diffusion Capacity of the Lungs for Carbon Monoxide
Time frame: baseline, 30-, 60- and 90-minutes post albuterol administration
Diffusion Capacity of the Lungs for Nitric Oxide
Time frame: baseline, 30-, 60- and 90-minutes post albuterol administration
Peripheral Oxygen Saturation
Time frame: baseline, 30-, 60- and 90-minutes post albuterol
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Nov 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 21889619Foxx-Lupo WT, Wheatley CM, Baker SE, Cassuto NA, Delamere NA, Snyder EM. Genetic variation of the alpha subunit of the epithelial Na+ channel influences exhaled Na+ in healthy humans. Respir Physiol Neurobiol. 2011 Dec 15;179(2-3):205-11. doi: 10.1016/j.resp.2011.08.008. Epub 2011 Aug 26.
- Results publication: PubMed 21893217Baker SE, Wheatley CM, Cassuto NA, Foxx-Lupo WT, Sprissler R, Snyder EM. Genetic variation of alphaENaC influences lung diffusion during exercise in humans. Respir Physiol Neurobiol. 2011 Dec 15;179(2-3):212-8. doi: 10.1016/j.resp.2011.08.007. Epub 2011 Aug 26.
- Results publication: PubMed 21050829Wheatley CM, Foxx-Lupo WT, Cassuto NA, Wong EC, Daines CL, Morgan WJ, Snyder EM. Impaired lung diffusing capacity for nitric oxide and alveolar-capillary membrane conductance results in oxygen desaturation during exercise in patients with cystic fibrosis. J Cyst Fibros. 2011 Jan;10(1):45-53. doi: 10.1016/j.jcf.2010.09.006. Epub 2010 Nov 2.
- Results publication: PubMed 21703359Traylor BR, Wheatley CM, Skrentny TT Jr, Foxx-Lupo WT, Phan H, Patanwala AE, Morgan WJ, Daines CL, Sprissler R, Snyder EM. Influence of genetic variation of the beta2-adrenergic receptor on lung diffusion in patients with cystic fibrosis. Pulm Pharmacol Ther. 2011 Oct;24(5):610-6. doi: 10.1016/j.pupt.2011.06.001. Epub 2011 Jun 15.
- Results publication: PubMed 21923601Snyder EM, Wong EC, Foxx-Lupo WT, Wheatley CM, Cassuto NA, Patanwala AE. Effects of an inhaled beta2-agonist on cardiovascular function and sympathetic activity in healthy subjects. Pharmacotherapy. 2011 Aug;31(8):748-56. doi: 10.1592/phco.31.8.748.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Wayne J Morgan, MD principal investigator
Department of Pediatrics- Pulmonology, Allergy and Immunology, University of Arizona, Tucson, Arizona
Cori M Daines, MD principal investigator
Department of Pediatrics- Pulmonology, Allergy and Immunology, University of Arizona, Tucson, Arizona
Eric M Snyder, PhD principal investigator
Department of Pharmacy Practice and Science, University of Arizona, Tucson, Arizona
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Albuterol in people with Cystic Fibrosis and Healthy, run by University of Arizona at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 20 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 29 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Yes. Results are posted in the registry (first posted 25 Jun 2014). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Exhaled Sodium (mmol/L) (time frame: up to 90-minutes post albuterol). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01880723, which also lists 5 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Nov 2023; AzTrials last refreshed its copy on 6 Nov 2026.