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Exercise Induced AsthmaNCT05174689

Epigenetic Regulation of Exercise Induced Asthma

A study testing Exercise challenge in the cold chamber (ECC), mRNA profile and standard diagnostic in people with Exercise Induced Asthma and House Dust Mite Allergy, run by Johann Wolfgang Goethe University Hospital at 1 site in Germany.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The purpose of this study is to investigate the micro ribonucleic acid (mRNA) profiles of patients with EIA without allergic sensitization and EIA with house dust mite sensitization compared to that of healthy controls. Read more about this study

Who is it for?
Ages 12 to 24 yearsHealthy volunteers can take part
What is being tested?
Exercise challenge in the cold chamber (ECC), mRNA profile and standard diagnostic
Could I receive a placebo?
No, everyone receives an active treatment
How many people
68 participants
Where
1 siteGermany
Study dates
1 Aug 2021to Sep 2022
Phase
Interventional
Are there results?
None posted in the registry

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 12 to 24 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult

Who may be able to join

  • written agreement
  • age >=12 and <= 24
  • known exercise induced asthma
  • Group 1: skin prick test positiv house-dust allergy, eNO > 30 ppb, MCT PD20 < 0,1 mg
  • Group 2: skin prick test negative house-dust allergy, eNO < 20 ppb, MCT PD20 < 1 mg
  • lung function before ECC forced vital capacity (FVC) ≥ 75% and forced exspiratory pressure in one second (FEV1) ≥ 70%
  • written agreement
  • age >=18 and <= 24

Who cannot join

  • age < 12 und > 24 years
  • lung function FVC < 75% und FEV1< 70%
  • inability to understand the range of the study
  • chronic asthma with systemic cortisone therapy
  • regular therapy with inhalative corticosteroids or leukotriene-antagonists <14 days before visit 1
  • intake of long acting beta-agonists (LABA) 48 h before examination
Show all 20Show fewer
  • intake of short acting beta-agonists (SABA) 8 h before examination
  • acute severe infection (pneumonia) within the last 4 weeks
  • other chronic diseases or infections (HIV, Tbc)
  • pregnancy
  • For healthy controls
  • age < 18 and > 24 years
  • known asthma bronchiale or other chronic lung diseases
  • lung function FVC < 90% and FEV1 < 80%
  • allergic sensitization in skin prick test
  • eNO > 30 ppb
  • inability to understand the range of the study
  • acute severe infection (pneumonia) within the last 4 weeks
  • other chronic diseases or infections (HIV, Tbc)
  • pregnancy

Trial locations and contacts

1 site in 1 country.

Melanie Dreßler, MD contact

+49-69-6301-4588

melanie.dressler@kgu.de

Helena Donath, MD contact

+49-69-6301-4588

helena.donath@kgu.de

Germany1 site, 1 recruiting
  • Universitätsklinikum Frankfurt

    Frankfurt am Main, Hesse, 60590

    Melanie Dreßler, MD, +49-69-6301-4588, melanie.dressler@kgu.de

    Helena Donath, MD, +49-69-6301-4588, helena.donath@kgu.de

    Recruiting

Other trials in Germany

About this study

Official title: Epigenetic Regulation of Excercise Induced Asthma

The purpose of this study is to investigate the micro ribonucleic acid (mRNA) profiles of patients with EIA without allergic sensitization and EIA with house dust mite sensitization compared to that of healthy controls.

Read the detailed description

Patients with known EIA are periodically reexamined by medical history, clinical examination, bodyplethysmography, spirometry, exhaled nitric oxide (eNO), skin prick test, methacholin challenge test and exercise-challenge in a cold-chamber at 2-4°C (ECC). Additionally the investigators gathers the questionnaires: Asthma Control Test (ACT) and Dyspnoe Index (DI).

Besides these standard procedures the investigators want to investigate the micro-RNA profiles in two EIA subgroups: EIA with house-dust allergy (n = 24) and EIA without house-dust allergy (n = 24).

Both groups are characterized by different eNO levels. The patients with EIA and house-dust allergy should have an eNO > 30 ppb, the patients with EIA without house-dust allergy an eNO < 20 ppb.

The micro-RNA profiles of the both EIA subgroups will be compared the micro RNA profiles of 20 healthy controls .

Therefore blood will be taken (for a complete blood count and micro RNA analysis) at three points of time: before ECC, directly after ECC and after 24 hours ± 4 hours after ECC.

Being tested
Exercise challenge in the cold chamber (ECC), mRNA profile, standard diagnostic
Keywords
Exercise Induced Asthma, eNO, exercise challenge, micro RNAs
Medical subject headings
Asthma, Exercise-Induced, Dust Mite Allergy

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Exercise challenge in the cold chamber (ECC)Diagnostic test

    Exercise challenge (defined as running on a treadmill for 6-8 minutes on submaximal work load in a cold chamber. Gradient: 10%, temperature 2-4°C. After the exercise challenge controlling bodyplethysmography and spirometry after 5, 10, 15 and 30 minutes. A positive reaction is a decrease of ≥ 10% of FEV1 in comparison to the initial value.

  • mRNA profileDiagnostic test

    Blood taking with full blood exam and PAXgene tube for investigation oft the micro RNA profiles. The PAXgene Blood RNA kit insulates total RNA inclusive miRNA and small RNA which are centrifugated, pelletised, washed and incubated to detach proteins. For mapping the particular miRNA there will be generated libraries with specifical codes to match the analysis to the original probe. Next generation sequencing will be performed by MISeq REagent Kit v3 and the analysis oft the different expressions in the R Version 3.2.3. The divergent expressions will be refurbished by computer and databased.

  • standard diagnosticDiagnostic test

    bodyplethysmography, spirometry, exhaled NO, skin prick test, asthma control test (ACT)

Study groups in NCT05174689
Study groupRoleWhat they receive
EIA wih house dust miteOtherPatients with EIA and house-dust mite allergy and an eNO > 30 ppb
Receives: Diagnostic Test: Exercise challenge in the cold chamber (ECC); Diagnostic Test: mRNA profile; Diagnostic Test: standard diagnostic
EIA without sensitizationOtherPatients with EIA without allergic sensitization and an eNO < 20 ppb
Receives: Diagnostic Test: Exercise challenge in the cold chamber (ECC); Diagnostic Test: mRNA profile; Diagnostic Test: standard diagnostic
Healthy controlsOtherHealthy controls without allergic sensitization or known asthma
Receives: Diagnostic Test: mRNA profile; Diagnostic Test: standard diagnostic

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Dysregulation of miRNA-146

    The primary endpoint is the dysregulation of miRNA-146 in comparison to the control group and within the subgroups which play an determined role in the bronchial inflammation.

    Therefore the total RNA, including miRNA, will be isolated using the PAXgene Blood miRNA Kit (Qiagen, Hilden, Germany). Concentration of RNA will be assessed using Nanodrop Lite spectrometry (Thermo Scientific, Dreieich, Germany). MiRNA libraries are generated with the QIAseq miRNA Library Kit (Qiagen, Hilden, Germany). Next generation sequencing (NGS) will be performed with the MiSeq Reagent Kit v3, the PhiX Sequencing Control v3 and the MiSeq™ Desktop Sequencer (all Illumina Inc., San Diego, CA, USA). Differential expression analysis will be performed in RStudio 1.2.1335 (https://cran.r-project.org/). False discovery rate correction will be applied and miRNAs are considered to be differentially expressed with p < 0.05.

    Measured: 1 Year

Secondary outcomes (8)
  1. Dysregulation miRNAs affecting Th2 mediated bronchial inflammation (miRNA-126, miRNA-21, miRNA-145, let7-mimic)

    Dysregulation of other miRNAs affecting the Th2 mediated bronchial inflammation (miRNA-126, miRNA-21, miRNA-145, let7-mimic) and compare to the control group.

    MiRNA preparation and measurement processes are described in Outcome 1.

    Measured: 1 Year

  2. Cange of eNO

    Change of eNO after ECC in the EIA subgroups compared to the healthy controls

    Measured: 1 Year

  3. Change of leucocytes and neutrophile granulocytes

    Change of leucocytes and neutrophile granulocytes after ECC in the EIA subgroups compared to the healthy controls

    Measured: 1 Year

  4. FEV1-decrease in ECC

    Comparison of the FEV1-decrease in ECC with significant dysregulated miRNA in the EIA subgroups compared to the healthy controls

    Measured: 1 Year

  5. Comparison eNO with significant dysregulated miRNA

    Comparison of the initial value of exhaled NO with significant dysregulated miRNA in the EIA subgroups compared to the healthy controls

    Measured: 1 Year

  6. Comparison of change of leucocytes and neutrophile granulocytes with significant dysregulated miRNA

    Comparison of the increase of leucocytes and neutrophile granulocytes after ECC significant dysregulated miRNA in the EIA subgroups compared to the healthy controls

    Measured: 1 Year

  7. Comparison of ACT with significant dysregulated miRNA

    Comparison of the score in ACT with significant dysregulated miRNA in the EIA subgroups compared to the healthy controls

    Measured: 1 Year

  8. Comparison of DI with significant dysregulated miRNA

    Comparison of the scoresin DI with significant dysregulated miRNA in the EIA subgroups compared to the healthy controls

    Measured: 1 Year

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Jan 2022
  2. Study start1 Aug 2021
  3. Primary completionAug 2022 (estimated)
  4. Study completionSep 2022 (estimated)

Resources

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
Diagnosis
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
The micro RNA profile of patients with known EIA and house dust mite allergy and patients with EIA without allergic sensitization are compared to the micro RNA profile of healthy controls
Masking
None (open label)
Enrolment
68 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05174689
Sponsor's protocol ID
E68/21
Status last verified
Dec 2021
First submitted
30 Aug 2021
Last updated
3 Jan 2022
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Parsons JP, Hallstrand TS, Mastronarde JG, Kaminsky DA, Rundell KW, Hull JH, Storms WW, Weiler JM, Cheek FM, Wilson KC, Anderson SD; American Thoracic Society Subcommittee on Exercise-induced Bronchoconstriction. An official American Thoracic Society clinical practice guideline: exercise-induced bronchoconstriction. Am J Respir Crit Care Med. 2013 May 1;187(9):1016-27. doi: 10.1164/rccm.201303-0437ST.

    PubMed 23634861
  • Dressler M, Friedrich T, Lasowski N, Herrmann E, Zielen S, Schulze J. Predictors and reproducibility of exercise-induced bronchoconstriction in cold air. BMC Pulm Med. 2019 May 16;19(1):94. doi: 10.1186/s12890-019-0845-3.

    PubMed 31097027
  • Dressler M, Salzmann-Manrique E, Zielen S, Schulze J. Exhaled NO as a predictor of exercise-induced asthma in cold air. Nitric Oxide. 2018 Jun 1;76:45-52. doi: 10.1016/j.niox.2018.03.004. Epub 2018 Mar 8.

    PubMed 29526567
  • Schulze J, Smith HJ, Fuchs J, Herrmann E, Dressler M, Rose MA, Zielen S. Methacholine challenge in young children as evaluated by spirometry and impulse oscillometry. Respir Med. 2012 May;106(5):627-34. doi: 10.1016/j.rmed.2012.01.007. Epub 2012 Feb 10.

    PubMed 22326606
  • Schulze J, Rosewich M, Riemer C, Dressler M, Rose MA, Zielen S. Methacholine challenge--comparison of an ATS protocol to a new rapid single concentration technique. Respir Med. 2009 Dec;103(12):1898-903. doi: 10.1016/j.rmed.2009.06.007. Epub 2009 Jul 10.

    PubMed 19596563
  • Schulze J, Rosewich M, Dressler M, Riemer C, Rose MA, Zielen S. Bronchial allergen challenge using the Medicaid dosimeter. Int Arch Allergy Immunol. 2012;157(1):89-97. doi: 10.1159/000324473. Epub 2011 Sep 7.

    PubMed 21912178
  • Schulze J, Voss S, Zissler U, Rose MA, Zielen S, Schubert R. Airway responses and inflammation in subjects with asthma after four days of repeated high-single-dose allergen challenge. Respir Res. 2012 Sep 19;13(1):78. doi: 10.1186/1465-9921-13-78.

    PubMed 22989372
  • Anderson SD, Charlton B, Weiler JM, Nichols S, Spector SL, Pearlman DS; A305 Study Group. Comparison of mannitol and methacholine to predict exercise-induced bronchoconstriction and a clinical diagnosis of asthma. Respir Res. 2009 Jan 23;10(1):4. doi: 10.1186/1465-9921-10-4.

    PubMed 19161635
  • Driessen JM, van der Palen J, van Aalderen WM, de Jongh FH, Thio BJ. Inspiratory airflow limitation after exercise challenge in cold air in asthmatic children. Respir Med. 2012 Oct;106(10):1362-8. doi: 10.1016/j.rmed.2012.06.017. Epub 2012 Jul 11.

    PubMed 22789953
  • Zielen S, Lieb A, De La Motte S, Wagner F, de Monchy J, Fuhr R, Munzu C, Koehne-Voss S, Riviere GJ, Kaiser G, Erpenbeck VJ. Omalizumab protects against allergen- induced bronchoconstriction in allergic (immunoglobulin E-mediated) asthma. Int Arch Allergy Immunol. 2013;160(1):102-10. doi: 10.1159/000339243. Epub 2012 Aug 28.

    PubMed 22948442
  • Rosewich M, Zissler UM, Kheiri T, Voss S, Eickmeier O, Schulze J, Herrmann E, Ducker RP, Schubert R, Zielen S. Airway inflammation in children and adolescents with bronchiolitis obliterans. Cytokine. 2015 May;73(1):156-62. doi: 10.1016/j.cyto.2014.10.026. Epub 2015 Mar 6.

    PubMed 25748838
  • Jerkic SP, Michel F, Donath H, Herrmann E, Schubert R, Rosewich M, Zielen S. Calprotectin as a New Sensitive Marker of Neutrophilic Inflammation in Patients with Bronchiolitis Obliterans. Mediators Inflamm. 2020 May 1;2020:4641585. doi: 10.1155/2020/4641585. eCollection 2020.

    PubMed 32410855
  • Fussbroich D, Kohnle C, Schwenger T, Driessler C, Ducker RP, Eickmeier O, Gottwald G, Jerkic SP, Zielen S, Kreyenberg H, Beermann C, Chiocchetti AG, Schubert R. A combination of LCPUFAs regulates the expression of miRNA-146a-5p in a murine asthma model and human alveolar cells. Prostaglandins Other Lipid Mediat. 2020 Apr;147:106378. doi: 10.1016/j.prostaglandins.2019.106378. Epub 2019 Nov 4.

    PubMed 31698144
  • Tan Z, Randall G, Fan J, Camoretti-Mercado B, Brockman-Schneider R, Pan L, Solway J, Gern JE, Lemanske RF, Nicolae D, Ober C. Allele-specific targeting of microRNAs to HLA-G and risk of asthma. Am J Hum Genet. 2007 Oct;81(4):829-34. doi: 10.1086/521200. Epub 2007 Aug 20.

    PubMed 17847008
  • Zhang YY, Zhong M, Zhang MY, Lv K. [Expression and clinical significance of miR-155 in peripheral blood CD4(+);T cells of patients with allergic asthma]. Xi Bao Yu Fen Zi Mian Yi Xue Za Zhi. 2012 May;28(5):540-3. Chinese.

    PubMed 22558995

Questions about this trial

What is this clinical trial studying?

A study testing Exercise challenge in the cold chamber (ECC), mRNA profile and standard diagnostic in people with Exercise Induced Asthma and House Dust Mite Allergy, run by Johann Wolfgang Goethe University Hospital at 1 site in Germany.

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 8 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: status not confirmed, as of the sponsor's last update on 3 Jan 2022. 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 Germany. 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. 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?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Melanie Dreßler, MD (+49-69-6301-4588, melanie.dressler@kgu.de), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Dysregulation of miRNA-146 (time frame: 1 Year). 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 NCT05174689, which also lists 27 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 3 Jan 2022.

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