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Non-cystic Fibrosis BronchiectasisNCT07245407

A Translational Study for Phenotyping and Endotyping Chinese Patients With NCFBE

An observational study of Non-cystic Fibrosis Bronchiectasis, run by AstraZeneca at 38 sites in China.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

Non-cystic fibrosis bronchiectasis (NCFBE) is a chronic respiratory disease characterized by a clinical syndrome of chronic productive cough and recurrent respiratory infections in the presence of abnormal and permanent dilation of the bronchi. Read more about this study

Who is it for?
Any ageHealthy volunteers can take part
Conditions the study is for
Non-cystic Fibrosis Bronchiectasis
What is being tested?
Participant Follow-up
How many people
251 participants
Where
38 sitesChina
Study dates
27 Oct 2025to 29 Jul 2027
Phase
Observational
Are there results?
Not yet: the study is under way

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 Any age
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Study population: Healthy controls will include at least 20 healthy participants aged 30 years or older, with no clinically significant lung disease or chronic lung disease. A total of up to 300 NCFBE patients (males and females aged 18 years or older) will be recruited and enrolled into the study. Patient numbers are mainly based on feasible situation. Approximately 30% of NCFBE patients in the study will be required to have had at least 2 exacerbations in the past 12 months. A subset of 60 NCFBE patients and 20 healthy participants is planned for an optional bronchoscopy assessment.

Who may be able to join

  • Healthy control cohort:
  • Age ≥30 years
  • Bronchiectasis cohort:
  • Capable of giving signed informed consent.
  • Participant must be ≥18 years of age, at the time of signing the ICF.
  • Able to perform acceptable lung function testing according to ATS/ERS 2019 acceptability criteria.
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  • Able and willing to comply with the requirements of the protocol including ability to read, write, be fluent in the translated language of all participants facing questionnaires used at center, and use electronic devices (e.g. FENO and spirometry).
  • Documented physician-diagnosed bronchiectasis: with a clinical history consistent with bronchiectasis (chronic cough and daily sputum production etc.) and having performed chest HRCT indicating bronchiectasis.
  • Remaining clinically stable upon recruitment. Patients with exacerbations are allowed to be enrolled into the study at least 4 weeks after the end of exacerbations. If a patient experiencing exacerbation and directly enters the exacerbation visit, the patient is required to come to the study site for baseline visit (after confirming that all inclusion/exclusion criteria are met) within 4 weeks /+ 3 days after the end of exacerbation

Who cannot join

  • Healthy control cohort:
  • Any respiratory diagnosis (asthma, COPD, bronchiectasis, pulmonary fibrosis or any other chronic respiratory condition requiring regular treatment).
  • Inflammatory conditions including rheumatoid arthritis, inflammatory bowel disease, any other connective tissue disease.
  • Active malignancy excluding non-melanoma skin cancer.
  • Antibiotic treatment for an acute respiratory tract infection in the previous 4 weeks or current sinusitis.
  • Any contraindication to study procedures including bronchoscopy.
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  • Current smoking or smoking in the preceding 3 months.
  • Treatment with anti-coagulants.
  • Bronchiectasis cohort:
  • Traction bronchiectasis associated with interstitial lung disease or other pulmonary disorders (e.g., pulmonary fibrosis and cystic fibrosis).
  • Primary diagnosis of another pulmonary condition, including COPD, asthma. Patients with a secondary diagnosis of these pulmonary diseases will be allowed to participate as long as bronchiectasis is considered by the investigator to be the primary diagnosis.
  • Any disorder, including, but not limited to, cardiovascular, gastrointestinal, hepatic, renal, neurological, musculoskeletal, infectious, endocrine, metabolic, hematological, psychiatric, or major physical impairment that is not stable in the opinion of the investigator and could:
  • Affect the safety of the participant throughout the study
  • Influence the findings of the study or the interpretation
  • Impede the participant's ability to complete the entire duration of study
  • The participant has a history of alcohol or drug abuse within the past year, which, in the opinion of the responsible physician, contra-indicates their participation.
  • Active malignancy excluding non-melanoma skin cancer.
  • Participants is female who is pregnant or lactating or up to 6 weeks post-partum or 6 weeks cessation of breastfeeding.
  • The participant has an altered mental status at the time of informed consent.
  • History or current evidence of an upper or lower respiratory infection or symptoms(including common cold) within 2 weeks of baseline assessments
  • Involvement in the planning and/or conduct of the study (applies to both AstraZeneca staff and/or staff at the study center).
  • Terminal disease and/or organ failure or participants otherwise considered not appropriate for the study participation.

Trial locations and contacts

38 sites in 1 country.

38 sites in 1 country

China38 sites
  • Anning First People's Hospital

    Anning, Yunnan

  • Beijing Chaoyang Hospital Affiliated to Capital Medical University

    Beijing, Beijing Municipality

  • Beijing Hospital

    Beijing, Beijing Municipality

  • Peking University People's Hospital

    Beijing, Beijing Municipality

  • The Second Hospital of Jilin University

    Changchun, Jilin

  • Xiangya Hospital of Central South University

    Changsha, Hunan

  • Chengdu Fifth People's Hospital

    Chengdu, Sichuan

  • Sichuan Academy of Medical Sciences · Sichuan Provincial People's Hospital

    Chengdu, Sichuan

  • West China Hospital of Sichuan University

    Chengdu, Sichuan

  • The Second Affiliated Hospital of Chongqing Medical University

    Chongqing, Chongqing Municipality

  • Guizhou Provincial People's Hospital

    Guiyang, Guizhou

  • The Second Affiliated Hospital of Zhejiang University School of Medicine

    Hangzhou, Zhejiang

  • Huzhou Central Hospital

    Huzhou, Zhejing

  • Jiaxing Second Hospital

    Jiaxing, Zhejiang

  • Jiaxing First Hospital

    Jiaxing, Zhejing

  • The First Affiliated Hospital of Kunming Medical University

    Kunming, Yunnan

  • Gansu Provincial Hospital

    Lanzhou, Gansu

  • The First Affiliated Hospital of Nanchang University

    Nanchang, Jiangxi

  • The First Affiliated Hospital of Guangxi Medical University

    Nanning, Guangxi

  • Ningbo Fenghua District People's Hospital

    Ningbo, Zhejiang

  • The First Affiliated Hospital of Ningbo University

    Ningbo, Zhejiang

  • The Second Affiliated Hospital of Fujian Medical University

    Quanzhou, Fujian

  • Huadong Hospital Affiliated to Fudan University

    Shanghai, Shanghai Municipality

  • Ruijin Hospital, Shanghai Jiao Tong University School of Medicine

    Shanghai, Shanghai Municipality

  • Shanghai Fifth People's Hospital

    Shanghai, Shanghai Municipality

  • Shanghai General Hospital

    Shanghai, Shanghai Municipality

  • Shanghai Pulmonary Hospital

    Shanghai, Shanghai Municipality

  • Shanghai Tongji Hospital

    Shanghai, Shanghai Municipality

  • Zhongshan Hospital Affiliated to FuDan University"

    Shanghai, Shanghai Municipality

  • Shenzhen People's Hospital

    Shenzhen, Guangdong

  • Shiyan Taihe Hospital

    Shiya, Hubei

  • Weifang People's Hospital

    Weifang, Shandong

  • The First Affiliated Hospital of Wenzhou Medical University

    Wenzhou, Zhejiang

  • The First Affiliated Hospital of Xinxiang Medical University

    Xinxiang, Zhengzhou

  • The Affiliated Hospital of Xuzhou Medical University

    Xuzhou, Jiangsu

  • Affiliated Hospital of Guangdong Medical University"

    Zhanjiang, Guangdong

  • Henan Provincial People's Hospital

    Zhengzhou, Henan

  • Zhengzhou People's Hospital

    Zhengzhou, Henan

Other trials in China

About this study

Official title: A Multi-center Longitudinal Observation Translational Study to Evaluate Phenotypes, Endotypes and Biomarkers in Chinese Patients With NCFBE

Non-cystic fibrosis bronchiectasis (NCFBE) is a chronic respiratory disease characterized by a clinical syndrome of chronic productive cough and recurrent respiratory infections in the presence of abnormal and permanent dilation of the bronchi. Recent epidemiological studies have clearly shown that the prevalence and incidence of NCFBE are quickly rising both in high- and low-income countries. With the increase of prevalence, bronchiectasis brings huge medical and economic burden to the society.

In this study, the investigator will perform biomarker assessments and multi-omics analysis on NCFBE patients and healthy participants in China to validate the link of disease pathways to pathophysiological features and uncover the molecular endotypes behind clinical phenotypesof Chinese patients with NCFBE.

Read the detailed description

Background/Rationale:

Non-cystic fibrosis bronchiectasis (NCFBE) is a chronic respiratory disease characterized by a clinical syndrome of chronic productive cough and recurrent respiratory infections in the presence of abnormal and permanent dilation of the bronchi. Recent epidemiological studies have clearly shown that the prevalence and incidence of NCFBE are quickly rising both in high- and low-income countries. With the increase of prevalence, bronchiectasis brings huge medical and economic burden to the society.

Recently published Chinese Bronchiectasis Registry study (BE-China) data showed that Chinese bronchiectasis patients exhibit unique clinical characteristics when compared to western countries. The proportion of post-infective causes and tuberculosis in China was twice that of the European Multicenter Bronchiectasis Audit and Research Collaboration (EMBARC) cohort. Moreover, Chinese patients had a lower FEV1% of predicted value, and a higher proportion of obstruction compared to the EMBARC cohort. Pseudomonas aeruginosa (PsA) was the most common pathogen in both cohorts.

Chinese patients exhibited a higher frequency of hospitalization compared to the EMBARC cohort (57.2% vs 26.4%); however, unlike the frequency of hospitalization, Chinese patients had fewer exacerbations in the year before enrollment compared to the EMBARC cohort, with most having only one exacerbation. The proportion of patients with three or more exacerbations was much higher in the EMBARC cohort than in China (12.3% vs 38.8%). Except for Aspergillus fumigatus, the positive culture rates of other pathogens were much higher in the EMBARC cohort than in China.

Significant difference in aetiology and clinical phenotypes of NCFBE has been demonstrated by many registry studies conducted in different geographical regions including EMBARC and BE-China. However, the biological processes and mechanisms driving the disease development, so-called "endotypes", have not been fully investigated within the patient populations in these studies. It is remaining unknown that if these differences reported in clinical phenotypes were truly caused by or linked to different endotypes in NCFBE.

In this study, the investigator will perform biomarker assessments and multi-omics analysis on NCFBE patients and healthy participants in China to validate the link of disease pathways to pathophysiological features and uncover the molecular endotypes behind clinical phenotypesof Chinese patients with NCFBE.

Being tested
Participant Follow-up
Keywords
NCFBE

What participants receive

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

  • Participant Follow-upOther

    This is a longitudinal multi-center, observational, translational study which includes patients with a physician diagnosis of NCFBE by chest HRCT and healthy controls (at baseline only).

    This study will consist of a baseline visit, a 6-month (site visit or telephone visit) and a 12-month visit as well as planned unscheduled visits for exacerbation events and one optional visit for bronchoscopy.Healthy participants will be only enrolled in the baseline visit and bronchoscopy visit.

Study groups in NCT07245407
Study groupRoleWhat they receive
Healthy control cohortHealthy controls will include at least 20 healthy participants aged 30 years or older, with no clinically significant lung disease or chronic lung disease.
Receives: Other: Participant Follow-up
Bronchiectasis cohortA total of up to 300 NCFBE patients (males and females aged 18 years or older) will be recruited and enrolled into the study. Patient numbers are mainly based on feasible situation. Approximately 30% of NCFBE patients in the study will be required to have had at least 2 exacerbations in the past 12 months.
Receives: Other: Participant Follow-up

What is being measured

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

  1. FEV1/FVC%

    Evaluation of lung function

    Measured: 12 month

  2. FEF25-75 L/s

    Evaluation of small airway function

    Measured: 12 month

  3. FENO ppb

    Evaluation of airway inflammation: FENO.

    Measured: 12 month

  4. HRCT

    Evaluation of lung structure profile and change through radiological parameters.

    Measured: 12 month

  5. cell percentage (%)

    Measurement of immune cell (including but not limited to neutrophils and eosinophils) percentages in blood

    Measured: 12 month

  6. Gene expression read counts by RNAseq

    Functional and transcriptional characterization of airway immune cells, bronchial epithelial cells andsmooth muscle cells (optional).

    Measured: 12 month

  7. Molecular deliverables

    MUC5AC/5B in sputum

    Measured: 12 month

  8. on-set age(years-old)

    Risk factor assessment: on-set age(years-old)

    Measured: 12 month

  9. Sex(M/F)

    Risk factor assessment: Sex(M/F)

    Measured: 12 month

  10. body mass index(kg/m^2)

    Risk factor assessment: body mass index(kg/m^2)

    Measured: 12 month

  11. comorbidities

    Risk factor assessment: comorbidities

    Measured: 12 month

  12. medical history

    Risk factor assessment: medical history, especially TB history

    Measured: 12 month

  13. smoking status(never/current/former)

    Risk factor assessment: smoking status(never/current/former)

    Measured: 12 month

  14. smoking pack years(pack/year)

    Risk factor assessment: smoking pack years(pack/year)

    Measured: 12 month

  15. Sputum microbiology (CFU)

    Bronchiectasis aetiology evaluation

    Measured: 12 month

  16. Historical Exacerbation

    Risk factor assessment: exacerbation number in the previous year

    Measured: 12 month

  17. BSI score

    Evaluation of ronchiectasis disease severity: BSI score(0-4 mild,5-8 moderate, ≥9 severe)

    Measured: 12 month

  18. QoL-B-RSS

    Evaluation of quality of life: Patient reported outcome: QoL-B-RSS (0-100, higher score stands for lower symptom burden and higher quality of life)

    Measured: 12 month

  19. BHQ

    Evaluation of quality of life: Patient reported outcome: BHQ(10-70,higher score stands for higher symptom burden and pooer quality of life )

    Measured: 12 month

  20. BEST

    eDiary: BEST(MCID 4 points may standfor an exacerbation.)

    Measured: 12 month

  21. Treatment pattern

    Evaluation of treatment pattern: inhaled antibiotic, macrolide, and mucoactive drugs,etc.

    Measured: 12 month

  22. Exacerbation assessment

    Exacerbation assessment: number of exacerbations per patient per year

    Measured: 12 month

  23. Cell counts (10^9/L)

    Measurement of immune cell (including but not limited to neutrophils and eosinophils) counts in blood

    Measured: 12 month

  24. Exacerbation assessment about hospitalization

    Exacerbation assessment: number of exacerbations lead to hospitalization per patient per year

    Measured: 12 month

Timeline

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

  1. First posted24 Nov 2025
  2. Study start27 Oct 2025
  3. Primary completion29 Jul 2027 (estimated)
  4. Study completion29 Jul 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case-control
Time perspective
Prospective
Enrolment
251 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07245407
Sponsor's protocol ID
D9186R00001
Status last verified
Sep 2026
First submitted
29 Sep 2025
Last updated
8 Sep 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Questions about this trial

What is this clinical trial studying?

An observational study of Non-cystic Fibrosis Bronchiectasis, run by AstraZeneca at 38 sites in China.

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 22 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: under way, not looking for participants, as of the sponsor's last update on 8 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 38 sites in China. 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?

This study is still under way. Results are not available in the source record yet.

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?

FEV1/FVC% (time frame: 12 month). The study lists 24 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 8 Sep 2026.

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