NCT00411320

Brief Summary

Smokers with asthma display a relative insensitivity to inhaled and oral corticosteroids. The causes of this phenomenon are currently unknown. The investigators will perform a number of blood \& breathing tests to try to discover the cause/s behind this phenomenon with the aim of producing leads for further investigation and possible new treatments for smokers with asthma.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
53

participants targeted

Target at P25-P50 for not_applicable asthma

Timeline
Completed

Started Jan 2007

Longer than P75 for not_applicable asthma

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

December 12, 2006

Completed
2 days until next milestone

First Posted

Study publicly available on registry

December 14, 2006

Completed
18 days until next milestone

Study Start

First participant enrolled

January 1, 2007

Completed
3.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2010

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2010

Completed
Last Updated

August 4, 2011

Status Verified

September 1, 2008

Enrollment Period

3.6 years

First QC Date

December 12, 2006

Last Update Submit

August 3, 2011

Conditions

Keywords

AsthmaSmokingSteroid ResistanceCorticosteroid insensitivity

Outcome Measures

Primary Outcomes (1)

  • bronchodilator response to oral corticosteroid trial in smokers with asthma vs non smokers and ex-smokers with asthma

    2 weeks

Study Arms (5)

Group 1

ACTIVE COMPARATOR

Smokers with asthma

Drug: oral steroid-dexamethasone

Group 2

ACTIVE COMPARATOR

Ex-smokers with asthma

Drug: oral steroid-dexamethasone

Group 3

ACTIVE COMPARATOR

Non-smokers with asthma

Drug: oral steroid-dexamethasone

Group 4

NO INTERVENTION

Non smokers without asthma

Group 5

NO INTERVENTION

Smokers without asthma or COPD

Interventions

2 week steroid trial

Group 1Group 2Group 3

Eligibility Criteria

Age18 Years - 60 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Asthma (defined by either reversibility to bronchodilator or methacholine testing)
  • Asthma duration of 6 months or greater
  • Stable asthma
  • Age 18-60
  • Treatment with inhaled corticosteroids
  • Smoking history consistent with group
  • smokers with asthma: \> or = 5 pack years and currently smoking more than 5 cigarettes per day
  • ex-smokers: smoking ceased \> or = two years prior to recruitment, minimum 5 pack year history
  • non-smokers: no smoking history

You may not qualify if:

  • Presence of medical condition likely to be exacerbated by treatment with oral corticosteroids
  • Treatment with \> 2000 mcg beclomethasone (or equivalent) per day
  • Subject requires oral corticosteroids to maintain asthma control
  • Subject requires oral theophylline to maintain asthma control
  • Recent treatment with oral corticosteroids
  • Pregnancy or subject planning to become pregnant

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Asthma Research Unit, Glasgow University

Glasgow, Scotland, G12 0YN, United Kingdom

Location

Related Publications (1)

  • Spears M, McSharry C, Donnelly I, Jolly L, Brannigan M, Thomson J, Lafferty J, Chaudhuri R, Shepherd M, Cameron E, Thomson NC. Peripheral blood dendritic cell subtypes are significantly elevated in subjects with asthma. Clin Exp Allergy. 2011 May;41(5):665-72. doi: 10.1111/j.1365-2222.2010.03692.x. Epub 2011 Feb 21.

Related Links

MeSH Terms

Conditions

AsthmaSmoking

Condition Hierarchy (Ancestors)

Bronchial DiseasesRespiratory Tract DiseasesLung Diseases, ObstructiveLung DiseasesRespiratory HypersensitivityHypersensitivity, ImmediateHypersensitivityImmune System DiseasesBehavior

Study Officials

  • Mark Spears, MRCP

    University of Glasgow

    PRINCIPAL INVESTIGATOR
  • Neil C Thomson, FRCP

    University of Glasgow

    PRINCIPAL INVESTIGATOR
  • Rekha Chaudhuri, MD

    University of Glasgow

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
BASIC SCIENCE
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER

Study Record Dates

First Submitted

December 12, 2006

First Posted

December 14, 2006

Study Start

January 1, 2007

Primary Completion

August 1, 2010

Study Completion

September 1, 2010

Last Updated

August 4, 2011

Record last verified: 2008-09

Locations