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Study to Explore the Effects of Two Hour Inhalation of Ultrafine Carbon Black Particles on Airway Inflammation in Asthmatics

Primary Purpose

Asthma

Status
Completed
Phase
Not Applicable
Locations
Germany
Study Type
Interventional
Intervention
Bronchoscopy
Exposure to ultrafine carbon black particles
Sponsored by
Fraunhofer-Institute of Toxicology and Experimental Medicine
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional basic science trial for Asthma focused on measuring Asthma GINA 1

Eligibility Criteria

18 Years - 45 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male and female subjects, aged 18-45 years.
  • Women will be considered for inclusion if they are:

    • Not pregnant, as confirmed by a pregnancy test and not nursing.
    • Not of child-bearing capacity (i.e. physiologically incapable of becoming pregnant, including any female who is pre-menarchial or post-menopausal, with documented proof of hysterectomy or tubal ligation, or meets clinical criteria for menopause and has been amenorrheal for more than 1 year prior to the screening visit).
    • Of child-bearing capacity and using a highly effective method of contraception during the entire study (vasectomised partner, sexual abstinence [the lifestyle of the female should be such that there is complete abstinence from intercourse two weeks prior to the first dose of study medication until at least 72 hours after treatment], implants, injectables, combined oral contraceptives, hormonal intrauterine devices [IUDs]).
  • Physician diagnosis of mild intermittent seasonal asthma
  • Non-smokers, or ex-smokers
  • Forced expiratory volume in 1 second (FEV1) > 80% of the predicted value
  • Positive skin prick test for grass mix at or within 12 months prior to the screening visit
  • Able and willing to give written informed consent to take part in the study
  • Available to complete all study measurements
  • Able to restrain from particle rich atmosphere (e.g. passive cigarette smoke) within 1 week before exposure to UFP or clean air

Exclusion Criteria:

  • Infections of the respiratory tract within the last month
  • Past or present disease which, as judged by the investigator, may affect the outcome of this study. These diseases include, but are not limited to, cardiovascular disease, malignancy, hepatic disease, renal disease, hematological disease, neurological disease, endocrine disease or pulmonary disease (including but not confined to chronic bronchitis, emphysema, tuberculosis, bronchiectasis or cystic fibrosis).
  • Pathological findings in safety laboratory tests
  • Subjects with clinically relevant infection or known ongoing clinically relevant inflammatory process
  • Suspected hypersensitivity to any ingredients of the medication involved with bronchoscopy (bronchodilators, sedatives and local anaesthetics)
  • Specific immunotherapy (SIT) within two years prior to the study
  • Administration of oral, injectable, or dermal corticosteroids according to 9.2
  • Neurological or psychiatric disease or history of drug or alcohol abuse which would interfere with the subject's proper completion of the protocol assignment
  • Risk of non-compliance with study procedures
  • Participation in another clinical trial 30 days prior to enrolment
  • Suspected inability to understand the protocol requirements, instructions and study-related restrictions, the nature, scope, and possible consequences of the study.
  • Unlikely to comply with the protocol requirements, instructions and study-related restrictions; e.g., language problems, uncooperative attitude, inability to return for follow-up visits, and improbability of completing the study

Sites / Locations

  • Fraunhofer-Institut für Toxikologie und Experimentelle Medizin

Outcomes

Primary Outcome Measures

difference of the number of total cells in bronchoalveolar lavage resulting in the comparison of allergenic versus control segments

Secondary Outcome Measures

Full Information

First Posted
September 10, 2007
Last Updated
April 28, 2008
Sponsor
Fraunhofer-Institute of Toxicology and Experimental Medicine
Collaborators
German Research Foundation
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1. Study Identification

Unique Protocol Identification Number
NCT00527462
Brief Title
Study to Explore the Effects of Two Hour Inhalation of Ultrafine Carbon Black Particles on Airway Inflammation in Asthmatics
Official Title
Mono-Center, Double-Blind, Cross-Over Study to Explore the Effects of Two Hour Inhalation of Ultrafine Carbon Black Particles Versus Filtered Air on Airway Inflammation Induced by Segmental Allergen Challenge in Asthmatics
Study Type
Interventional

2. Study Status

Record Verification Date
April 2008
Overall Recruitment Status
Completed
Study Start Date
September 2007 (undefined)
Primary Completion Date
April 2008 (Actual)
Study Completion Date
April 2008 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Fraunhofer-Institute of Toxicology and Experimental Medicine
Collaborators
German Research Foundation

4. Oversight

5. Study Description

Brief Summary
The aim of the study is to test the hypothesis that the allergic airway inflammation in asthmatic patients will be enhanced after exposure to ultrafine particles (UFP). In order to test this in a controlled study, the researchers combine controlled exposure to carbon black model UFP with the well-established model of a segmental allergen challenge, which allows the researchers to safely induce circumscript allergic inflammation in the lung in mild asthmatics. The effect of the UFP on allergic inflammation will be controlled by an inhalation of clean air in a randomized, double-blind, crossover design.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Asthma
Keywords
Asthma GINA 1

7. Study Design

Primary Purpose
Basic Science
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
15 (Actual)

8. Arms, Groups, and Interventions

Intervention Type
Procedure
Intervention Name(s)
Bronchoscopy
Intervention Description
bronchoscopy with segmental allergen challenge
Intervention Type
Other
Intervention Name(s)
Exposure to ultrafine carbon black particles
Intervention Description
Exposure to ultrafine carbon black particles for 2 hours
Primary Outcome Measure Information:
Title
difference of the number of total cells in bronchoalveolar lavage resulting in the comparison of allergenic versus control segments
Time Frame
24 hours

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male and female subjects, aged 18-45 years. Women will be considered for inclusion if they are: Not pregnant, as confirmed by a pregnancy test and not nursing. Not of child-bearing capacity (i.e. physiologically incapable of becoming pregnant, including any female who is pre-menarchial or post-menopausal, with documented proof of hysterectomy or tubal ligation, or meets clinical criteria for menopause and has been amenorrheal for more than 1 year prior to the screening visit). Of child-bearing capacity and using a highly effective method of contraception during the entire study (vasectomised partner, sexual abstinence [the lifestyle of the female should be such that there is complete abstinence from intercourse two weeks prior to the first dose of study medication until at least 72 hours after treatment], implants, injectables, combined oral contraceptives, hormonal intrauterine devices [IUDs]). Physician diagnosis of mild intermittent seasonal asthma Non-smokers, or ex-smokers Forced expiratory volume in 1 second (FEV1) > 80% of the predicted value Positive skin prick test for grass mix at or within 12 months prior to the screening visit Able and willing to give written informed consent to take part in the study Available to complete all study measurements Able to restrain from particle rich atmosphere (e.g. passive cigarette smoke) within 1 week before exposure to UFP or clean air Exclusion Criteria: Infections of the respiratory tract within the last month Past or present disease which, as judged by the investigator, may affect the outcome of this study. These diseases include, but are not limited to, cardiovascular disease, malignancy, hepatic disease, renal disease, hematological disease, neurological disease, endocrine disease or pulmonary disease (including but not confined to chronic bronchitis, emphysema, tuberculosis, bronchiectasis or cystic fibrosis). Pathological findings in safety laboratory tests Subjects with clinically relevant infection or known ongoing clinically relevant inflammatory process Suspected hypersensitivity to any ingredients of the medication involved with bronchoscopy (bronchodilators, sedatives and local anaesthetics) Specific immunotherapy (SIT) within two years prior to the study Administration of oral, injectable, or dermal corticosteroids according to 9.2 Neurological or psychiatric disease or history of drug or alcohol abuse which would interfere with the subject's proper completion of the protocol assignment Risk of non-compliance with study procedures Participation in another clinical trial 30 days prior to enrolment Suspected inability to understand the protocol requirements, instructions and study-related restrictions, the nature, scope, and possible consequences of the study. Unlikely to comply with the protocol requirements, instructions and study-related restrictions; e.g., language problems, uncooperative attitude, inability to return for follow-up visits, and improbability of completing the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Norbert Krug, Professor, MD
Organizational Affiliation
Fraunhofer-Institut, Toxikologie und Experimentelle Medizin
Official's Role
Principal Investigator
Facility Information:
Facility Name
Fraunhofer-Institut für Toxikologie und Experimentelle Medizin
City
Hannover
State/Province
Niedersachsen
ZIP/Postal Code
30623
Country
Germany

12. IPD Sharing Statement

Citations:
PubMed Identifier
25204642
Citation
Schaumann F, Fromke C, Dijkstra D, Alessandrini F, Windt H, Karg E, Muller M, Winkler C, Braun A, Koch A, Hohlfeld JM, Behrendt H, Schmid O, Koch W, Schulz H, Krug N. Effects of ultrafine particles on the allergic inflammation in the lung of asthmatics: results of a double-blinded randomized cross-over clinical pilot study. Part Fibre Toxicol. 2014 Sep 10;11:39. doi: 10.1186/s12989-014-0039-3.
Results Reference
derived

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Study to Explore the Effects of Two Hour Inhalation of Ultrafine Carbon Black Particles on Airway Inflammation in Asthmatics

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