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Detection of Cav1 Calcium Channels in Inflammatory Cells of Asthmatic Children (CAVASTHME)

Primary Purpose

Asthma

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Induced sputum method using hypertonic serum
Sponsored by
University Hospital, Toulouse
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Asthma focused on measuring Lymphocytes Th2, Cav1 channels

Eligibility Criteria

6 Years - 18 Years (Child, Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

For Asthmatic children arm :

  • Girl not in childbearing potential or taking contraceptive treatment
  • Asthma diagnosis in at least 6 months as defined by clinical symptoms (expiratory dyspnea, wheezing, sibilance) and respiratory function (reversibility of VEMS at least 12% after salbutamol administration)
  • Allergologic tests positives to airborne allergens : positive prick test and/or specific IgE > 0,35 kU/L for at least one allergen
  • Asthma severity between mild to moderate based on Global initiative for asthma classification during more than one month with inhaled corticotherapies +/- long term action beta -mimetic long compounds (salmeterol, formoterol)
  • Patient insured with a social security scheme

For control children arm :

  • Girl not in childbearing potential or taking contraceptive treatment
  • No medical history of asthma
  • No medical history of allergy or symptoms of allergy on skin (atopic dermatitis), respiratory tract (rhino-conjunctivitis, asthma) or food allergy

Exclusion Criteria:

For both arms:

  • Chronic respiratory pathology : known occlusive or restrictive respiratory syndrome like interstitial lung disease, neuromuscular disease, mucoviscidoses, respiratory tract abnormalities with cough, dyspnea or digital hippocratism.
  • History of pulmonary or nose and throat infectious disease during last 4 months
  • Parasitic disease non treated during last 3 months
  • Dyspnea during the inclusion
  • Systemic corticotherapy during the last 3 months before inclusion
  • Immunosuppressive therapy during the last 3 months before inclusion
  • Diabeta
  • Disease causing immune disorder
  • Infection during inclusion
  • Participation to another study witch implies medical treatment during last 3 months before inclusion

For asthmatic children arm :

  • Chronic pulmonary pathology (excluding asthma)
  • Asthma exacerbation during inclusion
  • VEMS < 70% of normal range or VEMS < 70% of normal range after inhalation of serum (despite salbutamol administration)
  • Patient unable to complete pulmonary function testing

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Sham Comparator

    Arm Label

    Asthmatic children

    Control children

    Arm Description

    Induced sputum method using hypertonic serum

    Induced sputum method using hypertonic serum

    Outcomes

    Primary Outcome Measures

    Detection of sequence coding for Cav1 in cells as assessed by reverse transcription polymerase chain reaction

    Secondary Outcome Measures

    Presence of Cav1 channels as assessed by correlation between Cav1 expression and eosinophils in expectoration collection
    Presence of Cav1 channels as assessed by correlation between Cav1 expression and lymphocytes T in expectoration collection
    Comparison of CRTH2+ cells in total blood between asthmatic and control group
    Comparison of Cav1 channels and cytokines Th2 expression between asthmatic and control group before T-Cell receptor stimulation
    Comparison of Cav1 channels and cytokines Th2 expression between asthmatic and control group after T-Cell receptor stimulation

    Full Information

    First Posted
    May 17, 2016
    Last Updated
    June 17, 2016
    Sponsor
    University Hospital, Toulouse
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02809560
    Brief Title
    Detection of Cav1 Calcium Channels in Inflammatory Cells of Asthmatic Children
    Acronym
    CAVASTHME
    Official Title
    Detection of Cav1 Calcium Channels in Inflammatory Cells of Asthmatic Children
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    June 2016
    Overall Recruitment Status
    Completed
    Study Start Date
    March 2013 (undefined)
    Primary Completion Date
    May 2016 (Actual)
    Study Completion Date
    May 2016 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    University Hospital, Toulouse

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    Asthma affects about 10% of children and 6% of adults in industrialized countries. Lymphocytes (L) Th2, a T cell population (LT) producing interleukin (IL) -4, 5 and 13 are broadly involved in this pathology in experimental models and in humans. Many studies show that the signaling pathways activated by the commitment of T receiver differ depending LT. The identification of specific signaling pathways links to Th2 offer new therapeutic approaches. Precedent study showed that mouse Th2 selectively expressed related to calcium channels sensitive channels Cav1 voltage, normally found in excitable cells where they are defined as receivers dihydropyridine (DHP). The goal of the present study is to show the presence of Cav1 channels in inflammatory cells in allergic asthmatics and show overexpression of these channels in the peripheral blood mononuclear cells from asthmatic subjects before and / or after stimulation with the TCR in comparison with controls.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Asthma
    Keywords
    Lymphocytes Th2, Cav1 channels

    7. Study Design

    Primary Purpose
    Basic Science
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Non-Randomized
    Enrollment
    60 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Asthmatic children
    Arm Type
    Experimental
    Arm Description
    Induced sputum method using hypertonic serum
    Arm Title
    Control children
    Arm Type
    Sham Comparator
    Arm Description
    Induced sputum method using hypertonic serum
    Intervention Type
    Procedure
    Intervention Name(s)
    Induced sputum method using hypertonic serum
    Intervention Description
    Collection of expectoration in sterile vial, conserved in ice all along the examination
    Primary Outcome Measure Information:
    Title
    Detection of sequence coding for Cav1 in cells as assessed by reverse transcription polymerase chain reaction
    Time Frame
    Day 1
    Secondary Outcome Measure Information:
    Title
    Presence of Cav1 channels as assessed by correlation between Cav1 expression and eosinophils in expectoration collection
    Time Frame
    Day 1
    Title
    Presence of Cav1 channels as assessed by correlation between Cav1 expression and lymphocytes T in expectoration collection
    Time Frame
    Day 1
    Title
    Comparison of CRTH2+ cells in total blood between asthmatic and control group
    Time Frame
    Day 1
    Title
    Comparison of Cav1 channels and cytokines Th2 expression between asthmatic and control group before T-Cell receptor stimulation
    Time Frame
    Day 1
    Title
    Comparison of Cav1 channels and cytokines Th2 expression between asthmatic and control group after T-Cell receptor stimulation
    Time Frame
    Day 1

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    6 Years
    Maximum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: For Asthmatic children arm : Girl not in childbearing potential or taking contraceptive treatment Asthma diagnosis in at least 6 months as defined by clinical symptoms (expiratory dyspnea, wheezing, sibilance) and respiratory function (reversibility of VEMS at least 12% after salbutamol administration) Allergologic tests positives to airborne allergens : positive prick test and/or specific IgE > 0,35 kU/L for at least one allergen Asthma severity between mild to moderate based on Global initiative for asthma classification during more than one month with inhaled corticotherapies +/- long term action beta -mimetic long compounds (salmeterol, formoterol) Patient insured with a social security scheme For control children arm : Girl not in childbearing potential or taking contraceptive treatment No medical history of asthma No medical history of allergy or symptoms of allergy on skin (atopic dermatitis), respiratory tract (rhino-conjunctivitis, asthma) or food allergy Exclusion Criteria: For both arms: Chronic respiratory pathology : known occlusive or restrictive respiratory syndrome like interstitial lung disease, neuromuscular disease, mucoviscidoses, respiratory tract abnormalities with cough, dyspnea or digital hippocratism. History of pulmonary or nose and throat infectious disease during last 4 months Parasitic disease non treated during last 3 months Dyspnea during the inclusion Systemic corticotherapy during the last 3 months before inclusion Immunosuppressive therapy during the last 3 months before inclusion Diabeta Disease causing immune disorder Infection during inclusion Participation to another study witch implies medical treatment during last 3 months before inclusion For asthmatic children arm : Chronic pulmonary pathology (excluding asthma) Asthma exacerbation during inclusion VEMS < 70% of normal range or VEMS < 70% of normal range after inhalation of serum (despite salbutamol administration) Patient unable to complete pulmonary function testing
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    François Brémont, MD
    Organizational Affiliation
    Hôpital des Enfants CHU Toulouse
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No

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