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Trial registered on ANZCTR
Registration number
ACTRN12619000287134
Ethics application status
Approved
Date submitted
22/02/2019
Date registered
26/02/2019
Date last updated
4/02/2020
Date data sharing statement initially provided
26/02/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
Using impulse oscillometry, multiple-breath nitrogen washout and exhaled nitric oxide together to assess asthma inflammation
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Scientific title
Using impulse oscillometry, multiple-breath nitrogen washout and exhaled nitric oxide before and after salbutamol inhalation to determine the site and degree of airways inflammation in patients with asthma
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Secondary ID [1]
297495
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None
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Universal Trial Number (UTN)
U1111-1223-1286
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Asthma
311683
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Condition category
Condition code
Respiratory
310312
310312
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0
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Asthma
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
One dose of inhaled salbutamol (600mcg) given by research staff via metered-dose inhaler (with spacer) over 10 minutes at one study visit.
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Intervention code [1]
313735
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Treatment: Drugs
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Intervention code [2]
313759
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Diagnosis / Prognosis
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
319199
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Change in exhaled nitric oxide measured by exhaled nitric oxide analyser
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Assessment method [1]
319199
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Timepoint [1]
319199
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Change from baseline to 30 min post dosing.
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Secondary outcome [1]
367247
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Change in area of reactance measured by impulse oscillometry.
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Assessment method [1]
367247
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Timepoint [1]
367247
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Change from baseline to 30 min post dosing.
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Secondary outcome [2]
367248
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Change in lung clearance index measured by multiple breath nitrogen washout.
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Assessment method [2]
367248
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Timepoint [2]
367248
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Change from baseline to 30 min post dosing.
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Secondary outcome [3]
367249
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Change in Scond (index of ventilation heterogeneity in the conducting airways) measured by multiple breath nitrogen washout.
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Assessment method [3]
367249
0
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Timepoint [3]
367249
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Change from baseline to 30 min post dosing.
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Secondary outcome [4]
367250
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Change in Sacin (index of ventilation heterogeneity in the acinar airways) measured by multiple breath nitrogen washout.
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Assessment method [4]
367250
0
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Timepoint [4]
367250
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Change from baseline to 30 min post dosing.
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Secondary outcome [5]
367252
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Change in forced vital capacity measured by spirometry.
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Assessment method [5]
367252
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Timepoint [5]
367252
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Change from baseline to 30 min post dosing.
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Secondary outcome [6]
367254
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Change in R5-R20 measured by impulse oscillometry.
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Assessment method [6]
367254
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Timepoint [6]
367254
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Change from baseline to 30 min post dosing.
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Eligibility
Key inclusion criteria
Physician-diagnosed asthma requiring a minimum of treatment with regular inhaled corticosteroid.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Diagnosis of COPD, bronchiectasis, lung cancer.
Other co-morbidity likely to affect study participation.
Current smoker (any cigarette smoking within past two months).
Previous ICU admission for acute asthma.
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Study design
Purpose of the study
Diagnosis
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Not applicable
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Not applicable
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
11/03/2019
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Actual
18/03/2019
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Date of last participant enrolment
Anticipated
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Actual
15/11/2019
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Date of last data collection
Anticipated
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Actual
15/11/2019
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Sample size
Target
40
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Accrual to date
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Final
40
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Recruitment outside Australia
Country [1]
21300
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New Zealand
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State/province [1]
21300
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Otago
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Funding & Sponsors
Funding source category [1]
302058
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University
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Name [1]
302058
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University of Otago
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Address [1]
302058
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University of Otago
362 Leith Street
Dunedin
New Zealand
9054
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Country [1]
302058
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New Zealand
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Primary sponsor type
University
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Name
University of Otago
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Address
University of Otago
362 Leith Street
Dunedin
New Zealand
9054
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Country
New Zealand
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Secondary sponsor category [1]
301869
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None
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Name [1]
301869
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None
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Address [1]
301869
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None
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Country [1]
301869
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
302740
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Southern Health and Disability Ethics Committee
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Ethics committee address [1]
302740
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Health and Disability Ethics Committees Ministry of Health 133 Molesworth Street PO Box 5013 Wellington 6011
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Ethics committee country [1]
302740
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New Zealand
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Date submitted for ethics approval [1]
302740
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22/11/2018
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Approval date [1]
302740
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20/12/2018
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Ethics approval number [1]
302740
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18/STH/248
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Summary
Brief summary
It has been argued that, because of the complex relationship between FENO and airway calibre, FENO should not be measured alone but should instead be integrated into an ‘inflammometer’ that comprises FENO measurement and physiological measurement of airways obstruction. Unfortunately, measures of small airways obstruction are not routinely used in clinical practice and this region of the lung has been described as the ‘silent zone’ as a consequence. Impulse oscillometry and multiple breath nitrogen washout are physiological tests that can measure variables related to small airways obstruction in a research setting and they have become more reliable and user-friendly in recent years. We intend to explore the relationship between FENO and measures of small airways obstruction in patients with asthma. In particular, the relationship between FENO and measures related to small airways obstruction using impulse oscillometry has not previously been examined. This is important because, like FENO, impulse oscillometry is a simple, easy test for patients. If we could determine a relationship between FENO and measures obtained from impulse oscillometry, it might ultimately be possible to integrate the two into an ‘inflammometer’ that could be used clinically. In this study, we will test the hypothesis that, in the presence of a stable airway inflammatory state, there is a relationship between baseline physiological measures of small airways obstruction and the change in FENO on subsequent bronchodilation with inhaled ß2-agonist. We will recruit 40 participants with physician-diagnosed asthma. They will be asked to withhold short-acting inhaled asthma treatment for 6 hours and long-acting inhaled asthma treatment for 12-24 hours prior to a single visit to the Otago Respiratory Research Unit. At that visit, we will obtain informed consent, collect demographic data from participants and they will complete an asthma control questionnaire. Then impulse oscillometry, FENO measurement, multiple breath nitrogen washout and spirometry will be undertaken (1) at baseline and (2) after inhaled ß2-agonist therapy (bronchodilation).
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
91230
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Dr Jack Dummer
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Address
91230
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Department of Medicine
Dunedin School of Medicine
University of Otago
PO Box 56
Dunedin 9054
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Country
91230
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New Zealand
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Phone
91230
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+64 34709362
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Fax
91230
0
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Email
91230
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[email protected]
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Contact person for public queries
Name
91231
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Jack Dummer
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Address
91231
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Department of Medicine
Dunedin School of Medicine
University of Otago
PO Box 56
Dunedin 9054
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Country
91231
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New Zealand
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Phone
91231
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+64 34709362
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Fax
91231
0
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Email
91231
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[email protected]
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Contact person for scientific queries
Name
91232
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Jack Dummer
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Address
91232
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Department of Medicine
Dunedin School of Medicine
University of Otago
PO Box 56
Dunedin 9054
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Country
91232
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New Zealand
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Phone
91232
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+64 34709362
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Fax
91232
0
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Email
91232
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
If de-identified participant data is requested for publication we will make this available. If it is requested by a 3rd party we will give this consideration.
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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