UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000002414
Receipt number R000002784
Scientific Title Association of gene polymorphisms with lung function decline in patients with asthma on inhaled corticosteroids
Date of disclosure of the study information 2009/09/01
Last modified on 2017/03/29 19:54:03

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Basic information

Public title

Association of gene polymorphisms with lung function decline in patients with asthma on inhaled corticosteroids

Acronym

Association of gene polymorphisms with lung function decline in asthma

Scientific Title

Association of gene polymorphisms with lung function decline in patients with asthma on inhaled corticosteroids

Scientific Title:Acronym

Association of gene polymorphisms with lung function decline in asthma

Region

Japan


Condition

Condition

Bronchial asthma

Classification by specialty

Pneumology Clinical immunology

Classification by malignancy

Others

Genomic information

YES


Objectives

Narrative objectives1

Treatment with inhaled corticosteroids (ICS) has improved disease control and lung function decline in patients with asthma. However, in some patients, decline in lung function progresses despite the use of ICS. An objective of this study is to clarify genetic factors related to excessive lung function decline in patients with asthma on ICS treatment.

Basic objectives2

Others

Basic objectives -Others

To clarify polymorphisms of genes that could be associated with excessive lung function decline and asthma severity in asthmatic patients on ICS treatment.

Trial characteristics_1

Exploratory

Trial characteristics_2

Explanatory

Developmental phase

Not applicable


Assessment

Primary outcomes

Association between polymorphsims of candidate genes and annual decline of FEV1

Key secondary outcomes

Association of levels of serum markers, and asthma control with annual decline of FEV1. Association of polymorphisms of candidate genes with levels of serum markers and asthma control


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

25 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients with stable asthma at least 1 month apart from exacerbations that need rescue bronchodilators or systemic corticosteroids.
Patients with asthma who have 3 or more records of pre-or post-bronchodilator FEV1 values obtained during 3 or more years.
The first spirometric data was obtained when patients were 25 yr old or more and had been treated with ICS for 1 or more years.

Key exclusion criteria

Current smokers or ex smokers with 10 or more pack-years when the first spirometric data was taken.
Patients with respiratory diseases other than asthma such as Churg Strauss syndrome, allergic bronchopulmonary aspergillosis, eosinophilic pneumonia, congestive heart disease, vocal cord dysfunction, interstitial pneumonia, bronchiectasia.
Patients who are not adherent to ICS treatment (determined by physicians).

Target sample size

300


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Hisako Matsumoto

Organization

Kyoto University Graduate School of Medicine

Division name

Department of Respiratory Medicine

Zip code


Address

54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto, Japan

TEL

075-751-3830

Email

hmatsumo@kuhp.kyoto-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Hisako Matsumoto

Organization

Kyoto University Graduate School of Medicine

Division name

Department of Respiratory Medicine

Zip code


Address

54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto, Japan

TEL

075-751-3830

Homepage URL


Email

hmatsumo@kuhp.kyoto-u.ac.jp


Sponsor or person

Institute

Kyoto University Graduate School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Kyoto University Graduate School of Medicine

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor

Univs: Osaka City, Kanazawa, Kinki, Kobe, Shiga Med Science, Mie, Kochi, Hiroshima, Fujita Health;
Hps & Clin: Kobe General, Kobe West, Sakai, Hiroshima All & Resp;
Nat. Inst. Public Health; RIKEN Inst.

Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2009 Year 09 Month 01 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results

-Kanemitsu Y, Matsumoto H, Izuhara K, Tohda Y, Kita H, Horiguchi T, et al. Increased periostin associates with greater airflow limitation in patients receiving inhaled corticosteroids. J Allergy Clin Immunol 2013;132:305-312 e303.
-Nagasaki T, Matsumoto H, et al. Integrating longitudinal information on pulmonary function and inflammation using asthma phenotypes. J Allergy Clin Immunol. 133:1474-77 e2.2014
-Nagasaki T, Matsumoto H, et al. Using exhaled nitric oxide and serum periostin as a composite marker to identify severe steroid-insensitive asthma. Am J Respir Crit Care Med. 190:1449-52.2014
-Sunadome H, et al. IL4Ra and ADAM33 as genetic markers in asthma exacerbations and type-2 inflammatory endotype. Clin Exp Allergy, in press
-Matsumoto H, et al. Staphylococcus aureus enterotoxin sensitization involvement and its association with CysLTR1 variant in different asthma phenotypes. Ann Allergy Asthma Immunol 2017, 118:197-203.


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2009 Year 01 Month 28 Day

Date of IRB


Anticipated trial start date

2009 Year 09 Month 01 Day

Last follow-up date

2013 Year 12 Month 01 Day

Date of closure to data entry

2013 Year 12 Month 01 Day

Date trial data considered complete

2013 Year 12 Month 01 Day

Date analysis concluded

2017 Year 03 Month 31 Day


Other

Other related information

examine retrospectively 3 or more years, and prospectively 0.5 or more years.


Management information

Registered date

2009 Year 08 Month 31 Day

Last modified on

2017 Year 03 Month 29 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000002784


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name