UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000035749
Receipt number R000040723
Scientific Title The study of Involvement of Adenosine Triphosphate in Sputum in Pathophysiology of Asthma
Date of disclosure of the study information 2019/02/01
Last modified on 2023/02/11 13:02:11

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Basic information

Public title

The study of Involvement of Adenosine Triphosphate in Sputum in Pathophysiology of Asthma

Acronym

The study of Involvement of Adenosine Triphosphate in Sputum in Pathophysiology of Asthma

Scientific Title

The study of Involvement of Adenosine Triphosphate in Sputum in Pathophysiology of Asthma

Scientific Title:Acronym

The study of Involvement of Adenosine Triphosphate in Sputum in Pathophysiology of Asthma

Region

Japan


Condition

Condition

Bronchial asthma, COPD

Classification by specialty

Pneumology Clinical immunology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

There are several evidences that the danger-signaling, molecule adenosine triphosphate (ATP) plays a pivotal role in allergic bronchial inflammation. ATP in BAL elevated in patients with COPD and related with severity of COPD. Little is known regarding clinical implication of ATP in airway secretions in asthma. We investigated the association between ATP in sputum and clinical indices in asthma.

Basic objectives2

Others

Basic objectives -Others

Contribution of ATP in sputum to clinical pathophysiology in asthma

Trial characteristics_1

Exploratory

Trial characteristics_2

Explanatory

Developmental phase

Not applicable


Assessment

Primary outcomes

Contribution of ATP in sputum to clinical pathophysiology in asthma
Measure ATP in induced sputum to determine whether concentrations of them increase in patients with asthma.

Key secondary outcomes

Association between ATP in sputum and following clinical parameters: severity, pulmonary function, cell counts in induced sputum, exhaled oxide concentrations, cytokines, chemokines, granule proteins


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

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Patients who satisfy the daiagnostic criteria of bronchial asthma in the Japanese Asthma guideline 2012
2) Patients who satisfy the daiagnostic criteria of COPD in the Global Initiative for Chronic Obstructive Lung Disease (GOLD) 2013.
3) Healthy volunteer
4) Participants with SpO2>94%
5) Participants from whom written consent has been obtained
6) Patients with asthma who satisfy the presence of a clinical history regarding asthma (symptom, history of exacerbation, and physical examination) within the past year and any one of the following items:a) bronchial reversibility reflected by bronchodilator responsiveness, b) bronchial reversibility reflected by bronchodilator responsiveness
7) Patients with COPD who have FEV1/FVC ratio < 70% after bronchodilator inhalation and satisfy any one of the following items:a)Smoking history (>= 10 pack-years) or air pollution exposure, b) Presence of the hyperinflation or/and the flattening diaphragm on chest X-ray or the low attenuation area on chest CT demonstrating emphysematous change

Key exclusion criteria

1) Patients who have exacerbations of asthma or COPD within the last 4 weeks
a)Asthma exacerbation: oral corticosteroids administrated for more than 2 days because of having cough and sputum ,and/or more than 20% decrease of expiratory peak flow vales for consecutive 3 days
b) COPD exacerbation: exhibition of increased shortness of breathing, increased cough and sputum that result in a change of treatment
2) Patients with allergic bronchial pulmonary aspergillosis or eosinophilic granulomatosis with polyangitis
3) Patients with following disorders: severe heart diseases, severe renal diseases, neurological diseases
4) Pregnancy or lactation
5) Patients who are considered unsuitable for enrollment in this study by physicians in charge

Target sample size

215


Research contact person

Name of lead principal investigator

1st name Tomoyuki
Middle name
Last name Soma

Organization

Saitama Medical University

Division name

Department of Respiratory Medicine and Allergy Center

Zip code

350-0495

Address

38 Morohongo, Moroyama-machi, Iruma-gun, Saitama 350-0495, Japan

TEL

049-276-1111

Email

tsoma@saitama-med.ac.jp


Public contact

Name of contact person

1st name Tomoyuki
Middle name
Last name Soma

Organization

Saitama Medical University

Division name

Department of Respiratory Medicine and Allergy Center

Zip code

350-0495

Address

38 Morohongo, Moroyama-machi, Iruma-gun, Saitama 350-0495, Japan

TEL

049-276-1111

Homepage URL


Email

tsoma@saitama-med.ac.jp


Sponsor or person

Institute

Saitama Medical University

Institute

Department

Personal name



Funding Source

Organization

Saitama Medical University

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Saitama Medical University

Address

38 Morohongo, Moroyama-machi, Iruma-gun, Saitama 350-0495, Japan

Tel

049-276-1111

Email

hirb@saitama-med.ac.jp


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

埼玉医科大学病院(埼玉県)


Other administrative information

Date of disclosure of the study information

2019 Year 02 Month 01 Day


Related information

URL releasing protocol


Publication of results

Partially published


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed

Delay expected

Results Delay Reason

This study delays due to the pandemic of COVID-19.

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

Open public recruiting

Date of protocol fixation

2013 Year 12 Month 10 Day

Date of IRB

2013 Year 11 Month 11 Day

Anticipated trial start date

2013 Year 12 Month 10 Day

Last follow-up date

2023 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

1)ATP in sputum significantly elevated in patients with asthma compared with controls.
2)ATP also significantly increased in 15 severe asthma subjects compared with 40 non-severe asthma.
3)ATP levels correlated with percentage of neutrophils in sputum.
4)The relation between ATP and percentage of neutrophils amplified in severe asthma.


Management information

Registered date

2019 Year 02 Month 01 Day

Last modified on

2023 Year 02 Month 11 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000040723


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name