UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000041913
Receipt number R000047333
Scientific Title Identification of volatile organic compounds that specify severe asthma phenotypes in Japan
Date of disclosure of the study information 2020/09/28
Last modified on 2023/12/11 14:27:15

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Basic information

Public title

Identification of volatile organic compounds
that specify severe asthma phenotypes in Japan

Acronym

J-VOCSA Trial

Scientific Title

Identification of volatile organic compounds
that specify severe asthma phenotypes in Japan

Scientific Title:Acronym

J-VOCSA Trial

Region

Japan


Condition

Condition

Asthma

Classification by specialty

Pneumology Clinical immunology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This study aims to identify volatile organic compounds (VOCs) that specify asthma phenotypes among Japanese severe asthma patients.

Basic objectives2

Others

Basic objectives -Others

This study aims to identify volatile organic compounds (VOCs) that specify asthma phenotypes among Japanese severe asthma patients.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Identification of difference in the distribution of VOCs among severe asthma phenotypes.

Key secondary outcomes



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

16 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Asthma patients who met all the criteria listed below.
1) Asthma patients previously enrolled for NHOM-Asthma study
2) Severe asthma patients (asthma patients receiving GINA Step 4 or 5 treatment)
3) Asthma patients visiting participating hospitals
4) Asthma patients being able to provide informed consent
5) Asthma patients aged 16 years or older at time of acquisition of informed consent

Healthy control subjects (healthy control subjects will be recruited from the hospital workers at participating hospitals)
1) Subjects aged 20 years or older at time of acquisition of informed consent
2) Subjects being able to provide informed consent
3) Subjects without any disease on treatment

Key exclusion criteria

1) As a result of medical interview, physical examination or investigation, the physician responsible considers the subject unfit for the study.

Target sample size

300


Research contact person

Name of lead principal investigator

1st name Maho
Middle name
Last name Suzukawa

Organization

National Hospital Organization Tokyo National Hospital

Division name

Clinical Research Center

Zip code

204-8585

Address

3-1-1 Takeoka, Kiyose-Shi, Tokyo, Japan

TEL

042-491-2111

Email

fueta-tky@umin.ac.jp


Public contact

Name of contact person

1st name Maho
Middle name
Last name Suzukawa

Organization

National Hospital Organization Tokyo National Hospital

Division name

Clinical Research Center

Zip code

204-8585

Address

3-1-1 Takeoka, Kiyose-Shi, Tokyo, Japan

TEL

042-491-2111

Homepage URL


Email

fueta-tky@umin.ac.jp


Sponsor or person

Institute

National Hospital Organization Tokyo National Hospital

Institute

Department

Personal name



Funding Source

Organization

GlaxoSmithKlin

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

National Hospital Organization Review Board for Clinical Trials (Nagoya)

Address

4-1-1 Sannomaru, Naka-ku Nagoya, Aichi 460-0001, Japan

Tel

052-951-1111

Email

311-rec@mail.hosp.go.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



Other administrative information

Date of disclosure of the study information

2020 Year 09 Month 28 Day


Related information

URL releasing protocol

not applicable

Publication of results

Unpublished


Result

URL related to results and publications

not applicable

Number of participants that the trial has enrolled

245

Results

GC/MS detected 243 VOCs, and 142 frequently detected VOCs were used for statistical analyses. Cluster analysis showed the highest similarities between clusters 3 and 4 (early-onset clusters), followed by the similarities between clusters 1 and 2 (late-onset clusters). Comparisons between clusters 1- 5 and HC revealed 19 VOCs, in which only methanesulfonic anhydride showed p < 0.05 adjusted by false discovery rate. Comparison of these clusters yielded several VOCs showing different trends (p < 0.05).

Results date posted

2023 Year 12 Month 11 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Of these, three patients with asthma had some missing data required for the tree analysis to assign phenotypes.1 Finally, 245 patients with asthma and 50 HC were subjected to the tree analysis and analyzed for VOCs. The baseline characteristics of patients with asthma and HC are summarized in Table 1. Patients with asthma were assigned an asthma phenotype according to a previously described decision tree.1 As in the previous report, the characteristics of the five clusters were in accordance with those of NHOM-asthma, a nationwide prospective, multicenter observational cohort study conducted at 27 hospitals in Japan, and the details of the study design have been published previously,1 except for male dominance in cluster 5: cluster 1, late-onset, old, less atopic; cluster 2, late-onset, old, eosinophilic, low FEV1; cluster 3, early onset, long-duration, atopic, poorly controlled; cluster 4, early onset, young, female-dominant, atopic; and cluster 5, female-dominant, T1/T2-mixed, and most severe. However, the distribution of the participants became uneven; five asthma cases were included in cluster 5; in contrast, the other clusters had more than 30 asthma cases.

Participant flow

A total of 256 patients with asthma and 50 HC were enrolled in this study. Of the enrolled patients, eight patients with asthma were withdrawn, and 248 patients with asthma and 50 HC were subjected to analysis .

Adverse events

not applicable.

Outcome measures

Analysis of VOCs among asthma phenotypes
Comparison of VOCs between patients with asthma and HCs
Comparison of VOCs between late- and early-onset clusters (clusters 1, 2, and clusters 3 and 4)
VOCs for distinguishing cluster 5 from clusters 1-4.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2020 Year 06 Month 18 Day

Date of IRB

2020 Year 09 Month 16 Day

Anticipated trial start date

2021 Year 01 Month 01 Day

Last follow-up date

2021 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

observational study


Management information

Registered date

2020 Year 09 Month 28 Day

Last modified on

2023 Year 12 Month 11 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000047333


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name