Exercise-induced Bronchoconstriction in School Children
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Purpose
The goal of the project is to define the prevalence and inflammatory background of exercise-induced bronchoconstriction (EIB) in school children and determine individual and environmental risk factors for EIB. The obtained results will provide objective measures on biological processes leading to bronchoconstriction during exercise, as might be experienced naturally during the school life. The results could be applied in the management of EIB patients with or without asthma. The results of planned research will be published in journals with national and international impact, and presented during symposia and conferences.
| Condition | Intervention |
|---|---|
|
Asthma |
Procedure: History, physical, LF, SPT, blood sample, FeNO, EBC. |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Exercise-induced Bronchoconstriction in School Children - Prevalence, Environmental/Individual Risk Factors and Its Mechanism |
- - Prevalence and inflammatory background of exercise-induced bronchoconstriction (EIB) in school children, individual and environmental risk factors for EIB [ Time Frame: 26 days (maximal) ] [ Designated as safety issue: No ]- prevalence and inflammatory background of exercise-induced bronchoconstriction (EIB) in school children, individual and environmental risk factors for EIB: Medical history and physical examination, (LF) lung function (spirometry, (SETC) standardized exercise treadmill challenge, (BRT) bronchial reversibility test,(MBP) metacholine bronchial provocation), (SPT) skin prick tests, blood sample, (FeNO) fractional exhaled nitric oxide measurements, (EBC) exhaled breath condensate.
Biospecimen Retention: Samples With DNA
- exhaled breath condensate sample
- blood sample (5 ml sample): tryptase, lipoxin A4 serum levels
- blood sample also will be taken before and after challenge together with exhaled breath condensate sample in order to detect markers of inflammation (such as IL-1a, IL-2, IL-5, IL-6, IL-8, IL-9, IL-12p70, IL-13, IL-17, IL-22, MCP1, TLR2, MIP1a, PDGFBB, TIMP2, TNFalfa, CRP, TGF-b1, TSLP- ELISA and cysteinyl leukotrienes, LTB4, PGE2-HPLC/mass spectrometry).
| Estimated Enrollment: | 1200 |
| Study Start Date: | February 2013 |
| Estimated Study Completion Date: | December 2014 |
| Estimated Primary Completion Date: | November 2014 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
EIB+A+
|
Procedure: History, physical, LF, SPT, blood sample, FeNO, EBC.
Medical history and physical examination, (LF) lung function (spirometry, (SETC) standardized exercise treadmill challenge, (BRT) bronchial reversibility test,(MBP) metacholine bronchial provocation), (SPT) skin prick tests, blood sample, (FeNO) fractional exhaled nitric oxide measurements, (EBC) exhaled breath condensate.
|
EIB+A-
|
Procedure: History, physical, LF, SPT, blood sample, FeNO, EBC.
Medical history and physical examination, (LF) lung function (spirometry, (SETC) standardized exercise treadmill challenge, (BRT) bronchial reversibility test,(MBP) metacholine bronchial provocation), (SPT) skin prick tests, blood sample, (FeNO) fractional exhaled nitric oxide measurements, (EBC) exhaled breath condensate.
|
EIB-A+
|
Procedure: History, physical, LF, SPT, blood sample, FeNO, EBC.
Medical history and physical examination, (LF) lung function (spirometry, (SETC) standardized exercise treadmill challenge, (BRT) bronchial reversibility test,(MBP) metacholine bronchial provocation), (SPT) skin prick tests, blood sample, (FeNO) fractional exhaled nitric oxide measurements, (EBC) exhaled breath condensate.
|
EIB-A-
|
Procedure: History, physical, LF, SPT, blood sample, FeNO, EBC.
Medical history and physical examination, (LF) lung function (spirometry, (SETC) standardized exercise treadmill challenge, (BRT) bronchial reversibility test,(MBP) metacholine bronchial provocation), (SPT) skin prick tests, blood sample, (FeNO) fractional exhaled nitric oxide measurements, (EBC) exhaled breath condensate.
|
Show Detailed Description
Eligibility| Ages Eligible for Study: | 6 Years to 18 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Probability Sample |
school-children screened for EIB during PE lesson
Inclusion Criteria:
- Children with decreased FEV1 (>=10% from baseline) and/or children with EIB history within last 12 months (symptoms: dyspnea, cough, wheezes, chest pain during/after exercises)
Exclusion Criteria:
- Children without decreased FEV1 (>=10% from baseline) and/or children without EIB history within last 12 months (symptoms: dyspnea, cough, wheezes, chest pain during/after exercises)
Contacts and Locations| Contact: Iwona Stelmach, MDPhDProf. | 48426895972 | alergol@kopernik.lodz.pl |
| Contact: Paweł Majak, MDPhD | 48426895972 | alergol@kopernik.lodz.pl |
| Poland | |
| Department of Pediatrics and Allergy, Medical University of Lodz, N. Copernicus Hospital | Recruiting |
| Lodz, Poland, 93-513 | |
| Contact: Iwona Stelmach, MDPhD Prof. 48426895972 alergol@kopernik.lodz.pl | |
| Contact: Paweł Majak, MD PhD 48426895972 alergol@kopernik.lodz.pl | |
| Principal Investigator: Iwona Stelmach, MDPhD, Prof. | |
| Sub-Investigator: Paweł Majak, MD, PhD | |
| Sub-Investigator: Włodzimierz Stelmach, MD, PhD | |
| Sub-Investigator: Joanna Jerzyńska, MD, PhD | |
| Sub-Investigator: Łukasz Cichalewski, MD | |
| Sub-Investigator: Anna Kozubkiewicz, Msc | |
| Sub-Investigator: Magdalena Bojo, MD | |
| Sub-Investigator: Adam Rzeźnicki, MD | |
| Sub-Investigator: Magdalena Miazek, MD | |
| Sub-Investigator: Monika Kopka, MD | |
| Sub-Investigator: Magdalena Koczkowska, MD | |
| Sub-Investigator: Tomasz Grzelewski, MD, PhD | |
| Sub-Investigator: Joanna Sieniawska, MD | |
| Principal Investigator: | Iwona Stelmach, MDPhDProf. | Department of Pediatrics and Allergy, Medical University of Lodz, N. Copernicus Hospital, Lodz, Poland , 93-513 |
More Information
No publications provided
| Responsible Party: | Iwona Stelmach, MD, PhD, Prof., Medical Universtity of Lodz |
| ClinicalTrials.gov Identifier: | NCT01798823 History of Changes |
| Other Study ID Numbers: | RNN/160/12/KE |
| Study First Received: | February 19, 2013 |
| Last Updated: | February 22, 2013 |
| Health Authority: | Poland: Ministry of Health |
Keywords provided by Medical Universtity of Lodz:
|
children asthma |
Additional relevant MeSH terms:
|
Asthma Bronchial Diseases Respiratory Tract Diseases Lung Diseases, Obstructive Lung Diseases |
Respiratory Hypersensitivity Hypersensitivity, Immediate Hypersensitivity Immune System Diseases |
ClinicalTrials.gov processed this record on June 17, 2013