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Service and Health Among Deployed Veterans (SHADE)

This study is not yet open for participant recruitment.
See Contacts and Locations
Verified May 2017 by VA Office of Research and Development
Sponsor:
Collaborators:
United States Department of Defense
Harvard University
Information provided by (Responsible Party):
VA Office of Research and Development
ClinicalTrials.gov Identifier:
NCT02825654
First received: June 21, 2016
Last updated: May 15, 2017
Last verified: May 2017
  Purpose
The purpose of the study is to better understand the health, including lung health, of Veterans who deployed in support of Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF), or Operation New Dawn (OND) and other deployments following these Operations.

Condition
Pulmonary Function

Study Type: Observational [Patient Registry]
Study Design: Observational Model: Cohort
Time Perspective: Cross-Sectional
Target Follow-Up Duration: 50 Years
Official Title: CSP #595 - Pulmonary Health and Deployment to Southwest Asia and Afghanistan

Further study details as provided by VA Office of Research and Development:

Primary Outcome Measures:
  • Current forced expiratory volume in 1 second (FEV1) [ Time Frame: Outcome measured at time of in-person study visit (Day 1) ]
    An assessment of pulmonary function obtained through spirometry


Secondary Outcome Measures:
  • Current forced vital capacity (FVC) [ Time Frame: Outcome measured at time of in-person study visit (Day 1) ]
    An assessment of pulmonary function obtained through spirometry

  • Current FEV1/FVC ratio [ Time Frame: Outcome measured at time of in-person study visit (Day 1) ]
    An assessment of pulmonary function obtained through spirometry

  • Pharmaceutically-treated asthma [ Time Frame: Outcome measured at time of in-person study visit (Day 1) ]
    Based on medication inventory, the investigators will classify medically-treated asthma therapy into mild, moderate, and severe based on the intensity of asthma therapy as suggested by the Global Strategy for Asthma Management and Prevention, Global Initiative for Asthma (GINA) 2015.


Estimated Enrollment: 6200
Anticipated Study Start Date: July 1, 2017
Estimated Study Completion Date: October 31, 2022
Estimated Primary Completion Date: April 30, 2021 (Final data collection date for primary outcome measure)
Groups/Cohorts
Post-9/11 Gulf War Era Veterans
Military personnel who deployed to Central Asia, Southwest Asia, and Africa during the Post-9/11 Gulf War Era

Detailed Description:

The aim of the study is to characterize the impact of deployment-related pollution exposures during the Post-9/11 Gulf War Era on current respiratory health using objectively ascertained and standardized physiologic and epidemiologic measures. The primary objective in support of this aim is to assess the association of cumulative exposure to PM2.5 during deployments to the U.S. bases and other locations in Central Asia (Afghanistan and Kyrgyzstan), Southwest Asia (Iraq, Kuwait, Qatar, and United Arab Emirates) and Africa (Djibouti) with current measures of pulmonary function. Secondary objectives in support of the aim will examine the association of cumulative exposure to PM2.5 during deployments with the clinical outcome of medically-treated asthma. The investigators will also explore the impact of deployment duration on both pulmonary function and asthma.

This study will execute 4 distinct efforts to meet the study objectives: (1) enroll a study cohort of up to 6,200 Veterans who live within the catchment area of 6 VA recruitment sites, conduct an in-person assessment of pulmonary function, and collect data on key covariates; (2) create a spatial-temporal exposure grid of environmental PM2.5 levels averaged per week per 1 square kilometer at locations where military personnel served; (3) link each individual's location and duration (spatial-temporal) history during deployed and non-deployed times with averaged PM exposures during each of these time periods; and (4) conduct association analyses to test hypotheses of deployment-related cumulative PM2.5 exposure and current respiratory health by combining exposure data with data collected from the cohort members and from their military records.

  Eligibility

Ages Eligible for Study:   Child, Adult, Senior
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Probability Sample
Study Population
The sampling frame for the study is military personnel identified from Department of Defense (DoD) Defense Manpower Data Center (DMDC) records who meet the inclusion and exclusion criteria. From among those Veterans who meet study eligibility, the investigators will identify a sample of Veterans living in the catchment area of the participating VA medical centers for recruitment. The study is not open to volunteers; Veterans must be selected from the sampling frame to participate.
Criteria

Inclusion Criteria:

  • Served during the Post-9/11 Gulf War Era in a service branch that had land-based deployments (Air Force, Army, and Marine Corps)
  • Deployed to Afghanistan, Kyrgyzstan, Iraq, Kuwait, Qatar, United Arab Emirates, or Djibouti after October 1, 2001

Exclusion Criteria:

  • Active duty at the time of recruitment
  • Impaired decision making capacity
  • No English language proficiency
  • Prisoners
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT02825654

Contacts
Contact: Nicholas L Smith, PhD (206) 764-2773 Nicholas.Smith@va.gov
Contact: Karen S Nakayama, BA (206) 277-3587 Karen.Nakayama@va.gov

Locations
United States, Massachusetts
VA Boston Healthcare System West Roxbury Campus, West Roxbury, MA Not yet recruiting
West Roxbury, Massachusetts, United States, 02132
Contact: Eric Garshick, MD    857-203-5536    Eric.Garshick@va.gov   
Contact: Paul D Blanc, MD MSPH    (415) 221-4810 ext 3573      
Principal Investigator: Eric Garshick, MD         
Sponsors and Collaborators
VA Office of Research and Development
United States Department of Defense
Harvard University
Investigators
Study Chair: Eric Garshick, MD VA Boston Healthcare System West Roxbury Campus, West Roxbury, MA
Study Chair: Paul D Blanc, MD MSPH San Francisco VA Medical Center, San Francisco, CA
Study Chair: Susan P Proctor, DSc VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA
  More Information

Additional Information:
Responsible Party: VA Office of Research and Development
ClinicalTrials.gov Identifier: NCT02825654     History of Changes
Other Study ID Numbers: 595
Study First Received: June 21, 2016
Last Updated: May 15, 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided

Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Product Manufactured in and Exported from the U.S.: No

Keywords provided by VA Office of Research and Development:
Pulmonary
Lung
Military and environmental exposures
Epidemiologic
Observational
Interview or questionnaire
Deployment related
Enduring Freedom
Iraqi Freedom

ClinicalTrials.gov processed this record on July 17, 2017