Molecular Epidemiology of ARDS
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| ClinicalTrials.gov Identifier: NCT00006496 |
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Recruitment Status :
Recruiting
First Posted : November 17, 2000
Last Update Posted : September 13, 2019
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| Condition or disease |
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| Acute Respiratory Distress Syndrome Lung Diseases |
BACKGROUND:
The acute respiratory distress syndrome (ARDS) remains a major cause of morbidity and mortality around the world. In the United States alone there are 150,000 cases per year. Although there have been significant scientific advances in understanding the clinical and pathophysical aspects of the syndrome, there is as yet no specific therapy for ARDS. Moreover, although major risk factors for the development of ARDS include sepsis, aspiration, and multiple trauma, only a minority of patients with these risk factors develop ARDS. Individual differences in susceptibility to chronic disease have been a subject of active molecular epidemiologic investigations for the past decade. In particular, risk factors for cancer conferred by heritable polymorphisms and various metabolic functions have been reported. More recently, a polymorphism of endothelial nitrate oxide synthase has been associated with an increased susceptibility to coronary-artery disease, and polymorphisms in GSTM1 have been associated with an increased risk of developing asbestosis. A recent study of tumor necrosis factor (TNF) polymorphisms has been associated with poor outcome in ARDS.
DESIGN NARRATIVE:
The case-control study examined the association between specific polymorphisms in several genes coding for specific inflammatory responses and for surfactant protein and their potential association with increased susceptibility to ARDS. The first objective was to assess the role of candidate-gene polymorphisms as risk factors for ARDS in a case-control study. The second objective was to assess the relationship between genotype and phenotype for candidate markers in cases and controls. The third objective was to assess the role of these polymorphisms in clinical outcome (survival, recovery) using patients from both the proposed case-control study and the multicenter case series and clinical trial sponsored by the NHLBI ARDS network. By combining both a large case-control study and case series from the network, the study had the advantages of sufficient case ascertainment, statistical power, diagnostic standardization, uniform outcome criteria and study efficiency. Overall, the results of this study should provide new insights into the epidemiology of ARDS and allow for possible preventive strategies as well as possible modifications of therapeutic interventions for the Network Phase III trials.
The investigators test the hypothesis that there is an increased risk of ARDS in patients with heritable traits relating to inflammatory cytokines and surfactant. They are examining risk and prognosis, and examining case and control genetics in relation to cytokine levels. They also plan to do a case-series analysis from a separate study of the ARDS network. They will examine TNF alpha and beta, interleukin-1 receptor antagonist, surfactant protein B and interleukin-10 (IL-10).
| Study Type : | Observational |
| Estimated Enrollment : | 4000 participants |
| Observational Model: | Case-Control |
| Time Perspective: | Prospective |
| Official Title: | Molecular Epidemiology of Acute Respiratory Distress Syndrome |
| Study Start Date : | February 2000 |
| Estimated Primary Completion Date : | August 2022 |
| Estimated Study Completion Date : | December 2022 |
- Risk of ARDS [ Time Frame: From admission to ICU ]
- Mortality [ Time Frame: From admission to ICU to 60 days ]
- Multi-organ Failure [ Time Frame: From admission to ICU ]
Biospecimen Retention: Samples With DNA
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| Ages Eligible for Study: | 18 Years to 80 Years (Adult, Older Adult) |
| Sexes Eligible for Study: | All |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Eligibility Criteria:
All those with risk factors for ARDS - eg, pneumonia, trauma, sepsis.
Vulnerable populations (incarcerated, pregnant, etc.) will be excluded from enrollment. The following medical conditions will also exclude from study:
- immunocompromised patients
- patients with chronic lung disease that may appear like ARDS
- pulmonary vasculitis patients
- patients with diffuse alveolar hemorrhage
- patients treated with immune-modulating agents within 3 weeks of admission
- patients unable to intubate because of DNI order or patient is placed on comfort measures only
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00006496
| Contact: David C Christiani, MD, MPH | 617-726-9274 | dchristiani@partners.org | |
| Contact: Andrea Shafer, MPH | 617-726-9274 | ashafer@partners.org |
| United States, Massachusetts | |
| Massachusetts General Hospital | Recruiting |
| Boston, Massachusetts, United States, 02114 | |
| Contact: Andrea Shafer, MPH 617-726-9274 ashafer@partners.org | |
| Contact: Ednan Bajwa, MD 617-726-9274 ebajwa@partners.org | |
| Principal Investigator: David C Christiani, MD.MPH | |
| Principal Investigator: | David Christiani, MD | Harvard University School of Public Health |
Publications:
| Responsible Party: | David Christopher Christiani, Professor of Medicine, Massachusetts General Hospital |
| ClinicalTrials.gov Identifier: | NCT00006496 |
| Other Study ID Numbers: |
937 R01HL060710 ( U.S. NIH Grant/Contract ) |
| First Posted: | November 17, 2000 Key Record Dates |
| Last Update Posted: | September 13, 2019 |
| Last Verified: | September 2019 |
| Individual Participant Data (IPD) Sharing Statement: | |
| Plan to Share IPD: | No |
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Lung Diseases Respiratory Distress Syndrome, Newborn Respiratory Distress Syndrome, Adult Acute Lung Injury Syndrome Disease |
Pathologic Processes Respiratory Tract Diseases Respiration Disorders Infant, Premature, Diseases Infant, Newborn, Diseases Lung Injury |