Study of Dust Mite Inhalation in Humans
This study is ongoing, but not recruiting participants.
Information provided by (Responsible Party):
David B. Peden, MD, University of North Carolina, Chapel Hill
First received: March 15, 2007
Last updated: October 5, 2012
Last verified: October 2012
The purpose of this research study is to learn more about the effect of inhaled dust mite allergen extract on airway responses in allergic individuals with mild asthma. Information learned from this study will be used to identify a safe dose range of D Farinae extract for use in inhalation challenge studies. This study will also help determine how inhalation of the allergen affects mucociliary clearance (MCC) which is a measure of how quickly mucus clears from the airway.
Biological: inhaled allergen challenge
Endpoint Classification: Safety Study
Intervention Model: Single Group Assignment
Masking: Open Label
||Phase 1 Study of Dermatophagoides Farinae Inhalation in Humans
Primary Outcome Measures:
- Effect of allergen challenge procedure on the following:changes in airway monocytes cell surface marker expression and changes in airway PMN and Eosinophil numbers [ Time Frame: 0-24 hours post challenge ] [ Designated as safety issue: No ]
Secondary Outcome Measures:
- changes in symptom scores [ Time Frame: day 0 through day 4 post challenge ] [ Designated as safety issue: Yes ]
- changes lung function [ Time Frame: 0-24 hours post challenge ] [ Designated as safety issue: Yes ]
| Estimated Enrollment:
| Study Start Date:
| Estimated Study Completion Date:
| Primary Completion Date:
||August 2010 (Final data collection date for primary outcome measure)
inhaled allergen challenge
Biological: inhaled allergen challenge
Subjects will inhale gradually increasing concentrations of Dermatophagoides farinae until a 15% drop in FEV1 is noted
Other Name: dust mites
|Ages Eligible for Study:
||18 Years to 50 Years
|Genders Eligible for Study:
|Accepts Healthy Volunteers:
- A history of episodic wheezing, chest tightness, or shortness of breath consistent with asthma, or physician diagnosed asthma.
- Specific allergy to house dust mite Dermatophagoides farinae confirmed by positive immediate skin test response.
- Provocative concentration of methacholine of 10 mg/ml or less producing a 20% fall in FEV1 (PC20 methacholine) by the method used in a separate screening protocol (98-CEMLB-293) that is already approved by the UNC IRB.
- FEV1 of at least 80% of predicted and FEV1/FVC ratio of at least .70 (without use of bronchodilating medications for 12 hours), consistent with lung function of persons with mild episodic or mild persistent asthma.
- Any chronic medical condition considered by the PI as a contraindication to the exposure study including significant cardiovascular disease, diabetes requiring medication, chronic renal disease, or chronic thyroid disease.
- Subjects with a history of immunologic disease, or undergoing therapeutic immune suppression for cancer or other diseases.
- Physician directed emergency treatment for an asthma exacerbation within the preceding 12 months.
- Use of systemic steroid therapy within the preceding 12 months for asthma or the following asthma symptoms; cough, wheeze, shortness of breath.
- Use of inhaled steroids, cromolyn or leukotriene inhibitors (Montelukast or Zafirlukast) within the past month (except for use of cromolyn exclusively prior to exercise).
- Use of daily theophylline within the past month.
- Use of medications that might alter the response to methacholine or antigen challenge including anti-inflammatory and anti-histamine agents within one week of challenge.
- Subjects using tricyclic antidepressants such as doxepin and MAO inhibitors.
- Subjects using beta-adrenergic blockers or any other medications known to interfere with the treatment of anaphylaxis.
- Inability to withhold inhaled or oral bronchodilating medications for 12 hours prior to allergen challenge.
- Pregnancy (positive urine pregnancy test at the baseline visit) or nursing a baby. Pregnant women are excluded due to the risk of fetal exposure to radiation.
- Women of child bearing potential who are not using dependable contraception (such as birth control pill, IUD, estrogen patches) or who are not completely abstinent.
- Cigarette smoking >0.5 packs per week within the past 12 months.
- Nighttime symptoms of cough or wheeze greater than 1x/week at baseline (not during a clearly recognized viral induced asthma exacerbation) which would be characteristic of a person of moderate or severe persistent asthma as outlined in the current NHLBI guidelines for diagnosis and management of asthma.
- Exacerbation of asthma more than 2x/week which would be characteristic of a person of moderate or severe persistent asthma as outlined in the current NHLBI guidelines for diagnosis and management of asthma.
- Daily requirement for albuterol due to asthma symptoms (cough, wheeze, chest tightness) which would be characteristic of a person of moderate or severe persistent asthma as outlined in the current NHLBI guidelines for diagnosis and management of asthma. (Not to include prophylactic use of albuterol prior to exercise).
- Viral upper respiratory tract infection within 4 weeks of challenge.
- Any acute infection requiring antibiotics within 2 weeks of challenge (or 4 weeks in the case of azithromycin due to the prolonged half-life).
- Participating in any study utilizing an investigational agent within 4 weeks of this challenge.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00448851
|UNC Center for Environmental Medicine, Asthma and Lung Biology
|Chapel Hill, North Carolina, United States, 27599-7310 |
University of North Carolina, Chapel Hill
||David B Peden, MD, MS
||University of North Carolina at Chapel Hill, Dept of Pediatrics / Center for Environmental Medicine, Asthma and Lung Biology
No publications provided by University of North Carolina, Chapel Hill
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
||David B. Peden, MD, Professor of Pediatrics, Director of CEMALB, University of North Carolina, Chapel Hill
History of Changes
|Other Study ID Numbers:
||06-0528, NHLBI-RO1 HL080337
|Study First Received:
||March 15, 2007
||October 5, 2012
||United States: Federal Government
United States: Food and Drug Administration
United States: Institutional Review Board
Keywords provided by University of North Carolina, Chapel Hill:
Additional relevant MeSH terms:
ClinicalTrials.gov processed this record on June 17, 2013
Immune System Diseases
Respiratory Tract Diseases
Lung Diseases, Obstructive