The Effects Of Methacholine Challenge Administered Using Three Different Nebulizers On Small Airways Function
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Purpose
The objective of this study is to examine the functional effects of methacholine challenge on small airways using three different nebulizers to generate particles with HMAD suitable for distribution in small, intermediate and large airways.Pulmonary function will be assessed using plethysmography and impulse oscillation techniques. Eight asthmatic subjects (>18 years, both sexes) who are stable clinically and require only intermittent ß2-agonist treatment will be recruited to undergo methacholine challenges for an in vivo, dose-finding observational study. Three separate methacholine challenges will be carried out using each of the three different nebulizers. After each challenge, pulmonary function tests will be performed on subjects to assess functional changes in large and small airways. Results of the tests will be compared between the three nebulizers. These experiments will demonstrate whether or not functional changes occur in small airways in response to methacholine, as measured by pulmonary function tests after selectively targeting small airways using the nebulizer which generates small particles. The results from these experiments will give us a better understanding of the role of small airways in methacholine-induced bronchoconstriction in asthmatics, and will compare sensitivity of plethysmography compared to forced oscillation for detecting changes in small airways.
| Condition | Intervention |
|---|---|
|
Asthma |
Other: 1. Wright Nebulizer Other: Pari LC Nebulizer Other: The Pari Sinustar Nebulizer |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Crossover Assignment Masking: Open Label Primary Purpose: Basic Science |
| Official Title: | The Effects of Methacholine Challenge Administered Using Three Different Nebulizers on Small Airways Function |
- To examine the functional effects of methacholine challenge on small airways via plethysmography and impulse oscillation techniques [ Time Frame: April 2008 ] [ Designated as safety issue: No ]
- To compare the sensitivity of these measurement techniques to detect changes in small airways. [ Time Frame: April 2008 ] [ Designated as safety issue: No ]
| Enrollment: | 8 |
| Study Start Date: | September 2007 |
| Study Completion Date: | April 2008 |
| Primary Completion Date: | April 2008 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: 1
The Wright Nebulizer will be used to perform the methacholine challenge in arm 1.
|
Other: 1. Wright Nebulizer
The Wright nebulizer will be used to perform the methacholine challenge.
|
|
Active Comparator: 2
The Pari LC nebulizer will be used to perform the methacholine challenge in arm 2.
|
Other: Pari LC Nebulizer
The Pari LC nebulizer will be used to perform the methacholine challenge.
|
|
Active Comparator: 3
The Pari Sinustar nebulizer will be used to perform the methacholine challenge in arm 3.
|
Other: The Pari Sinustar Nebulizer
The Pari Sinustar nebulizer will be used to perform the methacholine challenge.
|
Show Detailed Description
Eligibility| Ages Eligible for Study: | 18 Years to 65 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Mild asthmatics, presently well controlled on ß2-agonists.
- Non-smokers.
- Baseline FEV1 more than 70% of predicted normal.
Exclusion Criteria:
- Airway infection during the last 4 weeks.
- Exacerbation during the last 4 weeks.
- Inhaled or oral steroids during the last 4 weeks.
- Antihistamines during the last 48 hours.
- Asthma medication other than inhaled and/or oral ß2-agonists during the last 4 weeks.
- Pregnant women.
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Gail Gauvreau, McMaster University |
| ClinicalTrials.gov Identifier: | NCT00529477 History of Changes |
| Other Study ID Numbers: | NEB3-AIR |
| Study First Received: | September 7, 2007 |
| Last Updated: | October 20, 2009 |
| Health Authority: | Canada: Health Canada |
Additional relevant MeSH terms:
|
Asthma Bronchial Diseases Respiratory Tract Diseases Lung Diseases, Obstructive Lung Diseases Respiratory Hypersensitivity Hypersensitivity, Immediate Hypersensitivity Immune System Diseases Methacholine Chloride Miotics Autonomic Agents |
Peripheral Nervous System Agents Physiological Effects of Drugs Pharmacologic Actions Parasympathomimetics Bronchoconstrictor Agents Respiratory System Agents Therapeutic Uses Muscarinic Agonists Cholinergic Agonists Cholinergic Agents Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action |
ClinicalTrials.gov processed this record on May 22, 2013