A Study of Inhalation of 20,000 EU CCRE and Mucociliary Clearance (MCC) in Otherwise Healthy Individuals Who Are Current Cigarette Smokers (IRB 09-0259)
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Purpose
The purpose of this Phase 1 research study is to identify a dose of inhaled endotoxin that is safe (does not cause prolonged cough, shortness of breath or other problems), but causes changes in sputum cell samples that the scientists can measure. The investigators are also interested in seeing if the exposure to the endotoxin decreases the body's natural ability to clear mucus from the lungs.
| Condition | Intervention |
|---|---|
|
Healthy Cigarette Smoking |
Biological: 20K EU CCRE |
| Study Type: | Interventional |
| Study Design: | Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Basic Science |
| Official Title: | A Study of Inhalation of 20,000 EU CCRE and MCC in Otherwise Healthy Individuals Who Are Current Cigarette Smokers |
- Increase in sputum neutrophils [ Time Frame: 6 hours ] [ Designated as safety issue: No ]
- Mucociliary clearance rates [ Time Frame: 4 hours ] [ Designated as safety issue: No ]
| Enrollment: | 12 |
| Study Start Date: | May 2009 |
| Study Completion Date: | June 2012 |
| Primary Completion Date: | June 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Endotoxin
Inhalation of 20K EU CCRE
|
Biological: 20K EU CCRE
Inhalation of CCRE
|
Detailed Description:
The purpose of this study is to determine the range of neutrophil response (influx of PMNs to the airways as determined in sputum) after inhalation of CCRE (20,000 EU), shown in previous studies of healthy, nonsmoking volunteers as well as in a limited number of otherwise healthy smokers to be well tolerated. This dose induces measurable increases in neutrophil content of induced sputum that can be employed to screen large populations for susceptibility to the inflammatory effect of inhaled endotoxin. Limitations of the understanding of actions of inflammatory stimuli on airway function are likely due to the fact that functional assessments of dynamic airway response /in vivo/ have generally been limited to those based on spirometry and examination of airway samples for assessment of cells and mediator content. Slowing of mucociliary clearance (MCC), a key component of airway defense, can be induced by inflammation and almost certainly contribute to mucus plugging and decreased clearance of inhaled irritants. Measures of mucociliary clearance (MCC), by inhalation of radiolabeled particles to label airway surface liquid, suggest that clearance of secretions is impaired to a mild degree in smokers and more severely in patients hospitalized for acute exacerbations.
Eligibility| Ages Eligible for Study: | 18 Years to 50 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Must be current cigarette smokers
- Must be otherwise healthy
- Must be good sputum producers
Exclusion Criteria:
- Any acute illness any chronic illness which would impact results
Contacts and Locations| United States, North Carolina | |
| UNC Center for Environmental Medicine, Asthma and Lung Biology | |
| Chapel Hill, North Carolina, United States, 27599 | |
| Principal Investigator: | David Peden | University of NC Chapel Hill Hospitals |
More Information
Additional Information:
No publications provided
| Responsible Party: | David B. Peden, MD, Professor of Pediatrics, University of North Carolina, Chapel Hill |
| ClinicalTrials.gov Identifier: | NCT00924768 History of Changes |
| Other Study ID Numbers: | BB9998 Protocol 14, NHLBI P50-HL084934 |
| Study First Received: | June 17, 2009 |
| Last Updated: | October 5, 2012 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by University of North Carolina, Chapel Hill:
|
Otherwise healthy current cigarette smokers current cigarette smokers |
Additional relevant MeSH terms:
|
Smoking Habits |
ClinicalTrials.gov processed this record on May 22, 2013