A Study to Explore the Utility of Fractional Exhaled Nitric Oxide (FeNO) Compared With Methacholine Challenge (MCC) Testing in the Assessment of Patients With Suspected But Undiagnosed Asthma
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Purpose
Objective: To explore the utility of Fractional Exhaled Nitric Oxide (FeNO) compared with Methacholine Challenge (MCC) testing in assessing patients with suspected but undiagnosed asthma
Number of participants: Approximately 50 subjects will be enrolled
Reference product: NIOX MINO® Instrument (09-1100)
Performance assessments: FeNO measurements will be performed according to the "Perform FeNO Measurement" guidelines on page 7 of the NIOX MINO® User Manual. MCC testing will be performed according to the ATS guidelines and the allergy and asthma specialists procedure for conducting MCC tests
Safety assessments: The Investigator is responsible for the detection, reporting, and documentation of events meeting the definition of an Adverse Event (AE) and/or Serious Injuries as provided in this clinical investigation plan from the time that informed consent has been provided and during the study period
Criteria for evaluations: This is an exploratory study and there are currently no plans for a formal statistical analysis. Information gained from this study may used to design and power subsequent studies in patients with suspected but undiagnosed asthma. Information collected will be summarized in a clinical study report
| Condition | Intervention |
|---|---|
|
Asthma |
Device: NIOX MINO® Instrument (09-1100) |
| Study Type: | Observational |
| Study Design: | Observational Model: Case-Only Time Perspective: Prospective |
- Predictive value of FeNO compared to MCC for the diagnosis of asthma [ Time Frame: approximately 1-hour ] [ Designated as safety issue: No ]Fractional Exhaled Nitric Oxide (FeNO) measurements will be performed according to the "Perform FeNO Measurement" guidelines on page 7 of the NIOX MINO® User Manual (February, 2011). Methacholine Challenge (MCC) tests will be performed according to the ATS guidelines and the Allergy and Asthma Specialists Procedure for conducting MCC tests. Values from the two tests will be compared against final asthma diagnosis.
- Sensitivity and specificity of FeNO and MCC for the diagnosis of asthma [ Time Frame: approximately 1-hour ] [ Designated as safety issue: No ]Fractional Exhaled Nitric Oxide (FeNO) measurements will be performed according to the "Perform FeNO Measurement" guidelines on page 7 of the NIOX MINO® User Manual (February, 2011). Methacholine Challenge (MCC) tests will be performed according to the ATS guidelines and the Allergy and Asthma Specialists Procedure for conducting MCC tests. Sensitivity and specificity based on final asthma diagnosis will be compared between two measures.
| Enrollment: | 50 |
| Study Start Date: | June 2012 |
| Study Completion Date: | November 2012 |
| Primary Completion Date: | November 2012 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
FeNO
Participants with suspected but undiagnosed asthma will have a fractional exhaled nitric oxide (FeNO) measurement taken by NIOX MINO® Instrument (09-1100) according to the 'Perform FeNO Measurement' guidelines on page 7 of the NIOX MINO® User Manual (February 2011) during their study visit. Following that they will have a Methacholine Challenge (MCC) test performed according to the ATS guidelines and the Allergy and Asthma Specialists Procedure for conducting MCC tests
|
Device: NIOX MINO® Instrument (09-1100)
The NIOX MINO® Instrument (09-1100) is a 10 second test based on exhaled breath measured at a 50 ml/second flow rate.
|
Show Detailed Description
Eligibility| Ages Eligible for Study: | 7 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Male and female subjects, approximately 7 years of age and above with suspected but undiagnosed asthma that are scheduled to undergo Methacholine Challenge (MCC) testing as part of the routine evaluation of suspected asthma.
Inclusion Criteria:
- Subjects with suspected but undiagnosed asthma that are scheduled to undergo MCC testing as part of the routine evaluation of suspected asthma.
Exclusion Criteria:
- Concurrent Conditions or Disease:
- current diagnosis of asthma, COPD, or other chronic respiratory disease
- upper or lower respiratory infection (including the common cold) that has not resolved within 4 weeks prior to the MCC test
Medication Use:
- scheduled use of asthma and allergy medication(s) should be discontinued at least 48 hours prior to MCC testing
- rescue medications should be discontinued at least 8 hour prior to MCC testing
Smoking:
- smoking should be avoided for at least 8 hours prior to MCC testing
Exercise:
- exercise or outdoor activity should be avoided for at least 2 hours prior to testing
Vaccinations:
-vaccinations should be avoided at least 2 weeks prior to MCC testing
Study participation outside of the protocol:
-subjects currently enrolled in studies of investigational or non-investigational drugs or medical devices and/or who participated in these studies within 30 days prior to this study are excluded
Contacts and Locations| United States, Pennsylvania | |
| Allergy and Asthma Specialists, PC | |
| Blue Bell, Pennsylvania, United States, 19422 | |
| Allergy and Asthma Specialists, PC | |
| Collegeville, Pennsylvania, United States, 19426 | |
| Allergy and Asthma Specialists, PC | |
| Doylestown, Pennsylvania, United States, 18901 | |
| Allergy and Asthma Specialists, PC | |
| Jenkintown, Pennsylvania, United States, 19102 | |
| Allergy and Asthma Specialists, PC | |
| King of Prussia, Pennsylvania, United States, 19406 | |
| Allergy and Asthma Specialists, PC | |
| Lansdale, Pennsylvania, United States, 19446 | |
| Allergy and Asthma Specialists, PC | |
| Philadelphia, Pennsylvania, United States, 19102 | |
| Allergy and Asthma Specialists, PC | |
| Pottsville, Pennsylvania, United States, 19464 | |
| Principal Investigator: | Robert Anolik, MD | Allergy and Asthma Specialists, PC |
More Information
No publications provided
| Responsible Party: | Aerocrine AB |
| ClinicalTrials.gov Identifier: | NCT01648920 History of Changes |
| Other Study ID Numbers: | AER-044 |
| Study First Received: | July 5, 2012 |
| Last Updated: | March 16, 2013 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Aerocrine AB:
|
Asthma Suspected but undiagnosed asthma |
Additional relevant MeSH terms:
|
Asthma Bronchial Diseases Respiratory Tract Diseases Lung Diseases, Obstructive Lung Diseases Respiratory Hypersensitivity Hypersensitivity, Immediate Hypersensitivity Immune System Diseases Nitric Oxide Methacholine Chloride Bronchodilator Agents Autonomic Agents Peripheral Nervous System Agents Physiological Effects of Drugs |
Pharmacologic Actions Anti-Asthmatic Agents Respiratory System Agents Therapeutic Uses Free Radical Scavengers Antioxidants Molecular Mechanisms of Pharmacological Action Neurotransmitter Agents Endothelium-Dependent Relaxing Factors Vasodilator Agents Cardiovascular Agents Protective Agents Miotics Parasympathomimetics Bronchoconstrictor Agents |
ClinicalTrials.gov processed this record on May 16, 2013