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

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Aerocrine AB
ClinicalTrials.gov Identifier:
NCT01648920
First received: July 5, 2012
Last updated: March 16, 2013
Last verified: March 2013
  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

Resource links provided by NLM:


Further study details as provided by Aerocrine AB:

Primary Outcome Measures:
  • 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
Study Population

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.

Criteria

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
Please refer to this study by its ClinicalTrials.gov identifier: NCT01648920

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
Sponsors and Collaborators
Aerocrine AB
Investigators
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