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Trial registered on ANZCTR
Registration number
ACTRN12610000561088
Ethics application status
Approved
Date submitted
5/07/2010
Date registered
12/07/2010
Date last updated
26/07/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
How do thick airway walls affect airway hyperresponsiveness in asthma.
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Scientific title
Effect in asthmatic subjects of changes in airway wall thickness induced by inhaled corticosteroids on airway hyperresponsiveness
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Secondary ID [1]
252157
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National Health and Medical Research Council (NHMRC) Grant No: X08-0072
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Asthma
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Condition category
Condition code
Respiratory
257872
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0
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Asthma
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
All subjects will be treated with fluticasone as inhaled combination therapy (Seretide) at 500ug twice daily (bd) for twelve weeks
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Intervention code [1]
256756
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Diagnosis / Prognosis
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Intervention code [2]
256787
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Treatment: Drugs
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Comparator / control treatment
Not applicable
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Change in airway wall thickness, measured using high resoution computed tomography (HRCT) scans, during 3 months treatment correlates with a change in airway responsiveness, measured using methacholine bronchial challenge tests.
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Assessment method [1]
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Timepoint [1]
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after 3 months of treatment
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Primary outcome [2]
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correlation between airway stiffness, measured using the forced oscillation technique, and airway responsiveness, measured using methacholine bronchial challenge tests
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Assessment method [2]
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Timepoint [2]
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before and after 3 months of treatment
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Secondary outcome [1]
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correlation between airway wall thickening, measured using high resoution computed tomography (HRCT) scans, and airway stiffness, measured using the forced oscillation technique.
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Assessment method [1]
264779
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Timepoint [1]
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before and after 3 months of treatment
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Eligibility
Key inclusion criteria
doctor-diagnosed asthma; current symptoms of asthma; airway hyperresponsiveness to methacholine; taking no more than 800ug Beclomethasone diproprionate (BDP) equivalent/day;
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
current smokers within the last year or having more than 10 years pack history; pregnancy; history of lung cancer, lung reduction surgery, major illness (heart attack, stroke, epilepsy, rheumatoid arthritis); respiratory infection or oral pregnisolone use within the four weeks prior to study participation
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
Only one treatment intervention was used and this was only for those participants who were suitable for treatment (they had to have airway hyperresponsiveness and current symptoms and/or taking current treatment for their asthma)
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Phase
Phase 4
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Type of endpoint/s
Safety
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/08/2008
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
60
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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NHMRC
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Address [1]
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GPO Box 1421
Canberra ACT 2601
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Country [1]
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Australia
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Primary sponsor type
Other
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Name
The Woolcock Institute of Medical Research
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Address
431 Glebe Point Road
Glebe NSW 2037
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
256491
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Sydney South West Area Health Service
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Ethics committee address [1]
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Locked Bag 7017 Liverpool NSW 1817
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
259269
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Approval date [1]
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03/06/2008
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Ethics approval number [1]
259269
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08/RPAH/121
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Summary
Brief summary
Asthmatic airways narrow too easily, a characteristic called airway hyperresponsiveness (AHR). To understand the cause of asthma we need to understand the cause of AHR. Thickened airway walls could amplify airway narrowing and increase AHR. However, thick airway walls are also stiff, and stiff walls could reduce narrowing and AHR. This projnect will examine the relationships between AHR and airway wall thickness and stiffness during and after treatment that reduces airway wall thickness. Airway wall thickness will be measured by high-resolution computed tomography (HRCT) scan of the chest. Airway stiffness will be measured using a simple breathing test. Measurements will be made at baseline and after six and twelve weeks of treatment. Treatment with inhaled corticosteroids over twelve weeks will be used to reduce airway inflammation and airway wall thickness. These drugs are recommended in all asthma management guidelines for the treatment of asthma, and will be used in standard, recommended doses.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr Nathan Brown
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Address
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Woolcock Institute of Medical Research
431 Glebe Point Road
Glebe NSW 2050
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Country
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Australia
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Phone
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+61 2 9114 0147
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Fax
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+61 2 9114 0014
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Nathan Brown
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Address
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Woolcock Institute of Medical Research
431 Glebe Point Road
Glebe NSW 2050
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Country
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Australia
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Phone
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+61 2 9114 0147
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Fax
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+61 2 9114 0014
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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