E-TypeA Study of the Effects of the Selective CysLT1 Antagonist Montelukast on Bronchoconstriction and Airway Inflammation Induced by Inhalation of Leukotriene E4 in Subjects With Asthma
Montelukast
+ Inhaled leukotriene E4
+ Placebo for montelukast
Maladies bronchiques+6
+ Hypersensibilité
+ Hypersensibilité immédiate
Recherche fondamentale
Résumé
Date de début de l'étude : 1 mai 2012
Date à laquelle le premier participant a commencé l'étude.Rationale: It has been proposed that there is a specific LTE4-receptor which causes infiltration of inflammatory cells and bronchoconstriction. This receptor is not blocked by the current class of clinically used antileukotriene drugs. The proposal receives circumstantial support from animal models, but has not been tested in a controlled study in subjects with asthma. Study design: The study will have a placebo-controlled, double-blind, randomised, cross-over design. A screening period will precede the randomized phase. This will include routine haematology, blood chemistry and urinalyses, baseline measurements of exhaled nitric oxide, airway responsiveness to inhaled methacholine and, on a separate day, airway responsiveness to inhaled LTE4. Provided the subjects fulfill inclusion but not exclusion criteria, subjects will be randomized to receive medication with montelukast or matching placebo for 5 to 7 days. The intervention will be evaluated in the inhalation challenge setting using a rising dose cumulative protocol for inhaled LTE4 to induce a standardised bronchoconstriction (25% drop in lung function). The LTE4 challenge test is performed on the last treatment day, with the last dose of study medication taken in the research laboratory. Sampling of urine, blood and induced sputum will be done for measurements of lipid mediators and cellular responses.
Protocole
Cette section fournit des détails sur le plan de l'étude, y compris la manière dont l'étude est conçue et ce qu'elle évalue.14 participants à inclure
Nombre total de participants que l'essai clinique vise à recruter.Recherche fondamentale
Éligibilité
Les chercheurs recherchent des patients correspondant à une certaine description appelée critères d'éligibilité : état de santé général ou traitements antérieurs du patient.Tout sexe
Le sexe biologique des participants éligibles à s'inscrire.De 18 à 55 ans
Tranche d'âge des participants éligibles à participer.Volontaires sains non autorisés
Indique si les individus en bonne santé et ne présentant pas la condition étudiée peuvent participer.Conditions
Pathologie
Critères
Inclusion Criteria: Be aged 18-55 years inclusive Have a diagnosed history of asthma as defined by at least one of the following: response to standard asthma treatment episodic wheezing change in lung function over short periods of time Be a non-smoker for the last two years and a total of smoking less than 5 pack-years Display a positive methacholine challenge test as evidenced by a PD20 (provocative dose causing 20% fall in forced expiratory volume in one second) ≤ 3621 µg cumulated dose within 8 weeks prior to screening or at the screening visit. Have stable intermittent asthma, only using bronchodilator therapy as needed for the last 4 weeks. Produce FEV1 (forced expiratory volume in one second) ≥ 70 % of predicted - Exclusion Criteria: Any significant respiratory disease, other than asthma. Subjects with seasonal asthma may not be included if they are in their season. Use of: oral or inhaled glucocorticosteroid treatment for the last 4 weeks prior to inclusion or during the study inhaled long-acting or oral beta2-agonists, anticholinergic bronchodilators, antihistamines, theophyllines, chromones and antileukotrienes within 2 weeks of screening regular NSAIDs drugs that inhibit the enzyme CYP3A (e.g. ritonavir, azol, antifungals, macrolides) beta-blocking agents Upper or lower respiratory tract infection within 4 weeks before inclusion Evidence (from medical history or physical examination) of any disease that in the investigators mind would affect the results of the study, in particular liver disease and/or signs of liver function impairment Participating in another study in the four weeks prior to screening Females who are pregnant, intend to be or who are lactating Subjects with history of aspirin-sensitive respiratory disease -
Plan de l'étude
Découvrez tous les traitements administrés dans cette étude, leur description détaillée et ce qu'ils impliquent.2 groupes d'intervention sont désignés dans cette étude
50% de chances d'être dans le groupe placebo en aveugle
Groupes de traitement
Groupe I
ExpérimentalGroupe II
PlaceboObjectifs de l'étude
Objectifs principaux
Objectifs secondaires
Centres d'étude
Ce sont les hôpitaux, cliniques ou centres de recherche où l'essai est conduit. Vous pouvez trouver le site le plus proche de vous ainsi que son statut.Cette étude comporte 1 site
Karolinska University Hospital
Stockholm, SwedenOuvrir Karolinska University Hospital dans Google Maps