UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000017533
Receipt number R000016958
Scientific Title Pathological evaluation of asthma with rhinitis or rhinosinusitis by measuring fractional exhaled nitric oxide (FeNO)and nasal nitric oxide (nasal NO).
Date of disclosure of the study information 2015/05/12
Last modified on 2016/06/20 17:07:11

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Basic information

Public title

Pathological evaluation of asthma with rhinitis or rhinosinusitis by measuring fractional exhaled nitric oxide (FeNO)and nasal nitric oxide (nasal NO).

Acronym

Eevaluation of asthma by nasal NO.

Scientific Title

Pathological evaluation of asthma with rhinitis or rhinosinusitis by measuring fractional exhaled nitric oxide (FeNO)and nasal nitric oxide (nasal NO).

Scientific Title:Acronym

Eevaluation of asthma by nasal NO.

Region

Japan


Condition

Condition

asthma

Classification by specialty

Pneumology Clinical immunology Oto-rhino-laryngology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

1. To evaluate the usefulness of nasal nitric oxide(NO) measurements as one of the method of the upper airway inflammation in asthmatic patients with rhinitis or rhinosinusitis.
2. To evaluate the localization and distribution of inflammation in the airways by measuring NO from both upper and lower respiratory tract, and to investigate the association between nitric oxide (FeNO, nasal NO) concentration and clinical feature of asthma, long-term prognosis.
3. To revreal pathogenesis of asthma with allergic rhinitis and chronic rhinosinusitisi by measuring the cellular and liquid components of the nasal lavage, blood and sputum samples.
4. To evaluate the association between serum periostin levels and comorbid upper airway diseases (rhinitis, chronic rhinosinusitis)

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

Asssociation between asthma severity and FeNO, nasal NO in asthmatic patients with rhinitis.

Key secondary outcomes

1. Correlation between nasal NO levels and otolaryngologic disease.
2. Relationship between response of FeNO/nasal NO levels and changes of asthma and rhinitis symptoms due to rhinitis treatment.
3. Correlation between nasal NO/FeNO levels and cellular components, liquid factor of nasal lavage, blood, and sputum.
4. The effect of nasal NO levels in allergic rhinitis and chronic rhinosinusitis on the presence or absence of asthma.
5. Associations of rhinitis or chronic rhinosinusitis to serum periostin levels


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

16 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Subjective: Stable asthmatic patients presenting symptoms as related with untreated allergic rhinitis or chronic rhinosinusitis.
Control group:
1. Asthmatic patients without symptoms as related with rhinitis.
2. Allergic rhinitis patients without asthma.
3. Chronic rhinosinusitis patients without asthma.
4. healthy volunteer

Key exclusion criteria

1. Patients who are considered to have infectious disease like mycobacterium tuberculosis.
2. Current smoker, and ex-smoker with smoking history more than 5 pack-year.
3. Patients who can not perform laboratory tests correctly.
4. Patients who has oral steroids at the registration period.
Except for the patients who had 2 weeks washout peroiod prior to registration.
5. Patients who was judged as inappropriate by investigators

Target sample size

346


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Akio Niimi

Organization

Nagoya City University Graduate School of Medical Sciences

Division name

Respiratory Medicine, Allergy and Rheumatology

Zip code


Address

1, kawasumi, mizuho-cho, mizuho-ku, Nagoya-city

TEL

052-851-5511

Email

a.niimi@med.nagoya-cu.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Takamitsu Asano

Organization

Nagoya City University Graduate School of Medical Sciences

Division name

Respiratory Medicine, Allergy and Rheumatology

Zip code


Address

1, kawasumi, mizuho-cho, mizuho-ku, Nagoya-city

TEL

052-851-5511

Homepage URL


Email

t.asano@med.nagoya-cu.ac.jp


Sponsor or person

Institute

Nagoya City University Graduate School of Medical Sciences

Institute

Department

Personal name



Funding Source

Organization

Nagoya City University Graduate School of Medical Sciences Respiratory Medicine, Allergy and Rheumatology

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2015 Year 05 Month 12 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results

Nasa NO values are signignificantly higher in asthmatic patients with rhinitis than those without upper airway diseases or those with chronic rhinosinusitis, suggesting the utility of nasal NO measurements for diagnosing comorbid rhinitis in asthmatic patients. No significant differences were found in nasal NO values between those wit and without asthma. Therefore, nasal NO values seem to be specific to upper airway inflammation. Nasal No values did not associate with the severity of rhinitis. In contrast, nasal NO values were inversely correlated with severity of rhinosinusitis (sinus CT scoring) and asthma control (ACQ scores). When evaluating other biomarkers, serum periostin levels were higher in patients with CRS compared to those without upper airway diseases or those with rhinitis.

Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2014 Year 07 Month 23 Day

Date of IRB


Anticipated trial start date

2014 Year 07 Month 23 Day

Last follow-up date

2016 Year 03 Month 31 Day

Date of closure to data entry

2016 Year 03 Month 31 Day

Date trial data considered complete

2016 Year 03 Month 31 Day

Date analysis concluded

2016 Year 03 Month 31 Day


Other

Other related information

No information are given at this moment.


Management information

Registered date

2015 Year 05 Month 12 Day

Last modified on

2016 Year 06 Month 20 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000016958