UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000042096
Receipt number R000048043
Scientific Title Diagnostic accuracy and adverse events of bronchial and intranasal challenge tests for NSAIDs-exacerbated respiratory disease: A systematic review and meta-analysis
Date of disclosure of the study information 2020/10/15
Last modified on 2021/01/12 10:17:20

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Basic information

Public title

Diagnostic accuracy and adverse events of bronchial and intranasal challenge tests for NSAIDs-exacerbated respiratory disease: A systematic review and meta-analysis

Acronym

Diagnostic accuracy and adverse events of bronchial and intranasal challenge tests for NSAIDs-exacerbated respiratory disease: A systematic review and meta-analysis

Scientific Title

Diagnostic accuracy and adverse events of bronchial and intranasal challenge tests for NSAIDs-exacerbated respiratory disease: A systematic review and meta-analysis

Scientific Title:Acronym

Diagnostic accuracy and adverse events of bronchial and intranasal challenge tests for NSAIDs-exacerbated respiratory disease: A systematic review and meta-analysis

Region

Japan


Condition

Condition

NSAIDs-exacerbated respiratory disease

Classification by specialty

Pneumology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This systematic review aimed to evaluate the diagnostic accuracy and adverse events of inhalational challenge tests including bronchial and nasal challenge tests.

Basic objectives2

Others

Basic objectives -Others

Evaluating sensitivity and specificity as well as the number of adverse reactions.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Sensitivity and specificity

Key secondary outcomes



Base

Study type

Others,meta-analysis etc


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


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

First, we will include the prospective or retrospective cohort studies, case-control studies, case series, and case reports describing aspirin inhalation challenge tests (bronchial or nasal challenge tests) for NERD in the review of adverse events.
Second, AS and HS will independently select the articles from include articles in adverse events review for systematic review and meta-analysis of diagnostic accuracy. Inclusion criteria for diagnostic test accuracy review will be prospective or retrospective cohort studies, and case-control studies assessing the accuracy of aspirin or ketorolac inhalational challenge tests for differentiating NERD and non-NERD patients. Exclusion criteria of diagnostic test accuracy review will be case series, case reports, review articles, and animal studies.

Key exclusion criteria

Mentioned above.

Target sample size



Research contact person

Name of lead principal investigator

1st name Akihiro
Middle name
Last name Shiroshita

Organization

Ichinomiyanishi Hospital

Division name

Department of respiratory medicine

Zip code

491-0001

Address

1 Kaimeihira Chinomiya, Aichi, Japan, 494-0001

TEL

080-3807-4960

Email

akihirokun8@gmail.com


Public contact

Name of contact person

1st name Akihiro
Middle name
Last name Shiroshita

Organization

Ichinomiyanishi Hospital

Division name

Department of respiratory medicine

Zip code

491-0001

Address

1 Kaimeihira Chinomiya, Aichi, Japan, 494-0001

TEL

080-3807-4960

Homepage URL


Email

akihirokun8@gmail.com


Sponsor or person

Institute

Ichinomiyanishi Hospital

Institute

Department

Personal name



Funding Source

Organization

We obtained funding from Systematic Review Workshop Peer Support Group (SRWS-PSG) (https://community.camp-fire.jp/projects/view/187310).

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

Not applicable

Address

Not applicable

Tel

Not applicable

Email

Not applicable


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

2020 Year 10 Month 15 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


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

Terminated

Date of protocol fixation

2020 Year 10 Month 13 Day

Date of IRB

2020 Year 10 Month 13 Day

Anticipated trial start date

2020 Year 10 Month 13 Day

Last follow-up date

2021 Year 10 Month 13 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

For diagnostic test accuracy review, we will evaluate bronchial and intranasal aspirin challenge tests as a role of a replacement of oral aspirin challenge tests in specialized centers among patients who are suspected of NERD based on history and physical examination. We will extract the study information and evaluate the quality of the included studies using the Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) tool.
Diagnostic accuracy of inhalation challenge tests will be evaluated with separate three categories; lysine-aspirin bronchial challenge tests, lysine-aspirin intranasal challenge tests, and ketorolac intranasal challenge tests. We will illustrate forest plots and hierarchical summary operating characteristic (HSROC) curves to summarize the diagnostic yield of inhalation challenge tests. Besides, we used a fixed specificity of 93% and calculate the point estimation of sensitivity using HSROC parameters. We used a fixed specificity of 93% because oral aspirin challenge tests had 93% of specificity for diagnosing NERD and we expect bronchial and intranasal challenge tests as similar add-on tests. The overall quality evidence will be assessed using the GRADE approach.


Management information

Registered date

2020 Year 10 Month 13 Day

Last modified on

2021 Year 01 Month 12 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000048043