UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000048857
Receipt number R000055411
Scientific Title Effects of integrated environmental intervention on prevention of worsening of allergic bronchopulmonary aspergillosis
Date of disclosure of the study information 2022/09/11
Last modified on 2023/09/11 05:54:01

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Basic information

Public title

Effects of integrated environmental intervention on prevention of worsening of allergic bronchopulmonary aspergillosis

Acronym

ENVIPAS study

Scientific Title

Effects of integrated environmental intervention on prevention of worsening of allergic bronchopulmonary aspergillosis

Scientific Title:Acronym

ENVIPAS study

Region

Japan


Condition

Condition

Allergic bronchopulmonary aspergillosis

Classification by specialty

Pneumology Clinical immunology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To test whether integrative environmental interventions improve patient and environmental outcomes

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Parallel-group comparative study: comparison of maximum total serum IgE levels in the first year after intervention in the control environmental intervention group and the integrated environmental intervention group
Before-and-after study: comparison of maximum serum total IgE levels in the first year after intervention with control and integrated environmental interventions

Key secondary outcomes

Comparison of maximum serum Aspergillus-specific IgE antibody titers in the first year after intervention
Rate of change in serum total IgE level and serum Aspergillus-specific IgE antibody level beforeand after 1 year of intervention
Changes in serum Aspergillus-specific IgG antibody titers before and after intervention
Change in ABPM relapse rate before and after intervention
Change in asthma exacerbation rate before and after intervention
Changes in room temperature and humidity before and after intervention
Changes in indoor fungal load before and after intervention
Changes in mite antigen content in house dust before and after intervention

(exploratory outcomes)
Changes in peripheral blood eosinophil counts
Changes in serum titers of IgE antibody to fungi other than Aspergillus
Changes in FeNO
Changes in miniAQLQ, ACQ5, CAT
Changes in radiographic findings in chest
Changes in VOC in residences
Changes in fungal species in residences
Changes in bacterial load and species in residences


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Prevention

Type of intervention

Other

Interventions/Control_1

Integrated environmental intervention group
1. Room cleaning by professional cleaners
2. Cleaning guidance by a professional cleaning company
3. Air conditioner cleaning by professional cleaners
4. Regular recommendations for self-cleaning of the indoor environment
5. Indoor installation of air purifiers

Interventions/Control_2

Control environmental intervention group
1. Room cleaning by professional cleaners

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

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Those who meet 5 points or more in the diagnostic criteria for allergic bronchopulmonary mycosis (2019, J Allergy Clin Immunol. 2021;147:1261)
2. Subjects with a total serum IgE level of 417 IU/mL or higher or an Aspergillus-specific IgE level of 1.0 UA/mL or higher
3. Subjects who have provided have obtained written consent of their own free will.

Key exclusion criteria

1. Patients with Aspergillus-related lung disease other than ABPM (chronic pulmonary aspergillosis, etc.)
2. Patients with with cystic fibrosis
3. Those who plan to move from their current residence within one year of the scheduled start date of the research
4. Persons whose current residence is less than 1 year old from the scheduled start date of research
5. Those who do not have an air conditioner installed in the living room or the bedroom in their current residence.
6. The air conditioner in the living room and the bedroom in the current residence has been purchased or cleaned by a professional within one year of the scheduled start date of research.
7. Complete remission in the past 3 years; no treatment with oral steroids, antifungal drugs, or antibody drugs, no clinical symptoms or no abnormalities in the laboratory and radiographic tests
8. Patients who have received medium to high-dose oral steroid therapy (more than 10 mg/day equivalent to PSL for 14 days or more) within the past month
9. Patients who have newly started antifungal drug or biologics within the past 6 months

Target sample size

130


Research contact person

Name of lead principal investigator

1st name Koichiro
Middle name
Last name Asano

Organization

Tokai University School of Medicine

Division name

Division of Pulmonary Medicine, Department of Medicine

Zip code

259-1193

Address

Shimokasuya 143, Isehara, Kanagawa, Japan

TEL

0463-93-1121

Email

ko-asano@tokai-u.jp


Public contact

Name of contact person

1st name Koichiro
Middle name
Last name Asano

Organization

Tokai University School of Medicine

Division name

Division of Pulmonary Medicine, Department of Medicine

Zip code

259-1193

Address

Shimokasuya 143, Isehara, Kanagawa2591193, Japan

TEL

0463-93-1121

Homepage URL


Email

ko-asano@tokai-u.jp


Sponsor or person

Institute

Japan Agency for Medical Research and Development

Institute

Department

Personal name



Funding Source

Organization

Japan Agency for Medical Research and Development

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Institutional Review Board for Clinical Research, Tokai University

Address

Shimokasuya 143, Isehara, Kanagawa2591193, Japan

Tel

0463-93-1121

Email

tokai-rinsho@ml.tokai-u.jp


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

東海大学医学部付属病院(神奈川県)、国立病院機構相模原病院(神奈川県)、国立病院機構東京病院(東京都)、埼玉県立循環器・呼吸器病センター(埼玉県)、慶應義塾大学病院(東京都)、藤田医科大学ばんたね病院(愛知県)、浜松医科大学病院(静岡県)、国家公務員共済組合連合会立川病院(東京都)、さいたま市立病院(埼玉県)、北里研究所病院(東京都)、浜松ろうさい病院(静岡県)、聖隷浜松病院(静岡県)、聖隷三方原病院(静岡県)、磐田市立総合病院(静岡県)、藤枝市立総合病院(静岡県)、富山県立中央病院(富山県)、加古川中央市民病院(兵庫県)、山口大学医学部附属病院(山口県)、さいたま赤十字病院(埼玉県)、埼玉医科大学病院(埼玉県)、三菱京都病院(京都府)、北海道大学病院(北海道)、奈良県立医科大学(奈良県)、順天堂大学医学部附属順天堂医院(東京都)、東京医科歯科大学大学院医歯学総合研究所(東京都)、済生会宇都宮病院(栃木県)、防衛医科大学校(埼玉県)、独立行政法人国立病院機構東名古屋病院(愛知県)、名古屋大学医学部附属病院(愛知県)、公立陶生病院(愛知県)、鳥取大学医学部附属病院(鳥取県)、KKR札幌医療センター(北海道)、天理よろづ相談所病院(奈良県)、国立病院機構災害医療センター(東京都)、神奈川県立循環器呼吸器病センター(神奈川県)、自治医科大学(栃木県)、国立大学法人信州大学(長野県)、奈良医療センター(奈良県)、佐賀大学医学部附属病院(佐賀県)、独立行政法人国立病院機構金沢医療センター(石川県)、新潟大学大学院医歯学総合研究科(新潟県)、福島県立医科大学(福島県)、鹿児島大学病院(鹿児島県)、独立行政法人大阪刀根山医療センター(大阪府)、秋田大学大学院医学系研究科(秋田県)、国立病院機構福岡病院(福岡県)、京都大学大学院(京都府)、高知大学医学部附属病院(高知県)、東邦大学医療センター大橋病院(東京都)、長崎大学病院(長崎県)、豊田地域医療センター(愛知県)、坂総合病院(宮城県)


Other administrative information

Date of disclosure of the study information

2022 Year 09 Month 11 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

Enrolling by invitation

Date of protocol fixation

2022 Year 07 Month 15 Day

Date of IRB

2022 Year 07 Month 26 Day

Anticipated trial start date

2022 Year 09 Month 15 Day

Last follow-up date

2026 Year 09 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2022 Year 09 Month 05 Day

Last modified on

2023 Year 09 Month 11 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000055411


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name