UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000054043
Receipt number R000059554
Scientific Title Dietary Intervention Study for Adult Asthmatics
Date of disclosure of the study information 2024/05/30
Last modified on 2025/04/09 08:20:37

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Basic information

Public title

Dietary Intervention Study for Adult Asthmatics

Acronym

Asthma Diet Study

Scientific Title

Dietary Intervention Study for Adult Asthmatics

Scientific Title:Acronym

Asthma Diet Study

Region

Japan


Condition

Condition

Asthma

Classification by specialty

Pneumology Clinical immunology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To examine the impact and mechanisms of lifestyle-based dietary interventions on asthma control in adult asthmatics.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

Change in AQLQ (Asthma Quality of Life Questionnaire) from baseline after 4 weeks of dietary intervention

Key secondary outcomes

Changes in weight and body composition assessment using InBody at the start of the dietary intervention (0 weeks), 4 weeks, and 8 weeks
The following questionnaire items at the start of dietary intervention (week 0), 2, 4, and 8 weeks
Self-assessment of compliance with nutritional guidance
Dietary survey including frequency of consumption of fermented foods, etc.
Asthma control (ACQ-5)
Asthma Quality of Life Questionnaire (AQLQ)
Gastroesophageal reflux symptoms (FSSG)
Depression and anxiety (HADS)
Questionnaire items of the following items at the start of the dietary intervention (week 0) and at week 8
Nutritional Questionnaire prepared by the National Institute of Biomedical Innovation, National Institute of Health and Nutrition (Questionnaire used for analysis of intestinal bacteria)
Questionnaire prepared by the National Institute of Biomedical Innovation and Nutrition (Questionnaire used for analysis of intestinal bacteria)
The following laboratory indices at the start of the dietary intervention (week 0), at 4 weeks, and at 8 weeks:
Blood samples: (peripheral blood, fractionated), TARC, inhaled antigen-specific IgE, total IgE)
LDL-C, HDL-C, lipoprotein, triglycerides, HbA1c, insulin, C-peptide, uric acid, zinc
Respiratory function tests: spirometry-assessed lung air volume fraction, effort lung capacity
Respiratory function tests: respiratory resistance evaluated by spirometry, respiratory reactance
Exhaled nitric oxide concentration (FeNO)


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Self control

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Food Behavior,custom

Interventions/Control_1

Patients will receive dietary intervention based on the specific suggestions of the dietitian for 4 weeks from the start of the intervention; the strict dietary intervention period.
Recipes supervised by a dietitian from Oishi-Kenko will be proposed to the patients based on nutritional guidance for obesity, diabetes, dyslipidemia, and hyperuricemia.
Patients are required to cook at least one meal (night meal is the best) a day by shopping based on the list of ingredients necessary for the proposed meal.
Patients are encouraged not to miss any meals for the remaining two meals, and to try to follow the diet based on the nutritional guidance through meetings with a dietitian (including online, SMS tools, etc.). This may include a photographic evaluation of prepared meals.
No snacking is to be done, and if snacking is done, it is to be kept to a minimum.
The two points, which are reported to have a positive effect on bronchial asthma, should be followed; taking tree nuts/soy products.
Send a daily evaluation of their ability to follow the suggested diet to the dietitian and receive feedback and guidance from the dietitian.
The diet during the period when the subjects are unable to adhere to the proposed diet because they are unable to shop or cook for themselves as suggested for some reason will be left up to the research subjects. This case will be treated as deficient; which is assumed to be approximately 30% of the 4-week period of the strict diet intervention period.
After the 4-week period, it is not mandatory to practice the eating behaviors proposed during the strict diet intervention period. However, patients will be encouraged to adhere to the eating behaviors in accordance with the guidelines for lifestyle-related diseases by using the app during the following 4 weeks (weeks 4-8 of the intervention), and feedback by the dietitian will continue at a reduced frequency of twice a week (tolerance period)

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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients who have been diagnosed with bronchial asthma in the past, are able to visit Keio University Hospital, and meet one of the following criteria
Obesity with a BMI of 25 or more
Type 2 diabetes with HbA1c less than 8%.
Dyslipidemia
Hyperuricemia
The above conditions do not require the applicant to be a patient at Keio University hospital. If the patient has an outpatient clinic, obtain verbal consent from the attending physician.

Key exclusion criteria

Pregnant or lactating mothers
Chronic kidney disease Grade 3a or higher or renal failure with eGFR less than 59 ml/min/1.73m2
Type 1 diabetes mellitus, type 2 diabetes mellitus on insulin, or type 2 diabetes mellitus with HbA1c of 8% or higher
Patients with hypertension that is judged to be poorly controlled by the clinician
Other conditions for which the clinician determines that the diet recommended in this study may be associated with exacerbation of the underlying disease
Those who cannot give their consent to participate in the study.
Those who have difficulty using the contents of the Oishii Kenko App

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Katsunori
Middle name
Last name Masaki

Organization

Keio University School of Medicine

Division name

Division of Pulmonary Medicine, Department of Medicine

Zip code

160-8582

Address

35 Shinanomachi, Shinjuku-ku, Tokyo ,Japan

TEL

+81333531211

Email

masakik@keio.jp


Public contact

Name of contact person

1st name Katsunori
Middle name
Last name Masaki

Organization

Keio University School of Medicine

Division name

Division of Pulmonary Medicine, Department of Medicine

Zip code

160-8582

Address

35 Shinanomachi, Shinjuku-ku, Tokyo, Jaoan

TEL

+81333531211

Homepage URL


Email

masakik@keio.jp


Sponsor or person

Institute

Keio University

Institute

Department

Personal name



Funding Source

Organization

self-procurement

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Division of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine

Address

35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan

Tel

+81333531211

Email

masakik@keio.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



Other administrative information

Date of disclosure of the study information

2024 Year 05 Month 30 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

2023 Year 12 Month 16 Day

Date of IRB

2024 Year 06 Month 25 Day

Anticipated trial start date

2024 Year 08 Month 29 Day

Last follow-up date

2034 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2024 Year 04 Month 03 Day

Last modified on

2025 Year 04 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000059554