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Ciliation and Mucus Rheology Parameters Determined Via Air-liquid-interface Cell Cultures in Non-smoking, Smoking, COPD and Asthmatic Patients (RhéMuc)

University Hospital Center (CHU) logo

University Hospital Center (CHU)

Status

Terminated

Conditions

Asthma
Pulmonary Disease, Chronic Obstructive
Smoking

Treatments

Other: ALI culture
Procedure: Bronchial Biopsy

Study type

Interventional

Funder types

Other

Identifiers

NCT03187860
RECHMPL18_0222

Details and patient eligibility

About

This is a prospective study comparing 4 groups: (1) non-smoking controls, (2) smokers without chronic obstructive pulmonary disease (COPD), (3) smokers with COPD, (4) severe asthma.

Bronchial biopsy specimens from each subject will be obtained to produce air-liquid-interface cell cultures. These will then be used to make observations concerning cilia and mucus rheology.

This is a first pilot study. The working hypothesis is that the largest group differences will be found for cilia densities; the latter metric was thus chosen as a primary criterion.

Enrollment

30 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion criteria for non smoking controls:

  • The subject has given free and informed consent and signed the consent form
  • The subject is affiliated with or beneficiary of a medical insurance program
  • The subject has never smoked
  • No obstructive breathing disorder (forced expiratory volume at one second (FEV1) >70% of predicted value; the ratio of FEV1 to forced vital capacity (FEV1/FVC) is > 0.7)
  • No known respiratory disease

Inclusion criteria for smokers without COPD:

  • The subject has given free and informed consent and signed the consent form
  • The subject is affiliated with or beneficiary of a medical insurance program
  • Smoker or former smoker (>= 30 pack years)
  • No obstructive breathing disorder (forced expiratory volume at one second (FEV1) >70% of predicted value; the ratio of FEV1 to forced vital capacity (FEV1/FVC) is > 0.7)

Inclusion criteria for smokers with COPD:

  • The subject has given free and informed consent and signed the consent form
  • The subject is affiliated with or beneficiary of a medical insurance program
  • Smoker or former smoker (>= 30 pack years)
  • Subject presenting with COPD: FEV1/FVC < 0.7 (based on spirometry values in the medical file and performed in the 3 months prior to inclusion)
  • The subject requires bronchial fibroscopy (decision made by pneumologist)
  • COPD of grade "2" or "3" according to GOLD criteria (Global Initiative for Chronic Obstructive Lung Disease)

Inclusion criteria for subjects with severe asthma:

  • The subject has given free and informed consent and signed the consent form
  • The subject is affiliated with or beneficiary of a medical insurance program
  • Non-smoker or former smoker (<10 pack years)
  • Subject presenting with severe asthma: FEV1/FVC >= 0.7 and FEV1 < 80%
  • The subjects requires bronchial fibroscopy (decision made by pneumologist)

Exclusion criteria:

  • The subject has an extensive neoplastic disease
  • The subject has another active lung disease (tuberculosis, pulmonary interstitium disease, active or recent pulmonary infection)
  • The subject has had a recent psychiatric disorder (within one year prior to inclusion and documented by a specialist consultation)
  • Emergency situations (object extractions...)
  • Subject consuming illicit drugs or alcohol
  • The subject is in an exclusion period determined by a previous study
  • The subject is under judicial protection, or is an adult under any kind of guardianship
  • It is impossible to correctly inform the patient
  • The subject cannot fluently read French

Trial design

Primary purpose

Diagnostic

Allocation

Non-Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

30 participants in 4 patient groups

Non-smoking controls
Experimental group
Description:
Subjects in this group have never smoked and have no known lung disorders. Intervention: Bronchial Biopsy + ALI culture (Air Liquid Interface)
Treatment:
Procedure: Bronchial Biopsy
Other: ALI culture
Smokers without COPD
Experimental group
Description:
Subjects in this group are smokers or former smokers who do not have signs of obstructive disease (no chronic obstructive pulmonary disease (COPD)) Intervention: Bronchial Biopsy + ALI culture
Treatment:
Procedure: Bronchial Biopsy
Other: ALI culture
Smokers with COPD
Experimental group
Description:
Subjects in this group are smokers or former smokers who have COPD Intervention: Bronchial Biopsy + ALI culture
Treatment:
Procedure: Bronchial Biopsy
Other: ALI culture
Severe asthma
Experimental group
Description:
Subjects in this group are non-smokers or former (light) smokers who have severe asthma. Intervention: Bronchial Biopsy + ALI culture
Treatment:
Procedure: Bronchial Biopsy
Other: ALI culture

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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