SAW Lung Microbiome Study in Smokers and Never-smokers

NCT ID: NCT03562442

Last Updated: 2024-04-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-03-29

Study Completion Date

2020-03-01

Brief Summary

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The trial aims to analyse changes in the microbiome of the lower airways after smoking cessation. Microbiome analyses (upper airway swabs, bronchoalveolar lavage, transbronchial brushing) are conducted in smokers before and 6 weeks after smoking cessation. Never smokers serve as a control group and undergo the same sampling procedures once.

Detailed Description

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The trial aims to analyze changes in the microbiome of the lower airways after smoking cessation. Microbiome analyses (upper airway swabs, bronchoalveolar lavage, transbronchial brushing) are conducted in healthy (and willing to quit) smokers before and 6 weeks after smoking cessation. Never smokers serve as a control group and undergo the same sampling procedures once.

Demographic and clinical data of the study subjects are obtained, aiming for homogeneous groups. All personal data are encrypted according to the standard operating procedures of the study site. Pharyngeal and deep nasal swabs are taken.

To avoid contamination of the lower airways from the oropharynx through the bronchoscope, standardized procedures are established according to the German guidelines for bronchoscopy. Before bronchoscopy, the endoscope is flushed with sterile saline which is analyzed for 16S ribosomal RNA (rRNA) to control for residual contaminating bacterial desoxyribonucleic acid (DNA). A 300ml bronchoalveolar lavage with warm normal saline solution is taken from the middle lobe. Three covered and "microbiologically protected" bronchial brushings are obtained from the right upper lobe. This sterile brush is sealed in wax and pushed through the wax just before taking the brushing. All samples are immediately frozen and stored at -80°C until further analyses. For cultivations, samples are kept at 4°C and rapidly processed.

Conditions

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Smoking Cessation Chronic Obstructive Pulmonary Disease (COPD) Healthy Microbial Colonization

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Two groups are recruited in parallel (A) Smokers who quit smoking (Visit 1 before cessation, Visit 2 six weeks after cessation) (B) Never-smokers (Visit 1 only)
Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Smokers

Healthy caucasian smokers who are willing to quit smoking are investigated before cessation (Visit 1) and 6 weeks after cessation (Visit 2).

Intervention: Smoking cessation

Group Type EXPERIMENTAL

Smoking cessation

Intervention Type BEHAVIORAL

Smoking cessation with or without professional / medical support

Never-Smokers

Healthy caucasian volunteers who never smoked are investigated once only (Visit 1)

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Smoking cessation

Smoking cessation with or without professional / medical support

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Cigarette consumption of at least five cigarettes per day
* Caucasian ethnicity

Exclusion Criteria

* Continous passive smoking exposure
* Systemic steroid therapy during the previous month
* Chronic lung disease (exception COPD stage Global Initiative on Lung Disease (GOLD) 0/I/II)
* Diabetes mellitus
* Pregnancy or breast feeding
* active tuberculosis (currently or previously)
* respiratory infection in the previous month
* antibiotic therapy in the previous two months
* immunosuppression
* malignancy
* interstitial lung disease
* rheumatic disease with lung manifestation
* member of a collaborative group of the project
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Research Center Borstel

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Research Center Borstel

Borstel, Schleswig-Holstein, Germany

Site Status

Countries

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Germany

References

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Pfeiffer S, Herzmann C, Gaede KI, Kovacevic D, Krauss-Etschmann S, Schloter M. Different responses of the oral, nasal and lung microbiomes to cigarette smoke. Thorax. 2022 Feb;77(2):191-195. doi: 10.1136/thoraxjnl-2020-216153. Epub 2021 Aug 13.

Reference Type DERIVED
PMID: 34389656 (View on PubMed)

Other Identifiers

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SAW Lungenmikrobiom-Studie

Identifier Type: -

Identifier Source: org_study_id

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